KARAD URBAN BANK THE KARAD URBAN CO-OPERATIVE BANK LTD. KARAD (Scheduled Bank)

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Nathaniel Gerald Little
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1 ESTD KARAD URBAN BANK THE KARAD URBAN CO-OPERATIVE BANK TD. KARAD (Scheduled Bank) Head Office 516/2 Shahu Chowk, Shaniwar Peth, Karad contactkaradurbanbank.com Website Date A/C. Please fill up information to serve you better. Please tick (*) & fill in details where ever applicable. Please fill up information in BOCK letters and use BACK ink for signature. To, The Manager, TDS exemption reason FIXED DEPOSIT ACCOUNT OPENING FORM I / We wish to deposit in your Bank Rs. ( ) in Fixed Deposit / Recurring Deposit / for Months/ Years Days Interest rate p. a. Shareholder 15H / 15G Society As per exemption Certificate Account Type Individual Joint HUF Minor Staff Senior Citizen Constitution Credit Society Please fill up other Account type in the bracket. Name and Specimen of the Applicant/s Customer ID. Name Specimen / Thumb Impression (if illiterate) (Applicant 1) S / T1 S / T1 (Applicant 2) S / T2 S / T2

2 (Applicant 3) S / T3 S / T3 (Applicant 4) (If more than, above please attach separate sheet in above format.) S / T4 S / T4 /s of witness / es is / are necessary in respect of Attestation of Thumb impression. Witness Name Address Status Name Address Status If Minor Birth Date (Minors Birth certificate/ Age proof is mandatory) Guardian Customer ID Relation with minor Guardian 's Name Date of attaining majority Introducer's Details Introducer's Name Introducer's Customer ID. I confirm that I am an account holder with The Karad Urban Co- Operative Bank td. Karad. For months. I confirm that I personally know the applicant / s and confirm his / her identity and address. Bank Official's (Verification ) Ticket Introducer's Date

3 Mode of operation Single Either or survivor Former or Survivor Anyone Jointly all of us Any two/three/four/five Guardian for Minor Manager (Karta) for HUF Attorney / mandate holders Please fill up other mode of operation in the bracket. STANDING INSTRUCTION (Fill up the Standing Instruction which is applicable) Access from other Interest Payment Frequency Payment Mode Monthly Quarterly Half Yearly Yearly on Maturity Credit to Savings / Current / Cash Credit / Term oan A/c.. Other Mode for Payment Pay through Demand Draft Payable at / Pay Order For Recurring Deposit Kindly debit monthly RD installment of Rs. to my / Our Saving / Current / Cash Credit. Other Instructions for T. D. S. Deduct T. D. S. Amount from A/c.. T. D. S. Payment in the name of Maturity Instructions Auto renewal facility Required Renew matured amount for same period at the interest rate which is applicable. If otherwise choose from the following Renew Principal amount only for the period Days / Month / Year /s and credit interest to A/c. Renew Rs. for the period Days / Month / Year /s and Credit residual amount to A/c. On maturity, Credit maturity proceed to A/c. On maturity, the proceeds be sent by Cheque / Demand Draft. DD Payable at Other instruction (if any)

4 mination (mination Form DA - 1) mination under Sec.45 AZ of the Banking Regulation Act,1949 and rule 2(1) of the Banking Companies (nomination) Rules, 1985 in respect of bank deposit. Required t Required As per Customer ID (If minee is other than customer ID Information, Please fill up the following Form) I/We (Name & Address) minate the following persons to whom in the event of my / our / minor's death, the amount of deposit in the account, particulars whereof are given below, may be returned by The Karad Urban Bank td; Karad. Sr.. Name Relation minee Birth date Percentage % As nominee is minor on this date I / We appoint (Name & Address) to receive the amount of deposit in the account on behalf of the nominee in the event of my / our / minor's death during the minority of the nominee. Witness Name Address Name Address Bank Official's Ticket. Declaration I/We the above named applicant/s do hereby solemnly / jointly state that the contents of said form above are true and correct to the best of my / our knowledge belief, information and documents given by me / us for the purpose of opening of Term Deposit Account at The Karad Urban Bank td; Karad. are true, Genuine & correct. If any information given by me / us is false, I/We shall be held liable for punishment under law. I/We understand that certain particulars given by me/us are required under the operational guidelines governing Banking companies. I/We agree and undertake to provide any further information that The Karad Urban Bank td ; Karad may require from time to time.

5 For Bank use Only Check ist (To be filled in & signed by Officer) Form duly filled Verified / Thumb Impression attested Mode of operation Single Either or survivor Former or Survivor Anyone Jointly all of us Any two/three/four/five Guardian for Minor Manager (Karta) for HUF Attorney / mandate holders Please fill up other mode of operation in the bracket. Deposit Date Effect-As on Date Maturity Date Maturity Amount Rs. T. D. S. instruction Exempt [if Exempted for T. D. S. deduction, whether the reason is properly noted on Computer from under (*)] Shareholder (Member.) 15H / 15G Society As per exemption Certificate T. D. S. Amount and T. D. S. Payment in the name are noted properly Standing Instruction All Standing Instruction noting done properly (Please Verify the information is/are as per Customer ID Information and in case the same differs correction should be made immediately in Customer ID.) All Documents as per Customer ID if '' Customer ID information Correction made Ticket. Compiled By Ticket. Verified By Ticket. Manager Account Closed Date Bank Official's Ticket.

(Taxable) Bonds, 2018 AMOUNT OF

(Taxable) Bonds, 2018 AMOUNT OF ANNEXURE - 2 (FORM A) [See Para 9] APPLICATION FORM FOR 7.75% Savings (Taxable) Bonds, 2018 (Please read the instructions carefully before filling up the form) (Please write in block letters and tick (