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Kyc Form

The document is a KYC compliance form for updating customer identification data, requiring personal information and proof of identity and address. It outlines the necessary documents to be submitted for compliance with the Prevention of Money Laundering Act and Reserve Bank guidelines. Customers must submit the form and required documents to their branch, either in person or via mail, to avoid account closure.

Uploaded by

Ashok Shenoy
Copyright
© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
166 views3 pages

Kyc Form

The document is a KYC compliance form for updating customer identification data, requiring personal information and proof of identity and address. It outlines the necessary documents to be submitted for compliance with the Prevention of Money Laundering Act and Reserve Bank guidelines. Customers must submit the form and required documents to their branch, either in person or via mail, to avoid account closure.

Uploaded by

Ashok Shenoy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure Ill

..............,......................... Branch

DATA UPDATION FOF]M UNDEFt KYC COMPLIANCE


Name
Address

Customer lD
Account No.

CJ There js No Change in my current address

C] My mailing address is to be changed as under :


Flat No.reldg/Soc

Pload Name

Land Mark

City

State
PIN

Tele. Offiee

E-mail lD

Father's Name

Mother's Name

Date Of birth (DDMMvyyv)

PAN No.
Or
Fom 60 / 61
("ck appropnate)
Proof of documents
Submitted

Country Of Besidence

Occupation of individual
(Be specific) Individual Partnership Lid. Co. other Pl specfty
Constitution

I
Annual Income (in laos)

Major source of income

Foreign Inward F}emittance Expected -YIN I I

lf yes, Coumry Of Plemittance

Nature of Activity (I-import, Engxport, B-both, N-none) I I

I
Note: 1. Foi'ius to be.submitted personally atthe branch when there is change of address. When there is nochange,
it can be sent by rTffl.I.
2. Separate form for each individual viz, Pamer / Director / Trustee / Joint Individual / Authorised signatory /
Beneficial Owner etc. to be submiked
To be scanned and uploaded in Finacle
Account No : Date :

Signature (as per Bank's record)


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Annexuro 11
fiiHHi

F}ef : Customer I.D No Date...„..................

M/s / Mr. / Ms

Dear Sir"adam ,

SuB : updation Of Customer Identification Data under


Know your Customer (KYC) Compliance

Your Bank is required to comply with Prevention of Money Laundering Act, 2002 and
Reserve Bank directions with respect to 'Know Your Customer' (KYC) guidelines on continuous
andongoingba.sis.Weareintheprocessofupdatingthecustomerinformation.TohelptheBank,
youneedtosubmitthefollowingdocumentswithourbranchwhereyoumaintainyouraccount.

OnecopyOfyourrecentpassportsizephotograph.(EntitiesotherthanindMdualsshould
submitphotographsofalldirectors/PartnersITrustees/OfficeBearersasthecasemaybe).
Proof of Identity (a) Passport (b) PAN card (c) Voters Identity Card (a) Driving Licence (e)
Employ€!e'sldentitycardis§uedbyemployertothesatisfactionottheBank.(Entitiesother
than ind!viduals shall submit constitution documents and registration certificate under the
applicable law) - Photocopy to be submitted.
ProofofResidentialaddress:(nctoldorthanthreemonths)(a)Telephonebill(b)Electricity
Bill (c) Gas Connection Bill (d) A/c statement of other Bank (e) Any other document men-
tioningyourcurrontresidentialaddresssubjecttosatisfactionofBank-(Entitiesotherthan
individuals shall Submit copies of ownership / lease documents of the registered office /
place Of business) - Photocopy to be submitted.

lfyouhaverecently§ubmittedthedocumentsunder(a)&(C),youmayjustsendonlyone
updatedphctographtothebranchbypostoryoumayper§onallyhanditovertothebranchoffieials
along with attached KYC updation form duly filled - in ....

If you have submitted all documents recently, you may please ignore this letter.

If you have not complied with any ot these requirements, then


__ _?_J__ please
Lt._I ___ submit the -f
-.,A-i--:-„ above
+A,a
documents on or before Pleas6 appreciate that non - submission of the
the law. Please
documentswouldentailclosiireOforstoppageofoperationsintheaccountunder
facilitate compliance of KYC.

Thanking you
You rs faithfully,

Branch Manager

This is computer generated letter and does not require signature


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FTra USR ZFi ornq ^cov®mnmof lrrdla underbfang

SERVICE REQUEST FORM


Account CIF No ,,...

Name of
Father's Na

Spouse Nai

Please Tick

1. Change of Address I Communication I Residence I Permanent I Office


to

2. Add / Update I Residence I office I Mobile No. I E-mail lD


Contact Details

3. Update Identity I Occupation Code I PAN card


Details
E Passport I Date of Birth

H Aadharcard No.

4. Certificates / I Balance Certificate I TDS Certificate I Interest Certificate


Statements
I Statement of Accounts I Duplicate Pass Book
from to

5. Alternate I ATM/Debitcard I Mobile Banking I SMS Banking


Channels
I Duplicate ATM/Debit Card Old Card No

I Blocking of existing Debit Card

I DuplicateATM pin

6. Cheque Book I SB Cheque Book/s with 20 leaves each


Requisition
I CD Cheque Book/s with 50/100 leaves each

7. Name I Addition I Deletion I Modifjcation

8. Stop Payment I Stop Payment of cheque/s from


Dated Favouring Name

9. Change of AIc Status I CDGeneraltouccANew I CDGeneralto uccAforBanks

I SB General to SB Flexi with minimum Balance I Dormant to Active

I NofrilltoGeneral I MinortoMajor I changeofNomination

10. Transfer Of A/c I Transfer to Branch Name

11. Account closed Reason


I/\/Ve request you to facilitate the above services and debit my/our account for service charges if any or as
applicable from time to time. Relevant documents wherever applicable have been enclosed. I/We once again
assureyouthatl^^/ewillabidebydeclaration/undertakinggivenatthetimeofaccountopening.

Place : Yours faithfully,


Date :

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