ACCO UNT O PENING FO RM (Savings Bank and Current Account )

For Resident Individuals D a t e:

T CRN : AC2 8 9 8 6 5 9 2 T ARN : AA15 4 4 8 4 6 7

(Fo r o ffi c e u se o n l y)

Bran c h to affi x ru b b er stamp o f N ame an d C o d e N o .

1st Ap p l i c an t C IF N o .:

(M an d ato ry fo r KYC u p d ate

2n d Ap p l i c an t C IF N o .: KYC N u mb er:
req u est)
Ac c o u n t N o : Wel c o me k i t N o :
Ac c o u n t Typ e: N ew U p d ate

In stru ctio n s

F o r o p en i n g so l el y o p era t ed a c c o u n t o f M i n o r, c o m p l et e KYC d o c u m en t s P l ea se a f f i x a p a ssp o rt si z e p h o t o g ra p h i n t h e b o x p ro vi d ed . Al so

o f t h e M i n o r wi l l h a ve t o b e p ro vi d ed . en c l o se a n o t h er p h o t o g ra p h f o r a f f i xi n g i n t h e p a ss b o o k
F i el d s m a rked a st eri x (*) a re n o t m a n d a t o ry P l ea se f i l l u p i n BL O C K l et t ers o n l y a n d u se b l a c k i n k f o r si g n a t u re.
I n c a se o f i l l i t era t e c u st o m ers, L ef t T h u m b I m p ressi o n (L T I ) t o b e a f f i xed P l ea se l ea ve o n e b o x b l a n k b et ween t wo wo rd s. T i c k ( ) t h e a p p ro p ri a t e
a n d veri f i ed . b o xes.

M o d e o f O p eratio n

N o .o f Ap p l i c a n t s S el f O n l y Ei t h er o r S u rvi vo r F o rm er o r S u rvi vo r An y o n e o r S u rvi vo r Jo i n t l y O t h er

1st /So le Ap p lican t

I d o n o t h a ve a n y a c c o u n t wi t h S BI I h a ve a n a c c o u n t wi t h S BI & t h e a c c o u n t n u m b er i s:

Perso n al D etails

C u st o m er T yp e: Public Staff S en i o r C i t i z en : Yes M i n o r: Yes

R esi d en t i a l S t a t u s: R esi d en t I n d i vi d u a l N o n R esi d en t I n d i a n F o rei g n N a t i o n a l P erso n o f I n d i a n O ri g i n

N a m e:(S a m e a s I D p ro o f ) M r. M s. M rs. O t h er

N a m e: YAS H O BH I T S H AR M A

M a i d en n a m e(i f An y): M o t h er' s N a m e: S EEM A S H AR M A

D a t e o f Bi rt h : 0 3 /0 8 /1 9 9 8 Gen d er: Male F em a l e T ra n sg en d er

I T P AN : O R F o rm 6 0 /6 1 : Y U I D Ad h a a r N o :

N a m e o f F a t h er (M a n d a t o ry i f P AN n o t su b m i t t ed ):

F i rst N a m e: R AJES H M i d d l e N a m e: L a st N a m e: S H AR M A

N a m e o f S p o u se: Gu a rd i a n ' s N a m e: (I n c a se o f M i n o r)

C i t y o f Bi rt h : C o u n t ry o f Bi rt h :

Nati onal i ty : Indi an O t h ers C o u n t ry N a m e: I N D I A

M u ltip le Tax R esid en cy: Yes No Ad d itio n al D etails fo r FATCA/CR S *(If ap p licab le is resid en t o u tsid e In d ia fo r TAX p u rp o se)

F o rei g n T I N N u m b er 1 : T I N 1 I ssu i n g C o u n t ry:

C o u n t ry 1 o f R esi d en c e f o r T AX P u rp o se:

F o rei g n T I N N u m b er 2: T I N 2 I ssu i n g C o u n t ry:

C o u n t ry 2 o f R esi d en c e f o r T AX P u rp o se:

Id en tificatio n D etails: D o cu m en ts accep tab le as p ro o f o f id en tity. Please tick th e ap p ro p riate b o x (an y o n e d o cu m en t) an d g ive d etails:
Ad h a r C a rd (U I D ) wi t h sa m e a d d ress i s t h e sa m e a s t h e C o rresp o n d en c e Ad d ress m en t i o n ed o n t h e f i rst p a g e o f t h i s f o rm .
N o .: 5 274 78 3 9 3 3 0 0 I ssu ed a t /b y: GO VT O F I N D I A I ssu e D a t e 1 8 -Au g -20 1 5
OR
P l ea se t i c k t h e a p p ro p ri a t e b o x a n d g i ve d et a i l s:

P a ssp o rt D o c u m en t N o P a ssp o rt Exp i ry D a t e

Vo t er' s I d en t i t y C a rd I ssu ed b y

D ri vi n g L i c en c e I ssu ed a t D ri vi n g L i c en c e Exp i ry D a t e

Ad h a a r L et t er C a rd I ssu e d a t e:

N R EGA C a rd

P AN C a rd

O t h er O f f i c i a l l y Va l i d D o c u m en t s
P l ea se a t t a c h o n e sel f -a t t est ed p h o t o c o p y o f t h e d o c u m en t . O ri g i n a l s t h ereo f wi l l h a ve
t o b e p ro d u c ed f o r veri f i c a t i o n
I D C a rd @

N o t C a t eg o ri z ed

@ N o t t o b e a c c ep t ed t i l l R BI - GO I c i rc u l a t es d et a i l ed g u i d el i n es o n i t .

Page No. 1 of 7
 Pro o f o f Ad d ress: Cu rren t Perm an en t O verseas Ad d ress

Ad d ress typ e Resi d en ti al o r Bu si n ess Resi d en ti al Bu si n ess Reg i stered o ffi c e J o i n tl y U n sp ec i fi ed

Pro o f o f Ad d ress N REG A J o b C ard Passp o rt Aad h aar Vo ter ID C ard D ri vi n g Li c en c e O th ers

Ad d ress:

C i ty/Vi l l ag e D i stri c t Pi n

Su b D i stri c t State

C o u n try Tel ep h o n e(Res) Mobile

E-mai l Tel (o ff) Fax

Ad d ress i n th e J u ri sd i c ti o n D etai l s wh ere Ap p l i c an t i s Resi d en t:(al l th e d etai l s same as Perman en t Ad d ress) Yes No

Co rresp o n d en ce / Lo cal Ad d ress d etails:

Ad d ress typ e Resi d en ti al o r Bu si n ess Resi d en ti al Bu si n ess Reg i stered o ffi c e J o i n tl y U n sp ec i fi ed

Ad d ress: 733/10 , PREET N AG AR STREET N O . 3, KAPU RTH ALA

N EAR KARN C LO TH H O U SE

C i ty/Vi l l ag e KAPU RTH ALA D i stri c t KAPU RTH ALA Pi n 14460 1

Su b D i stri c t State PU N J AB C o u n try IN D IA

Ad d ress in th e Ju risd ictio n D etails wh ere Ap p lican t is R esid en t:

Same as C u rren t Ad d ress Perman en t Ad d ress O verseas Ad d ress C o rresp o n d en c e/Lo c al Ad d ress

Ad d ress:

C i ty/Vi l l ag e D i stri c t Pi n

Su b D i stri c t State C o u n try

Ad d tio n al D etails:

M o n th l y In c o me(Rs): U p to IN R 20 ,0 0 0 N et wo rth (ap p ro x val u e) Rs.:

M ari tal Statu s: M arri ed U n marri ed O th ers S

Rel i g i o n : Hindu M u sl i m C h ri sti an Si k h O th ers

C ateg o ry: G en eral O BC SC ST

Q u al i fi c ati o n : Bel o w SSC SSC H SC G rad u ate Po st G rad u ate Pro fessi o n al O th ers

O c c u p ati o n Typ e: S-Servi c es ( Pri vate Sec to r Pu b l i c Sec to r G o vern men t Sec to r )

O th ers ( Pro fessi o n al Sel f Emp l o yed Reti red H o u sewi fe Stu d en t )

Bu si n ess N o t C ateg o ri sed

*O rg an i z ati o n ' s N ame: *D esi g n ati o n /Pro fessi o n : N atu re o f Bu si n ess:

Pl ease Ti c k i f Po l i ti c al l y Exp o sed Perso n Rel ated to Po l i ti c al l y Exp o sed Perso n Resi d en c e fo r TAX p u rp o se i n j u ri sd i c ti o n (s)
Ap p l i c ab l e:
o u tsi d e In d i a

D etails o f R elated Perso n

Ad d i ti o n o f rel ated Perso n D el eti o n o f rel ated Perso n KYC n u mb er (If avai l ab l e)

Rel ated Perso n Typ e : G u ard i an o f M i n o r N o mi n ee Assi g n ee Au th o ri sed Rep resen tati ve Ben efi c i al O wn er Ben efi c i ary
N ame: YASH O BH IT SH ARM A

Passp o rt D o c u men t N o 527478 39330 0 Passp o rt Exp i ry D ate

Vo ter' s Id en ti ty C ard Issu ed b y G O VT O F IN D IA

D ri vi n g Li c en c e Issu ed at D ri vi n g Li c en c e Exp i ry D ate

Ad h aar Letter C ard Issu e d ate: 18 /0 8 /20 15

N REG A C ard

PAN C ARD

O th er O ffi c i al l y Val i d D o c u men ts

Remark s

Page No. 2 of 7
FATCA / CR S - R elated D eclaratio n cu m U n d ertakin g :

I/We h ereb y c erti fy th at I/we h ave d ec l ared my/o u r statu s as p er th e I/We u n d ertak e th e resp o n si b i l i ty to d ec l are an d d i sc l o se wi th i n 30
ru l es ap p l i c ab l e u n d er sec ti o n 28 5BA o f th e In c o me Tax Ac t, 1961 as d ays fro m th e d ate o f c h an g e, an y c h an g es th at may tak e p l ac e i n
n o ti fi ed b y C en tral Bo ard o f D i rec t Taxes (C BD T) vi d e N o ti fi c ati o n th e i n fo rmati o n p ro vi d ed ab o ve, as wel l as i n th e d o c u men tary
N o . S.O . 2155(E) d ated 7 Au g u st 20 15 an d RBI C i rc u l ar Ref N o . evi d en c e p ro vi d ed b y me/u s o r i f an y c erti fi c ati o n b ec o mes i n c o rrec t
D BR.AM LBC .N o .36/14.0 1.0 0 1/20 15-16 d ated 28 Au g u st 20 15 i n th i s an d to p ro vi d e fresh an d val i d sel f-c erti fi c ati o n al o n g wi th
reg ard . d o c u men tary evi d en c e.
I/We u n d erstan d an d ac k n o wl ed g e th at as p er th e p ro vi si o n s o f I / We al so ag ree th at my/o u r fai l u re to d i sc l o se an y materi al fac t
In c o me Tax Ac t, Ru l es mad e th ereu n d er an d th e g u i d el i n es i ssu ed b y k n o wn to me/u s, n o w o r i n fu tu re, may i n val i d ate me fro m
th e RBI i n th e matter, d ep en d i n g u p o n th e resi d en ti al statu s an d /o r tran sac ti n g i n th e ac c o u n t an d State Ban k o f In d i a wo u l d b e
o th er c ri teri a sti p u l ated th erei n , th e Ban k may h ave to rep o rt th e wi th i n i ts ri g h t to p u t restri c ti o n s i n th e o p erati o n s o f my/o u r
d etai l s i n resp ec t o f o u r ac c o u n t(s) as p er th e p resc ri b ed fo rmat to ac c o u n t o r c l o se i t o r rep o rt to an y reg u l ato r an d /o r an y au th o ri ty
th e C en tral Bo ard o f D i rec t Taxes (C BD T) o r o th er G o vern men t d esi g n ated b y th e G o vern men t o f In d i a (G O I) /RBI fo r th e p u rp o se
Ag en c i es to c o mp l y wi th th e o b l i g ati o n s as p er th e In ter- o r tak e an y o th er ac ti o n as may b e d eemed ap p ro p ri ate b y State
G o vern men tal Ag reemen ts (IG A) i n resp ec t o f Fo rei g n Ac c o u n ts Tax Ban k o f In d i a, u n d er th e g u i d el i n es i ssu ed b y C BD T/RBI fro m ti me
C o mp l i an c e At (FATC A) an d C o mmo n Rep o rti n g Stan d ard s(C RS) to ti me, i f th e d efi c i en c y i s n o t remed i ed b y me/u s wi th i n th e
an d o r an y o th er si mi l ar arran g emen ts. sti p u l ated p eri o d .
I/We c erti fy th at th e i n fo rmati o n p ro vi d ed b y me/u s ab o ve as I/We al so ag ree to fu rn i sh an d i n ti mate to State Ban k o f In d i a an y
ap p l i c ab l e to me/u s an d si g n ed b y me/u s as wel l as i n th e o th er p arti c u l ars th at are c al l ed u p o n me/ u s to p ro vi d e o n ac c o u n t
d o c u men tary evi d en c e p ro vi d ed b y me/u s are, to th e b est o f my/o u r o f an y c h an g e i n l aw ei th er i n In d i a o r ab ro ad i n th e su b j ec t matter
k n o wl ed g e an d b el i ef, tru e, c o rrec t an d c o mp l ete an d th at I/we h ave h erei n .
n o t wi th h el d an y materi al i n fo rmati o n th at may affec t th e I/We sh al l i n d emn i fy State Ban k o f In d i a fo r an y l o ss th at may b e
assessmen t/c ateg o ri z ati o n o f my ac c o u n t as a U S Rep o rtab l e c au sed to State Ban k o f In d i a o n ac c o u n t o f p ro vi d i n g i n c o rrec t
Ac c o u n t o r O th er Rep o rtab l e Ac c o u n t o r o th erwi se. o r i n c o mp l ete i n fo rmati o n b y me/u s.

Page No. 3 of 7
 Sp ecim en Sig n atu re(s)

I/we a ffirm a nd decla re tha t I/we ha ve rea d over a nd understood the resent rules a nd regula tions of the Ba nk, a nd those
rela ting to va rious services offered by the Ba nk including but not to Debit Ca rd/Internet Ba nking/SMS Ba nking/Tele-ba nking a nd
other fa cilities. I/We/a gree to a bide by the sa me a s they a re in force now a nd a lso by those a s would be a mended further
Paste a Passp o rt Si z e from time to time through circula rs/Notice Boa rds/Websites etc. I/We a gree tha t the tra nsa ctions & request executed in a bove
Paste a Passp o rt Si z e
Ph o to g rap h o f 1 st Ap p l i c an t mentioned a ccount through internet, mobile & teleba nking under my/our User ID a nd Pa ssword will be lega lly binding on me/us Ph o to g rap h o f 1 st Ap p l i c an t
& I/we a re responsible for ma intena nce of secrecy a nd confidentia lity of the informa tion pa ssed on to me/us by the Ba nk
through internet/mobile/e-ma il/telephone. l/We ma nda te from other joint holders to view/enquire/opera te the joint a ccount
mentioned a bove. Further I/we a gree tha t Ba nk ha s got a ll the rights to debit my/our a ccount for a ny service cha rge or
discontinue my/our a ccount without a ny notice to me/us. I/We hereby underta ke to inform the Ba nk on a ny cha nge in my/our
communica tion a ddress or constitution. And I/we sha ll submit the a ddress proof in ca se of tra nsfer of our a ccount from one
Bra nch to other Bra nch. l/We here decla re tha t l/We ha ve submitted the Aa dha a r Ca rd issued by UIDAI for identi?ca tion
a nd/or a ddress proof towa rds the complia nce of KYC norms under the PMLA, 2002. I/We hereby a gree tha t the Ba nk ma y
verify the sa me with the UIDAI, a nd a uthoriz e the UIDAl expressly to relea se the identity a nd a ddress through biometric
a uthentica tion to the Ba nk. (Applica ble only where a ccounts a re opened with Aa dha a r)."

"I ha ve received the Welcome Kit conta ining INB Kit a nd ATM Ca rd with PIN a nd understa nd there in ca se of a ny
misuse/mispla cement of the contents of the Kit, the Ba nk will not be lia ble for a ny loss.“

INFORMATION ON PRODUCT AND SERVICES To serve you better, we would like to communica te a bout upda tes on our
va rious products a nd services, new products a nd fea tures a nd specia l offers from our Ba nk a nd our Group Compa nies.

Plea se give your consent to sta y informed a bout these products a nd offers. Your consent: Yes No

“I hereby decla re tha t the deta ils furnished a bove a re true a nd correct to the best of my/our knowledge a nd belief a nd l
underta ke to inform you of a ny cha nges therein, immedia tely. In ca se of the a bove informa tion is found to be fa lse or Untrue or Pl ease si g n i n b l ac k i n k o n l y
Pl ease si g n i n b l ac k i n k o n l y mislea ding or misrepresenting, I/We a re a wa re tha t l /We ma y be held lia ble for it. My persona l/KYC deta ils ma y be sha red
with centra l KYC registry. l hereby consent to receiving informa tion from Centra l KYC registry through SMS/Ema il on the a bove
registered Number! Ema il a ddress.

(D D /M M /YYYY)
Pl ac e Signa ture(s)/ Thumb impressions(s) Signa ture(s)/ Thumb impressions(s) D ate
Sole/First Holder Sole/Second Holder

Typ e o f Acco u n t

Savi n g s Ban k Ac c o u n t Si l ver Ac c o u n t G o l d Ac c o u n t D i amo n d Ac c o u n t Pl ati n u m Ac c o u n t

Savi n g s Ac c o u n t fo r M i n o rs PEH LA KAD AM (fo r M i n o rs o f an y ag e) C u rren t Ac c o u n t O th ers (Pl ease sp ec i fy):

PEH LI U D AAN (fo r M i n o rs o l d er th an 10 years)

Services R eq u ired

1. ATM -C U M -D EBIT C ARD :

1 st Ap p l i c an t: Req u i red Not N ame as wo u l d ap p ear o n th e c ard
Req u i red 2n d Ap p l i c an t: Req u i red
N o t Req u i red

#i /we u n d erstan d th at u se o f i n tern ati o n al d eb i t c ard i s su b j ec t to ap p l i c ab l e Fo rei g n Exc h an g e M an ag emen t Ac t(FEM A) g u i d el i n es i ssu ed b y th e reserve
b an k o f i n d i a fro m ti me to ti me

Pl ease men ti o n an y o th er ac c o u n t d esi red to b e l i n k ed :

Ac c o u n t Typ e Ac c o u n t N o Ac c o u n t N ame

3. IN TERN ET BAN KIN G : Vi ewi n g ri g h ts 1 st 2n d ap p l i c an t (p l ease ti c k ) Tran sac ti o n

2. C H EQ U E BO O K: Req u i red Not
Req u i red ri g h ts 1 st 2n d ap p l i c an t (p l ease ti c k )

5. SM S ALERTS(c h arg es ap p l i c ab l e) SM S al erts o n mo b i l e n u mb er as men ti o n ed i n C o rresp o n d en c e

4. TELE BAN KIN G k i t: Req u i red Not Ad d ress:
Req u i red Req u i red Hindi En g l i sh N o t Req u i red

6. M O BILE BAN KIN G : M o b i l e b an k i n g servi c es to 7. STATEM EN T FREQ U EN C Y: (fo r c u rren t ac c o u n t) M o n th l y Q u arterl y H al f-

b e en ab l ed o n th i s n o : 78 8 8 621235 Pl ease SM S yearl y
M BSREG to 9223440 0 0 0 (fro m mo b i l e n o . e-Statemen t, i n l i eu o f p ap er c o p y, to b e sen t to e-mai l i d as men ti o n ed i n Part-I:
men ti o n ed ab o ve) to g en erate u sern ame
Req u i red N o t Req u i red

8 . PH O N E BAN KIN G SERVIC ES: Req u i red N o t Req u i red Pl ease sp ec i fy, i f yo u wi sh to u se o th er ac c o u n t n u mb er as Ph o n e b an k i n g U ser ID :
(Yo u c an sel ec t an y o f yo u r Savi n g s Ban k o r C u rren t Ac c o u n t n u mb er i n ' Si n g l e' o r ' E' o r ' S' as U ser ID . Th e ac c o u n t n u mb er sel ec ted as U SER ID . wi l l al so
b e en ab l ed fo r Ph o n eb an k i n g .)

Au to -sweep (O n ly fo r G o ld , D iam o n d , Platin u m Acco u n ts)

Th resh o l d Amo u n t @ :Rs. @ M i n ; G o l d A/c - Rs. 250 0 0 ; D i amo n d A/c - Rs. 1 l ac ; Pl ati n u m A/c - Rs. 2 l ac Sweep ti me:
d ay (examp l e M o n d ay, Tu esd ay) o f every week O R (examp l e 1st, 2n d ) o f every mo n th b eg i n n i n g o n

U n d er reverse sweep fac i l i ty fo r b reak i n g th e M O D , th e M O D to b e b ro k en b y: Last i n fi rst o u t Fi rst i n fi rst o u t

N o m in atio n

N o mi n ati o n , i f req u i red fi l l Fo rm D A-I, o th erwi se

si g n b el o w
I/We D o n o t wan t to n o mi n ate an y p erso n i n th i s
ac c o u n t So l e/Fi rst H o l d er So l e/Sec o n d H o l d er

Page No. 4 of 7
 Fo rm D A-l (N o m in atio n fo rm )

N o mi n ati o n u n d er sec ti o n 4SZ A o f th e Ban k i n g Reg u l ati o n Ac t, 1949 an d Ru l es 198 5 i n resp ec t o f Ban k D ep o si ts
N o mi n ati o n seri al N o
I/WeYASH O BH IT SH ARM A n o mi n ate th e
fo l l o wi n g p erso n to wh o m i n th e even t o f my/o u r/mi n o r' s d eath th e amo u n t o f D ep o si t, p arti c u l ars wh ere are g i ven
b el o w, may b e retu rn ed b y State Ban k O f In d i a(N ame an d ad d ress o f b ran c h /o ffi c e i n wh i c h th e d ep o si t h el d .)

D etails o f D ep o sit
Typ e o f D ep o si t: Ac c o u n t n u mb er :
Ad d ti o n al d etai l s, i f an y
D etails o f N o m in ee
N ame
Rel ati o n sh i p wi th th e D ep o si to r
Ag e D ate o f Bi rth o f n o mi n ee:
Ad d ress

C i ty/Vi l l ag e Pi n State
As th e n o mi n ee i s a mi n o r o n th i s d ate, I/We ap p o i n t Sh ri /Smt/Ku m Ag e Years

Ad d ress

to rec ei ve th e amo u n t o f d ep o si t o n b eh al f o f th e n o mi n ee i n
th e even t o f my/o u r/mi n o rs d eath d u ri n g th e mo n i ri ty
Si g n atu re(s)/Th u mb i mp ressi o n s(s) Fi rst Si g n atu re(s)/Th u mb i mp ressi o n s(s)
(Wi tn ess are req u i red o n l y i n c ase o f ap p l i c an t i s i l l i terate an d d ep o si to r Sec o u n d d ep o si to r
i s affi xi n g th u mb i mp ressi o n )

I wan t th e n ame o f th e n o mi n ee to b e p ri n ted o n th e p assb o o k D ate Pl ac e

Si g n atu re(s)/Th u mb i mp ressi o n s(s) Fi rst wi tn ess Si g n atu re(s)/Th u mb i mp ressi o n s(s) Fi rst wi tn ess
N ame N ame

Ad d ress Ad d ress

Fo r O ffice U se/Attestatio n (First Ap p lican t) D o cu m en ts received : Self certified Tru e co p ies N o tary

Wh eth er sel f-c erti fi c ati o n & d o c u men ts rec ei ved as p art o f ac c o u n t o p en i n g p ro c ess h ave b een veri fi ed an d fo u n d c o rrec t, Yes/N o (Bran c h to p ro c eed wi th
ac c o u n t o p en i n g o n l y wh en c erti fi c ati o n i s (YES)
C erti fi ed th at th e i mp l i c ati o n s an d c o n d i ti o n s fo r th e o p erati o n o f th e ac c o u n t h ave b een exp l ai n ed to th e d ep o si to r (o n l y i n c ase o f i l l i terate ap p l i c an t)

D ep o si to rs i s: Il l i terate Bl i n d Staff Staff PF Ri sk C ateg o ry: High M ed i u m Lo w

In p erso n veri fi c ati o n c arri ed o u t an d si g n atu re o f th e ap p l i c an t veri fi ed b y:

O ffi c i al N ame PF N o . D esi g n ati o n

D ate SS N o . Si g n atu re

Fo r O ffice U se/Attestatio n (Seco n d Ap p lican t) D o cu m en ts received : Self certified Tru e co p ies N o tary

Wh eth er sel f-c erti fi c ati o n & d o c u men ts rec ei ved as p art o f ac c o u n t o p en i n g p ro c ess h ave b een veri fi ed an d fo u n d c o rrec t, Yes/N o (Bran c h to p ro c eed wi th
ac c o u n t o p en i n g o n l y wh en c erti fi c ati o n i s (YES)

C erti fi ed th at th e i mp l i c ati o n s an d c o n d i ti o n s fo r th e o p erati o n o f th e ac c o u n t h ave b een exp l ai n ed to th e d ep o si to r (o n l y i n c ase o f i l l i terate ap p l i c an t)

D ep o si to rs i s: Il l i terate Bl i n d Staff Staff PF Ri sk C ateg o ry: High M ed i u m Lo w

In p erso n veri fi c ati o n c arri ed o u t an d si g n atu re o f th e ap p l i c an t veri fi ed b y:

O ffi c i al N ame PF N o . D esi g n ati o n
D ate SS N o . Si g n atu re

i . In tern et Ban k i n g (IN B) Ki t N o :

i n i ti al

i i . IN B: Vi ewi n g Tran sac ti o n ri g h ts g i ven o n : Q u eu e N o . In i ti al s

i i i . M o b i l e Ban k i n g M PIN g i ven o n : i n i ti al C IF

i n i ti al
i v. ATM C ard d ata tran smi tted o n : Ac c o u n t
i n i ti al
v. N o mi n ati o n seri al n o : C IF Li n k i n g
i n i ti al
vi . Th resh o l d (KYC ) l i mi t: Perso n al i sed c h q
i n i ti al
RIN B

D etai l s o f o n e o r two i d en ti fi c ati o n mark s, i f an y, su c h as mo l e o r sc ar (man d ato ry fo r M BS

i l l u strate ap p l i c an t)
SM S Al ert
O p en Ac c o u n t
Po sti n g Restri c ti o n
Ac c o u n t n u mb er g en erated
Sc an n i n g
D ate:

Au th o ri sed si g n ato ry

Page No. 5 of 7
 Fo rm at o f Fo rm 6 0 Fo rm at o f Fo rm 6 1

Fo rm o f d ec l arati o n to b e fi l l ed b y a p erso n wh o d o es n o t h ave a Fo rm o f d ec l arati o n to b e fi l l ed b y a p erso n wh o h as ag ri c u l tu ral i n c o me

Perman en t Ac c o u n t N u mb er an d wh o en ters i n to an y tran sac ti o n sp ec i fi ed an d i s n o t i n rec ei p t o f an y o th er i n c o me c h arg eab l e to In c o me Tax i n
i n ru l e 114B resp ec t o f tran sac ti o n s sp ec i fi ed i n ru l e 114B
Fu l l n ame an d ad d ress o f th e d ec l aran t
Fu l l n ame an d ad d ress o f th e d ec l aran t
YASH O BH IT SH ARM A

Parti c u l ars o f tran sac ti o n

Parti c u l ars o f tran sac ti o n
BAN K SAVIN G WITH SBI
D etai l s o f th e d o c u men t b ei n g p ro d u c ed i n su p p o rt o f ad d ress
Amo u n t o f th e tran sac ti o n i n c o l u mn Yes No
0
D ate:

Are yo u assessed to tax? Yes No

Pl ac e:
If Yes
(i .)D etai l s o f th e Ward /C i rc l e/Ran g e wh ere th e l ast retu rn o f
i n c o me was fi l ed ? Verificatio n
(i i .)Reaso n s fo r n o t h avi n g Perman en t Ac c o u n t N u mb er?
I, d o h ere b y d ec l are th at wh at i s
D etai l s o f th e d o c u men t b ei n g p ro d u c ed i n su p p o rt o f ad d ress stated ab o ve i s tru e to th e b est o f my k n o wl ed g e an d b el i ef. Veri fi ed to d ay,
i n c o l u mn (i ) th e d ay o f
Verificatio n
D ate:
I,YASH O BH IT SH ARM A d o h ere b y d ec l are th at wh at i s
stated ab o ve i s tru e to th e b est o f my k n o wl ed g e an d b el i ef. Veri fi ed to d ay,
th e d ay o f Pl ac e:

D ate:
Si g n atu re o f th e d ec l aran t:
Pl ac e:

Si g n atu re o f th e d ec l aran t:

Savin g b an k ru les (ab rid g ed )

K n o w Yo u r C u s to m er Gu i d el i n es

An y p erso n f u f i l l i n g a c c o u n t o p en i n g req u i rem en t s m a y, u p o n a g reei n g t o c o m p l y wi t h t h e p resc ri b ed ru l es, o p en a S a vi n g s Ba n k Ac c o u n t , p ro vi d ed sh e/h e f u rn i sh es p ro o f

o f i d en t i t y a n d p ro o f o f a d d ress a s req u i red b y t h e Ba n k. (R u l e N o .1 )

N o m i n a ti o n & S u rvi vo rs h i p F a c i l i ty

T h e n o m i n a t i o n f a c i l i t y i s a va i l a b l e o n S a vi n g s Ba n k Ac c o u n t s a n d t h e a c c o u n t h o l d ers a re a d vi sed t o a va i l o f t h i s f a c i l i t y f o r sm o o t h set t l em en t o f c l a i m b y l eg a l h ei rs

i n u n f o reseen c i rc u m st a n c es. N o m i n a t i o n c a n b e m a d e i n f a vo u r o f o n l y o n e n o m i n ee. I n c a se t h ey d o n o t wi sh t o m a ke a n o m i n a t i o n , t h e f a c t sh o u l d b e rec o rd ed o n t h e
a c c o u n t o p en i n g f o rm u n d er t h ei r f u l l si g n a t u re. Jo i n t a c c o u n t wi t h su rvi vo rsh i p b en ef i t c a n b e o p era t ed b y t h e su rvi vo r, i n su c h c i rc u m st a n c es. (R u l e N o s. 1 0 , 2)

T yp es o f Ac c o u n ts , B a l a n c e S ti p u l a ti o n & S ervi c e C h a rg es

T h e a p p l i c a n t s c a n o p en a n a c c o u n t ei t h er wi t h c h eq u eb o o k f a c i l i t y o r wi t h o u t c h eq u eb o o k. T h e c u rren t m i n i m u m q u a rt erl y a vera g e b a l a n c es p resc ri b ed f o r t h ese a c c o u n t

t yp es a n d t h e c h a rg es p resc ri b ed f o r n o n m a i n t en a n c e o f m i n i m u m b a l a n c e, a re a va i l a b l e a t t h e Ba n ks web si t e www.st a t eb a n ko f i n d i a .c o m a n d C o n t a c t C en t re. T h e
i n f o rm a t i o n c a n a l so b e o b t a i n ed f ro m Bra n c h es. T h ere i s n o c ei l i n g o n m a xi m u m b a l a n c e i n S a vi n g s Ba n k a c c o u n t , exc ep t f o r M i n o rs a c c o u n t . (R u l e N o s.1 1 ,1 2).

M i n o rs Ac c o u n ts

M i n o rs wh o c a n a d h ere t o u n i f o rm si g n a t u re a n d a re n o t l ess t h a n t en yea rs o l d c a n o p en a c c o u n t s i n t h ei r si n g l e n a m e a n d m a i n t a i n t h erei n a m a xi m u m b a l a n c e o f R s.

2,0 0 ,0 0 0 /- (R s. T wo l a c s o n l y).M i n o rs m a y o p en j o i n t a c c o u n t s wi t h t h ei r g u a rd i a n s. (R u l e N o . 3 )

H o w T o O p en An Ac c o u n t?

I n o rd i n a ry c o u rse, a p p l i c a n t (s) sh o u l d a t t en d t h e Ba n k p erso n a l l y f o r c o m p l et i o n o f f o rm a l i t i es f o r o p en i n g t h e a c c o u n t . T h ey wi l l d u l y f i l l i n a n d si g n t h e p resc ri b ed

a p p l i c a t i o n f o rm . Ap p l i c a n t (s) sh o u l d su b m i t KYC d o c u m en t s, d ec l a ra t i o n a s a p p l i c a b l e f o r R BI /C BD T a n d t wo c o p i es o f h i s/ h er/t h ei r rec en t l y t a ken p a ssp o rt si z e
p h o t o g ra p h s. Ap p l i c a n t s c a n a l so a p p l y f o r o p en i n g a n a c c o u n t o n l i n e. Ac c o u n t h o l d ers si g n a t u res m u st b e l eg i b l e a n d wel l f o rm ed . S i g n a t u res sh o u l d n o t b e i n c a p i t a l
o r b l o c k l et t ers. Ea c h a c c o u n t wi l l b e g i ven a d i st i n c t i ve a c c o u n t n u m b er. Wh i l e d ea l i n g wi t h t h e Ba n k, t h i s n u m b er sh o u l d b e i n va ri a b l y q u o t ed b y t h e a c c o u n t h o l d er(s).
T h e a c c o u n t h o l d ers, i n t h ei r sel f -i n t erest , a re exp ec t ed t o a d h ere t o u n i f o rm si g n a t u re a s p er sp ec i m en rec o rd ed wi t h t h e Ba n k wh i l e o p era t i n g t h e a c c o u n t s a n d a d d ressi n g
a n y c o rresp o n d en c e t o t h e Ba n k. (R u l e N o s. 7, 8 , 9 , 1 3 )

P ass Bo o k

T h e p a ss b o o k a n d c h eq u e b o o k su p p l i ed t o t h e a c c o u n t h o l d er sh o u l d b e kep t i n a sa f e p l a c e. T h e Ba n k wi l l n o t b e resp o n si b l e f o r a n y l o ss o r i n c o rrec t p a ym en t

a t t ri b u t a b l e t o t h e a c c o u n t h o l d ers n eg l ec t i n t h i s reg a rd (R u l e N o s. 1 8 , 29 ). F o r wi t h d ra wi n g c a sh b y m ea n s o f a wi t h d ra wa l f o rm , t h e p a ss b o o k m u st b e p resen t ed .
Wi t h d ra wa l s u si n g c h eq u e f o rm s a n d D eb i t c a rd c a n b e ef f ec t ed wi t h o u t p a ss b o o k. D ep o si t s m a y b e m a d e wi t h o u t p ro d u c t i o n o f t h e p a ss b o o k. (R u l e N o . 1 5 ) P a ss b o o k
sh o u l d b e g o t u p d a t ed reg u l a rl y. T h e p a ss b o o k wi l l b e ret u rn ed t o t h e a c c o u n t h o l d er i m m ed i a t el y a f t er c o m p l et i o n o f t h e t ra n sa c t i o n d u l y u p d a t ed . I n c a se i t i s n o t
c o l l ec t ed wi t h i n a weeks t i m e, i t wi l l b e ret u rn ed t o t h em b y R eg i st ered A.D . p o st / C o u ri er a t t h ei r c o st . (R u l e N o . 1 6 ) T h e a c c o u n t h o l d ers sh o u l d c a ref u l l y exa m i n e t h e
en t ri es i n t h ei r p a ss b o o ks a n d d ra w t h e Ba n ks a t t en t i o n t o erro rs o r o m i ssi o n s, i f a n y. (R u l e N o . 1 7) D u p l i c a t e i n l i eu o f t h e l o st o r m u t i l a t ed p a ss b o o k m a y b e i ssu ed o n
rec ei p t o f a wri t t en req u est f ro m t h e a c c o u n t h o l d er a f t er n ec essa ry en q u i ri es, c o m p l et i o n o f f o rm a l i t i es a n d rec o very o f p resc ri b ed c h a rg es. T h e c u rren t c h a rg es p resc ri b ed
f o r t h i s a re a va i l a b l e a t t h e Ba n ks web si t e www.st a t eb a n ko f i n d i a .c o m . a n d C o n t a c t C en t re. T h i s i n f o rm a t i o n c a n a l so b e o b t a i n ed f ro m Bra n c h es. (R u l e N o . 20 )

C h eq u e B o o k

T h e Ba n k wi l l i ssu e t h e f i rst c h eq u e b o o k a f t er c o m p l et i o n o f a l l f o rm a l i t i es wi t h reg a rd t o o p en i n g o f t h e a c c o u n t . N o c h a rg e wi l l b e rec o vered f o r i ssu e o f f i rst t wen t y

M u l t i c i t y C h eq u e l ea ves. T h erea f t er, servi c e c h a rg e wi l l b e c h a rg ed t o t h e c u st o m er' s a c c o u n t . T h e c u rren t c h a rg es p resc ri b ed f o r t h i s a re a va i l a b l e a t t h e Ba n ks web si t e
www.st a t eb a n ko f i n d i a .n d i a c o m a n d C o n t a c t C en t re. T h i s i n f o rm a t i o n c a n a l so b e o b t a i n ed f ro m Bra n c h es. T h e a c c o u n t h o l d ers m u st u se o n l y t h e c h eq u es f ro m t h e c h eq u e
b o o ks i ssu ed t o t h em b y t h e Ba n k. T h e Ba n k reserves t h e ri g h t t o ref u se p a ym en t o f a n y c h eq u es d ra wn o t h erwi se. O rd i n a ri l y, Ba n k wi l l n o t i ssu e m o re t h a n o n e c h eq u e b o o k
a t a t i m e o r b ef o re exh a u st i n g a l l o r n ea rl y a l l c h eq u e l ea ves i ssu ed p revi o u sl y. (R u l e N o . 27) C h eq u es m u st b e wri t t en l eg i b l y. (R u l e N o . 28 ). S t o p p a ym en t i n st ru c t i o n s i n
resp ec t o f c h eq u es i ssu ed o r l o st c a n b e reg i st ered wi t h t h e Ba n k o n p a ym en t o f a p resc ri b ed servi c e c h a rg e. T h e c u rren t c h a rg es p resc ri b ed f o r t h i s a re a va i l a b l e a t t h e
Ba n ks web si t e www.st a t eb a n ko f i n d i a .c o m . T h i s i n f o rm a t i o n c a n a l so b e o b t a i n ed f ro m Bra n c h es. (R u l e N o . 3 2)

Ackn o wled g em en t-D A-1

We ac k n o wl ed g e rec ei p t o f n o mi n ati o n mad e b y yo u i n favo r o f: D ate:

N ame o f th e N o mi n ee Ag e Years Wi th resp ec t to yo u r Ac c o u n t N u mb er

Yo u rs fai th fu l l y

Si g n atu re o f Ban k O ffi c i al wi th Seal

Page No. 6 of 7
 O p eratio n s In Th e Acco u n ts

G en eral

Savi n g s Ban k ac c o u n t i s essen ti al l y a fac i l i ty to b u i l d u p savi n g s an d h en c e mu st n o t b e u sed as a C u rren t Ac c o u n t. Ban k may c l o se an ac c o u n t sh o u l d i t h ave
an y reaso n to b el i eve th at th e ac c o u n t h o l d er h as u sed h er/h i s ac c o u n t fo r a p u rp o se fo r wh i c h i t i s n o t al l o wed . (Ru l e N o . 5)

D ep o sits

Th ere i s n o restri c ti o n o n n u mb er o f d ep o si ts th at c an b e mad e i n to th e ac c o u n t. N o d ep o si t i n c ash fo r l ess th an Rs 10 /- wi l l b e ac c ep ted . C h eq u es, d rafts o r

o th er i n stru men ts d rawn o n l y i n favo u r o f th e ac c o u n t h o l d er wi l l b e ac c ep ted fo r c red i t o f th e ac c o u n t. Th i rd p arty i n stru men ts en d o rsed i n favo u r o f th e
ac c o u n t h o l d er wi l l N O T b e ac c ep ted . N o d rawi n g s ag ai n st ac c ep ted i n stru men ts wi l l b e n o rmal l y p ermi tted u n ti l th ese are real i z ed . In sati sfac to ri l y c o n d u c ted
ac c o u n ts, i mmed i ate c red i t wi l l b e affo rd ed fo r o u tstati o n i n stru men ts d ep o si ted u p to Rs 20 0 0 0 /-, wh i c h may c h an g e fro m ti me to ti me Th e n o rmal c o l l ec ti o n
an d o u t o f p o c k et c h arg es wi l l b e rec o vered Th e c u rren t l i mi t an d c h arg es p resc ri b ed fo r th i s are avai l ab l e at th e Ban k s web si te www.stateb an k o fi n d i a.c o m an d
C o n tac t C en tre. Th i s i n fo rmati o n c an al so b e o b tai n ed fro m Bran c h es. O verd u e i n terest wi l l b e rec o vered fo r i n stru men ts su b seq u en tl y retu rn ed u n p ai d (Ru l e
N o s. 21, 22, 23)

With d rawals

Th e ac c o u n th o l d er c an wi th d raw mo n ey p erso n al l y fro m h er/h i s o rd i n ary Savi n g s Ban k Ac c o u n t b y u si n g Ban k s stan d ard wi th d rawal fo rm. Th e p ass b o o k mu st
ac c o mp an y th e wi th d rawal fo rm. Th e wi th d rawal fo rm c an b e u sed o n l y fo r rec ei vi n g p aymen ts b y th e ac c o u n th o l d er h i msel f/h ersel f. A. c u m D eb i t c ard c an al so
b e u sed i n ATM s fo r c ash wi th d rawal . Th e ac c o u n th o l d er c an n o t wi th d raw an amo u n t l ess th an Rs. 50 /-. Al l wi th d rawal s mu st b e i n ro u n d Ru p ees o n l y. Th i rd
p arty p aymen ts th ro u g h wi th d rawal fo rms are n o t p ermi tted . A l etter o f au th o ri ty as p er th e p resc ri b ed fo rmat, al o n g wi th th e p ass b o o k sh o u l d b e sen t to th e
Ban k th ro u g h an au th o ri z ed rep resen tati ve to rec ei ve p aymen t i n c ase th e ac c o u n t h o l d er i s u n ab l e to atten d p erso n al l y to wi th d raw c ash fro m h er/h i s ac c o u n t.
(Ru l e N o s. 24, 25, 26) Th e mi n i mu m d rawi n g p ermi tted p er c h eq u e fo rm i s l i mi ted to Rs. 50 . (Ru l e N o . 30 ). Th e maxi mu m n u mb er o f free d eb i t en tri es p ermi tted i n an
ac c o u n t d ep en d s o n th e AM B i n th e ac c o u n t o r as d ec i d ed b y th e Ban k fro m ti me to ti me. C h arg es p resc ri b ed fo r exc eed i n g th i s l i mi t are avai l ab l e at th e Ban k s
web si te www.stateb an k o fi n d i a.c o m an d C o n tac t C en tre. Th i s i n fo rmati o n c an al so b e o b tai n ed fro m Bran c h es. (Ru l e N o . 35) C ash wi th d rawal c an b e mad e fro m
th e ac c o u n ts o f th e si c k , o l d o r i n c ap ac i tated ac c o u n t h o l d ers wh o are u n ab l e to atten d th e Ban k an d /o r al so n o t ab l e to p u t th ei r si g n atu re o r th u mb
i mp ressi o n fo r wi th d rawi n g c ash b y c o mp l eti n g th e l ai d d o wn fo rmal i ti es. (Ru l e N o . 33)

O verd rafts

O verd rafts i n Savi n g s Ban k ac c o u n ts may b e p ermi tted u n d er exc ep ti o n al c i rc u mstan c es wi th p ri o r arran g emen ts o n l y. C h eq u es d rawn i n exc ess o f th e b al an c e
i n th e ac c o u n t wi l l b e retu n ed u n p ai d Servi c e c h arg e wi l l b e rec o vered eac h ti me a c h eq u e i s retu rn ed u n p ai d fo r wan t o f su ffi c i en t fu n d s. C h arg es p resc ri b ed
fo r th i s are avai l ab l e at th e Ban k s web si te www.stateb an k o fi n d i a.c o man d C o n tac t C en tre Th i s i n fo rmati o n c an al so b e o b tai n ed fro m Bran c h es. (Ru l e N o . 31)

ln o p erative Acco u n ts

Ac c o u n t h o l d ers are ad vi sed to o p erate th ei r ac c o u n ts reg u l arl y. Ac c o u n ts n o t o p erated are c l assi fi ed as l n o p erati ve after th e sti p u l ated ti me p eri o d o f 24
mo n th s si n c e l ast o p erati o n . Th e c u rren t p resc ri b ed c h arg es i n th i s reg ard are avai l ab l e at th e Ban k s web si te www.stateb an k o fi n d i a.c o m an d C o n tac t C en tre.
Th i s i n fo rmati o n c an al so b e o b tai n ed fro m Bran c h es. (Ru l e N o s. 36, 37)

Stan d in g In stru ctio n s

Th e ac c o u n t h o l d er c an req u est th e Ban k fo r effec ti n g p eri o d i c al p aymen t o f i n su ran c e p remi u m, memb ersh i p fees etc . b y d eb i t to h er/h i s ac c o u n t o n p aymen t
o f servi c e c h arg es. Th e c u rren t p resc ri b ed c h arg es fo r stan d i n g i n stru c ti o n are avai l ab l e at th e Ban k s web si te www.stateb an k o fi n d i a.c o m. Th i s i n fo rmati o n c an
al so b e o b tai n ed fro m Bran c h es. (Ru l e N o . 40 )

Paym en t o f In terest

As p er RBI g u i d el i n es ap p l i c ab l e fro m ti me to ti me. In terest wi l l b e c al c u l ated o n a d ai l y p ro d u c t b asi s. In terest wi l l b e c red i ted to th e ac c o u n t at h al f yearl y
i n terval s. In terest wi l l b e p ai d o n l y i f i t wo rk s o u t to Re 1/- o r mo re. Th ere after p ai se an d mo re wi l l b e ro u n d ed o ff to th e n ext h i g h er ru p ee an d an yth i n g l ess wi l l
b e i g n o red . In c ase o f ac c o u n ts fro z en b y th e en fo rc emen t au th o ri ti es, Ban k sh al l c o n ti n u e to c red i t th e i n terest to th e ac c o u n t o n a reg u l ar b asi s. (Ru l e N o s. 4l ,
42)

Tran sfer & Clo su re O f Acco u n t

As p er RBI g u i d el i n es ap p l i c ab l e fro m ti me to ti me. In terest wi l l b e c al c u l ated o n a d ai l y p ro d u c t b asi s. In terest wi l l b e c red i ted to th e ac c o u n t at h al f yearl y
i n terval s. In terest wi l l b e p ai d o n l y i f i t wo rk s o u t to Re 1/- o r mo re. Th ere after p ai se an d mo re wi l l b e ro u n d ed o ff to th e n ext h i g h er ru p ee an d an yth i n g l ess wi l l
b e i g n o red . In c ase o f ac c o u n ts fro z en b y th e en fo rc emen t au th o ri ti es, Ban k sh al l c o n ti n u e to c red i t th e i n terest to th e ac c o u n t o n a reg u l ar b asi s. (Ru l e N o s. 4l ,
42)

Ackn o wled g em en t-D A-1

Ac c o u n ts may b e tran sferred b etween b ran c h es o f th e Ban k at th e req u est o f th e ac c o u n t h o l d er(s). Req u est fo r c l o su re o f ac c o u n t sh o u l d state th e reaso n fo r
c l o su re. Th e p ass b o o k mu st ac c o mp an y su c h req u est. J o i n t ac c o u n ts c an b e c l o sed o n l y at th e req u est o f al l su c h j o i n t si g n ato ri es. Servi c e c h arg e at
p resc ri b ed rate wi l l b e rec o vered i f an ac c o u n t i s c l o sed p ri o r to twel ve mo n th s o f i ts o p en i n g . Th e c u rren t c h arg es p resc ri b ed fo r th i s are avai l ab l e at th e Ban k s
web si te www.stateb an k o fi n d i a.c o m. Th i s i n fo rmati o n c an al so b e o b tai n ed fro m Bran c h es. (Ru l e N o s. 43, 44, 45)

Ch an g e in R u les

Th e Ban k reserves th e ri g h t to al ter, d el ete o r ad d to an y o f th ese Ru l es an d servi c e c h arg es fo r wh i c h th e c u sto mer wi l l b e d u l y n o ti fi ed th ro u g h Ban k ' s web si te
an d ./ o r b ran c h n o ti c e b o ard (Ru l e N o s. 39, 46)

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