KYC UPDATE FORM
Kindly fill in BLOCK LETTERS only
CUSTOMER DETAILS (MANDATORY)
Name of Account Holder :
Date of Birth
: D D M M Y Y Y Y
PAN No.
Please affix latest
color photograph
Nationality :
Relationships with the Bank :
Savings Account
Credit Cards
Loans
Account Number #1
Credit Card Number #1
Loan Number #1
Account Number #2
Credit Card Number #2
Loan Number #2
Account Number #3
Credit Card Number #3
Annual income (`)
: Less than 2L
2L - 5L
5L - 10L
10L & Above
Occupation Information (Please tick one) :
Salaried
Retired
Self-Employed Professional*
Home Maker
Student
Others*
CONTACT DETAIL CHANGE (OPTIONAL)
Only if your existing account details need to be updated
The below mentioned new address is my : Residential Address
KYC-Domestic/1.0/24-07-13
Unemployed Business Owners*
*(Please specify)__________________________
Office Address
Please fill your new mailing address (for changing mailing address please submit one of the documents mentioned overleaf as proof)
Line 1
Line 2 :
City
State
PIN/ZIP(mandatory):
Country :
Please Note: For accounts with Joint signature rule, a separate instruction signed by all holders needs to be submitted for address change.
E-Mail Address :
Phone (Mobile) :
Country
Code
Phone (Res)
Country
Code
Phone (Off)
Country
Code
Please tick this box if you would like to receive your Statements and all other advices electronically.
DECLARATION (MANDATORY)
I declare that the above information provided by me is correct, and the document(s)* submitted is(are) valid as of this date. In case my address changes,
I confirm that I will intimate the bank of the new address within two weeks of such a change.
Signature to be as per the bank records
Signature of Account Holder
Date: D D M M Y Y Y Y
*For list of acceptable documents, please see overleaf.
Please note all the holders in the account need to fill the KYC Update form and submit it to the nearest branch , in person.
1
List of acceptable documents :
IDENTITY PROOF (Any one of below documents)
P Pan Card
P Driver's License
P Voter's ID Card
P Passport
P Aadhaar Card
ADDRESS PROOF (Any one of below documents)
P Valid Passport / Driver's License/Voter's ID Card /Aadhaar Card
P Utility Bill not more than 3 months old with name and address (Landline Telephone Bill, Mobile Bill, Electricity Bill, Water or Gas Bill)
P Registered Lease Deed/ Rent agreement Copy/ Property Registration Document in the name of the Customer
P Bank account statement printed on bank's letterhead, not more than 3 months old, signed and stamped by existing banker.
However if this statement is a computer generated, the stamp and signature of the official is optional. Please note Citibank
Statements will not be considered as address proof
FOR OFFICE USE ONLY
c Originals verified & Returned
Employee name:
c Copies of documents collected
Designation:
Signature:
Stamp with Emp ID:
For Proof of Identity:
c Passport
c UID (Aadhaar)
c Voter ID
c Driving License
c PAN Card
c UID (Aadhaar)
c Driving License
c Latest Water Bill
c Latest Gas Bill
For Proof of Address:
c Passport
c Registered Agreement c Voter Identity Card
c Latest Bank A/c Statement / Passbook
c Latest Electricity Bill
Employment Information:
I please fill the appropriate Occupation code number based on description provided by customer
CDD Case Number: (Only for High Risk)
In Person meeting at:
c Mailing Address
c Non-Mailing Address
Corporate Address: (only for Suvidha Salary)
Date and Time of meeting :
Name & signature of Employee :
(Please affix stamp with Emp.ID)
c Branch
c Latest Telephone Bill