Know Your Customer (KYC) Application Form (For Diplomatic Missions Only) (Please fill in ENGLISH and in BLOCK LETTERS with black ink)
|
|
- Peregrine Patterson
- 6 years ago
- Views:
Transcription
1 Know Your Customer (KYC) Application Form (For Diplomatic Missions Only) (Please fill in ENGLISH and in BLOCK LETTERS with black ink) CIF No. A/c. No. KYC No. 1. (If available) Name of Applicant (Please write complete name as per Certificate of Incorporation / Registration) : 2. Constitution : Embassy Consulate Other (specify) 3. PAN No.: Form 60 : Yes No 4. Place of Incorporation : 5. Date of Incorporation : 6. Country of Incorporation*: 7. Registration No.: 8. Date of Commencement of Business : 9. Country of Residence as per tax laws*: 10. TIN : TIN Issue Country*: 11. Registered Address : Address Type : Business Residence Registered Office Unspecified Others 12. Correspondence / Mailing Address : Same as Registered Address Address Type : Business Residence Registered Office Unspecified Others 13. Address where entity is Residence outside India for tax purpose : Same as Registered Address Same as Correspondence Address Address Type : Business Residence Registered Office Unspecified Others (*Please refer to the enclosed annexure for state code & country code) Page 1
2 14. Number of Controlling person(s) resident outside India for Tax purpose : 15. Beneficial owner details : Government Others 16. Business : Government Others Nature of Business Details : 17. Additional Information : (i) No. of Branches (ii) No. of Employees (iii) Physical Business (iv) Main Geographies of Business : (v) Expected Account Activity in INR / Month a) Cash b) Non Cash c) Wire Transfer (vi) Expected Account Acivity in other currency (a) Cash (b) Non Cash (c) Wire Transfer 18. Existing Banking Relations : I/we do not enjoy any credit facility with any other bank I/we enjoy credit facility with the following banks Sr. No. Bank Name Bank Address Type of Facility Amount 19. FATCA Details : I. Please indicate the nature of your entity : (a) US Entity : A Company Corporation, Association, Partnership, or Trust ("US Tax Obligor) created/organised in the United States or under the laws of the United States of America. (b) Non Us Entity (Indian or Foreign Entity) : A Company Corporation, Association, Partnership, or Trust created organised outside the borders of the United States of America. II. If you have selected I (a)-us Entity, please submit the W9 Form and Provide the Employer Identification Number (EIN) III. If you have selected I (b) - Non US Entity, then please further specify your FATCA status under the option of (a) or (b) below: (a) FI (Financial Institution) - Please choose the entity's applicable status: Non Participating FI Participating FI India or Partner Jurisdiction FI Registered Deemed Complain FI Entity Wholly Owned by Exempt Beneficial Owners Certified Deemed Compliant FI If the entity has a global Intermediary Identification Number ("GIIN") please indicate it here If the entity does not have a GIIN, please submit a W8-Ben-E, if applicable (b) NFFE (Non-Financial Foreign Entity) - Please choose the entity's applicable status : Active NFFE Passive NFFE : with no US Controlling Person / Substantial US Owners (please submit the W8 BEN-E) Passive NFFE : with US Controlling Person / Substantial US Owners (please submit the W 8 BEN-E with US owners details) IV. U.S Taxpayer Identification Number (SSN or ITIN ) : Page 2
3 20. CRS Details : Are you liable to pay taxes outside India? Yes No Entity Type : 1. Please indicate the type of your entity: a. Financial Institution (Depository institution, custodial institution, specified insurance company and investment entity in a CRS participating jurisdiction) b. Financial Institution that is a professionally managed investment entity located in CRS non-participating jurisdiction. c. Non-financial entity. Please further specify your entity status : i. Active NFE - a corporation the stock of which is regulatory traded on an established securities market or a corporation which is related entity of such a corporation. ii. Active NFE - a government entity or central bank. iii. Active NFE - an international organisation. iv. Active NFE - Other than (i), (ii) and (iii) v. Passive NFE 2. If you have selected 1(a) please complete Declarations section. 3. If you have selected 1(b) please complete Self certification for controlling person(s) section and Declaration section. 4. If you have selected 1(c) (i) or 1(c) (ii) or 1(c) (iii), please complete Declarations section. 5. If you have selected 1(c) (iv), please complete Tax Residency section and Declaration section. 6. If you have selected 1(c) (v), please complete Self certification for controlling person(s) section, Tax Residency section and Declaration section. Tax Residency : Please list all jurisdictions in which you are treated as tax resident and provide the tax identification number for each one. If you are tax resident in more than three countries, please use a separate sheet. Country of Tax Residency Taxpayer Identification Number (TIN) TIN Issue Country Reasons for not providing TIN (enter reason A, B, C or D) Reason A - The country where the Account Holder / Controlling Person is tax resident does not issue TINs to its residents. Reason B - the Account Holder / Controlling Person is otherwise unable to obtain a TIN or equivalent number (Please explain why the Account Holder / Controlling Person is unable to obtain a TIN in the table below if you have selected this reason). Reason C - No TIN is required. (Note. Only select this reason if the authorities of the country of tax residence entered above do not allow the TIN to be disclosed to third parties). Reason D - the Account Holder / Controlling Person has got no tax residence, therefore TIN is not applicable. In this case, please write "NONE" in the "Country of Tax Residency" Column. If you indicated 'Reason B', please explain in the following boxes why the Account Holder is unable to obtain a TIN. Reasons : Page 3
4 21. Details of Related Person : CIF No. (if available) : KYC No. (If available) : Related Person Type : Court Appointed Official Other means Name (as appearing in supporting identification document) Mr./Mrs./Ms. Gender : M F T - Transgender Name : Maiden Name (if any) : Spouse Name : Father Name : Mother Name : Marital Status : Married Unmarried Other Residential Status : Resident Individual Non-Resident Indian Foreign National Person of Indian Origin Date of Birth : Country of Birth*: Place of Birth : Country of Residence*: (for tax purpose) TIN : TIN Issuing Country*: Nationality : Indian Other (specify) Category : General OBC SC NT Other Passport No.: Date of Issue : Date of Expiry : Place of Issue : Valid Visa : Type of Visa : Date of Issue : Date of Expiry : Place of Issue : KYC Documents Details : PAN Card Election ID Driving License (Expiry Date ) Diplomat ID Aadhar Card Occupation (please tick) : Service Politician Diplomat Others ID Number Self-employed Business Professional Others (please specify) Salaried (Employed with Pvt. Ltd./Partnership/Proprietorship/Public Ltd./Public Sector/Govt./MNC/Staff ADCB) Other (Please specify) Designation : Address : Address Type : Owned Rental / Leased Ancestral / Family Company provide Other Please tick, if applicable : Politically Exposed Person (PEP) Related Politically Exposed Person Reasons for not providing TIN : A B C D (Please refer to Tax Residency Section for Reasons descriptions) If you indicate reason "B", please explain PHOTOGRAPH Please affix the recent passport size photograph and sign across it. (*Please refer to the enclosed annexure for state code & country code) Page 4
5 DECLARATION (i) I/we hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I/we am/are aware that I/we may be held liable for it. I/we confirm that the details submitted above are for updating the Bank's records and abide by Terms and Conditions as applicable from time to time. I/we agree and undertake to notify the Bank within 30 days if there is a change in any information which I/we have provided to the Bank. (ii) FATCA / CRS Declaration : I understand that the information supplied by me is covered by the full provisions of the terms and conditions governing the Accounts Holder's relationship with ADCB setting out how ADCB may use and share the information supplied by me. I acknowledge, and undertake to inform the Controlling Persons identified herein, that I have provided the above information to ADCB in order for ADCB to comply with its legal obligations on reporting and exchanging financial information, and that the information provided by me will be stored by ADCB until it is required for this purpose. I further acknowledge, and undertake to inform the Controlling Persons, that the information contained in this form and information in relation to the Account Holder and any Reportable Account may be reported to the local tax authority and exchanged with tax authorities of another country/jurisdiction or countries/jurisdictions in which the Account Holder may be tax resident. I certify that I am authorized to sign for the Account Holder in respect of all the account(s) to which this form relates and have provided evidence of such authority. The Account Holder shall notify ADCB within a reasonable time frame if there is a change of circumstances that affects the tax resident status of the Account Holder identified in this document or causes the information contained herein to become incorrect or incomplete (including any changes to the information on Controlling Persons identified in Self Certification for controlling person). In such circumstances the Account Holder agrees to provide an updated self-certification document. I understand that the Bank is relying on the information provided herein for the purpose of determining the status of the applicant named above in compliance with FATCA / CRS. The Bank cannot offer any tax advice on CRS or FATCA or its impact on the applicant. I shall seek advice from any professional tax advisor for any tax related query. I agree that as may be required by domestic regulators / tax authorities, the Bank may also be required to report reportable details to CBDT or close or suspend my account (as may be necessary). (iii) I/We hereby consent to sharing KYC details/receiving information to/from Central KYC Registry, through SMS/ on the above registered number/ address. Name Signature Date Place 1 Politically Exposed Persons (PEP ) : PEPs are individuals who are or have been entrusted with prominent public functions in a foreign country. Examples of PEPs include, but not limited to: (i) Heads of States or of Governments (ii) Senior politicians (iii) Senior government/judicial (iv) Senior executives of state -owned corporations (v) important political party officials (vi) Senior Indian Diplomatic personnel posted outside the country. The term PEP also include the families and close associates of the PEPs mentioned. Families: The families incluides close family members such as spouses, children, parents and siblings and may also include other blood relatives and relatives by marriage. Close associates: The term closely associated persons in the context of PEPs includes close business and personal advisors / consultants to the PEP as well as persons who obviously benefit significantly from being close to such a person. Note : If the details cannot be captured in the above, the same should be provided on the letterhead of the entity, duly attested. Page 5
6 State Code & Country Code Annexure Page 6
7 KYC Documents Checklist KYC Application Form 2 Page 7
Know Your Customer (KYC) Application Form (For Individuals Only) (Please fill in ENGLISH and in BLOCK LETTERS with black ink)
Know Your Customer (KYC) Application Form (For Individuals Only) (Please fill in ENGLISH and in BLOCK LETTERS with black ink) Resident Individual Non-Resident Individual Diplomat Foreign National Person
More informationThis is to certify that following are the family members under (HUF) S. No. Name Gender (Male/Female) Relationship with Karta PAN No./ Birth Certificate No.* Date of Birth 1. D D M M Y Y Y Y 2. D D M M
More informationCustomer Information Updation Form (NRI)
Customer Information Updation Form (NRI) Notes: 1. Your contact details mentioned below will be updated in our records. 2. Signatures of all the account holders are mandatory. 3. Enclose self-attested
More informationNew Update (Mandatory for KYC update request) Normal Simplified (for low risk customers) Small. Unmarried
CENTRAL KYC REGISTRY Know Your Customer (KYC) Application Form Individual Important Instructions: A) Fields marked with * are mandatory fields. B) Please fill the form in English and in BLOCK letters.
More informationApplication Form. DCB Home Loan DCB Business Loan DCB PayLess Loan. Preferred Mailing Address: Res.
Application Form DCB Home Loan DCB Business Loan DCB PayLess Loan Application. PLEASE FILL IN BLOCK LETTERS ONLY Personal Details (To be filled in case applicant / co-applicant / guarantor is an individual)
More informationCustomer Information and CRS Tax Declaration Form (Financial Institutions/Corporates/Partnerships/ Sole Proprietors/Deceased Estate/Trust/HUF)
Customer Information and CRS Tax Declaration Form (Financial Institutions/Corporates/Partnerships/ Sole Proprietors/Deceased Estate/Trust/HUF) Instructions Please fill the form in BLOCK letters and in
More informationRequest for addition / deletion of joint account holder in NRE/NRO account (If joint holder is of NRI / PIO / OCI status)
FOR BRANCH USE: Branch Code: Receipt Date: / / Action Taken on: / / Signature Request for addition / deletion of joint account holder in NRE/NRO account (If joint holder is of NRI / PIO / OCI status) I
More informationRequest for converting Resident Indian Savings Bank (SB) account into NRO SB account
FOR BRANCH USE: Branch Name/ Code: Receipt Date: / / Action Taken on: / / Signature Request for converting Resident Indian Savings Bank (SB) account into NRO SB account NRI-1.3 Account No: Account Holder
More informationCertification for Entities
FATCA/CRS Declaration Form Part I Certification for Entities A. Is the account holder a Government body/international Organization/listed company on recognized stock exchange If, then proceed to point
More informationPart A Date of Incorporation. Residential Residential / Business Business Registered Office. Country of Incorporation Net Worth in INR in Lacs
FATCA-CRS Declaration & Supplementary KYC Information Declaration Form for Entities Please seek appropriate advice from your tax professional on your tax residency and related FATCA & CRS guidance PAN
More informationRef: CO/CRM/945 /23 September 19, Re : Premium Payment facility through LIC Nomura Mutual Fund Accounts through Bill Pay type process.
CRM Department, Central Office. 5 th Floor (Link), Yogakshema, Jeevan Bima Marg, P.O.Box No.19953, Mumbai 400 021. Tel : 66598353, Fax : 22825829 E-mail co_crm@licindia.com ------------------------------------------------------------------------------------------------------------------------
More informationAbsolute assignment of life insurance policy
Absolute assignment of life insurance policy Important Note An absolute assignment is the transfer of a life policy to another person. Once the policy is assigned, the assignor (policy owner) loses all
More informationCheck List for Trust and Foundations. (i) Proof of registration (ii) Registered Trust Deed (iv) PAN Card
I. KYC Documents that be obtained from Customers 1 Proof off Proof of Identity of the organisation Check List for Trust and Foundations Documents (i) Proof of registration (ii) Registered Trust Deed (iv)
More informationNew Update (Mandatory for KYC update request) Normal Simplified (for low risk customers) Small. Unmarried
CENTRAL KYC REGISTRY Know Your Customer (KYC) Application Form Individual Important Instructions: A) Fields marked with * are mandatory fields. B) Please fill the form in English and in BLOCK letters.
More informationCustomer KYC Form - Individual
KYC-IND-VER-2 Branch Br. Code Experience Next Generation Banking Regd.Office, SIB House, T.B. Road Mission Quarters, Thrissur, 680 001, Kerala Account No. Customer KYC Form - Individual Personal Details
More informationKNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals) Annexure 1
Photograph KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals) Annexure 1 Please affix your recent passport size photograph and sign across it Please fill this form in ENGLISH and in BLOCK LETTERS.
More informationChecklist for Unincorporated association or a body of individuals
I. KYC Documents that be obtained from Customers 1 2 3 Mandatory Proof off Proof of Identity of the organisation Checklist for Unincorporated association or a body of individuals Proof of Business/ Mailing
More informationResidential or Business Residential Business Registered Office. Below 1 Lac 1-5 Lacs 5-10 Lacs Lacs >25 Lacs - 1 Crore >1 Crore. Rs.
SUPPLEMENTARY KNOW YOUR CLIENT (KYC), FATCA, CRS & ULTIMATE BENEFICIAL OWNERSHIP (UBO) SELF CERTIFICATION FORM FOR NON-INDIVIDUALS (Please consult your professional tax advisor for further guidance on
More informationK PART I - KNOW YOUR CLIENT (KYC) APPLICATION FORM
Annexure K PART I - KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Non-Individuals) [Name and address of intermediary (pre-printed)] Photograph Please affix the recent passport size photograph and sign across
More informationApplication Form DCB Micro Business Loan
Application Form for DCB Micro Home / Business Loan DCB Micro Home Loan DCB Micro Business Loan Employment: Salaried Self Employed Application No.: Preferred Mailing Address: Residence Office Application
More informationPart A. Country of Incorporation Net Worth in INR in Lacs. Net Worth as of. Any other information [if applicable]
FATCA-CRS Declaration & Supplementary KYC Information Declaration Form for Entities Please seek appropriate advice from your professional tax professional on your tax residency and related FATCA & CRS
More informationCheck List for Partnership firms
I. KYC Documents that be obtained from Customers 1 Proof off Proof of Business Name, Partnership Check List for Partnership firms Documents (i) Latest Partnership Deed (ii) Registration Certificate (If
More informationB. Business Registration Number C. Country of Incorporation or Organisation
Please complete Parts 1-4 in BLOCK LETTERS Please read these instructions before completing the form. Kindly consult your tax, legal and/or other professional advisers if you have questions on or in relation
More informationCKYCR) (If married) D D M M Y Y Y Y. Specimen Signature (1) PNB XXX/16(25X4)SPP
CKYCR) (If married) D D M M Y Y Y Y Specimen Signature - - PNB 1228 - XXX/16(25X4)SPP (1) Customer Type* a...... Emp.No. ).. n j. Blind. OPTIONAL INFORMATION :I / We Wish to share following information
More informationAddendum to Account opening Form for Individuals containing information for reporting requirement under section 285BA of the Income-tax Act, 1961
Addendum to Account opening Form for Individuals containing information for reporting requirement under section 285BA of the Income-tax Act, 1961 1. Name 2. Customer ID/ Demat Client ID Resident for Tax
More informationApplication Form New Investors
Application Form New Investors Existing Investors, please complete the Additional Application Form Issued by Evolution Trustees Limited ABN 29 611 839 519, AFS Licence No. 486 217 Dated 26 April 2018 1.
More informationSelf-Certification for Entities Under Automatic Exchange of Financial Account Information
Self-Certification for Entities Under Automatic Exchange of Financial Account Information All entities must complete sections A, B, C, D and F and may also need to complete section E and/or the Annex.
More information(FIELDS IN RED TEXT & * REPRESENT MANDATORY FIELDS)
(FIELDS IN RED TEXT & * REPRESENT MANDATORY FIELDS) Equity MF Debt MF FMP LI Policy Bonds Group Code Sales Manager Emp Code Name* (Same as ID proof) Maiden Name* (If any) Father Name* Mother Name* PAN
More informationCRS AND FATCA SELF-CERTIFICATION: ENTITIES AND TRUSTS
Governments around the world have concluded agreements requiring financial institutions to gather and report information on their clients tax residencies and related financial account information. This
More informationAddress Type: Residential or Business Residential Business Registered Office Unspecified
FOR BRANCH USE: Branch Name/ Code: Receipt Date: / / Action Taken on: / / Signature Re-KYC diligence & operationalizing In-operative NRI account (In case of joint account, each joint account holder has
More informationPage No. KYC Annexures and Branch Declarations. Customer Annexures. Branch Declaration. FATCA/CRS Declaration Form 1 to 2
Bar code number Customer ID Account number Employee ID KYC Annexures and Branch Declarations Customer Annexures Page No. FATCA/CRS Declaration Form 1 to 2 CERSAI Declaration (C KYC annexure) 2 Form 60
More informationForeign Account Tax Compliance Act (FATCA) and Common Reporting Standards (CRS) Self-Certification Form for Entities
Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standards (CRS) Self-Certification Form for Entities This is a self-certification form ("Certification Form") that you will need to complete
More informationNEW TO BANK FIXED DEPOSIT FORM For Resident Indians
NEW TO BANK FIXED DEPOSIT FORM For Resident Indians IDFC BANK Application Please complete this form in Black Ink and in CAPITAL LETTERS or where applicable Initial Payment in cash is accepted only at IDFC
More informationDEMAT ACCOUNT OPENING FORM (KYC/KRA/CKYC) INDIVIDUAL
DEMAT ACCOUNT OPENING FORM (KC/KRA/CKC) INDIVIDUAL Important Instructions : A) Fields marked with ' ' are mandatory fields. B) Please fill the form in English and in CAPITAL letters.) C) Please read section
More informationCertified True Copy of Death Certificate (by Client Service Officers, Lawfirm or any Notary Public)
DEATH CLAIM Dear Claimant We are sorry to learn of the death of the Life Insured. In order for us to process the claim, we require the following: 4. 5. 6. 7. 8. Completed Death Claim Form (to be completed
More informationCORPORATE ACCOUNT APPLICATION FORM
CORPORATE ACCOUNT APPLICATION FORM FOR INTERNAL USE ONLY Client name Client. ID Internal contact Doc. reg. no Group Number Acc. Num. Condition gr. spec.: Please note that only fully completed, duly signed,
More informationRamsey Crookall. Company / Trust / Pension Execution Only Registration Form
Ramsey Crookall Company / Trust / Pension Execution Only Registration Form Company / Trust / Pension Execution Only Registration Form This Application Form is for a Company, Trust, Pension, Charity, Partnership
More informationInsight Diversified Inflation Plus Fund
Insight Diversified Inflation Plus Fund Application Form If completing by hand, use a black or blue pen and print within the boxes in BLOCK LETTERS Use ticks in boxes where applicable The applicant must
More informationFATCA, CRS & UBO Declaration. Country of Birth Occupation Details [Please tick any one ( )] Any other information [if applicable]
FATCA-CRS Declaration & Supplementary KYC Information Declaration Form for Individuals Please seek appropriate advice from your professional tax professional on your tax residency and related FATCA & CRS
More informationPART I - IDENTIFICATION OF ENTITY
ENTITY SELF - CERTIFICATION FORM Information collected on this form will be used to comply with tax regulatory requirements as mandated by: - U.S. Intergovernmental Agreements in relation to the Foreign
More informationCustomers are required to provide RHB with their FATCA and CRS status by completing this Individual Self-Certification Form.
Dear RHB Customer Thank you for choosing RHB. As part of RHB s commitment to being fully Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standard (CRS) compliant, we are required to document
More informationTax Residency Self-certification Form: Corporate
FNB Securities Head Office: 4 Merchant Place 1 Fredman Drive Sandton 2196 PO Box 3359 Parklands 2121 fnbsecurities@fnb.co.za www.fnbsecurities.co.za Dealing Desk: +27 11 282 8734 0800 256 256 Tax Residency
More informationName of Legal Entity. Country of Incorporation. Business Registration No. Current Residence Address. Mailing Address (if different)
ENTITY SELF-CERTIFICATION FORM Part 1. Identification of Account Holder Name of Legal Entity Country of Incorporation Business Registration No. Current Residence Address Postal Code/Zip Code & Country
More informationTax Status Declaration Form Entity
Tax Status Declaration Form Entity Purpose This form is designed to let us know your residency and status for tax purposes. The information you give us should relate to the Entity which own(s) the income
More information: Davey Complex, Sowcarpet : Chennai Phone No : Fax No: :
Name of the Trading Member : Lunia Investments & Finance Pvt Ltd., SEBI Registration No and Date (C.M) : INB230857033, Date: 12-Jan-1996 SEBI Registration No and Date (F&O) : INF230857033, Date: 27-Aug-2003
More informationForeign Account Tax Compliance Act (FATCA) and Common Reporting Standards (CRS) Self-Certification Form for Entities
Foreign Account Tax Compliance Act (FATCA) and Common Reporting Standards (CRS) Self-Certification Form for Entities This is a self-certification form ("Certification Form") that you will need to complete
More informationAbsolute assignment of life insurance policy
If the assignor or assignee is a person If the assignor or assignee is a person, we need the following identification documents. For Singaporean or Singapore permanent resident Clear image of NRIC (front
More informationFORM 1 - FOR LUMPSUM / SIP INVESTMENTS
FM - F LUMPSUM / SIP INVESTMENTS Application No. ARN 086 / Bonanza ARN E Upfront commission shall be paid directly by the investor to the AMFI registered distributor based on the investor's assessment
More informationSELF-CERTIFICATION FORM FOR ENTITIES PART-I
SELF-CERTIFICATION FORM FOR ENTITIES PART-I A. Is the account holder a Government body/international Organisation/listed company on recognized stock exchange If No, then proceed to point B If Yes, please
More informationSelf-Certification for Trusts Under Automatic Exchange of Financial Account Information
Self-Certification for Trusts Under Automatic Exchange of Financial Account Information All trusts must complete sections A, B, C, D and F and may also need to complete section E and/or the Annex. Financial
More informationEntity Self-Certification
Entity Self-Certification Instructions for completion We are obliged under local laws, regulations and treaties and intergovernmental agreements entered into by Mauritius in relation to the automatic exchange
More informationPlease affix a recent passport size photograph and sign across it
Interactive Brokers (India) Private Limited 502/A, Times Square Andheri Kurla Road, Andheri (East) Mumbai 400059. Tel: +91-22-61289888 Fax: +91-22-61289898 Website: www.interactivebrokers.co.in SEBI Registration
More informationInstant Account Opening Form For Individuals (Primary Applicant) e-kyc / Non E-kyc
Instant Account Opening Form For Individuals (Primary Applicant) e-kyc / Non E-kyc Product : Branch: A/c Num: ORN: / First Name Middle Name Last Name Customer ID Date of Birth Father s Name Spouse Name
More informationRR Investors Capital Services Pvt. Ltd DE/1004
RR Investors Capital Services Pvt. Ltd DE/1004 Income-tax Permanent Account No. (PAN) : i) Name ii) Name iii) Name Tel. Tel. Tel. KNOW YOUR CUSTOMER (KYC) APPLICATION FORM FOR NON INDIVIDUAL Please fill
More informationDEED OF ASSIGNMENT. THIS DEED OF ASSIGNMENT is made this day of 20 between: Name: (per NRIC / Passport / Company Registration Certificate)
DEED OF ASSIGNMENT THIS DEED OF ASSIGNMENT is made this day of 20 between: Name: (per NRIC / Passport / Company Registration Certificate) NRIC / Passport / Company Registration Number: Address: (the Assignor
More informationrespect to own rules if you are This form holder. If you are form. automatic Non- Institution. custodian status.
Entity tax residency self-certification form INSTRUCTIONS Please read these instructions before completing the form. Regulations based on the OECD Common Reporting Standard ( CRS ) require AmBank (M) Berhad
More informationTrust investment application form
Octopus Inheritance Tax Service Trust investment application form How to complete this application form 1 2 3 4 5 6 Please read the current Octopus Inheritance Tax Service brochure. Write in BLOCK CAPITALS
More informationWithdrawal requests received and accepted before 2pm (Australian Eastern Standard Time) on a Business Day will generally receive the Withdrawal Price
Withdrawal requests received and accepted before 2pm (Australian Eastern Standard Time) on a Business Day will generally receive the Withdrawal Price applicable for the next Business Day. Any withdrawal
More informationInvestor Account Opening Form for Corporate
Investor Account Opening Form for Corporate For Office use only No. AMIM 01-02-2019 Day Month Year Portfolio No. NOTE: ALL FIELDS IN THE FORM ARE MANDATORY IF MENTIONED OTHERWISE ANNEXURE I MUST BE FILLED
More informationFATCA & CRS Declaration - Non Individual
FATCA & CRS Declaration - Non Individual PAN Trading DP Name Please tick the applicable tax resident declaration - 1. Is Entity a tax resident of any country other than India Yes No (If yes, please provide
More informationKnow Your Customer (KYC) Application Form. RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instruction B at the end)
Know Your Customer (KYC) Application Form CENTRAL KYC REGISTRY Individual Important Instructions Vehicle Act, 1988 is available at the end. section number and strike off the sections not required to be
More information/ / / / II-491. To The Branch Manager,...Branch. Dear Sir, I / We hereby apply for a Housing Loan of Rs (Rupees
II-491 To The Branch Manager,.............Branch. Dear Sir, I / We hereby apply for a Housing Loan of Rs (Rupees AFFIX RECENT PASSPORT SIZE PHOTOGRAPH WITH SIGNATURE.) To enable you to consider my/our
More informationAtlantic Pacific Australian Equity Fund
FUNDS MANAGEMENT Atlantic Pacific Australian Equity Fund ARSN 158 861 155 APIR OMF0003AU APPLICATION FORM ISSUE DATE: 25 SEPTEMBER 2017 APPLICATION FORM If completing by hand, use a black or blue pen and
More informationDate: Place: Name of the Applicant: signature of the applicant
Date: Place: signature of the applicant Name of the Applicant: Details of joint holder 1 Details of joint holder 2 Name: Relationship with Applicant: PAN: Date of Birth A. Gross Annual Income Details Please
More informationFATCA / CRS Declaration (Non Individuals) 1. Name of Entity: 2. Country of Incorporation India US Other
Form No. / Trading Account No. / User ID - FATCA / CRS Declaration (Non Individuals) 1. Name of Entity: 2. Country of Incorporation India US Other 3. Nature of Business : Manufacturing Financial Services
More informationRELATIONSHIP FORM (FOR Non Resident Indian/PIO/Joint Applicant/Guardian)
RELATIONSHIP FORM (FOR Non Resident Indian/PIO/Joint Applicant/Guardian) PART A Customer ID No.: Account No.: Status Code : A S K Y C Date : Bar Code No.: Customer Relationship Form for new customers [Each
More informationPart 1 Account Holder information
GSFM Responsible Entity Services Limited ABN 48 129 256 104 AFSL 321517 Please complete and mail to: Mainstream Fund Services Unit Registry GPO Box 4968 Sydney NSW 2001 Please read these instructions before
More informationKNOW YOUR CUSTOMER (KYC) APPLICATION FORM FOR NON INDIVIDUAL
KNOW YOUR CUSTOMER (KYC) APPLICATION FORM FOR NON INDIVIDUAL Please fill this form in ENGLISH and in BLOCK LETTERS Customer ID 1. Name of the Entity 2. Date of Incorporation 3. Country of Incorporation
More information2. Tax Residence Please provide ALL countries of tax residence of the entity and associated tax identification number ( TIN ) for each country: Countr
SELF CERTIFICATION FORM: ENTITY To, The Manager Punjab National Bank (International) Limited Branch: Annexure II RE: International Tax Compliance Regulations under Automatic Exchange of Information (AEOI)
More informationSELF- CERTIFICATION COMMON REPORTING STANDARD (CRS) FOR CONTROLLING PERSON
Singapore regulation based on the OECD Common Reporting Standard ( CRS ) requires CIMB Bank Berhad, Singapore Branch ( CIMB ) to collect and report certain information about an account holder s tax residence
More informationSmall Business Loan Application Form (For Resident Applicant)
Small Business Loan Application Form Application Date D D M M Y Y Y Y RBL Bank Limited I/ We hereby request you to sanction the Loan based on the following: Type of Loan Secured Term Loan Unsecured Term
More informationApplication Form. Applicant details
Application Form This application form should be used by bodies corporate (including limited liability partnerships). Partnerships, individual persons (including trustees of a trust and personal representatives
More informationDeath Claim (Individual Policyowner) Instruction Page
HSBC Insurance (Singapore) Pte. Limited. (Reg. No. 195400150N) 21 Collyer Quay #02-01 Singapore 049320, Monday to Friday 9.30 am to 5 pm. www.insurance.hsbc.com.sg Customer Care Hotline: (65) 6225 6111
More informationFull Name (same as ID Proof)
I hereby request you to open ISA based on the following information: Tick boxes as applicable. CKYC Number *Application Type New Update (Mandatory for KYC Update Request) (as on Account) Full Name (same
More informationDeclaration of trust (vesting)
For official use Proposal Stage 820/011: Vesting In Force CS: Vesting Age Declaration of trust (vesting) Important notes: We need the following identification documents to be submitted with this form.
More informationApplication Form. for funds managed by Allianz Global Investors GmbH Branch Luxembourg and Allianz Global Investors Ireland Limited.
IN COOPERATION WITH: Application Form for funds managed by Allianz Global Investors GmbH Branch Luxembourg and Allianz Global Investors Ireland Limited Page 1 of 9 Fax Application form to: + 352 2460 4458
More informationNATIONAL COMMODITY & DERIVATIVES EXCHANGE LIMITED Circular to all trading and clearing members of the Exchange
NATIONAL COMMODITY & DERIVATIVES EXCHANGE LIMITED Circular to all trading and clearing members of the Exchange Circular : NCDEX/OPERATIONS-022/2013/050 Date : February 25, 2013 Subject : Know Your Depositor
More informationTax Residency Information Form
Tax Residency Information Form 1 May 2018 Please: Use BLOCK letters and a black or blue pen to complete this Form. Indicate using an where appropriate. If a section does not apply to you, please indicate
More informationCRS INDIVIDUAL TAX RESIDENCY SELF-CERTIFICATION FORM (CRS-I)
A. COMMON REPORTING STANDARDS SELF-CERTIFICATION: Please read this ENTIRE section before completing this ENTIRE form. Why are we asking you to complete this form? To help protect the integrity of tax systems,
More informationList of Documents Attached for A/c Opening 1 Set (Individual) JOINT APPLICANT
List of Documents Attached for A/c Opening 1 Set (Individual) JOINT APPLICANT S.No Documents AP W1 IPVA APN N W2 Total 1 PMS Agreement alongwith POA in favour of DHFL Pramerica Asset Managers Pvt. Ltd.
More informationSUPPLEMENTARY KNOW YOUR CLIENT (KYC), FATCA, CRS & ULTIMATE BENEFICIAL OWNERSHIP (UBO) SELF CERTIFICATION FORM FOR NON-INDIVIDUALS
SUPPLEMENTARY KNOW YOUR CLIENT (KYC), FATCA, CRS & ULTIMATE BENEFICIAL OWNERSHIP (UBO) SELF CERTIFICATION FORM FOR NON-INDIVIDUALS (Please consult your professional tax advisor for further guidance on
More informationTax Compliance: International Exchange of Information Agreement. Tax Residence Self-Certification Form Entities
Tax Compliance: International Exchange of Information Agreement Tax Residence Self-Certification Form Entities Document Guide Part 1: Entity Details Part 2: Current Residence Address Part 3: Jurisdiction
More informationInvestec Specialist Bank. Tax Compliance International Exchange of Information Agreement Entity Self Certification Form
Investec Specialist Bank Tax Compliance International Exchange of Information Agreement Entity Self Certification Form Tax Compliance International Exchange of Information Agreement Entity Self Certification
More informationFATCA - CRS Declaration Form
FATCA - CRS Declaration Form Non-Individuals FCA0 Details of ultimate beneficial owner including additional FATCA & CRS information ) Name of the Entity* 2) Existing Customer * Y N 4) Other Addess: If,
More informationCOMMON APPLICATION FORM
8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I SEC. ] MINISTRY OF FINANCE (Department of Economic Affairs) NOTIFICATION New Delhi, the 2st August, 208 F.No. 4/5/206-ECB. The Central Government hereby notifies
More informationINDIVIDUAL DEATH CLAIM FORM
INDIVIDUAL DEATH CLAIM FORM Dear claimant, We are sorry to learn about the death of our policyholder. In order for us to process your claim, we require the following: (1) Claimant s Statement (2) Consent
More informationTrust investment application form
Octopus AIM Inheritance Tax Service Trust investment application form How to complete this form 1 2 3 4 5 6 Please read the current Octopus AIM Inheritance Tax Service brochure. Write in BLOCK CAPITALS
More informationFor accounts opened in Model 1 and Model 2 and NON-IGA Jurisdictions
FATCA/CRS ENTITY SELF-CERTIFICATION FORM (FOR USE BY AN ACTIVE NFFE, A PUBLICLY-TRADED NFFE OR NFFE AFFILIATE OF A PUBLICLY-TRADED ENTITY HAVING ONLY A DEPOSITORY ACCOUNT OUTSIDE OF THE UNITED STATES)
More informationInvestor Account Opening Form for Corporate
Investor Account Opening Form for Corporate Day Month Year Portfolio No. For Office use only No. AMIM-01(2) - 042013 NOTE: ALL FIELDS IN THE FORM ARE MANDATORY IF MENTIONED OTHERWISE ANNEXURE I MUST BE
More informationTax Status Declaration Form Entity
Tax Status Declaration Form Entity Purpose This form is designed to let us know your residency and status for tax purposes. The information you give us should relate to the entity which own(s) the income
More informationFORM 1 - FOR LUMP SUM / SIP INVESTMENTS
FM 1 - F LUMP SUM / SIP INVESTMENTS Application No. THE APPLICATION FM SHOULD BE FILLED IN BLOCK LETTERS ONLY. Distributor ARN Sub-Distributor ARN Internal Sub-Broker / Sol ID Employee Code ARN 16404 ARN
More informationStatus (Please tick any one)
Photograph KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Non Individuals) Please affix your recent passport size photograph and sign across it Please fill this form in ENGLISH and in BLOCK LETTERS. A. IDENTITY
More informationFATCA, CRS & UBO DECLARATION (For Non Individual Investors)
FATCA, CRS & UBO DECLARATION (For Non Individual Investors) Please refer to the Instructions for assistance and complete all sections in English. For legibility, please use BLOCK letters in black or dark
More informationFORM 1 - FOR LUMPSUM / SIP INVESTMENTS
FM 1 - F LUMPSUM / SIP INVESTMENTS Application No. THE APPLICATION FROM SHOULD BE FILLED IN BLOCK LETTER ONLY. Distributor ARN ARN-0018 ARN Upfront commission shall be paid directly by the investor to
More informationFATCA and CRS self-certification form for entity account holder
821/089 FATCA and CRS self-certification form for entity account holder Instruction (Please read before completing the form) NTUC Income Insurance Co-operative Limited ( Income ) is required to collect
More informationPlease fill in the form using BLOCK CAPITALS and black ink. Tick any boxes which apply. First name: Middle name: Surname: Date of birth: Passport
Account Opening Form for Non UK Residents For office use: Customer identifier 1 Customer identifier 2 Scheme code Please fill in the form using BLOCK CAPITALS and black ink. Tick any boxes which apply.
More informationFATCA-CRS Declaration & Supplementary Information ASSET MANAGEMENT
FATCA-CR Declaration & upplementary Information AET MANAGEMENT Declaration Form for Individuals (First Applicant) / econd Applicant / Third Applicant First / ole Applicant / Guardian Name Mr. Ms. First
More informationCOOPER INVESTORS GLOBAL EQUITIES FUND UNHEDGED: CIP0003AU HEDGED: CIP0001AU
COOPER INVESTORS GLOBAL EQUITIES FUND UNHEDGED: CIP0003AU HEDGED: CIP0001AU 18 AUGUST 2017 If completing by hand, use a black or blue pen and print within the boxes in BLOCK LETTERS Use ticks in boxes
More informationRelationship & Account Opening Form (Main applicant)
ICICI Bank Limited, P. O. Box 1494, Manama, Kingdom of Bahrain Licensed and regulated as a conventional retail bank by the Central Bank of Bahrain Customer type New Existing Re-KYC Customer ID Account
More informationPART A (To be filled by Financial Institutions or Direct Reporting NFEs) Not obtained - Non-participating FI
SECURITIES SELF DECLARATION FORM - FATCA & CRS - NON-INDIVIDUAL Background India has joined the Multilateral Competent Authority Agreement (MCAA) on Automatic Exchange of Financial Information (AEOI) on
More information