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Request Form For Change in Personal Details

This document is a request form for changing personal details in NRE/NRO accounts, requiring account number, holder's name, and branch details. It outlines various changes that can be requested, such as postal address, mobile number, email address, and passport details, along with necessary supporting documents. Additionally, it includes a declaration for compliance with tax regulations and the importance of providing accurate information.

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John Terry
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0% found this document useful (0 votes)
49 views2 pages

Request Form For Change in Personal Details

This document is a request form for changing personal details in NRE/NRO accounts, requiring account number, holder's name, and branch details. It outlines various changes that can be requested, such as postal address, mobile number, email address, and passport details, along with necessary supporting documents. Additionally, it includes a declaration for compliance with tax regulations and the importance of providing accurate information.

Uploaded by

John Terry
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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FOR BRANCH USE: Branch Code: ____________

Receipt Date: ___/___/_____ Action Taken on: ___/___/_____ Signature

NRI-2.4
Request for change of Personal Details in NRE/NRO account
Account No: ______________ Account Holder’s Name:___________________Branch Name / Code:_________________
General Rules:
1. Please tick the appropriate box (es), wherever applicable and give the new details in the space provided.
2. If new information for field(s) wherever (*) symbol is mentioned, pertains to the USA, then please fill Annexure compulsorily.
However, if the information sought in Annexure has already been provided by you to the Bank, then please ignore the Annexure.

Change of Postal Address* (Please enclose self-attested copy of new address proof)
Change address for (Tick One): Current (Overseas) Address Permanent (Overseas / Indian) Address
Address Type: Residential or Business Residential Business Registered Office Unspecified
__________________________________________________________________________________________________
_____________________________________________ City / Town / District__________________________________
State__________________________ Country_____________________________________ PIN___________________
Note: For change of mobile number & email address
for transactions done through internet banking, please
Change of Mobile Number* do it through Internet Banking facility on your own.
For change of mobile number, please
post/courier/submit in person the request letter
Change of Email Address generated to your home branch for approval.

Change of Telephone Number* (In ISD – STD – Number format)

Change of Passport / VISA / Work Permit Details* (Please enclose self-attested copy of relevant pages)

Details to be changed for (Tick One): Passport VISA / Work Permit

Number Issue Date Place of Issue Nationality# Valid Up to

(#Not required, if VISA / Work Permit Details are to be changed)

Change of Recorded Signature


Old Signature ^ New Specimen Signature

{^If you are not able to replicate your old signatures, then please submit copy of your Passport along carrying your signature.
Your new specimen signatures should be the same as on the proof being given. The proof being given should be duly attested by
anyone of the: 1. SBI Foreign Office (wherever it is permitted) 2. Indian Embassy / High Commission 3. Notary
Public and sent through post / courier to your home branch.}
Declaration: I request bank to amend the information provided in my account as stated above and confirm that all
the details provided herein by me are correct.

Date Place Signature

Customer Acknowledgement Copy (To be returned to the customer, if submitting it in the person) Branch Seal & Stamp
A/c No: _____________________ A/c Holder Name: ____________________________
Type of request: Change of personal details
Date of receipt: ___/___/_____
Signature of authorised official
Annexure
Account Holder’s Maiden Name (if any): __________________________________________________________________
Place of Birth: ________________________________ Country of Birth: _________________________________________
Father Name: _____________________________________________________________________<First-Middle-Surname>
Spouse Name (Required if Marital Status is married): ____________________________________<First-Middle-Surname>
Aadhaar No: ___________________________________________ (Optional)

Taxation Details (Please fill following details, if you are tax payer in any of the country or multiple countries)

Country of residence Tax Identification Number (TIN)


S. No. TIN issuing Country
for tax purpose number or functional equivalent
1

If the above section is applicable, then please give one of the following proofs for each of the TINs mentioned above:
a. Document mentioning Tax Identification Number (TIN) or functional equivalent
b. Certificate of residence or any valid identification issued by an authorized Government body, including a Government
agency or a municipality, of the country or territory of residence
c. Any financial statement, third-party credit report, bankruptcy filing, or a report of the Government agency regulating
the securities market

Please provide address, if S. No. 1 is filled in Taxation Details:


Same as Current Address Same as Permanent Address Other Address: _________________

City / Town / District: ________________________ Country_______________________________ PIN_______________

FATCA / CRS / Central KYC Registry - Declaration and Undertaking:


1. I hereby certify that I have declared my status as per the rules applicable under section 285BA of the Income tax Act, 1961 as notified by Central Board of Direct
Taxes (CBDT) vide Notification No. S.O. 2155(E) dated 7 August 2015 and RBI Circular No. RBI/2015-16/165 DBR.AML.BC.No.36/14.01.001/2015-16 dated 28
August 2015 in this regard.
2. I understand and acknowledge that as per the provisions Income tax Act, Rules made thereunder and guidelines issued by the RBI in the matter, depending upon the
residential status and/or other criteria stipulated therein, the Bank may have to report the details in respect of my account(s) as per the prescribed format to the
Central Board of Direct Taxes (CBDT) or other Government Agencies to comply with the obligations as per the Inter-Governmental Agreements (IGA) and
Common Reporting Standards (CRS) and or any other similar arrangements.
3. I certify that the information provided by me above as applicable to me and signed by me as well as in the documentary evidence provided by me is, to the best of
my knowledge and belief, true, correct and complete and that I have not withheld any material information that may affect the assessment/categorization of my
account as a U.S. Reportable Account or other reportable Account or otherwise.
4. I undertake the responsibility to declare and disclose within 30 days from the date of change, any changes that may take place in the information provided above, as
well as in the documentary evidence provided by me or if any certification becomes incorrect and to provide fresh and valid self- certification along with
documentary evidence.
5. I also agree that my failure to disclose any material fact known to me, now or in future, may invalidate me from transacting in the account and State Bank of India
would be within its right to put restrictions in the operations of my account or close it or report to any regulator and/or any authority designated by the Government
of India (GOI) /RBI for the purpose or take any other action as may be deemed appropriate by State Bank of India, under the guidelines issued by CBDT/RBI from
time to time, if the deficiency is not remedied by me within the stipulated period.
6. I also agree to furnish and intimate to State Bank of India any other particulars that are called upon me to provide on account of any change in law either in India or
abroad in the subject matter herein.
7. I shall indemnify State Bank of India for any loss that may be caused to the State Bank of India on account of providing incorrect or incomplete information by me.
8. I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein,
immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
9. My personal / KYC details may be shared with Central KYC Registry. I hereby consent to receiving information from Central KYC Registry through SMS / Email
on my registered number / email address.

Signature / Thumb
impression of account
holder

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