KYC ANNEXURE ‘B’
KYC DETAILS UPDATION
PHOTOGRAPH
STATE BANK OF INDIA……………………………BRANCH
1. ACCOUNT NO………………………………….. 2. PAN NO ………………………………………….
(Please provide Form 60 duly signed if PAN No. is not available)
3. Occupation……………………………………… 4. Annual Income…………………………………
5. KYC DOCUMENT SUBMITTED (SELF CERTIFIED)
(Tick any one of the following)
Passport Driving license Voter's Identity Card NREGA card
Letter of National Population Register Possession of proof of Aadhaar
KYC Document Number………………………………………
6. CUSTOMER’S DECLARATION
I hereby declare that the details submitted by me for my identity and address are true to the
best of my knowledge and belief. I authorise the Bank to update my KYC details/ address as
per information provided by me. I undertake to inform you of any changes therein,
immediately. In case the above information is found to be false or untrue or misleading or
misrepresenting, I am aware that I may be held liable for it
Signature/Thumb Impression of Customer
Date:…………………………. Name ……………………………………………………..
Place:………………………… Current Address………………………………………
………………………………………………………………..
………………………………………………………………..
Mobile No………………………………………………..
Email: ………………………………………………
For Office Use only
Annexure ‘B’ submitted by the customer verified & KYC updation date entered in CBS.
Maker……………………….. Checker……………………………
(This form along with KYC documents is to be sent to LCPC for digitisation and storage)
…………………………………………………………………………………………………………………………………………….
ACKNOWLEDGEMENT TO BE GIVEN TO THE CUSTOMER
The KYC details have been updated in your account no……………………on …………………(date).
Branch Manager
