‘Customer Upaation rorm ror ! ReKYC & Profile Update - Resident Indian/ HUF The Branch Head As Bank td (All fields are mandatory) OO Branch Sot CRC ID 4 eee Jom Lee oy td ‘Customer Name Giartepe! (Eeey 1 fp 11t ‘Customer Id } weno, : a le “Occupation [7] sataied [} Sef Emoloyed [J Retwed [1] student [Housewife []Unemoloved [7] Rolin, Orcupation Code Es Ugaute,_ Cloaiat C] tics 2) revtoahe C]patenetim Clotlesecer [) covrment [Joatimton! (EME Technalogy Ballons Tat tewetery set eosin 0 rotestonl Service provider [] Agriculture i stecktroter [J Restestite trader] Money tender ae era L “Source ot Funds [] Sslsry (Business Income] tnvestnent income] Aricutore 5] Others “Is the Customer having links with any Potcally Exposed Prsons("}[7] SS ee “COMMUNICATION ADDRESS Please lave space between two words) & IE IE I I LC E J E IE IE I I Ik } Address Loop ppp pe eee eae Pincode |p yy sa J Stet yp yy ep | Comey NDA PERMANENT ADDRESS ee per veen we worl] Sune cnmntor address [top 1 poi ti i it peppers iis Lip pincode [pp 1 1 1 J Stet 1 iii iti pi | County Lt ND tA “sMoblle Number [+ 191 4 Lanatine #(@)|_1_1_1_ ta JL ee come ee rat eri a. eee yu wae oun yor AN te Bank eds ae eon PAN tas pemanent Account uber PAN) Lt J evtommes DOBaverPANCH Lt a Rem per poncwdl| Ste (ee PO Pere bitiriny sian Beas of dow ape wo be ature rss a YOU reales, nate ou would The fo wpe in spe elon, Hearse bale Ch smmesero Clowes (tsar maiden Name dfary) LAT SL poorersMome’ Lk moersnere LL bot : J spouse's aeForm of declaration to be filed by @ person who does not have a PAN and who enters nto any transaction specified in rule 1148 Rarcomrcone Inpaw not apa. i estinsted total Income (hating Incomne of spun, minor idee 6m wrod of bome tx Act, 1961) fr the tac yearn wich the above banaction hed Verification 4 = od heey dere that whi sated above itt he bes of my browlege and bel, Harter dele ot donot hve a Permanent Aecount Nunbre and m7 ur estimate ol nce (td _xcordunce with the rovions of Incame-tax Act. 1961 fr the franca yearn whi the above tanscton shel wile es thn mane Oe as Siena EP Ee i tamatocresentot ins ancnotresient ot ny ether country [Ci tam ts resident of he counties mentioned the table blow Peasclndiatethecountey/lesinwhich the ets aresient or taxpurposes andthe associate TaxtD Number below ayer i i Countryor Ly ed "Tax Identification Taentifeation Type imber% IN oF Other, please specity%_| ‘Adress For Tx Purpose™ cse[_]Pormanant Assess [Pease note the aes below ‘Country [Pepa See {To slo leu USA. whee the individu la clien/ green cardholder of USA % neste Tax Identifeation Number not salable, kindly provide functional equivalent FATCA 1 ERS Certification, | ave understod the Information requrements of ths Farm ead along withthe FATCAYCRS Instructions nd Terms & Conétions) are hereby Cont information rowed by me/us ont Farms tre, conect nd complete and hereby accep the same Siature— Ce We the undersigned tor ourselves and 35 Monagr/Karta and Ejaman ofthe fami, to gustan of request you to take nce that we ae members of Hindu Uiivied Faye. DO The joint family/frm is carrying business under the name and styled M/s, _ The Hindu Undivided Famiy engaged in Wie. the undersiqned hereby authorize Karta/Mananet. sistas rewred orto be heer incre by hem wb bing on ow. acts neta Be done to ey with Bar's tudes hich aren fore ora 0 unt lb binging on ‘whlch sour joint amity rade hity/oceupatin nt in the nature ofthe business or ade =~ 10 09et3t ypon the Bank scount several jointly andl transactions entered nto tine to tine inthe matter of maintalaing and conduct of such ac Please treat this axa mandate from ust: coe rad Cheques! remitances/ Warrants Refund orders! ECS/ RTGS/ NEFT/isrumentsisuedin favour of. account inthe HUF Ae No- ot HUF weary undereat te laden th Barkin can of ny seins /anage/eesy/chrges i siered byte Baron scour fou aeesintucin ante Paces La Dates Names| Paces yg pe Date Names Signature 7 Paces L J Datel zl A Name: nee 11} Sisnsture = = Pace pee me _ cies eanane ne ren teen tan meen sg nraenatr Ee ane a by hom ey eee Xxx £__ << 1 Incase tint AZ separate frm seared * At ntermation provided by me of any nature Greig Pe Dupe and on nee to bro bai sions 5 sppiaMe Hem te 0 fe On this cont +A loys ee coma wt ie es andes nin acond 1 te sparing of the cata the proues/oercet oducts sence. "#8. terms and costo recess 2 el & sensitive infomation can be shared with spence/service providers whe h nce with the backs Privacy pobicy my Co vant Io the Consent prowded ear. sana lense ha ud ateratives have been explained to min aca angvage 9 welt1 Gtr: Decarston ! DS Tercisra change nthe Anse Dea CSS pe cate of download of CARSHast submited to the Book x Re fe Current Sings FD/OD/Le Account with your Branch. 13m substi he flowing documents whi sey wariatons any Name aspeesOU L NavesrerOve Lo | | ba La ters wth NSDL Stel tach PAN copy Ce reference fo my request for Retye Pre upeaton, hereby atin hat deo Sith Sry conse the ame a rake the nevessiy te in the Bak records CST oa 1-1 aedoctared by mein the fens crtet snd quest you to reterence to my reavest tr Rebye Pro upton sd from the ne eaten ny cover pacage of time My pesent signature 3 ec and hereby crm tht al setions and wansationsauthoiedexe being on me nome LY po ted by me wing the below senate shale ty oe 1 CS {agrcetoundate my protle detals tobe Fikes with my account. ve ead and gre to the terms & contons stecated wth the blow mentioned she co Scheme code: |_1_1_1 _1_| Pease filas many ReKYC forms 35 the mimber of account halders when ang 3 Pre Undat reves n Sahm, Cee {Wvould Uke To Actvate My operative Account "Reason fornot operating the account] Notinstte country Clusnestiente count _ (Jot. _ Customer Acknowledgement + thereby dectre thatthe details fuished above are tue ad correct 1 the bes f my/our knowledge ae ble and udtake tiform you | lof any changes therein ine EK, + Incase any ofthe above informations found tobe fas or ntruc or missing or misrepresenting. We amare aware that Lite may beheld Ga able forit = My personal /KYC oetats may be shared with Cental KYC Registy «= Nhereby consent te receiving information from Centra KYC Resse through SMS /Emaion the above reiserednumbee/omsl address «agree toindeity and keep indeed the Bank 3 all times from and aginst al costs, charges, damages, peas (nluding atorney ees) uttered and/or incurred by for any act done or omitted tobe dane on account of the above declation. Pe ven 1s Customer DOB Mismatch Declaration certify thatthe customer has personaly met and iene the custome. Kindly proces the request ‘Signature Mismatch Dedaration certify that the custome has personally met by me and hve denies the custome and he/she has signed vy presence ‘indy process the reaest. _s Castomner Photo Mismatch Declaration: conf thatthe photo ofthe apliant atfxed on CRE and that en OVD is of one andthe sine person, «s Negative Dedaration: i thave conducted necessary ve digence ad conf tat the name of he cstomer or Rlycupdatons nt pat of negative abate Certited that ts Form i complete ln all respect & al relevant documents te obtained & veried with Mode of operation so ‘Slgrtures ofthe Ae. The request may please be procested. | “Desienation [] OH [BH “SSNo| 1_J “Consttutioncode [7] Resident Indvituat CJ nur b= spocuments Received [] Certified Copies (] EKYC data received rom VIDAL (_] Data recived from Otine veriscation [ aT E-Aadhsar Declaration: EAadhaar downloaded in presence of me = wherever apple ‘TRRt Mamatch Declaration ceriy thatthe customer hos personaly met and as signe in my presence, Kindly process the requts density Verbeaton [Jone Paes ra “OileLs sii sso ly yt 4 Digit KC Process [7] Fasivalent e-document a iJ [PD a tot nara ede Date of Request Received [yp pS seniceReavestoL i i be ty pp yt J sme of Branch Off Ss 1 “ Me Emolonee Rinber ef ranshOfial |L_ yg tid \ ! customer Name eerie