Customer Information Updation Form
Customer Information Updation Form
Name : Address:
Customer ID: Account Number: There is no change in my mailing address I wish to change my Mailing address as below Flat no !ldg name "oad name #and mar$ City &tate I wish to update my contact details as below Tel 'off( )*t +no Fa* no ) mail %AN %lease paste recent passport si,e photograph of all the authori,ed signatories &ignature %hoto &ignature %hoto Mobile no %in code Country Tel'"(
%hoto
Name------------------------------------ Name-----------------------------------%lease enclose your proof of identity and communication address in all cases Note : .+The address on this form should be same as in supporting documents+ /+If there are more than 0 signatories 1use photocopies of this form+ 2+The submitted data is 3alid for all account numbers held in your customer ID+
Documents Submitted : ( To be filled by Bank Official) Photograph/s Identity Proof Address proof
Entity proof
KYC Certification ( To be filled by Bank Official) I have met Mr./Ms--------------------------- in person at his/her residence/office/others (please specify)------------------and confirm that information in profile sheet is filled up after detailed discussion ith !ustomer. I also confirm that the form has "een signed "y the applicant in my presence #ate ------------ Employee $um"er ------------------- %ignature of &an' (fficial ---------------