ACCOUNT OPENING FORM (Via Video KYC)

(FOR RESIDENT INDIVIDUALS)

Application ID: DB202402062269879

Customer Id: 102427265 Account No.: 2082104000058405

Customer VKYC Ref No:DB202402072269985 Date: 07/02/2024

The Branch Manager,

IDBI Bank Limited

Please open my Savings Account in your Branch Sol ID: 2082,

Branch Name: DHEMAJI - ASSAM

Scheme Code: RSBA2

DETAILS OF APPLICANT

Title: MR. First Name: DIPANKAR

Middle Name: Surname: DUTTA

Mother’s Maiden Name: DUTTA

Date of Birth: 21-03-1994 Gender: Male

Marital Status: Married Citizenship: INDIAN

PAN No: CGHPD9139A CKYC No:

CONTACT DETAILS

Mobile: 8822426847 Email: [email protected]

APPLICANT PERMANENT ADDRESS

Line 1: C/O: Lalit Dutta

Line 2:

City: DHEMAJI (ASSAM) District: DHEMAJI (ASSAM)

State: Assam Pin code: 787057

Country: India

APPLICANT CURRENT/CORRESPONDENCE ADDRESS

Line 1: WARD NO 7

Line 2: NAGAKHELIA DHEMAJI ASSAM

City: DHEMAJI (ASSAM) District: DHEMAJI (ASSAM)

State: ASSAM Pin code: 787057

Country: INDIA
DELIVERABLES/CHANNEL SERVICES

Cheque Book: Yes Internet Banking: Yes

Mobile Banking: Yes ATM cum Debit Card: Yes

Primary applicant name to be embossed on the card: DIPANKAR DUTTA

NOMINATION CHOSEN: No

Nominee Name:

Nominee’s Date of Birth:

Nominee Address Line 1:

Nominee Address Line 2:

City: State:

Pincode: Country:

Relationship with the depositor:

GUARDIAN DETAILS (in case the nominee is minor)

Guardian Name:

Guardian Age:

Nominee Relationship with Guardian:

Address:

City: Pincode:

State: Country:

PERSONAL DETAILS OF THE APPLICANT

Title: MR. First Name: DIPANKAR

Middle Name: Last Name: DUTTA

Father's Name: LALIT DUTTA

Mother's Name: DIPTI

Residential Status: Resident individual

Education: GRADUATION AND ABOVE

Occupation Type: BUSINESS

Occupation Type (Others):

Nature of Business: Real Estate

Sources of Income: Business Source of Income (Others):

Religion: Hindu

Category: OTHER BACKWARD CLASS

Gross Monthly Income: 35000

Annual Income: 420000

Proof of Identity: PAN Card

Address Type: Residential

Proof of Address: Aadhaar (UID)

SOURCING CODE & IP ADDRESS

BCBF Code:

OBST Code:

STAFF Code:

IP Address:

Customer Photo Customer Signature

Most Important Terms & Conditions (MITCs)

To know more about the schedule of facilities for your account, please refer to the link here or visit www.idbibank.in/index.asp

For BCSBI Codes, refer to the link here or visit https://www.idbibank.in/regulatory-disclosures-bcsbi.asp

Savings Account Rule 1: SB accounts may be opened for the purpose of savings and not for doing any business transactions. The object of the savings bank
account is to encourage private individuals to deposit their savings with the bank, allowing them interest on the sums so deposited and at the same time
permitting the facility of certain limited withdrawals on demand. Hence firms/companies are not allowed to open SB account. Transactions of commercial nature
are not permitted. If the Bank at any stage finds that the Savings Bank Account is being used either for the purpose for which it is not allowed or for the purpose
of routing transactions which are dubious or undesirable, the Bank reserves the right to close such Savings Bank Account. 2. A minimum balance shall always be
maintained in the account. Non-maintenance of minimum balance will attract charges as prescribed from time to time. 3. Applicable charge for closure of the
account from time to time would be collected. 4. Interest is calculated on the balance maintained in the SB account on daily balance method and paid at quarterly
rests. The rate of interest payable is subject to the directives that may be issued by RBI from time to time. 5. As per extant Reserve Bank of India (RBI) guidelines,
an account would be treated as inoperative / dormant if there are no customer induced transactions in the account for over a period of two years. Operation in
such inoperative accounts would be resumed / restarted /allowed after obtaining the revised KYC document as per the extant guidelines of the Bank. 6. As per
extant Reserve Bank of India (RBI) guidelines, an account would be treated as inoperative / dormant if there are no customer induced transactions in the account
for over a period of two years. Operation in such inoperative accounts would be resumed / restarted /allowed after obtaining the revised KYC document as per the
extant guidelines of the Bank.

IDBI Bank Limited, Regd. Office: IDBI Tower, WTC Complex, Cuffe Parade, Mumbai-400 005

Toll Free Numbers: 1800-200-1947/ 1800-22-1070, Non Toll Free Number: 022-66937000

Visit Us: www.idbibank.in