SB-eKYC-1
POST OFFICE SAVINGS BANK
Aadhaar Based Know Your Client (e-KYC) Application Form
(In case of joint / minor / person of unsound mind account, separate form required for each joint a/c holder / minor /
person of unsound mind / Guardian) (Please the appropriate)
New Change Request / Re-KYC
I, __________________________________________________________________________ (name),
holder of Aadhar Number X X X X X X X X
(1) Declare that I have been informed by the post office that
(a). demographic information related to my Aadhaar will be shared by UIDAI upon my Authentication Recent Passport Size
(b). the information received on my Authentication will be used for the KYC purpose for opening and Photo of the Account
operations of POSB Accounts. Holder
(c). other alternatives for submission of my identity information in case of failure of authentication
(In case the photo in
(2) hereby voluntarily give my consent to Post Office to open account in my name using my Aadhaar number Aadhaar is not the
and to use my Aadhaar details for e-KYC authentication with UIDAI for the aforesaid purpose and to obtain recent one)
and use my Aadhaar number, Name and Fingerprint/Iris and my Aadhaar details for authentication with
UIDAI as per Aadhaar Act for the aforesaid purpose and enabling my account for Aadhaar Enabled Payment
Services (AEPS)
(3) Have been informed that voluntary consent given by me while submitting my Aadhaar number to Post Office, my Aadhaar details
and identity information would only be used for e-KYC purpose, demographic authentication, validation OTP authentication, as the case
may be for the aforesaid purpose and my biometrics will not be stored / shared and will be submitted to Central Identities Data
Repository (CIDR) only for the purpose of authentication for the aforesaid purpose.
(4). Hereby undertake to abide by the scheme provisions and Government Savings Promotion rules-2018 applicable on National Savings
Schemes and amendments issued thereto from time to time.
(5) The above consent and purpose of collecting Aadhaar has been explained to me in my local language.
Place: _________________
Date: __________________
Signature / Thumb Impression
of the Account Holder / Guardian in case of minor/
person of Authorized Type account holder
(Signature of Witness in case of illiterate account holder) Mobile No. _____________________________
FOR POST OFFICE USE
e-KYC CIF No Date
Certified that the details in the CIF of the customer holding the Aadhaar Number XXXX-XXXX-__________ have been updated as per the
information received from CIDR of UIDAI for e-KYC purpose and for the purpose of opening of POSB Accounts and further
transactions on Aadhaar Authentication basis.
Signature of GDS BPM Signature of the Counter PA at Signature of Postmaster at SO Signature of Postmaster at HO
SO / HO
Date Date Date
stamp of stamp of stamp of
BO SO HO
Certified that the photo and signature / thumb impression of the account holder / guardian has been updated in the system.
Date: Signature of the PA at CPC Signature of Supervisor / In-charge at CPC
SB- eKYC-AOF POST OFFICE SAVINGS BANK
APPLICATION FOR OPENING OF ACCOUNT/PURCHASE OF CERTIFICATE
FOR USE OF POST OFFICE
Post Office Tran-ID SOL ID Date of Maturity
Account Number CIF-ID (1)
CIF-ID(2) CIF-ID (3)
Instructions: Please tick (√) the appropriate box,ii) Use CAPITAL LETTERS only while filling in the application form iii) Submit the self-attested copies of the Documents.
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To
The Postmaster
…………………………………………………
…………………………………………………
Madam/Sir,
I/We ………..…………………………………………………………………………………………………….…………………..….(Applicant/guardian) hereby apply for
opening of an account under ……………………(Savings / RD / 1,2,3,5 Years TD / MIS / SCSS / PPF / SSA / KVP / NSC VIII th Issue / MSSC)
scheme in your Post office in my/our name(s)/in the name of minor or person authorized to operate the accounts through guardian.
(i) Additional Facilities available (For Post Office Savings Account) (a) Cheque Book required:- , (b) IPPB A/C Linkage
(c) Aadhaar Seeding ATM Card Internet Banking Mobile Banking (Prescribed form to be enclosed)
(d) Insurance/Pension products: - PMSBY PMJJBY APY (Prescribed form to be enclosed)
(ii) Account Holder Type: - Self Minor through Guardian Person authorized to operate through guardian.
(iii) Account Type: - Single Either or Survivor (Joint B) All or Survivor(s) (Joint A)
1. In case of account opened in the name Minor/ Person authorized to operate the accounts through guardian.
Name of Minor/ Person authorized to operate Date of Birth(DD/MM /YYYY) in words Gender Name of Guardian, Relationship and
accounts through guardian (M/F/O) status – Natural or Legal
1.
2. Details of proof of age of minor along with
its date of Issue and Issuing Authority
(In case of SSA A/c Birth Certificate is mandatory)
2. I/We tender herewith ₹ …………………….. /-(₹ ………………………..…………………………………………………………………………………………… (In words)
in cash / DD / Cheque No……………………………….………… date……………. as initial deposit. My/Our particulars are as under:-
Particulars 1st Applicant / Depositor 2nd Applicant / Depositor 3rd Applicant / Depositor
Name of the Applicant / Guardian
To be filled only when the depositor(s) does not have any other account in the post office or change in the existing information
PAN Number
Mobile Number
eMail ID
Educational Qualification
Occupation
Income & Income Type (Monthly/Yearly)
Citizenship / Residential Status
Short Name
.
Note:- As per PMLA Act-2002, if balance/investment in all accounts are 10 Lakh & above, customer has to submit copy of document showing
source of receipt of funds tendered for investment.
3. Declarations
General:-(1) I/We hereby undertake to abide by the scheme provisions and Government Savings Promotion Rules, 2018 applicable
on the Scheme and amendments issued thereto from time to time.
(Details available at https://www.indiapost.gov.in/VAS/Pages/RTI/RTI-Manual-5.aspx)
(2) I/We further declare that I/We/Minor/person authorized to operate the account through guardian is/are Resident citizen of India
and undertake to inform the account office of any change in My/our residency/citizenship status in future.
(3) I hereby agree that account will be operated by me till account holder attains the age of 18 years and thereafter, account holder
will operate the account. (In case of SSA and Minor Account opened through Guardian).
(4) In case services of SAS/MPKBY Agent are taken: -
Name of Agent …………………………………………………………..…… Authority No…………………………………….Validity……………………………
(5) Standing Instruction (i.e. MIS to SB, SB to RD etc.) if any……………………………………………………………………………………………………
TD :- Extension/Renewal of account required after maturity :-
SSA :- I hereby declare that no other account has been opened under Sukanya Samriddhi Account in the name of the depositor in
any of the Post office/Bank in the country.
PPF :-(1) I hereby declare that no other account has been opened under Public Provident Fund Account in the name of the
myself/minor in any of the Post office/Bank in the country.
(2) I further declare that I will abide by the ceiling of maximum deposit in the accounts opened in my name and in the name of
minors as per provision of the scheme and any deposit in excess of the ceiling will be treated as in contravention to the Scheme
provisions.
MIS/SCSS/MSSC :- I/We hereby declare details of my/Our existing accounts* as on today under “National Savings Monthly Income
Account/ Senior Citizen Savings Scheme/Mahila Samman Savings Certificate” in any of the Post Office/Bank in the country. I declare
that the investments in all the MIS, SCSS and MSSC accounts do not exceed the maximum amount of investment prescribed in
scheme rules concerned.
Sl. Name of Scheme Date of opening Amount Customer Identification Account Name of Post
No. (MIS or SCSS or MSSC) of account deposited Number (CIF No.) Number Office/Bank
1
2
3.
4.
*If number of accounts is more, details of all accounts should be filled and attached as annexure duly signed.
Please tick (√) the appropriate box
4. Nomination
I/We…………………………………………..hereby nominate the person(s) mentioned below to whom to the exclusion of all other persons in
the event of my death the amount standing to my credit in ……………………………………..(Name of Scheme) at the time of my death
would be payable.
S. Name(s) of the Full address (s) Aadhaar Date of birth Share of Nature of
No. nominee(s) and number (in case of entitlement entitlement
relationship (optional) minor) (%) Trustee or owner
1 XXXX-XXXX-
2 XXXX-XXXX-
3 XXXX-XXXX-
4 XXXX-XXXX-
As the nominee(s) at Serial No.(s)…………………………………….specified above is/are minor(s), I/We appoint
Shri/Smt/Kumari…………………………………………………………………… S/o,D/o,W/o ……….………………………………………………………………………………..
Address……………………………………………………………………………………………………………………………………………………………………………………………… to
receive the sum due under the said account in the event of my/Our death during the minority of the nominee(s).
(In case, applicant(s) is/are illiterate)
1. Signature of witness…………………………………………………………………………………………………………………………………………………………………
Name & Address…………………………………………………………………………………………………………………………………………………………………………..
2. Signature of witness…………………………………………………………………………………………………………………………………………………………………
Name & Address…………………………………………………………………………………………………………………………………………………………………………..
Place and Date: ___________________________________________
Signature or thumb impression of Signature or thumb impression of Signature or thumb impression of
Applicant(s)/Guardian (1st Applicant) Applicant(s)/Guardian (2nd Applicant) Applicant(s)/Guardian (3rd Applicant)
FOR USE OF POST OFFICE
I have carefully examined this application and Identification of the account holder(s). Opening of account is approved.
Account has been opened in the name of………………………………………………………..with ₹ ……………………on…………………….. (Date) under
……………..scheme vide A/c No. …………………………………………… dated ……………………………..
Nomination has been registered vide No. …………………………………………………………. Dated ………………………………………………
Date Stamp Signature of GDS Branch Post Master Date Stamp Signature of Sub/Asst./Head Post Master
Name Stamp of EDBO Designation stamp
