Date
A Personal Details
B Contact Details (All communications will be sent on provided Mobile No./Email-ID)
Email IDMobile No.





Branch Name
Customer ID

Account type
Account No. CKYC No.
Application type
New Update
 PF NO.
4.Gender* Male
Female Third Gender
5.Marital Status Married Unmarried Single Divorced Living Apart. Defacto
Normal Small Minor
Branch Code

name and code no.





6.Name of Father
7.No. of Dependents 8.Illiterate

Mother
Spouse*
YES NO 
9.Name of Guardian


Relationship with Guardian
In-Indian
12.Occupation Type
Business
Others
Service
Country Name Others
State Govt. Central Govt. Public Sector Undertaking Defence Pvt. Sector
Industrialist
 Other Self Employed
X-Not categorised-Please specify
Trade Sect. Serv. Sect Migrant Labour Contractor Jeweller / Bullion Trader Pawn Shop
Medical Prof. Legal Prof.  Eng./Architect/Tech. Consultant Retired Journalist
Housewife Student Share and Stock Broker Oth. Professional Agriculture Political / Social Worker


14. Annual Income Rs.


18.Person with disability





22.PAN* 
Yes
No 
i. Visually impaired 


1


Hindu Muslim Christian Sikh Others
Yes 
General OBC SC ST
upto 9th Class passed 10th Class passed  
Med. Graduate/Post Graduate Eng. Graduate/Post Graduate Law Gradutae/Post Graduate
CA/ICWA/MBA/CFA Computer Degree/Diploma/MCA Other Professional Degree/Diploma Illiterate
  None
DDMMYYYY
DDMMYYYY
FIRSTNAME
MIDDLENAME
LASTNAME
FIRSTNAME
MIDDLENAME
LASTNAME
STD
STD
FIRSTNAME
LASTNAME
FIRSTNAME
MIDDLENAME
LASTNAME
Date SS No. Signature

vii. Depositor
iv.Threshold Limt v. BIS Organistion Code vi. Customer Segment
Illiterate

Blind
PF No. Designation
  High Medium Low




Permitted to open CIF


D Address details Current Permanent Overseas

Issued By



A-PASSPORT
E-NREGA JOB CARD 
B-VOTER'S IDENTITY CARD C-DRIVING LICENCE E-KYC 
Address type* Residential/Business Residential Business  
Address*
City/Village*


 Country Name*
 Country Name*
E Address details Correspondence Local Same as Current/Permanent Address
Address type* Residential/Business Residential Business  
Address*
City/Village*

Place
Date

Document No. Date
Utility Bill PPO/FPPO 








through biometric / OTP based authentication to the Bank. 
YES
NO
PHOTO*
Please Paste
Recent passport Size

Signature/Thumb impression of the Applicant
Please sign in black ink only
2

DDMMYYYY
DDMMYYYY
DDMMYYYY
DDMMYYYY
DDMMYYYY
Date




First Applicant Customer ID

Second Applicant Customer ID
Account No.

Savings Bank Account
BSBDA BSBDA Small Account   
B Mode of Operation
Self Either or Survivor
C Services Required

Yes No
Yes No
1st Applicant
2nd Applicant
Yes No
Yes No
1st Applicant
2nd Applicant
Former or Survivor
Any one or Survivor Jointly Operated Other____________

name and code no.
1 ATM-CUM-DEBIT CARD
Name as would appear on the card
Card Type
Ist Applicant






2nd Applicant
(Available only for singly operated accounts and joint accounts operated by Either or Survivor mode.



2. CHEQUE BOOK

Yes
No
4. SMS ALERTS on Registered mobile number

Yes
No
Yes No

Yes
No




Yes
No
Required Not Required

Transaction rights required
TERM DEPOSIT
Monthly
By credit to my Bank Account No. Issue Banker's Chq / Draft
Quarterly Calendar Quarter Half Yearly Yearly
 ANNUITY DEPOSIT TAX SAVING SCHEME 



#




  
Maturity instruction@


of Illiterate Depositor
Initials of Cash


 
Type of Deposit
Term Deposit

I/We hereby give consent for debiting my/our account for recovering service charges as normally applicable to Savings Bank and Current Account.
I/We hereby give consent for debiting my/ our Savings Bank/ Current Account for creating MODS/AUTO SWEEP as per the Terms and Conditions.
Linked Saving Bank/Current Account No.



 


 

Debit Account No.

3
Additional Factor of authentication is not mandotory for transactions on International E-Commerce merchants.Card will be supplied with Interantional
transactions disabled status which can be enabled with avilable channel as and when required.Card can be used for Conatactless transaction upto limit
prescibed by the Banks from time to time without PIN.
DDMMYYYY
In Case of Joint Accounts, Income Tax provision will applicable to primary / First Account holder only.



Registration No.
Date 

I/We want the name of the nominee to be printed on the passbook
I/We do not want to nominate any person in this account

Details of Nominee

Details of Deposit





Mobile Number of the Nominee
 
  





 
 
 

 

Signature of the second witness
 

 
 

I shall represent the said minor in all future transactions of any description in the above account until the said minor attains majority. I indemnify the bank against the claim of the above minor for any

 
                            

application without obtaining consent of the legal heirs of the deceased depositors.
 



Open Account
 
 
   
 
 
 
 
Queue No. Initials
Account
CIF Linking
Personalised Cheque
RINB
MBS
SMS Alert
Removal of Posting
Scanning
4
DDMMYYYY
DDMMYYYY
DDMMYYYY
DDMMYYYY
INITIALS
INITIALS
INITIALS
INITIALS
INITIALS
INITIALS
 






communication address or constitution.
 



 
the Bank in any other way.
4. I agree that my personal KYC details may be shared with Central KYC registry or any other competent authority. I hereby consent to receive information from the Bank/Central KYC Registry/GoI/RBI
or any other authority through SMS/e-mail on my registered mobile number/ e-mail address. I also agree that the non-receipt of any such SMS/e-mail shall not make the Bank liable for any loss or
damage whatsoever in nature.
 

 



 



 



 


time to time.
10. I also agree to furnish and intimate to the Bank any other particulars that are called upon me to provide on account of any change in law either in India or abroad in the above matter or otherwise.
11. I shall indemnify the Bank from any loss/damage that may be caused to the Bank on account of any defect/mistake in the details provided herein or on account of providing incorrect or incomplete
information by me.
12. I undertake to submit data/information together with fresh KYC documents for updation of KYC details at periodical intervals as may be required by the Bank.
13. I understand that the account will be activated and debits will be allowed only after completion of Customer Due Diligence relating to KYC by the Bank.
 

 

 
loss/damage.
17. I hereby certify that the Savings Bank Account would be used by me to route transactions of only non-business/non-commercial nature.In the event of occurrence of such transactions or any such

                            

 
 

 
 


from BSBD.
 


 
information is found to be false or untrue or misleading or misrepresenting. I am aware that I may be held liable for it.
 
Virtual Currencies.
 

  

5
 



 
With respect to your Account Number
 
6


as required by the Bank.

The nomination facility is available on Savings Bank Accounts and the account holders are advised to avail of this facility for smooth settlement of claim by legal heirs in unforeseen circumstances. Nomination




Minors Accounts

may open joint accounts with their guardians.





addressing any correspondence to the Bank.

The pass book and cheque book supplied to the account holder should be kept in a safe place. The Bank will not be responsible for any loss or incorrect payment attributable to the account holders neglect in

made without production of the pass book. Pass book should be got updated regularly. The pass book will be returned to the account holder immediately after completion of the transaction duly updated. In


of formalities and recovery of prescribed charges. The current charges prescribed for this are available at the Banks website and Contact Centre. This information can also be obtained from Branches.


charges prescribed for this are available at the Banks website and Contact Centre.This information can also be obtained from Branches. The account holders must use only the cheques from the cheque

all or nearly all cheque leaves issued previously. Cheques must be written legibly. Stop payment instructions in respect of cheques issued or lost can be registered with the Bank on payment of a prescribed
service charge. The current charges prescribed for this are available at the Banks website. This information can also be obtained from Branches.
General
Savings Bank account is essentially a facility to build up savings and hence must not be used as a Current Account. Bank may close an account should it have any reason to believe that the account holder has
used her/his account for a purpose for which it is not allowed.
Deposits

instruments drawn only in favour of the account holder will be accepted for credit of the account. Third party instruments endorsed in favour of the account holder will NOT be accepted. No drawings against

from time to time. The normal collection and out of pocket charges will be recovered. The current limit and charges prescribed for this are available at the Banks website and Contact Centre. This information
can also be obtained from Branches. Overdue interest will be recovered for instruments subsequently returned unpaid.

The account holder can withdraw money personally from her/his ordinary Savings Bank Account by using Banks standard withdrawal form.The Pass Book /any OVD must accompany the withdrawal form.
The withdrawal form can be used only for receiving payments by the accountholder himself/ herself. ATM cum Debit card can also be used in ATMs for cash withdrawal. The account holder cannot withdraw

the pass book should be sent to the Bank through an authorized representative to receive payment in case the account holder is unable to attend personally to withdraw cash from her/his account. The



formalities.
Overdrafts


obtained from Branches.
Inoperative Accounts

charges in this regard are available at the Banks website and Contact Centre. This information can also be obtained from Branches.


charges for Standing Instruction are available at the Banks website. This information can also be obtained from Branches.

As per RBI guidelines applicable from time to time. Interest will be calculated on a daily product basis. Interest will be credited to the account at quarterly intervals. Interest will be paid only if it works out to Re



request. Joint accounts can be closed only at the request of all such joint signatories. Service charge at prescribed rate will be recovered if an account is closed after 14 days upto one year of its opening. The
current charges prescribed for this are available at the Bank’s website. This information can also be obtained from Branches. Accounts can be transferred ONLINE also.


Features of BSBD account.
i. The deposit of cash at bank branch as well as ATMs/CDMs
ii. Receipt / credit of money through any electronic channel or by means of deposit / collection of cheques drawn by Central / State Government agencies and departments.
iii. No limit on number and value of deposits that can be made in month.
iv. Minimum 4 withdrawals including ATM withdrawals
v. ATM Card or ATM-cum-Debit Card

Annexure-1

FORM NO.60
[See second proviso to rule 114B]


1 First Name Middle Name Surname
2 Date of Birth / Incorporation of declarant
3 
4 Flat No./Floor No.
5 
6 Road / Street / Lane
7 Area / Locality
8. Town/District/State
9 Pin code
10 
11 Mobile Number
12 
13 Date of Transaction
14 
number of persons involved in
the transaction
15 Mode of transaction Cash Cheque Card Draft/Banker’s Cheque Online transfer Other
16 
17 

18 


19 Details of document being produced in Document Document Name and address of the
   
 number the document
20 Details of document being produced in Document Document Name and address of the
   
  
Veri�cation
do hereby declare that what is stated
above is true to the best of my knowledge and belief. I further declare that I do not have a Permanent Account Number and




 

correct and complete in all respects. Any person making a false statement in the declaration shall be liable to prosecution

 

 

2. The person accepting the declaration shall not accept the declaration where the amount of income of the nature referred to in

7
Instruction:

Sl. Nature of Documents Document Proof of Proof of
Code Identity Address
A For Individuals and HUF
1 AADHAAR card 01 Yes Yes
    
3 Elector’s photo identity card 03 Yes Yes
4 Ration/Public Distribution System card bearing photograph
of the person 04 Yes Yes
5 Driving License 05 Yes Yes
6 Passport 06 Yes Yes
7 Pensioner Photo card 07 Yes Yes
    
    
 
or Member of Legislative Assembly or Municipal Councillor or a
   
    
12 Kisan passbook bearing photo 12 Yes No
13 Arm’s license 13 Yes No
 
Contributory Health Scheme 14 Yes No
15 Photo identity card issued by the Government/Public Sector Undertaking 15 Yes No
    
    
    
    
    
    
    
23 Property registration document 23 No Yes
24 Allotment letter of accommodation from Government 24 No Yes
25 Passport of spouse bearing name of the person 25 No Yes
    
B For Association of persons (Trusts)

by Charity Commissioner 27 Yes Yes
C For Association of persons (other than Trusts) or Body of Individuals or Local authority or Arti�cial
Juridical Person)
   
Commissioner or Registrar of Cooperative Society or any other competent
authority or any other document originating from any Central or State
Government Department establishing identity and address of such person.


and the declaration should be signed by the parent/guardian.





8

 

Addition of Related Person Deletion of Related Person


 









Address in the Jurisdiction/Country - where the Applicant is Resident outside India for Tax Purposes

* A person residing in US including US green card holder
* Certain persons who spend more than 180 days in US each year
 




 


Signature/thumb inpression of the Applicant/Applicants


 IN-India Others 






Related Person type*


PROOF OF IDENTITY(POI) OF RELATED PERSON*
A-PASSPORT
B-VOTER'S IDENTITY CARD
C-DRIVING LICENCE

E-NREGA JOB CARD

G-OTHERS 
AssigneeGuardian of Minor Authorised Representative

Annexure-2

FIRSTNAME
MIDDLENAME
LASTNAME
FIRSTNAME
MIDDLENAME
LASTNAME
FIRSTNAME
MIDDLENAME
LASTNAME
DDMMYYYY
DDMMYYYY
9