CIF-01

CUSTOMER ON-BOARDING
FORM FOR INDIVIDUALS
(To be filled by applicant only)
(Fields marked as '*' are Mandatory)
(FOR BANK USE ONLY)
Application Type* ™ New ™ Update ™ Re-KYC Date*: D D M M Y Y Y Y

Customer ID* Tracker ID*

Branch Code Branch Name

KYC Number UCIC

Enhanced due diligence*: ™ Non Face to Face ™ Complete KYC ™ Relaxed KYC
Branch Walk-in* ™ Yes ™ No

PERSONAL DETAILS
Name* (as per identity proof document)
Prefix* ™ Mr. ™ Mrs. ™ Ms. ™ Others (Pls. fill the details)
First Name*
Middle Name
Last Name
Date of Birth* D D M M Y Y Y Y Gender* ™ M - Male ™ F - Female ™ T- Third Gender
Residential Status* ™ ™ ™ Foreign National ™
Citizenship* ™ ™ Others (please specify)
Nationality* ™ Indian ™ Others (please specify)
Aadhaar No. - - If not available, please confirm reason:
OR VID (Virtual ID) - - -
Aadhaar Seeding ™ Yes ™ No (For Seeding, please fill Aadhaar Seeding form)
™ Enrolled for Aadhaar ™ Aadhaar not Applicable (Choose reason below)
™ Enrollment number: ™ NRI
™ Others (Please specify)

I hereby give my explicit consent authorizing YES BANK Limited. to authenticate me from UIDAI

PAN* (Permanent Account Number) - - If not available, please confirm reason:

PAN
™ Applied for PAN ™ PAN not applicable Exempted
(Form 49A attached) (Form 60 attached) (Please specify
reason)
Political Exposure* ™ Politically exposed person ™ Related to Politically exposed person ™ Not Applicable
PHOTOGRAPH AND SPECIMEN SIGNATURE

Please paste recent

passport size
photograph
of applicant

Signature / Thumb Impression of Applicant (without stamp)

ss
cro h In case of Minor, guardian's signature required
ign a ograp
S hot This signature will be captured in Bank records. Please sign carefully
p
the
*PEP: Politically exposed persons are individuals who are or have been entrusted with prominent public functions in a
domestic / foreign country. Eg. Heads of States/Central Governments, Senior Politicians, Senior government /
Judicial/military officers, Senior executives of state owned corporations, important political party official etc.
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 CIF-01
CUSTOMER ON-BOARDING
FORM FOR INDIVIDUALS
(To be filled by applicant only)
(Fields marked as '*' are Mandatory)
OTHER PERSONAL DETAILS
First Name Middle Name Last Name
Maiden Name
(If Applicable)
Minor ™ Yes ™ No Guardian type ™ Natural ™ Court Appointed
™ Father / ™ Spouse Name (Shade as applicable) (If Form 60 furnished, Father's Name is mandatory):
Prefix ™ Mr. ™ Mrs. ™ Ms. ™ Others (Please Specify)
First Name
Middle Name
Last Name

Mother's Name:
Prefix ™ Mrs. ™ Ms. ™ Others (Please Specify)
First Name
Middle Name
Last Name

RESIDENTIAL ADDRESS*
Line 1*

Line 2

Line 3

Landmark
District
City/Town/Village*
State / UT*
Country*
Pin code*

Period of stay in current city Y Y M M

OFFICE / BUSINESS ADDRESS

™ Same as Residential address (Shade this in case the office and residence address is same, else proceed to update)
™ NA
Line 1

Line 2

Line 3

Landmark
District
City/Town/Village
State / UT
Country
Pin code

(2)
 CIF-01
CUSTOMER ON-BOARDING
FORM FOR INDIVIDUALS
(To be filled by applicant only)
(Fields marked as '*' are Mandatory)
For NRI / Foreign national / PIO (Person of Indian origin) Customers:
OVERSEAS ADDRESS: FOR NRI / FOREIGN NATIONAL / PERSON OF INDIAN ORIGIN (PIO)
™ Same as Residential address (Shade this in case the Overseas and residence address is same, else proceed to update)
Line 1

Line 2

Line 3

Landmark
District
City/Town/Village
State / UT
Country
Pin code

Other Personal Details of NRI / Foreign National / PIO

Date of becoming NRI D D M M Y Y Y Y

Place of Issue of Passport

Passport Issuance Date D D M M Y Y Y Y Expiry Date of Passport D D M M Y Y Y Y

Type of Visa ™ Tourist ™ Work ™ Residence ™ Student ™ Business ™ Diplomat ™ UN Official

™ Others
(Please
specify)-
Date of Visa issuance D D M M Y Y Y Y Date of Visa expiry D D M M Y Y Y Y

Visa Number

No. of Years outside India ™ Upto 2 years ™ 2-5 years ™ Over 5 years

*PERMANENT ADDRESS (Shade as applicable)

Same as: ™ Residential address ™ Office/Business address ™ Overseas address
Line 1

Line 2

Line 3

Landmark
District
City/Town/Village
State / UT
Country
Pin code
*Relevant address section to be left blank if permanent/Office/Business address is same as residential address
ADDRESS FOR CORRESPONDENCE (SELECT ANY ONE) (Please submit proof for Correspondence Address)
™ Residential ™ Office / Business ™ Overseas ™ Permanent

ADDRESS FOR WHICH PROOF SUBMITTED (Multiple option can be selected)

™ Residential ™ Office / Business ™ Overseas ™ Permanent
(3)
 CIF-01
CUSTOMER ON-BOARDING
FORM FOR INDIVIDUALS
(To be filled by applicant only)
(Fields marked as '*' are Mandatory)
CONTACT DETAILS*

Mobile
Country Code Number
Phone (Res)
Country Code STD Code Number

Phone (Off.)
Country Code STD Code Number

Email ID

DETAILS UNDER FATCA-CRS / SIMILAR FOREIGN TAX LAWS AND TREATIES*

I hereby declare that the informationprovided by me is true. In case of any changes, I will inform the bank within 30 days.
Place / City of Birth*

Country of Birth*
I am a citizen / national/ tax resident of any other country outside India ™ No ™ Yes (If Yes, please fill in below details)
Country of Jurisdiction of Residence Tax Identification Number or equivalent
(If issued by jurisdiction)

Tax Identification Type

ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES:
Same as: ™ Permanent address ™ Correspondence address (If otherwise, please fill FATCA-CRS declaration)
) Multiple options can be selected

Documents submitted as Proof of Identity (POI) / Proof of Address (POA) / Proof of Signature (POS)
(Certified copy of any one of the following needs to be submitted)
POI POA POS Document Digitally Document Number Expiry Date
Type Verified
™ ™ UID (Aadhaar) ™

™ ™ PAN Card ™ (Refer details mentioned above)

™ ™ ™ PASSPORT
™
Number D D M M Y Y Y Y

Driving
™ ™ ™ License ™ D D M M Y Y Y Y

™ ™ Voter ID Card ™

NREGA
™ ™ ™ Job Card ™ D D M M Y Y Y Y

Letter by
™ ™ National ™
D D M M Y Y Y Y
population
registrar

Others,
Please D D M M Y Y Y Y
specify"

(4)
 CIF-01
CUSTOMER ON-BOARDING
FORM FOR INDIVIDUALS
(To be filled by applicant only)
(Fields marked as '*' are Mandatory)

CUSTOMER PROFILE (shade as applicable)

Current ™ Married ™ Unmarried

Marital Status1 ™ Others (please specify)

Residence Type2* ™ Self Owned ™ Family Owned ™ Company owned

™ Rented ™ PG Accommodation
™ Others
(please specify)

Educational ™ Upto 10th ™ Under graduate (upto 12th STD) ™ Graduate

3
qualification * ™ Post Graduate & above ™ Professional ™ Illiterate
Occupation Type4* ™ Salaried4.1 ™ Self Employed4.2/Business4.3 ™ Agriculturist / Farmer
™ Diplomat ™ Filmstar ™ Homemaker
™ Retired ™ Student ™ Not working
™ Others
(please specify)

If Salaried4.1, ™ Private Ltd Company ™ Public Ltd Company ™ Government

Employed with ™ PSU’s ™ Multinational ™ Partnership Firm
details ™ Proprietorship firm ™ Embassy / Consulate ™ Household services
™ Educational Institutions ™ Religious Institutions ™ Wage earner
™ NGO ™ Trust / Association / Society / Club
(Non-Governmental Organization) ™ Defense Organization
™ Others
(please specify)
Employment Name of the Employer
Details (Mandatory
for Salary
Accounts)4.1.1
Period in current Employment Years Months

Employee No. / ID
Company Code

If Self Employed4.2 ™ Proprietorship firm ™ Partnership Firm ™ Public Ltd Company

/Business4.3, ™ Private Ltd Company
''Type of ™ Others
Company/Firm
(please specify)
Name of the Business entity /
Company / Firm

Period in Current Business Years Months

If Self ™ Practicing Chartered Accountant ™ Practicing Company Secretary

Employed4.2.1 ™ Practicing Doctor ™ Practicing Lawyer
Please select ™ Practicing Cost Accountant ™ Practicing Architect
profession
as applicable
™ Others
(please specify)

If in business4.3.1, ™ Trading ™ Manufacturing ™ Service Provider

its Nature of ™ Agriculture ™ Real Estate
Business ™ Others
(please specify)

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 CIF-01
CUSTOMER ON-BOARDING
FORM FOR INDIVIDUALS
(To be filled by applicant only)
(Fields marked as '*' are Mandatory)
Confirm if your ™ Antique / Art Dealer ™ Arms/ Explosives ™ Auction house
business involves ™ Bitcoin / Virtual Currencies ™ Broker-Stock/Commodities ™ Bullion / Gems/ Jewellery
any of the ™ Casino / Night club/ Betting ™ Co-operative Banks ™ Electronic Items
following4.3.2: ™ Exchange House ™ Internet Service Provider ™ Investment Management
™ Yes ™ No ™ Labour Supply ™ Lottery/Gambling/Gaming ™ MLM / Chit funds
If Yes please shade ™ Money Changer/ Transfer Agent ™ Money lender ™ Off-shore corporation
the required field ™ Petrol Pump ™ Scrap metal dealers ™ Social media marketing
™ Telemarketers ™ Transport Operators ™ Venture Capital Companies
If No please shade ™ Auto dealers (New vehicles/ Motor)
others and specifiy ™ Dealers/brokers- Used Car/Boat/Plane
a business
™ Film Production /Film Distribution House/Movie Theatres
™ Liquor distributorship/Standalone wine shops (excluding Bar)
™ NBFCs ( except Housing Finance Companies & Systematically Important NBFC's)
™ Traders/Agents involved in Import/Export (of goods/ services not being used for own
manufacturing/retailing)
™ Others
(please specify)
Annual Income5* ™ 0-<1 Lakh ™ >=1-<2 Lakhs ™ >=2-<5 Lakhs
™ >=5-<10 Lakhs ™ >=10-<20 Lakhs ™ >=20-<25 Lakhs
™ >=25-<50 Lakhs ™ >=50 Lakhs- <1 Crore ™ >=1-<5 Crores
™ >=5-<10 Crores ™ >=10 Cr
™ Salary ™ Wages ™ Income from Business
Source of Funds6*
(Multiple option ™ Income from Investments ™ Income from Rent ™ Income from Agriculture
can be selected) ™ Pension ™ Royalty ™ Fees
™ Supported by Family Income ™ Commission ™ Gift
™ Ancestral Property ™ Prize Money
™ Others
(please specify)

™ I authorize the bank to access my CIBIL records, whenever needed, for any product offered by the Bank -

PRODUCTS AND OFFER UPDATES

In our endeavor to bring comprehensive financial solutions & superior experience to you, YES BANK needs to contact
you over phone, SMS or Email with latest innovations, exciting offers & matters relating to servicing your account. We
request you to please allow us to continuously bring the best to you.

I ™ want / ™ do not want to receive updates on products and offers from YES BANK LIMITED.

I/we hereby declare that the details furnished above are true and correct and to the best of my knowledge and belief
and I/we undertake to inform you of any changes therein, immediately.

Date D D M M Y Y Y Y

Place

Signature / Thumb Impression of Applicant

In case of Minor, guardian's signature required

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