CUSTOMER INFORMATION &

ACCOUNT OPENING FORM

(For Sole Proprietorship Firm)

(Please fill the form in BLOCK LETTERS and SAME INK only. THIS IS A MACHINE READABLE FORM AND WILL PASS THROUGH A SCANNER).
Tick boxes as applicable. *Mandatory Fields

CKYC Number Entity Application Date D D M M Y Y Y Y

Customer ID
(For Existing Customer)
Open My Account in Branch Name Branch Code Case Type R-KIT Non R-KIT
1. *ENTITY DETAILS
*Name

*Date of Incorporation D D M M Y Y Y Y *City of Incorporation *Country of Incorporation

*PAN GSTN No.
*Industry Type Manufacturing NBFC Construction Non Profit Organization Micro Enterprises Others (Please Specify)
If ‘Others’ fill the Industry code as per Bank’s KYC policy
*Annual Turnover 0-5 Lakh 5-10 Lakh 10-25 Lakh 25 Lakh - 1 Cr 1 - 5 Cr 5 - 50 Cr 50 - 100 Cr > 100 Cr
(Avg. income for corp.)

Legal Entity Identifier Number Legal Entity Identifier Expiry Date D D M M Y Y Y Y

Entity website URL

2. *ADDRESS DETAILS
PREFERRED MAILING ADDRESS REGISTERED OFFICE ADDRESS PLACE OF BUSINESS
Shop/Office No. &
Building Name/No.
Road/Street Name/No.

*Landmark *City
*State *Country *Pin Code
CONTACT DETAILS
*Country Code STD Code Phone No. Extension
*Mobile No. (For receiving SMS Alerts)

SOPROP/Dec-23/Ver.1.0
Email ID
(E-statements & E-alerts)
Please consider opting for environmental friendly e-statements by furnishing your correct email ID, for physical statement visit nearest RBL branch in future.
REGISTERED OFFICE ADDRESS SAME AS MAILING ADDRESS
Shop/Office No. &
Building Name/No.
Road/Street Name/No.

*Landmark *City

*State *Country *Pin Code

3. *DETAILS OF AUTHORISED SIGNATORY/IES

Name of Authorised Signatory/ies Designation Customer ID No. (If existing customer)
1.
2.

4. *NATURE OF ACCOUNT TO BE OPENED 5. MODE OF OPERATION

Current Account Scheme Name *AMB/AQB r Singly Singly/Mandate Holder (Wherever applicable)

6. *WHAT WOULD YOU NEED TO MAKE YOUR BANKING EASIER

SMS Banking Yes No SMS Alert Email Alert
You will be registered for e-mail / SMS alerts (select as requested). Registered Current Account customers will receive transaction alerts above Rs. 5000. For
applicable charges, visit your nearest branch or www.rblbank.com. You will receive default mandatory alerts from RBL Bank.
Cheque Book Yes No
Debit Card Yes No Card Variant: Enterprise Signature + Pinnacle Crest Others

7. *MODE OF FUNDING

Initial Amount r In words

Cash^
D D M M Y Y Y Y
Cheque No.@ Date Drawn on Bank Branch
Debit my RBL Bank Account Number
^If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt.
@Cheque should be crossed A/c payee and drawn payable to 'RBL Bank Ltd. A/c. < Applicant's Name >'

Page 1 of 4
 8. *CREDIT FACILITY DETAILS
Client Undertaking (please tick any one option)
I/We have not availed any credit facilities from any bank in the banking system. In future, if I/we avail any credit facility from any other bank, I/we shall inform RBL Bank within 7
working days of availing such credit facilities with all the details as per Table A.
I/We are availing < r 5 crore of credit facilities in the banking system. I/We undertake to notify RBL Bank as and when the credit facilities availed within the banking system
reaches r 5 crore or more.
I/We declare that I/we fall under the exception category as per the RBI Circular* (refer Table C for Exception list) as maybe amended from time to time.
I/We are availing credit facilities with other Banks / RBL Bank as per the details disclosed in Table A and confirm the accuracy of the details provided herein.
Reference to the RBI circular, I/We understand that CC/OD borrower where overall exposure in Banking system is more than r 5 Cr, the borrower can only have Current account in
'One Bank' provided the bank has more than 10% of the lending exposure (CC/OD should be a part of it). I/We confirm that I have no other current account and will keep RBL Bank's
current account as my only and exclusive current account.

TABLE A – BANK WISE CREDIT EXPOSURE

SR No Bank Name Exposure Type (CC or OD or Other Loan Exposures) % Exposure Amount r
1.
2.
3.
4.
5.
Total
For exposure from more than 5 Banks, add separate sheet in the above format. (Exposure means the sum of sanctioned fund based and non-fund-based credit facilities in Banking System)
TABLE B – DEBIT AUTHORIZATION (Please collect the cancelled cheque copy)
For CC/OD accounts having less than 10% of the aggregate exposure in RBL Bank OR for Collection accounts
I/We Authorize RBL Bank to debit the account and remit the funds vide NEFT/ RTGS to designated Account no :
Beneficiary account Name (in other Bank):
Name of Bank : Branch Name : IFSC code:
I would like to set standing instructions in my account provided as per this declaration
• SI Start Date : Date of account opening / conversion D D M M Y Y Y Y SI end date : Dec 2099 .*Default SI frequency will be set as next day morning.
I/We authorize RBL bank to verify the exposure details from CRILC, Credit Information Companies (CICs) and National E-Governance Services Ltd (NeSL).
I/We will provide the exposure details to the Bank at least on half yearly basis or as and when there is a change in the composition of the lending exposure whichever is earlier.
I/We will ensure below facilities will be stopped for the accounts which are converted to the Collection account (s)/OD- CC account (s) with debit freeze:
• Transaction access will be deactivated on Net banking (retail and CIB) • All the cards will be permanently blocked • Cheque(s) issued if any will be stopped • ECS, SI, Auto
Sweep-out facility will be stopped • Digital transaction access like UPI, POS etc. will be stopped
I/We aware that I/We need to reapply for necessary facility when ODCC/Collection account is converted in to Regular Current account/OD-CC Account.

TABLE C – EXCEPTION LIST

1. Accounts for real estate projects (RERA)
2. Nodal or escrow accounts of payment aggregators/prepaid payment instrument issuers for specific activities as permitted by RBI
Name of Authorised Person
3. Accounts for settlement of dues related to debit card/ATM card/credit card issuers/acquirers
4. Accounts permitted under FEMA, 1999
5. Accounts for the purpose of IPO/NFO/FPO/share buyback/dividend payment/issuance of commercial papers/allotment of debentures /gratuity
6. Accounts for payment of taxes, duties, statutory dues, etc. opened with banks authorized to collect the same, for borrowers of such banks
which are not authorized to collect such taxes, duties, statutory dues
7. Accounts of White Label ATM Operators and their agents, Cash-in-Transit (CIT) Companies/ Cash Replenishment Agencies (CRAs) for

SOPROP/Dec-23/Ver.1.0
sourcing of currency Signature/Thumb Impression of
8. Inter-bank accounts Authorised Person & Rubber stamp
9. Accounts of All India Financial Institutions (AIFIs), viz., EXIM Bank, NABARD, NHB, and SIDBI
10. Accounts opened under specific instructions of Central Government and State Governments
11. Accounts attached by orders of Central or State governments/regulatory body/Courts/investigating agencies etc. wherein the customer
cannot undertake any discretionary debits

9. *DECLARATION
I/We am/are residents of India. I/We, declare that the information furnished by me/us is true and correct. I/We, the undersigned have read and understood and agree to abide and be
bound by all the provisions of the Terms & Conditions published on the bank's website www.rblbank.com (Others > Terms & Condition) governing the opening of all my/our accounts,
present and future with RBL Bank and those relating to various services including but not limited to ATMs/Debit Card/Mobile Banking/Internet Banking/Phone Banking/Bill Payment
Facility etc. I/We understand that the Bank may at its sole discretion discontinue any of the services completely or partially without any notice to me/us. I agree that the Bank may debit
my account for service charges as applicable from time to time. I/We agree that if the premature withdrawal is permitted at my/our request, the payment of interest on the deposit may
be allowed in accordance with the prevailing stipulations laid down by the Bank/Reserve Bank of India from time to time. I/We authorise the Bank or its agents to make references/
enquiries as may be necessary and to exchange/share/part with any/all information with credit bureaus/statutory bodies/other agencies as may be deemed necessary or appropriate.
In case of any update in the KYC documents / information submitted by me/us at the time of establishment of account-based relationship and thereafter, as necessary; I /
We shall submit to the Bank the update of such documents within 30 days of the update to the documents.
I/We hereby agree and undertake to send Instructions to RBL Bank by email from the email address registered with the bank. I/we hereby further agree and undertake to exempt RBL
Bank from any and all responsibility of such misuse and receipt of information through my registered email ID, and hold RBL Bank harmless for any costs or losses that I/We may incur
due to any errors, delays or problems in transmission or otherwise caused by using the Internet as a means of transmission. I/We understand that the bank may attempt to authenticate
all requests received on e-mail, prior to executing the transaction.
I / we hereby consent to uploading the required information on CKYC Registry. I hereby grant my consent to download and store my records from CKYC Registry for the purpose of
verification of my identity and address. I understand that my KYC Record includes my KYC Records /Personal information such as my name, address, date of birth, PAN number etc.
a. RBL Bank, would like to use your personal details in the application form from time to time to send you marketing information /contact you to inform about products, services or
promotional offers that are offered by RBL bank, on its own and in collaboration or through tie-ups with partners/ third parties. By giving your preference below you either allow or
disallow RBL Bank to contact you through SMS, phone calls and Emails :
Yes, Bank can contact me No, Bank may not contact me
b. I/We authorize the Bank to share, disclose, exchange, or use in any manner whatsoever, without any further specific consent or authorisation from me/us, the information/data
provided by/related to me/us to the Group companies/Associates/Subsidiaries/Affiliates/Joint Ventures of RBL Bank/ any person with whom the Bank has entered/propose to enter
into an arrangement for provision of ‘services/products’ for the purpose of marketing/offering/selling any product/services offered by Bank.
Yes No, I do not consent to share, disclose, exchange, or use my information/data
There is no change in my KYC details uploaded under my Customer ID (Tick if applicable else submit a fresh CIF).
There is no change in existing status of KYC Information of the firm.
Declaration under 'Foreign contribution (Regulation) Act, 2010 and Foreign Contribution (Regulation) Rules, 2011’
I/We confirm that as part of the regular operations, I/we do not receive any foreign contribution from abroad and if in future we will be receiving the same then we will inform the
bank in advance with sufficient notice OR
I/We confirm that as a part of the regular operation, we receive foreign contribution from abroad. Separate approval from ministry of home affairs (MHA) has been sought for
crediting the foreign contributions with the FCRA Account with Bank which has been opened specifically
for such FCRA credits and I/we confirm that in the account with RBL Bank,

10. *SIGNATURE
(Please do not sign this form if it is BLANK. Please ensure all relevant sections and columns are completely filled to your satisfaction and only then sign the form)

Signature/Thumb Impression of depositor & Rubber stamp Signature/Thumb Impression of Mandate holder & Rubber stamp

Name : Date : D D M M Y Y Y Y Name : Date : D D M M Y Y Y Y

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11. *NOMINATION FORM DA 1 : (Proprietor cannot be a Nominee in Sole Proprietor firm)
I/We wish to make a nomination for above account (Only one individual nominee permitted)
I/We do not require nomination facility. I/We understand & acknowledge the risk & consequences associated with nomination not given by me.
Nomination details to be displayed on statement: Yes No
I (Name) (Address)
nominate the following person to whom in the
event of my death the amount of deposit in the above account, may be returned by RBL Bank.
Nominee Name Nominee Address

Relationship with Depositor (If any)

*Date of Birth of Nominee D D M M Y Y Y Y
**As the nominee is a minor on this date, I appoint to receive the amount of the deposit in
the account on behalf of the nominee in the event of my death during the minority of nominee.
Relationship with the minor : Address : Same as primary applicant
Address if different from primary applicant :

Signature/Thumb Impression of depositor & Rubber stamp

*** Witness details

Name Name
Signatgure*** Signatgure***
Address Address

SOPROP/Dec-23/Ver.1.0
Date D D M M Y Y Y Y Place Date D D M M Y Y Y Y Place
*** Witness(es) required only if the depositor is giving thumb impression and not signature. (Witness can be i. Both Bank officials, ii. Both third party or iii. 1 third party and 1 Bank official
** In case nominee is a minor the nomination must be signed by person lawfully entitled to act on behalf of minor.

12. *SOLE PROPRIETORSHIP DECLARATION

I hereby affirm that I am The Sole Proprietor of the business under the name & style of
and as such am solely responsible for the liabilities thereof. I further confirm
that I am and shall continue to be personally and fully responsible for all business conducted under my own name.
I request you The RBL Bank branch to open a Current Account for the said proprietary
concern.
I declare myself liable on all cheques and others which may be drawn on said account and agree to comply with and to be
bound by the Bank's rules for the conduct of Business Accounts also request and' authorize the bank to honor all cheques
or orders which may be drawn or bills accepted or notes made or receipts for monies owed by the Bank to the proprietary
concern duly signed on behalf of the said concern in the manner as instructed in respect of operations of the account
including through channels by the sole proprietorship's account with the Bank and for all cheques, guarantee or other Signature/Thumb Impression of the Sole
orders ,which may be drawn or bills accepted or noted negotiable instruments passes on the Sole Proprietorship's behalf Proprietor with stamp
of receipts for money owned by you to the sole Proprietorship and to debit such cheques, guarantees, orders, bills notes or
negotiable instruments to the Sole Proprietorships Account {s) with you whether such accounts be for the time being in
credit or overdrawn or may be overdrawn such debit without prejudice to the Bank's rights to refuse to allow any overdraft
or any increase of overdraft and I shall be responsible for the repayment of any such overdraft and Interest.
I shall advice the Bank in writing of any change that may take place in the constitution of my proprietary concern, and I shall
be l able to the Bank on any obligations which may be outstanding in the said Concern's name on the Bank's books and until
such obligations shall have been liquidated.
I have read the terms and conditions applicable to such an account and services related thereto and shall always be bound
by abide by them amendments from time to time.

13. *ACKNOWLEDGEMENT
Received application for Current Account Ref No.
Initial Payment Details

Initial Amount r In words

Cash r
D D M M Y Y Y Y
Cheque No Date Drawn on Bank Branch
SOPROP/Dec-23/Ver.1.0

Debit to my RBL Bank A/c Branch Code Note: DD/PO/Cheque subject to clearance

Received duly completed Nomination FORM DA1 Yes No Employee ID

Name of Bank Official (Checked by) Signature of Bank Official & stamp
Please Quote your reference No. for any communication D D M M Y Y Y Y
Date

Dedicated team of phone bank- Email us at : Website :

ing officers available 24X7 - For Resident/Non Individual Customers: [email protected] www.rblbank.com
Call us on: +91 22 6115 6300 For Non Resident Customers: [email protected]

SMS Banking : MoBank Login to Internet Banking: Debit Card :

Type HELP & send to 9223366333 Scan here to download the latest www.rblbank.com and enjoy Best in class features &
for all SMS Banking Enquiries version of RBL MoBank - mobile easy access to your account benefits choose the one
banking app that suits you the best

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14. *FOR BANK USE ONLY
*KYC Details *Document Name *Doc ID No. *Place of Issue *Date of Issue Expiry Date *Issuing Authority
*Proof of Address D D M M Y Y Y Y D D M M Y Y Y Y

*Proof of Identity 1 D D M M Y Y Y Y D D M M Y Y Y Y

Proof of Identity 2 D D M M Y Y Y Y D D M M Y Y Y Y

*SITE VERIFICATION

I have met Mr. / Ms. *Branch Code: Emp. Branch:

*Lat: Mandatory *Long: Mandatory
on preferred mailing address of the entity. I hereby confirm the
Signature of Bank Official & stamp Emp ID
following details.
Name of the Emp.:
Identity Address Customer Business in line with the profile
Fill up the form & Signature in my presence Verification Emp. Designation:
of copies with the original documents Lat & Long Location
Sourcing Branch Code
*Primary Relationship Manager ID *Business Segment:
*LC Code (Sourcing Code)
Secondary Relationship Manager ID Customer Segment:
*LG Code (Lead Generator)

*Funds Parked Branch code *Value Date D D M M Y Y Y Y

Current Account 4 0
Prefix Preferred/R-KIT Account Number
*Funds Parked at Account

SOPROP/Dec-23/Ver.1.0
*URN/Transaction ID: (URN not applicable for R-Kit) Exports/Imports Involved Yes No PEP CRPEP

*Risk Categorization Should match with RRT checklist L M H *BSR Type of Organization
*Source of Income /Funds 1 Business Income 1 Investment Income 1 Agriculture 1 Others
*Expected No. of Transactions Annually 1 <250 2 250 - 500 3 500 - 1000 4 1000 - 2500 5 >2500
*Expected Transaction Amount - (in r)
*Cash Deposits - Annual (in r) 1 0-5 Lakh 2 5-10 Lakh 3 10-25 Lakh 4 25-50 Lakh 5 50 Lakh-1 Cr. 6 1-5 Cr. 7 5-10 Cr. 8 >10 Cr.
*Cash Withdrawal - Annual (in r) 1 0-5 Lakh 2 5-10 Lakh 3 10-25 Lakh 4 25-50 Lakh 5 50 Lakh-1 Cr. 6 1-5 Cr. 7 5-10 Cr. 8 >10 Cr.
FCY Inward - Annual (in USD) 1 0-5 Lakh 2 5-10 Lakh 3 10-25 Lakh 4 25-50 Lakh 5 50 Lakh-1 Cr. 6 1-5 Cr. 7 5-10 Cr. 8 >10 Cr.
(Mandatory in case Export/Import involved)
FCY Outward - Annual (in USD) 1 0-5 Lakh 2 5-10 Lakh 3 10-25 Lakh 4 25-50 Lakh 5 50 Lakh-1 Cr. 6 1-5 Cr. 7 5-10 Cr. 8 >10 Cr.
(Mandatory in case Export/Import involved)
*Domestic Inward (in r) 1 0-5 Lakh 2 5-10 Lakh 3 10-25 Lakh 4 25-50 Lakh 5 50 Lakh-1 Cr. 6 1-5 Cr. 7 5-10 Cr. 8 >10 Cr.
*Domestic Outward (in r) 1 0-5 Lakh 2 5-10 Lakh 3 10-25 Lakh 4 25-50 Lakh 5 50 Lakh-1 Cr. 6 1-5 Cr. 7 5-10 Cr. 8 >10 Cr.

Promo Code 1 Promo Code 2 Promo Code 3 Checked by (Name of bank official) :

MIS Code. 1 MIS Code. 2 MIS Code. 3 Emp ID

MIS Code. 4 MIS Code. 5 MIS Code. 6 Signature :

15. MOST IMPORTANT TERMS & CONDITIONS

• All physical deliverables will be sent to ‘Preferred Mailing Address’ and digital deliverables on current registered Email ID or Mobile No.
• Bank provides Standing Instruction (‘SI’) facility for auto debit of accounts for payment to registered payees. Bank will not be held liable for failure to execute
the SI for shortage of funds or for delays caused by third parties involved in performance of SI.
• Bank charges apply for below services at rates indicated in Schedule of Charges displayed on website and on Notice Board of Branches.
o Cash Deposits & withdrawals, Non-maintenance of minimum balance prescribed depending on category of accounts, SMS alerts, Remittances, A/c.
closure charges etc.
SOPROP/Dec-23/Ver.1.0

• Debit Card is/will be, dispatched in an ‘Inactive’ status. To activate, you must first generate your PIN. ATM and POS transactions within India are activated by
default.
• The transaction rights/limits of the Debit Card can be enabled/disabled/modified, through following options – Internet banking/Mobile banking/IVR/Branch.
• Debit card Fee will be applicable as per schedule of charges on www.rblbank.com >> Service Charges & Fees
• Accounts with no customer induced debit or credit transactions for continuous period of 24 months will be categorised as ‘Dormant Account’. No transactions
will be permitted till the customer activates the account by visiting the Bank’s Branch and submitting required documents.
• Deposits in bank accounts are insured with DICGC up to amounts stipulated by regulations from time to time. For details on deposit insurance, please log
onto www.dicgc.org.in.
• Bank has Grievance Redressal policy displayed under ‘Customer Services on Banks website www.rblbank.com for redressal of customer grievances. To
register your grievance, please visit your nearest branch or log on to Customer Services on Banks website www.rblbank.com or call 022-61156300.
• For detailed terms and condition, please visit www.rblbank.com >> Others >> Most Important Terms and Condition.

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