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Combined Customer Declaration

The document outlines the account opening declarations for the TERAPANTH PROFESSIONAL FORUM, detailing acceptance of terms and conditions, FCRA declarations, and various confirmations regarding the entity's operations and compliance. It includes sections for declarations related to insurance coverage, name mismatches, and account types, along with a list of trustees or governing body members. The document requires signatures from authorized representatives of the entity and the branch manager to validate the account opening process.

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Vandana Beigwani
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0% found this document useful (0 votes)
101 views5 pages

Combined Customer Declaration

The document outlines the account opening declarations for the TERAPANTH PROFESSIONAL FORUM, detailing acceptance of terms and conditions, FCRA declarations, and various confirmations regarding the entity's operations and compliance. It includes sections for declarations related to insurance coverage, name mismatches, and account types, along with a list of trustees or governing body members. The document requires signatures from authorized representatives of the entity and the branch manager to validate the account opening process.

Uploaded by

Vandana Beigwani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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TERAPANTH PROFESSIONAL FORUM

229/8, Joshi Road, Karol Bagh, New Delhi - 110005

AOF No.

Customer Declarations – For Account Opening for Trust / Society / Association / Club / Section 8 or 25 Company
(To be taken on letterhead of Entity)
(To be taken on letterhead of Entity)
(Please tick if applicable & strike out if not applicable)

Name of Entity: TERAPANTH PROFESSIONAL FORUM

_________________________________________________________________________________________________________

1. Account Opening Terms & Conditions cum FCRA Declaration

 Part A- Acceptance of Account Opening Terms and Conditions-

I/We confirm that I/We am/are in possession of and have carefully read the Terms and Conditions Booklet and understood and
hereby agree, undertake, and accept the said terms and conditions which details the rules governing the account operations and
the Schedule of Services Charges, applicable for various services.

For Educational Institutions and Housing Societies:


I/We are aware of Complimentary Non-Life Insurance cover of Five lacs Sum Assured (Insurance Cover) being offered to us by
HDFC Bank at the time of account opening through its arrangement with insurer and we have carefully read its benefits along
with all inclusions and exclusions as updated on the HDFC Banks website and covered in the offer letter shared with us
separately:
We agree to the following terms and conditions specifically:
 If we choose not to avail the insurance cover and its benefits during the account opening process, we shall provide a sepa-
rate declaration to HDFC Bank that I/we do not wish to avail the said Insurance Cover and its benefits.
 I / We confirm that if I / we wish to cancel availing the benefits under the said Insurance Cover post opening of account,
then I / We can provide a declaration to HDFC Bank for discontinuance of the said Insurance Cover and its benefits, signed
as per mode of operation in the account at the nearest branch.
 I / we confirm that the Insurance Cover and its benefits will be valid only for a period of One year from the account open-
ing date and there will be no renewals of the policy by HDFC Bank. If any renewals I/We will directly approach the in-
surer.
 I / we confirm that in case the account being closed during policy tenure for whatever reason, the Insurance Cover and its
benefits shall automatically cease to be available from such date of closure of account.
 I / we confirm and authorise HDFC Bank to pass on our interest of availing the Insurance Cover including the details fur-
nished by us at the time of account opening to the insurers. I / we confirm that we will be required to intimate HDFC Bank
in case of any claims to be availed under the Insurance Cover and agree to submit such details as may be required by HDFC
Bank and the insurer(s). I / we confirm and authorize HDFC Bank to pass on my / our Bank account details held with
HDFC Bank to the insurer(s)for settlement of any claim amount.
 I / we confirm that the insurer reserves the right to process or reject the Insurance Cover claim or require further / additional
information in respect of the same from me / us and I /we shall not hold HDFC Bank responsible or liable in any manner
whatsoever.

I/We confirm that my/our entity account/s has been opened by the bank officer _____________ (Name of Bank Staff)
_____________ and I/we have signed in his/her presence.

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 Part B – FCRA Declaration
I/We further confirm that as part of our regular operations, wish to open a : (Tick any one as applicable)

 Regular account and would not be seeking or receiving any foreign contribution or donation in any form in
this account.
 FCRA Account (Another FCRA/FCRA Utilisation) as per the latest MHA guidelines and on receipt of the
Account Number, we would be seeking approval from the Ministry of Home Affairs (MOHA), to receive such
contribution and the same would be submitted to the bank promptly on receipt.We understand that we
would not be allowed to operate the account till the approval from MOHA is received. We also understand
that for local credits we are required to have a separate account.We will submit the FCRA Annexure and
other documents as per the bank’s requirement for operationalizing the FCRA Account
 Stand-Alone FCRA Fixed Deposit Account with HDFC Bank by transferring the funds from our approved FCRA
account with SBI NDMB having account number __________________ only. Maturity/Liquidation
proceeds/interest pay-out to be credited back to our account with SBI NDMB only. Further I/We confirm that
I/We do not hold any ‘FCRA Utilisation’ or ‘Another FCRA’ current/savings account with HDFC Bank Ltd.
Our MHA Registration No. is __________________________

Note : Part ‘B’ is not applicable for the following entities :


 Investment Funds/Vehicle (entity registered under SEBI) which includes Real Estate Investment Trusts
(REIT) governed by SEBI regulations 2014,
 Infrastructure Investment Trusts governed by the SEBI Regulations, 2014
 Alternative Investment Funds (AIFs) governed by the Securities and Exchange Board of India (AIFs)
Regulations, 2012,
 Diplomatic Mission Accounts (Embassies/Consulates)

_________________________________________________________________________________________________________

2. Declaration to be collected when the Entity Name exceeds 40 characters (A/c title to be abbreviated)
I/We hereby request you to capture name as mentioned on the account opening form which is abbreviated due to restriction of
40 characters in your system
Full Name of Entity
_________________________________________________________________________________________

Short/Abbreviated Name of Entity

_________________________________________________________________________________________________________

3. Declaration in case there is minor mismatch in the name of the entity on one or more documents submitted for account
opening including Entity Seal / Stamp

I/We hereby confirm that the Name of Entity is _______________________________________________________ as


mentioned on ___________________(name of the document)________________________.

We further confirm that there is minor name mismatch in name of entity on following documents and that they pertain to the
same entity: (Name of the document/s - Please list all the documents (including Entity Seal/Stamp) having minor name
mismatch)

i. ______________________________________ iv. ______________________________________


ii. ______________________________________ v. ______________________________________
iii. ______________________________________ vi. ______________________________________

_________________________________________________________________________________________________________

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4. Declaration wherein there is mismatch in Date of Incorporation on one or more documents submitted for account
opening

I/We confirm to capture our date of incorporation as ________(date)_________ as mentioned on (please


mention the name of the document being referred to).

_________________________________________________________________________________________________________

5. Declaration for opening a new account for an existing customer, where the constitutional documents (e.g. Trust Deed/
Byelaws) is not submitted

l/We hereby confirm that there are no changes/amendments in the constitutional document which was submitted by us
previously to the Bank at the time of opening the account. We further confirm that the mode of operation (MOP) as per
Resolution satisfies all the clauses mentioned in the Constitutional documents.

_________________________________________________________________________________________________________

6. Declaration for opening multiple INR accounts under different variants (e.g. existing saving accounts + new/proposed
current account or vice versa) or multiple INR Savings/ Current Accounts (application for opening A/c of same Entity under
same pan)

I/We are having Total ____________ No. of Existing account/s in your bank and wish to open another ___(CA/SB)____ account/s
of our entity for the purpose of_____________________________________________________________
_________________________________________________________________________________________________________

7. Declaration for ‘Designation’ Stamp not available & not affixed on the Account Opening Documents

I/We declare that we are not having ‘designation’ stamp for __ _ (Name of person/s (with designation/s) ________ and
therefore the designation has been handwritten.
_________________________________________________________________________________________________________

8. Declaration for opening A/c of Child entity with address proof of Parent entity since there is no address proof available
in name of the child entity.
Note: To be signed by Parent entity (as per MOP clause in constitutional document of Parent entity)

I/We hereby declare that ______________________________________________ is child Entity managed by


________________________________________ (Name of Parent Entity) and we have no objection to the said child entity
carrying out business activities from our premises.

_________________________________________________________________________________________________________

9. Declaration for Acceptance of address proof of the Trustee (Individual) as proof of Address for Trust (Only for newly
formed Trust within 6 months of formation) Note 1: All trustees signatures required for this declaration. Note 2: Separate NOC
from Trustee whose address is being used to be submitted

l/We hereby declare that we have no objection to using address of _______ (Name of Trustee) ___________ as Mailing /
Communication address of the Trust
_________________________________________________________________________________________________________

10. Declaration for opening account of a Pre School/ Primary School A/c where ‘Affiliation Certificate’ is not applicable

I/We hereby declare that ours is a ____ (primary section/pre-school) __________ and thus ‘affiliation certificate’ is not
applicable up to Standard/Class _________ as per _________ (Mention State Board or Education Board Name) ___________
guidelines.
_________________________________________________________________________________________________________

11. Declaration for opening of Savings A/c for Gratuity / Superannuation Trust where IT recognition / approval is not yet
received

I/We hereby confirm having submitted the enclosed application to Income Tax Department for their approval.
We undertake to furnish to a copy of the approval received from Income Tax to HDFC Bank Ltd. once the same is received by us.
_________________________________________________________________________________________________________
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12. Declaration for filing physical MOA/AOA instead of Spice E MOA/AOA.

We hereby declare that we have filed physical MOA/AOA since, e-MOA/AOA is not applicable for the entity.
_________________________________________________________________________________________________________

13. Declaration for INC 20 A - Annexure O (Applicable to companies incorporated on or after 25th Sept 2019)

I/We confirm that ______________________________________________________(“the Company”), is incorporated under the


______________________ and obtained a certificate of incorporation dated __________ from the Registrar of Companies of
India (“ROC”).

The company is:

Limited by Guarantee and not having share Capital and thus do not require to file INC 20 A

Limited by Shares and not yet filed INC-20A.


As per provisions of Companies Act, 2013 (“the said Act”), the Company, before commencing any business and exercising
any borrowing powers, needs to file form no. INC 20 A with ROC within 360 days of its incorporation.
For_______________________________________ (“Purpose”), the Company desires to open a bank account and has
approached the HDFC Bank Limited (“Bank”) for the same.
The Company has requested the Bank to open an account and has submitted all necessary documents as per KYC
requirements, except certified copy of form no. INC.20A duly filed along with necessary proof of such filing, as for filing of
the said form and for complying with relevant provisions of the said Act the Company needs to open a bank account.

Upon request of the Company, the Bank has agreed to open an account, subject to the Company undertaking the following.
In view of the above, the Company undertakes as under;

The Company is duly incorporated under the Companies Act 2013 and has obtained a certificate of incorporation dated
___________ (date) from the ROC.

The Company will file form no. INC 20A with the ROC on or before ____________________ (date) in compliance with
provisions of the said Act.

Till completion of filing of the said form with ROC and till submitting the certified copy of form no. INC 20A duly filed along
with necessary proof of such filing, the Company will not commence any business and will not exercise any borrowing
powers and will not use the account opened with the Bank except for the Purpose as mentioned above.

On failure of filing of form no. INC 20A by the Company within prescribed period, for any reason whatsoever, the Bank has a
right to block / Close the account forthwith without allowing any further time to the Company.

The Company acknowledges that it is on the faith of this letter, the Bank has agreed to open the account and Bank shall not
be responsible for any losses, cost, charges, expenses that may be incurred due to such account opening and the Company
shall be solely responsible for the same.

The Company agrees to execute/submit such other documents in favor of/with the Bank as may be required by the Bank for
opening an account of the Company.

_________________________________________________________________________________________________________

4
14. List of Trustees/ Members/ Governing Body Member

I/We confirm that the following are the current Trustees / Governing Body members

S. No Name of Trustees/ Governing Body members Designation


(Trustee / President / Secretary etc)
1
2
3
4
5
6
7
8
9
_________________________________________________________________________________________________________

We confirm that all the declarations & details mentioned above are correct.

For, (___________________________________________ Date: ______________________________


(Name of the Entity)

Name & Signature of Trustees/Governing body Members/Office Bearers/Directors

1) _______________________________________ 6) __________________________________________________
2) _______________________________________ 7) __________________________________________________
3) _______________________________________ 8) __________________________________________________
4) _______________________________________ 9) __________________________________________________
5) _______________________________________10) __________________________________________________

_______________________________________________
BRANCH MANAGER/BRANCH DESIGNATED AUTHORITY
(Signature and seal)

Instructions for customer signatures:


 To be signed as per MOP on resolution unless mentioned otherwise for any specific declaration
 If List of Trustees to be taken as proof of appointment, then same to be signed by One AUS Trustee / governing body
member & one Non AUS Trustee/governing body member. In absence of Non AUS, list of trustees/ governing body
members to be signed as per quorum.

Instructions for Branch (BM/BDA):


All relevant supporting documents & approvals to be obtained as per the guidelines of the Bank including GIB delegation matrix.

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