THE YAMUNA NAGAR CENTRAL CO.-OPERATIVE BANK LTD. YAMUNA NAGAR

Transcription

1 B Y H Y L ccount pening Form (For office use only) ccount o. ype of ccount.- P D. L IV K H Y L.-PIV BK LD. Y Date ame of Firm/ompany (In case of urrent /) Branch (dd/mm/yyyy) Saving Bank ccount o-frill ccount urrent ccount ecurring Deposit erm Deposit all Deposit thers (please specify) 1. Primary pplicant ustomer ID. LIS F PPLIS Debit ard o First ame iddle ame Last ame Joint pplicant 1 ustomer ID. First ame iddle ame Last ame Joint pplicant 2 ustomer ID. elationship with minor Father other By court order (if yes please affix a copy) thers (please specify) 2. SPD DDSS IY S Permanent ddress Same as above PID IY S ode of peration PID Self ither or Survivor Jointly Former or Survivor ny one or Survivor ther 3. IDI DILS Introduction by existing he Yamuna agar entral op. Bank Ltd.account holder and Document confirming mailing address in name of applicant ame ype of ccount ame of Branch ccount o. I confirm that I am an account holder with he Yamuna agar entral op. Bank Ltd. for over six months. I confirm that I personally know the applicant/s detailed herein for years and confirm his / her identity and address ignature of Introducer Date Signature verified ame Supervisor Incharge

2 ccount umber ccount umber ccount umber erm Deposit FD ID ecurring Deposit Period Installment (for D) thers (please specify) please recover instalment for the recurring deposits from my savings bank account. Interest payout : Quarterly onthly t maturity (omulative) Senior citizen : o Yes (please attachproof) 4. FILIIS QID Please tick in the respective boxes if you wish to avail the following facilities heque Book ollect from the Branch Despatch to my communication ddress Statement by -mail obile Banking Debit ard Sweep-in-facility : Please clear my heque/allow withdrawal by transferring funds from my/our Savings/urrent ccount o. IY / IS PY ISIS n maturity of Fixed Deposit ) renew principal and interest renew principal only issue dd/pay order B) await renewal instructions post maturity (same tenure at the rate of interest prevailing on maturity) redit to account no. redit to account no. (in case of absence of specific instructions for renewal, interest will be paid at the applicable savings bank rate, if the deposit is not renewed thereafter) For regular interest payment (fill only in case of monthly/quarterly interest payout and on maturity if the interest is not to be renewed with the principal) Issue dd/pay order Foreign remittances expected ountry ode o. xpected nnual urnover in the account (For current account only) <10 Lacs 10 Lacs<50 Lacs 50 Lacs<1 r. 1r-<5 r 5 r<10 r 10 r-<25 r 25r-<50r 50r-<100 r >100 r Interest Payment Frequency : onthly Quarterly Halfyearly aturity Interest/aturity Payment Instructions : By F/S ransfer to Savings/urrent /c o. Beneficiary Bank Branch ccount o. PI & DLI 1st applicant 2nd applicant 3rd applicant Signature Signature pplicant/guardian should also sign across photographs as well as in the space provided for signature. For Bank se Signature isk Level (ustomers Profile) Level 1 (Low isk) Level 2 (edium isk) Level 3 (High isk) * I hereby certify that all the necessary KY documents have been obtained/verified by me. I confirm that the documents are adequate to comply with KY requirement of the Bank. I hereby confirm that I have verified list of terrorist groups & I advices & Bank's guidelines & confirm the applicant/s are not included in caution advices/black list. Based on this the account may be opened. llowed to open the ccount DDIIL IFI Branch anager ame of Spouse-r./rs. : ducation qualification of Spouse Date of birth of spouse : d d m m y y y y other ongue: Details of children : 1.ame ale/female DB: / / esident/ on-resident arried/ Single 2.ame ale/female DB: / / esident/ on-resident arried/ Single

3 dditional Details (wherever applicable) Income : onthly nnually ssets (approximage value) : s. eligion : Hindu uslim hristan Sikh thers ategory : eneral B S S ducational Qualification : on-raduate raduate Post raduate thers ccupation ype : Salaried Self-employed Business etired Student thers rganization's ame Designation/Profession: Passporto *thers P Form 60/61 Vehicle: ar wo-wheeler ther Life Insurance Value: pto 2 Lakhs pto 5 Lakhs bove 5 Lakhs House : ncestral wned ented mployers ame of the Bank/Financial Institution { xisting Loans : ar Loan Home Loan Personal Loan ducational Laon Business/griculture redit ard : Y/ If Yes, ame of Issuing Bank/Institution ame of other dealing banks : Form D I - omination Form omination egistration o. omination : omination under Sec 45 Z of the Banking egulations ct, 1949 and ule 2(1) of the Banking ompanies (omination) ules 1985 in respect of Bank Deposits. (Form D1) I/We (names) nominate the following person whom, in the event of my/our/minor's death. the amount of the deposit in the amount may be returned by he Yamuna agar entral o.p. Bank Ltd. Branch. ame & ddress of the ominee elationship with the Depositor if any ge If ominee is a minor his/her Date of Birth *s the nominee is a minor on this date. I/we appoint (ame ddress, ge & elationship with depositor, if any) to receive the amount of the deposit/insurance claim amount in the account on behalf of the nominee in the event of my/our minor's death during the minority of the nominee. Signature (Depositor) Personal Details & Signature of the Witness : (1) ame : (2) ame : ddress : ddress : Signature: Signature: I do not wish to nominate Signature of ccount Holder Verified Branch anager

4 3 (a) KW Y S DILS : ttach the copies of the documents opted for and produce the original copies of these documents for verification. Identity Proof : Passport opy Voter ID ard P D DH D Driving License ID ard Issued by eputed mployer ther Photo ID ard Document Identification o. Issuing uthority Place of Issue Date of Issue Valid p to D D Y Y Y Y D D Y Y Y Y 3 (b) KW Y S DILS : esidence Proof : as onnection eceipt elephone Bill lectricity Bill Bank a/c Statement ation ard Document Identification o. Issuing uthority Place of Issue Date of Issue Valied up to D D Y Y Y Y D D Y Y Y Y?ks"k.k&i= ¼dsoyorZeku@HkwriwoZ csadlvkqlnl;ksa ijykxw½ esa] iq=k@iq=kh@iuh inuke k[k esa blcsa dh k[kesa viukcpr[krk@lkof/k[krkua- [ksykgqvkgsesa ;g?ksf"krdjrk@djrhgw fdbl[krs esa tks jkf ktekdhxbz gs ogesjs ls lcf/krgs rfkesjs fdlhfj rsnkj@fe=k@v;dhugha gseq>s bl[krs ijlvkqlnl;gksus ds dkj.k1% vfrfjdr;ktdhlqfo/k nhtk;s LFku% glrk{kj fnukad% dezpkjhdkuke

5 F o. 60 B FILLD BY HS WH D HV P / I F o. 61 Form of declaration to be filled by a person who does not have a Permanent ccount umber and who enters into any transaction specified in ule 114-B Form of declaration to be filled by a person who has agricultural income and is not in receipt of any other income chargeable to Income ax in respect of transactions specified in ule 114-B 1. Full ame & ddress of the declarant 2. Particular of ransaction 3. mount of ransaction 4. re you assessed to ax? Yes / o 5. If Yes (i) Details of Ward/ircule/ange where the last eturn of income was filled? (ii) easons for not having Permanent ccount umber? 6. Details of the Document being produced in support of ddress in column (1). 1. Full ame & ddress of the declarant 2. Particular of ransaction 3. Details of documents being produced in support of address in Yes/o olumn (1) I hereby declare that my source of income is from agriculture and I am no required to pay income-tax on any other income, if any. Date :... VIFII Verified oday, the day of VIFII Verified oday, the day of F o. 60 B FILLD BY HS WH D HV P / I F o. 61 Form of declaration to be filled by a person who does not have a Permanent ccount umber and who enters into any transaction specified in ule 114-B Form of declaration to be filled by a person who has agricultural income and is not in receipt of any other income chargeable to Income ax in respect of transactions specified in ule 114-B 1. Full ame & ddress of the declarant 2. Particular of ransaction 3. mount of ransaction 4. re you assessed to ax? Yes / o 5. If Yes (i) Details of Ward/ircule/ange where the last eturn of income was filled? (ii) easons for not having Permanent ccount umber? 6. Details of the Document being produced in support of ddress in column (1). 1. Full ame & ddress of the declarant 2. Particular of ransaction 3. Details of documents being produced in support of address in Yes/o olumn (1) I hereby declare that my source of income is from agriculture and I am no required to pay income-tax on any other income, if any. Date :... VIFII Verified oday, the day of VIFII Verified oday, the day of

6 B B Y H Y L.- P D. L IV K H Y L.-PIV BK LD., Y SPI SI D ode of peration Self ither or Survivor Jointly Former or Survivor ny one or Survivor ther ame(s) & ddress ype of /c /c o. ame of Firm/ompany (In case of urrent /c) 1st pplicant 2nd pplicant 3rd pplicant ame S/o,W/o,D/o ame S/o,W/o,D/o ame S/o,W/o,D/o Signature ccupation P obile o. st pplicant nd pplicant rd pplicant 1st applicant PH 2nd applicant PH 3rd applicant PH omonee's ame Date hecked & Verified cctt. llowed Branch anager Y H Y L.- P D. L IV K H Y L.-PIV BK LD., Y SPI SI D ode of peration Self ither or Survivor Jointly Former or Survivor ny one or Survivor ther ame(s) & ddress ype of /c /c o. ame of Firm/ompany (In case of urrent /c) 1st pplicant 2nd pplicant 3rd pplicant ame S/o,W/o,D/o ame S/o,W/o,D/o ame S/o,W/o,D/o Signature ccupation P obile o. st pplicant nd pplicant rd pplicant 1st applicant PH 2nd applicant PH 3rd applicant PH omonee's ame Date hecked & Verified cctt. llowed Branch anager