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Barclays Declaration Form

Barclays Declaration Form

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yashmal607
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122 views2 pages

Barclays Declaration Form

Barclays Declaration Form

Uploaded by

yashmal607
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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KYC - SELF DECLARATION

To
Barclays Bank UK PLC and Barclays Bank PLC
Branch
Please affix and
sign across your
recent photograph

Dear Sir/Madam
My resident savings/current account/credit card/loan no./locker no./others:

I (accountholder) do hereby solemnly declare that the


information provided below with respect to the above account is up-to-date and correct. The documents provided as proof of identity and proof of
address have been self-attested. I have also attached my recent photograph above.
Residential address
Flat no. and bldg. name: 


Road no./name: 


Area and landmark: 
City: 
Pin code: 
Telephone: (Res.)   (Off.) 

(STD code) (STD code)
Mobile no.: 
E-mail: 

Mailing address (if different from the Residential address)


Flat no. and bldg. name: 

Road no./name: 


Area and landmark: 


City: 
Pin code: 
Telephone: (Res.)   (Off.) 

(STD code) (STD code)
Mobile no.: 
E-mail: 
I confirm having enclosed a self-attested copy of the following documents as the proof of identity and proof of address (please tick the
relevant document in the list below):
Proof of Identity (any one) Proof of Residential/Permanent address (any one)
 Passport  Passport
 Election/Voter’s ID  Election/Voter’s ID
 Permanent driving license  Permanent driving license
 Government employee ID card  Society outgoing bill (only from registered societies)
 Defense ID card  Electricity/water/telephone bill
 PAN card  Property tax bill
 Photo Ration card  Domicile certificate with address issued by municipal corporation  Gas
 Aadhar card bill (Pipeline connection)
Please provide separate documents for proof of identity and proof of residential address. Only a valid passport will be accepted as both.
I confirm, in the event of change in address due to relocation or any other reason, would intimate the new address to the Bank within two weeks of
such a change.

Full name of the accountholder: 



PAN number:  (mandatory)

Dated: D D M M Y Y Y Y  




Signature of the accountholder/constituted attorney:
(as per the mandate provided to the Bank)

Note: In case of joint accounts or accounts operated under a power of attorney, a separate declaration should be completed for each joint accountholder or constituted.

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