• • I

[(o IDBI BANK

~ k nlnl~s
fMD ,qmil J1l ;riJ \0 am UST FOR MISCJIJ,,ANgOUS REQUEST
,nm /Br. Name~ ~ 1fiT illJJ'' Name of CUStomer ffl ¥. Ref Number
fo, use at CPU
1 ~ ·cu u v
~~C:UstlD: ~o~.21'ul./cJ 11rantJA/cNumber: ~ 0'1-1~10"1000(1'1,,-lf l..

~ ifiT '1'm' / lYPE OF REQUEST ~ nr.r c:rarda .tt ~

Please mention documents attached below
~ A d d i t i o n /Deletion of name !Joint)

1. ~\~(,
~ -~Name/ Sign c
·-
2. ~et\O.A
hange
3.
~rnnmtil~ Pcvu-
Cha111e of Authoriwd Signatory
,.
5.
mi~ ~ ~ ~ A d d m s Chqt
6.
#R{Vtftffl~Q
7.
Mandate (Auth. l.ttrr) / POA ltttrr
I.
~ . t R R i ' a t ~ o 1 ......
Major 9.

10.
Ul'iff qf~QI~ ,t ~IG~cope,MIDII

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Nomlnltlon (R11ls ~ f
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- \\is«lbneous lequN lfm lndi, iduih I Solf Proprietor
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,. :,-_., _---oe,-s;_pe:; I - ~ Aa:o<sc N\11'".ber_____,..__,,---....,....,...,------,,-----,,--Junder Oien! 10 No._ _ __ __ _,
..-::.- ::;3' S.-.. Lt!.. do~ ~ e IOSI 8.1,,a lli, to linlr. lhe ane ID m y ~ Number (Photo copy ot the Aacnaar card c.ly se,:
=~ es ~ for e:ecronic tra.~ of subsidies~ ilso lor usir,g lhe Adiaar nlfflber ~
AC-<,,:.~ ' - - = - - ~ Sen.-ice.
bio--metric information for prov:c,rg :!-e
E-ax:!, T,-risfe, ol Aa:ounts <SOL Change):
F-:r t I !•
-'-== ~ .r.~ ! I I ~I ! ! ! ! II I I I I IToCJII
I
- L:;x!ri:la ot om °' Birth:jDC] DO I . I -I· j ·, I (PnJd., be endoRdl
~ C.00.~ of ....- a,ccowit to mAjor .count (AOF & 1SA to be endma9 _
I "e~ cr..f.r.n t-..ic r-.e ba..nce in my Savings Bank / Term Deposit AcCDUnl No. _ _ _ _ _ _ _ _ _ _ _ with your S:anch ai
, ~'-' ,:,--JSE ri business on _ _ _ _ _ _ was Rs. _ _ _ _ _ ~orl,t _ _ _ _ _ _ _ _ _ _ _ __ _
~
(Jli4Jel5.
•.;.:, s-:c,''.!.r~ - - - - - - - - - - - - - - ~ a minor ~c in yourbrinch. On he's!>e I
:r-...__,::;r. x, l<:n&f comet 1:1e account to major in his nameand lheModeofC)pelation ohccountswill be:
: -,s,-,g:e Q E!S O F/5 D AIS OJoint 00lheB (P\easupecify).
•~
I~~-~~., s I I MinorSignaiure\
0 Kind!, ~ ~ & a m my Acalulll No.: II I I I I I I I I I I I I I I I I~A ~ 1
rBJ
0 Change ot NMr1t (1roal to be endoMd)
~JMnJML ! I I I I I 11 I I I I
[ New ,.._.~JMn./ML I !!!!I 11 I II I
~
0
[o•,-1 I -:.=C
(h.inge in SigNlure:
1nl
0 Addition/ [)eletlon of joint holdedn AaoUnt Number [ !I I !!I I ! ! I ! ! !IIJ ?.,-:
I would like to add/~ lhr name of-=---,=---=---==--- - - - in lhe ibc>Ye meniioned acc()ljnl number and the
1 -•"' □•~ - □"' □"' □,. o""'" "'-'""''' -I
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(New AOf, ISA to be enclosed>- 14
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7
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"'"" Ith ~ de1ailed he<, in beJQW.
/\ccot1n\ Numbc~ under Cu~\omc
~"l Nat11 r l'I .'.ct-01 r ID I Account NumbeB under Cust0i,
1nl hol\\rt
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''1\'d \I:< .-,,n~,,\id,11e the _ _
_
n•~tomr1 IDs n.--t,1ini11g the cu11o
\ mer ID _ _ _ __ _ for
my future operations. I/We unde
, ,,.,. ,'I,,, "''~' will I< h••
t,-, t..indil uf'(l.,!t m\ t..
"'"°'
,no ~;,,ai""' >• aOO« ••" ""'" ' ' "'""
YC In thr !>an~ !"('('Ord! (CIU "' ID
rsta¾ oo<-'
form with \!roof to be encl01eJ> \
~- \l,111d.1te hl'ldN a,Miti,,n (~ \and,1
te holder form lo be enclosed & '
KYC documents)
-, ~wN'P I'\ '(1LIT (Pni\' frn 1,SW
OM I RSOLO)
-.,~,~•, :h"1ilate ~wet'p IN/OUT in
~ ~l~nd in~
my Account Num ber !\\\IIi Ii
ln~ru ction (only varia ble amount request to_ be submitted
k'l.::, S<'t\lP stJnding instruction to RPU)
deta iled as below
··~ -.·.::! I I I I I I I I I I I I I I I I ToNc:I I I 1-l I I
~1X'~nt: L-- -;=: :;-; ::~~ =:;: ::=: ;:::= :;::= ;---- ;:::: :::;; :: Frequenc
I I I I I I I I I J
he,-Jt:C1n T
ime:0 0 0 [ 11 I I I I y:!
Start Date:Q[ J[J GJ I ·i , I · I · I End J
=: Piea;e update PAN [[ TT I I I i i Date:Q[JO[ 11 · I \ I J
;:::: t..ind li
tll)'
i I Forward to CPU , Mum b ·
update myTDS Status Fonn
Attached 01SG 01s H QOther(oth a1-
C Grouping of Accounts (Grouping annexure erthan 15 G / 15 H) proof to be enclosed
to be enclosed)
S lntemet.'Mobile/Phone!Email/Debit card
: Piea;e activate the foi!owing servic
e{s) on my accounts{s) with IDBI
Bank:
r.: Rec.--e:;it of Bank siatement by emai
I
r
/ (111 Use of
(Ill) use of
lntem
Mob
el bank
ilelPh
ing
one
for
bank ing
tra nsa ct, -i. ..:n g:_ ba
_n -'= == == == ==
== == == == == ==
I :1v)tssueof debitcard l EmbossN
ame( 2SO lartm only
•
):I! I I I I I I I I I I I I 11 11 11
== =~
1conf,rr.1 havin gread and undeistoo 11 11 11 1
d IDBI Bank tenn s and cond ition
by tr.e 12id terms and conditions s for all the services I have requ
for the use of the abov e selec ested abov e. I accept and agree
KYC other than the request made ted services. I hereb y conf inn that there to be bound
above. I confinn that the validity i, no chanse in any other details
licen~. proof of possession of Aadh of the Officially Valid documen including
aar num ber, the Vote r's Identity
ts (OVO ) subm itted (viz.; passport,
Register) is not ye! expired and is driving
in force . Please update the same Card, job card issued by NREGA and letter Issued by the Natio
in Bank's records. nal Population
Date :0 00 D 1 I III . . .· ~
Place:
'
{KYC Declaration to be signe d by BH
#-~ · Customer Sign atut «
er IS~ \~ ~ ,are enclosed along with the ~
V
I hereby c_ertify that all necessary
KYC req_u1reme nt of the bank
KYC d ~ref.fl'iy,=
~' o6tained / verified by me.
I conf
above request)
irm that .
. Base d o ~t ~~ ~d°modifications/ame the docu men ts are adequate to~ ply w!th
of l~rronst groups & G_OI advices ndments be carried out. I heilb
& Ba .'O ~•ries & confirm
the applicant
y c:onfinn that I ~ UN h5t
Onlin e PAN and Mult /s are not Inclu ded
iple Cust omer ID - AAillcus Verification has In caut ion advicls / black 11st. confinn that
been done.
Name of the Bran ch Hea d/
.... ~ ~ .
SOM :_ _________
_ _ _ _ _ __
:IN No.: _ _ _ _ __ ··~ i>
~:¢ ✓ -:
_
r
.".)~ ~''',A~~,f,)f''-,_<)•
•.11,, "1.,-.,( ....~ -
FOR BRANCH USE
SOM/ ASOM
RPU Official
Branch Head
 [@Jl ❖ J :!
s.,,,,
~I'.); ..... -;,-- ~4 0 Pt<~M t ttff1x }'''-'r
,~tt.ll Pas~r, ~rt SiI(!
~~ \ ij/U 1~ Photogr~ph '111th
1ig n~lvrt ac r,,1i the
p hologr~ ph
h),V"'- CV
os- qr/
UV\.UMC:1"1 I~ r- nVVIULU rvn IULR1111 " " u nuun1,,JJ
V J
N•..,. of 00<\lmenl • Oocumenl No. If any
ldenlily h o{ ~ ~
.'\
Address f+-<_>,._o-U~
·0ocumw OJ applKabJr OJ ~ Ufottf K'YC Polk.y Customer Signature
uti"ll' Of CH"NGE IN ADDRESS ANO SIGNATURE
Exlstlnt New
Address
(Permono"t / Communiaclo,,)
landmarl<
City
IPlnCod•l State I
landlint Phon• No.
Mobile Phone No.
Em1IIIO
Signature
(if the re is • Chan~)
Whelh<r Tax Resident of any country other than lndlal
OvuiONo lfya. lll-111bmll dtclaratlon on FATCA / C!IS
I hue by submi1 II-. above details lo enable IMonk lo update lh• Cust-ldatlti6catlon Details u,.. extant RBI guidelines. I ht,eb7 request th• B.onk to
updatetheabovedetailswlth,.specttom ycll•ntlOwllhlmmedlatatfftct.
Important terms for processing this NqUeS\! For Joint 1«-11, • separate declanllon should be completed for each Joint account holder.
Signa1urt of Account Holder
~ ~
For Branch Use Only
I- For RPU Use only
Sourcing Branch SOL IO Proof updated on
I
~
Ale
SOL Md, Proof updalwd 011
)\~
l'holo9raph updat.d on
~
SOM/ASOM EIN Slgnalu~ updated on
Signature
abO
Signature of RPU Official
...
BH EIN J
(EINI
Signature
. . .................... .................. ,. ................................. .
·~
ACKNOWLEDGMENT
Wt acknowledge the rect\pl of your KVC updallo11 , _ tor your Cullomer 10 No _ _ _ _ _ _ _ _ _ _• K'1C 1Mll be updaltd onl-1 on .
validation with supporting documenuprovldedalongwllhthelorm.
rN•m• .. Si9n•1ure of hnk official \wilh Bank s.,11 I Oa\l: ir. Ne:
II!
. -·------------ -·· · .
 ■
t ~ IDBI BANK
Bank Al sa Dost Jaisa
!fld1 nw\,"1 with ·•· arr m~nd,,h"Y firld,.
r,c~ •,1 ' whrrrve, a1't'li<~ble.
1P1<"1e fill the !,,,rm in fo9li1h and in ~\.\'ll..l\ l1•Um.
Ol r1ea1e fill the date in DO MM\ \"1 Y t,,,,m.,1. Photo
El fot p,rticulat 1ecfon 11p,l3te, pl.-,,,e li,k ('} in thr 1,.,, "" \lun m1mhr1 ,ml ,t,lke ufl th~ <rt llom nol rrqulrrrl lo Ill' uplnarlrcl.
Fl rtease fl'lld 1e..-fa,n wi,r ct.-1,ilrd guid1•linr1,1mt11111111111 ,1 the rnd.
'Gl l\'YC nun,be, of applkant is n,,11111,110,y f..11 up,1.,te a1,plk,1tlun.
h,,
H) The •orr b.,,ed E-1\YC ..-hr..-~ b,,, i1 to be che.~ed ,,rn1m\1 ope,wd u<lng OIP h~•ecl E KYC In non f,11 e lo fMe mod•.
For office use only
cu.-..10 [J\;JfYl]5:ISFEJ Appllullonl)~•• O New~d.,te CKYCRtoj J J J J J J J J j j j j [0
A«ount ~ • O Minm O t<,dhMr OTP ba1ed E-KYC (In non-face lo face mode)
,,f:lNorm,I (Manrlnrn,y fol KYC 11prlo,,. "<1,,.,.1rJ
1, Personal Details' (Please refer Instruction A al the end)
f"rr-f, , F!r,t N;in,cr,
......... (Sa..... ,
10 ,_10ill;] M1ddlp, N,11mp l
l~ll\ l1"\'J l( \c 1v11111111 I I I I I I I lkl(/11?'U'4 I I I I
,Ht N ,..,~• -r--r-r-,
rrf'fn, Ftr,t NAme Middle N,u,,, l,"t" o,,1t
M.klenN• ..,. [OJ l I I 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I Ill]
~/Spou.. N•- Dffi) Il<I t lP-1NI ~ I I I I I I I I I I I I I I I I I I I I I I I I I I
MotherNa..,. IV\ lt-1q IDl11h~h-.fi 1vrn ,1 I I I 11111111 1111 1111 111
Date of Birth• [QTIJ-@IIJ-\
°I\}J I \ ~ -Male O f -F@male O T-Transgender
I\
PAN' I \ \ \ \ \ \ \ \ \ )~ 60fumished
2. Proof of Identity and Address• (Please refer instruction Bat the end)
I) Certified copy of OVD or equlvalent •-docu..,.nt of OVD or OVO obtained ttwou,ih dlgltal KY( pnlCflS ftNds to be submitted l•nyon• of tho follow,ng OVO,i
O A· PassportNumber l \ \ \ \ \ I Oe-VoterlDCard I\\\\\\\ I \ I I I I I
0 C· Driving License I \ I \ \ I I I \ I I I \ I
■ 0 D· NREGAJobCard I \ I \ \ \ \ \ I \ I \ \ I \ I \ \ \ I \ \ \ I ■
0 E· National Population Register Letter \ \ J \ \ II\ \ \ \ J \ \ \ \ \ \
0 F- Proofof Possession of Aadhaar \ \ \ \ \ \ \ \ \ \ I
E-KYC Auth...,tiution I \ \ \ \
11) \ \ \ \ \ \ Oflllna wriflcatlon of Aaclhw I I I I I I I I I I I I
111) j
Acldres1
Une 1• I ij A-\ P \cl I l.J I V?--loA-4
11itv \4\JlHJ½ I L\Ng Hlrii¥r: I I I I I I I I I I I
Une
2
I \ \ \ I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1~,
\ <Ji if(lj jp \Aj f-A \ \ \
I I I I I I I I I I
I \ \ \ I I I I I □ District"\ I I I I I II II II II II II II Pln/PostCo.te•
I I 1I I 11I I
Une 3
1 1
i 2f~ 1\ 0 1~1 1 1
OtyfTownMllage•
State/U.T I I I I I I I I I I I I l S-/U.TCocle• [I] Country\ \ \ \ \ \ \ \ JIS03166CountryCo.te•[ I J
3. ~rr~ddress Details (Please refer Instruction B at the encl)
_):::::TSame as above mentioned address (In such cases address details • below need not be provided)
I) Certified copy of OVO or equivalent e-document of OVD or OVD obtained through dlgltal KYC process IINds to be submitted (anyone o1 tht 1o11ow; ovo.1
119
0 A-Passport Number I \\\\ I O B•Vot rl0Card I \ I \ \ \ \ I \ \ \ \ \ \ \
O c - Orivinglicense I\\ I\\ I 111 \I\
0 D - NREGAJobCard I \ I I I I I \II III\\II\\\\I\
0 E- Natiooal Population Register Letter \ \ I \ \ III\\IIIIIII
0 Hroof of Possession of Aadhaar I \II \ II I \ I
IIIIII
II) E--l(YC Authentication IIII OflllM wrlflcatlon of Aadhw □
Ill) I I I I I I I I I I 1;
DO
I
IV) Dffmed Proof of Address - Documetltlype code (PIH,e refer 1n,1ruc11on B16) •• the end)
Mdml rTTT7~---rT'TT--,-,-,--,,- ---,-,-,-,r,--r-r-r-.-.--r-r-~ ~
une,• II II I I I I I I IIIIIII I I I I I I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 111 I
Une 2 I III I I I I I I IIIIIII I I I I I I I I I 1 1 1I 1 1 1 1 1 1 1 1 1 I ~ -
u..., II II I I I I I I IIIIIII I I I I I I I I I I I I I I 11 1 1 I I I I I i
Oty/TownMliage• I I I I I I I I I I IDlstrtct-1 I I I I I I I I I I I I Pln/Poltcoci.• 1 1 I I I I I I ~
StalalU.T J J J J I i I i I i I I I s-1\.TCode• □D Country! i I I I I I I 1
1503166
c-tryCode•DJ ft ;02
■ 1 ■ 201
o~v~ -20:
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Bank Aisa Dost J
~o ~'I ,
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1- ) v~~J No ,,.l~'
a~....._., N..._,,_,.c-,..,.,r.. "'• ..."•'l"'I'"' ""'"' "•""'°w k,,,_,l
- · ·, ... , .,,. • .. • -- •• C'! ...... ........ ..
I I
l I j I I I l I l l',f>)lM (nuntry (o,l• of B.,th• r n ' 1
I equ1Y1lenl
ng Country
Validity of doc:um
evidence prov!
1
a. t ~--..:;E.
~ <.s "_.,_.~., .....
'""E JU ~ •SOICT'IO-. DETA ILS WHERE APPLICA.N T IS RESIDENT OUTSIDE INDIA
FOR TAX PURPOSES•
..- ..
Si!~ M ~ • o' ldenllty and Address deta,ls as in Section 2
I
0 Same as Current Address details as in Section 3
4.,.. : I I I I l l l l I l I l I I
I I I l II I l I l l l I
°"----· I I I II I I
~3
II I
I I I IDi- I I I II I l l I II l l l I l
■
I u I I
- 1,..7 _ 1i ~ I / I State/U.T Code• I ,I7l Country/
f I I / I I I l l l l l l PlnJPostCocle• l l I I l I l
rn
I I I I I I I JrsoJ166CountryCocle•r n ■
".......-UC !~
I j
- ~ unoertatang and FATCA / CRS declaration :
n. _ _ ,,s, a,,tifythat:
• -.,,.r-:r-.r.,or ;,,tM:>eCl rntheForm is in accordance with section 285BAofthelnc omeTaxAct, 1961
read with Rules 114Fto 114Hofthelncom etaxRules. _
• • 7"" -:::::z---r= ;r.,-r.~ :,y ,.,.,_,~ in the Form, its supporting Annexures 1962
as well as in the documentary evidence provided by me/us are, to the best of
<-""""""?" n:: :,e,,e' true. correct and complete and that Vwe have not withheld any material our
information that may affect the assessmenVcategorization of the
~i!:.C~:::>lt-a a:.ou:'l!oroth erwise..
c , .__,, :,r-r..•-=~ 03 :,a'll: to collect. store, communicate and process information relating to the Account and all transactions therein, by IDBI Bank and any
,; e:: r' -a:~ ,....--- s.rtuated including sharing. transfer and disclosure between them and to the authorities
in and/or outside India of any confidential
ri:r--¥.rf fcrc:r,;>.i<'l'-" with any iawo, regulation whether domestic or foreign.
d ·-.. .,,,,,,... - tr,. res;y-'-'Sl:>ilcy to declare and disclose within 30 days from the date
of change, any changes that may take place in the information provided in
,..,. ".r- r , , ✓ ., -,r r.-,; l.nne<ures as well as in the documentary evidence provided by us or if any certification
becomes incorrect and to provide fresh self-
~..!f'.rf.L. Mf~ ~ ,O"LIJ!'rl'(:f'l't..Oryevideoce.
•• .·-.,, •"-;;q..,,,. .a, o-J'!a1hntto d,sclose any materialfact known to us, now or in future, may
invalidate our application and IDBI Bank would be within its right to
:,.r •~~-c-~-"",, ~.., ",,.,a,_,,._,,,,
di my/ our account o, close it or report to any regulator and/or any authority designated
by the Government of India for the
~,..,_,...,.,. cr-.- ,.,,, c,_;-..., oev,r,as may be deaned appropriate by IDBI Bank if the deficiency is not remedied
by us within the stipulated period.
f, ,.__,, •,.,-~ .,.~•''-=,-kw .,,,;'~ that IDBI Bank shall have the right and authority to
carry out Investigations from the information available in public domain
J....,-C!rl',.,...-.g '-""' onf<><1T...,_...,n prwi<l€<l by me/ us to IDBI Bank.
1 1 r """ ""m,, "-" ,..,..,_,..,...,.c,M-. to «l<>eatE myse~/ ourselves and to comply at all times with
all relevant laws relating to reporting under section 2858Aof the Act ;
fe..:::!llllfl"J', V'itl-i1J~tr~bJ f~.
•
Ill V~••.G "7"" to f ,m,st. si,:r, trd•,rmaoon and/or documents as IDBI Bank may require
from time to time on account of any change in law either in India or abroad Ip
,r,ttit-S..,~fT ~t~hn.
I) VNe sr.;I' tro<lom<,~I iut, i;..nHor or,,ioss that m.,y arise to IDBI Bank on account of
providing incorrect or Incomplete Information.
1
' ~"""VI O<,,:iift tt,at tht det..a,I, furnish<:d ab<we are true and correct to the best of
my knowledge and belief and I undertake to Inform you of any changes p
!t"='tin, ,rrttrkdiate!y. In uec ar,1 r,f th<, abo,e information is found to be false or untrue or misleading or misrepresentin g. I am aware that I
fr,,~-M/ p,,<Y.>r.;1/ r. IC de-tails may be shar<e<l with Central KYC Registry. may be held hable !
• lht-rebycoo- to reu,i,i=inform- f f
··• r- • '°" rom .....,ntral KYC Registry through SMS/Email on the above registered number/emao"laddress. I •
I
- OJ-OJ I I I I 1--- 1 I I I I I I I I I I I I I "' ' ~
si'natun /Thumb rmpnuloll of Applkant
I!
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 [1 IDBI BANK ■
~ctl
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,!!«station I For office use only

f't-ttfv.d
l(VC vtRIFKATION CARRIED

□
0
Ce, tified cop,~\
Equw•len\ e d0<.ume11\
OUT 8Y (To bo complotod m1nd

0 £
lJ
KY( diH .. rrcrlvt'd fr om UIOAI
Video 8,i<ed KYC
lJ

Bank Ais a Dos t Ja is a

Dr1tA ff'(Piv rd from ofmn t YPflfi
tahon □ Digital KY( Procelio\
(....,ic,yooN1mo otorllyl
G~ 1ll 1 1q 1A-£r fr11it1 1 1 1 1
1
ll'lpk>Yft Codo
TTiiTiJ~ '\\hj 1 1 EmployHEIN 1 1 1 1 1 1 rn r1 rn
O..ignation I r 4~~ f f 1 1 I I I
I ~ 0 I 11 11 11 11 11 11
8,aM t\
I Ith 1~ u1~ l) 1 1 I 1 1 1 1 I11 11
11 I I I I
SollD
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01..
0]]-@ffi-\,_Iq { 3 _,::.:~,
Insti tutio n Detaib
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..._S igna ture
N1mo \1\ o\s\1I \s \A\N\K\ \Ll1\Ml1lr\
Codo
e\o\ I
I
\ 1 \ N \ 2\0 \ 3\2 \
Institution Stamp
A. Oarifiaition / Guidolinos on
Instructions I Check list I Guid
elines for filling Indiv
filling 'Porsonal O.talls' sectio
idual KYC Application Form
I
1. Namo :The name should match n
the name as mentioned in the Proof
2.0no thofo ll-ing isma ndato of Identity submitted failing which
ry:M othe( s name,Spouse'sna the application is liable to be reject
a. Oarffication / Guidolines on filling me,Fathe(sname. ed .
'Curront Address Ootails' sectio
1.lnc aseof deem ed ProololAdd n
ross,uchasutilitybill,thedocum
2. Proof of Addr us to entneednotbeuploadedonCK YCR
be subm itted only ii the submitted Proof of Identity .
■
3. State / U.TCode and Pin / does not have current address or
Post Code will not be mandatory address as per Proof of kt.ntlty is
4 . In Section 2, one oil, II. and lorovenusadclresses. invalid or not in force_
Ill is to be select ed. In case
5. In Sectio n 3, one of I, II. Ill and of on line E-KYC authentication,II is to be selected.
!Vis to be selected. In caseofonlin
6 . List of documents for 'Deem
ed Proof of Address':
eE-KYCauthentication, II istobeselect
ed.
■
01 Utility bill which is not more than
two months old of any senri<e provid
02 Property or Municipal tax receip er (electricity, telephone, po,t-paid
t. mobile phone, piped gas, water b,11).
03 Pensi on or family pensi on payment orders (PPOs) issued to retired
conta in the addre ss. employees by Government Depar
tments or Public Sector Undertaking
s ,tt they
04 Letter of allotment of accommoda
tion from employer issued by State
bodies. public sector undertaking Gover nmen t or Central Government Departments. statut
s, scheduled commercial banks. or'/ or regulator-,
with such employers allotting officia financial institutions and listed comp
l accommodation. anies and leave and licence agreem
ent>
7. The Bank shall redac t (first 8 digits ) of the Aadhaar number from Aadhaar
CKYCR. related data and documents such
as proof of possession of Aadhaar.
I. "Equivalent e-<locument• mean while uploading on
s an electronic equivalent of a docum
documents issued to the digita ent. Issued by the Issuin g authority of such document with
l locker account of the client as its valid digital signature including
Providing Digital Locker Facili per rule 9of the Information Techn
ties) Rules, ology (Preservation and Retention
2016. of Information by lnterm<diaries
9. 'Digital KYC process' has to be
carried out as stipulated inthePML
Rules, 2005.
C. Clarification / Guidelines
on filling
1,Pleasementiontwo-digitcoun 'Contact Details' section
trycodeandlOdigitmobilenumbet
2. Do not add ·o·in (e.g.f0<1ndianmobilenumberm
the begin ning of Mobil ention91 -9999999999).
e numbet.
o. Clarifocation / Guidelines on filling 'Relat
ed Person Details" section
1. Provide KYC numb et of relate d penon. if available.
L Clarification on Mino,
1.Guardian details are optional
fo, mino nabo ve l0yea rsof ago.Howeve
l', lncaseguardlan detail ure availa
number of guardian) istob euplo ble for minor above lOyears of age,
.cled . the same (or C~YCR , !
\
\'§
1081 lank Limited, lla9d- Offla
Toll frN Num bers: 1800 -2~3
24
: IDBI Tower, WTC Complex, Cuffe Parad
/ 1800-22-1070, Non-Toll frH
e, Mumbai - 400 OOS.
\
z
I
Num ber: 022 u
Q ■ c:I
- 67719100. Visit Ull www .idbib
ank.in OD
 W'8t.1 • r·:7,;::: . ~ 1T7W ,~,\\
~ ~ )'';':[; <foVERNMENT OF INDIA "' ► 'ft.,
"
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~aiemFICATIO NA~Rl!Y OF. INOIA
._.,· J',,,1 .
AADH AAR
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Ghaziabad.~ .
I iffl?~-201001
1 Add ress :
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l 5/0 Kima, Hapur Ro~d.: Jngra.rnJnstitutiabad,
: Ghaz
Ghaziabad, PO: Ghaziabad,DIST
I
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I Uttar Pradesh • 201001
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4,:,:(' ~nt nu:-:1t:c~~ a:,\! "\\h(' e- "1C ) r't"' J "', l'.l'~s.1,: : \'" ,re..:11~cJ in rule 11 48

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m .a...:-:--~ - r. ciru 1.:: SJ..; ll vn ( Rs l 0 : \) I!) t) 0 in ,a.sc o(rn.nsac oon in J0 1nt names
nYmbC'T of persons invo lved ,n ir e
~ J e.e ~:~:::--a:-:sa:: :J:"l
fil,~ Vo:: : 1:c>• ,a: 1, on O (&Sh 0 Cheque. 0 Card S 0· afl/B ,rni.. er ·s Ch cq .. e , G On ,, ne rnnsfcr , 0 Other
k-(j ~ :- u : ,_ 'T.::,:; 1sswc-J oy L I DA I
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~ .: a.: c• a;:,p ;; Cat1on a:id ack.nowlcdgcmcnt nu";oe·r l l J
~ . • ? ~ '\ no1 app i. ca . fill es11mated tota l income {1nc lud1ng 1r.come of spo l.SC . rrun or .:~ :I .:: e:c as per section ()4 oi lncome- taA A::t. 19e: ,, .-o ,
.!,~:.... ;:-: c =z:u.::c iaJ )Car in wh ich th e above rra ns;act10 n 1s hcl.l . ~

·: -~ ,',, g;- i< . ,n.rai ,ncom• ( Rs )

: ~ -~ Ot:i er tr. an agnc\J lru ral income (R s ) ~O 0/0 D

·, ;:)-e~ .: s o! occ ... r-ien1 oein g produced 1n : Documc \."\..:u-r.cn 1 .:e- :::1:: at:~n
l
, Nam• and address of 1hc authonry ,ssu,n ll '"•
_25 j s. po:i o• co at,') ,n Column I {Rt[t, ' nl .;; ,>OC n. umoer · I documen1
~ .-. -i r1tJ !.IC t1o rr r, 1,,tr1e:i[J I
'- -~ ) e:a-;'.s oT c-o-c\.mcni be,ng produced ,n Doceme O,J\llmcnl 1.Je nt1 ncat 1on Name and adare;s of tbc aulbonry ,ssu 1o g ,~,
:'~,i s.:>?O" oi aoo ,css in Col umns 4 10 1l I nt code ni..mbcr documcm:
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',,erific111on
s .t1» /~.
~ co ncreb y de, ,arc tha1 whot ,s st,1ed aoovc 11 INC 10 1hc best of my knO"- IN~• 1· ;:
oe cf ! •• -coe r occl are th a1 I oo no1 have a Perr.anen t .,_,,oun1 Numocr ana my' our cs uma1cd 101,1 income (inc lud ing income of sp~c,e rr..c;:r
;h,,d c .. as per seC!lon 64 01 lr.comc-t.i. Ac t. I 96 I I ,omput cd ,r a-,ordan-< w11h the prov,s ,0 01 of lncomc•\a, Act. l % l for th e f1n 1n- ,oi ) :lr
1n ... h1cr- the abo•e tr an~ac 11on 1s he ld wt ll be !cs) than ma>.1mu1n .amounl nv1 chargeab le lo ta,
Vcrfic~ 1001) ,r.e day of g Q:: 10.~ ~ :)
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~M ~&Tlbof>Qit~tlifll@ ll~i81ei 1c 1ia1cmcn1 ,n ~ -, de, ara1,on st1ill
r11--'Mn' fum,sbcJ , tb,W. ~ .i ,v ~.;1ctc
;ble':o pr~mu11oc lier ,o-.:11vn .11 ol the 1_rn;~mc ta, .lo,1
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INET 88°" irt0 P8!1!1'WO"C1 l,1°"rcx1gh f\,,-i,rt-, fhll'nl"lflo l) ~ ~ " !' t (.;\'(1 hO'il " '1
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c, ,a'X'•j ?.!$V.,S ur!O fh 2~ '""h r, l 'h /"I"' r1 1.v -:1t
/\bove Rs .25 lakh
-tr\~,.. .. l\.~8 ~,!11 $0"1 5 I ree
Cheq ut t,.t1uf'd and retumed

Sl1b(R1.)
Uplo
'n,,_
2nd-•• P"' a.,,,.,d 2"d - - • ?'I' " 1 -
F1~'l("4! ~sons R, 500 Ps Sl'Ji
Uo 10 Rs 10 000
AbOve Rs 10000 • Rs 25 lac Rs 500 Ps 7',fJ
Be,ond Rs 25 18c Rs 1000 Ps 151'})
-~~,.,,,,ca reaso ns Free
Cheoue deootited 1nd retumed
Rs l'iO/-
Local t OustattOn cheoue Uoto R1.11ac
18...,..,Rsl lac R, 2SOI·
,:_.,t,,,:we ~ :um Cha-oes SMII be lev,ed onlv in cases where the customer 1s at fault and 1s resoo ns,ble lor such returns lnd,cahve list ava,lable at t'11J BranchJ
Charges for collection of paper ba•ed ln•trurnent other thin
Rs 10/1000( Mon Rs 1001- Ma, Rs 1000i-)
,,.,,,ular cheaue
Standina tn1truction ReJection fF 1ilur1 I Rs 225 oer .,,1ance)
Un1rrana.fl overdraft I Che-au• Purch11e fA + B) (Subiect to IDDrovall

.
~ r x::asiDr t A J Rs 115
-·e~s-- B 1975%
=
NIL
• ~ecto-,eo' from tne da~ of issuance of card
-lnelruc:1lons ..
m. uenera1
, The SaYtng5 Bank Aca:uit ,, essentially 1n account to bU1!d up savings and should be used to route tr1nsac11ons d only non-bultneu/ ~ narure It ~ not oe used M ~ c..rr.,,,,
f\o::ourt tf !ne Bink at l ny stage flncts that the Savir'lgS Bank Account II being used 11ther for lM pu,poH for ..t,1d'I 11 tS not llk,wttd Of frot the purpose d r~n; transadlons Wf'ltCfl ..... ~ OI

urtOeSlrable the San. reserves thl nght to dose such Savings Bank Account
~ GST ll)pl,cao~ on _ , , cnarges w,11 bl addibonal
J tf m.n .-e no tranYC:ttont ,n tl"le 10:0U1"1t for a penod of two yurs. the acc:ou,t will be IJ'uted IS 1n 1noper1tiv1 aceount The customll' lt'loukt tt'lul tr.,uct on N account oenoccany ,o :riac ,1
ooes noc. t,ecome ,nopernve In case mere are no customer 1ndueed debit. credit 1ndlor third party 111nsact:1ons 1n lhe ■ c0IR. ,t may be dau.hd n 1rq,erat1ve Thi WVtCe CNrQe& e•,oea ::,, N
Sink ~or lntl!'Mt aed1teC1 t,y the ear.
would not be considered a customer 1ndueed tranuctions
~ Avahng of the A ~ Banking faohty Ind the At P• Cheque faahty ti contingent upan 1ht hmitl Ind service chll'Qel stlpullted for lhese raotittel.
5 My c:nange of ldOrelS lhOuld be tmmedlllely communicated ,n wribng to the Bank
t6 Opening of lhe Saving A.CCOl.l"lt tantamount llD dHmed acceptance ol lhe aforeuid rule , ·regul1tion1 as well as thl fact ot bllng infoffned lbOut the vlf'IOUI MfVtC8 ch•QIII o.ng 9'11 1. a oiy N ~
■ nc the termS and conobOnl guchng related produCtS _,d lll'VICet

ln..-1.,........, I/we confrm that we do nOI hold Bas,c Savings Bank Oepos• Accounl ., any of your Bank Branch and amt Olher Bank. In c.e of Moae of Qpera,,in n strua.,,, .. c"""
or survovor/Fcrme< or survovor/ Anyone or survovor. we JOW1tly agree and aulhonze 1081 Bank Lid to pay the p<inciple along Wfh irl1erest .id pe,TM premature'"""°'"".., al :r-e
Sweep ou1 fixed deposd on wnt1an n11ruc1,on !Tom any one of us. any day before 1ha ma1unty U""' have read Junde<s1ood lhe lerms .id cond,t,on as al)plocaoi. 10 AcCOWlt :>oenrg '
Scneme Code upgr- or downgrade and o,t,er c,pera1,onal a,pect 11 We understand lha11he terms and condtion may be rav!Hd by the Bank !Tom tme to 11111 I 'we "'"" »so oe
responsble tor ragulany ra•-,ng lhese 1erm1. including the amendmenls lha1 are pos1ad on 1he ""'bsce , , ,.. also agree to pay charges u per lhe Bani< Polq 1P& T >na ,,.di
onarges IPPICable) A
,
~
c-"'· •e of frsl holder ~~na,ure of ~econd holder c-a1ure of Thrd ho-