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 Address (Any one of the documents)**** Additional Mandatory Documents (Unincorporated association/body of individuals) 4 Proof of Authorised Signatory 5 (Any one of the documents except PAN - mandatory) Identity and Address proof of Authorised Signatory/ Member Documents (i) Proof of registration, If any (ii) Resolution of the managing body of such association or body of individuals (iii) Such information as may be required by the banking company or the financial institution or the intermediary to collectively establish the legal existence of such an association or body of individuals. (iv) PAN Card (i) Utility Bills in the name of AOP/ Unincorporated association* (not be more than 3 months old from the application date) (ii) 80G/ 12A certificate indicating the address. (i) Resolution must authorise at least two authorised signatories. (i) List of all the members having 15% or more ownership/ entitlement of the capital/ profit/ property alongwith their respective percentage (to be signed by all the members)** (ii) Self- declaration of list of Bankers of the customer (iii) Based on the self-declaration letter NOC from other Banks to be obtained (i) Resolution/Power of Attorney must authorise at least two authorised signatories alongwith the signature and name of authorised signatories. (i) PAN card (Mandatory) (Operating Member/Authorised Signatory) (ii) Passport (iii) Election Identity Card (iv) Driving license (v) Job card issued by NREGA duly signed by an officer of the State Government (vi) a) The letter issued by UIDAI containing details of name, address and Aadhaar number or; (vi) b) Aadhaar Card 6 Original Photograph 7 FATCA Form to be filled Customer a US Entity: Yes No * Utilities Bills would constitute of only Landline Bill/ Water Bill/ Electricity Bill. ** List of all the members. *** All the KYC documents Identity/Address and Signature Proof - copy of both front and back to be provided. Tick on Doc recd
Foreign Accounts Tax Compliance Act Information Form for Non Individual Note: The information in this section is being collected because of enhancements to Abu Dhabi Commercial Bank, India new account on-boarding procedures in order to fully comply with Foreign Account Tax Compliance Act (FATCA) requirements. SECTION A : To be completed by Customer 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 and 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 1(a) - US Entity, please submit the W9 Form and provide the Employer Identification Number ( EIN ): III. If you have selected 1(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 Compliant 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 W-8BEN-E) Passive NFFE: with US Controlling person/substantial US owners (Please submit the W-8BEN-E with US owners details)
Declaration and Acknowledgement A. We declare that: the above information and the information in the submitted documents to be true, correct and updated; and the submitted documents are genuine and duly executed. B. We agree and undertake to notify the Bank within 30 calendar days if there is a change in any information or any changes to its FATCA status/classification which we have provided to the Bank. AuthorisedSignature : A Authorised Signature : Name : Name : AuthorisedSignature : Authorised Signature : Name : Name : Date : Date :
Foreign Accounts Tax Compliance Act Information Form for Individual Note: The information in this section is being collected because of enhancements to Abu Dhabi Commercial Bank, India new account on-boarding procedures in order to fully comply with Foreign Account Tax Compliance Act (FATCA) requirements. SECTION A : To be completed by Customer/Individual, only if this information was not provided before or if customer/individual status has changed subsequently. #1 # Indicia of U.S. Status Account Holder 1 What is your place of birth? 2 Are you a U.S. citizen (Green Card or US passport holders)? YES NO 3 Are you liable to pay taxes in the U.S.? YES NO * If Yes, to any of the above points 2) or 3), provide the latest W-8/ W-9 form as applicable. Declaration and Acknowledgement A. I/We declare that: the above information and the information in the submitted documents to be true, correct and updated; and the submitted documents are genuine and duly executed. B. I agree and undertake to notify the Bank within 30 calendar days if there is a change in any information which I have provided to the Bank. Customer Name : Customer Signature : Date :
Beneficial Ownership Form: (LLP/ Partnership/ Association of Persons/ Body of Individuals/ Trust etc.) Details of holding customers i.e. LLP/ Partnership/ Association of Persons/ Body of Individuals/ Trust etc. Customer Name: a) Ownership Structure/Pattern: Particulars % of holding b) Additional shareholders details from the above Ownership Structure/ Pattern: i) If the shareholder is a listed company holding more than 15% shares of the customer Provide the details as per below mentioned format (ii) ii) If the partner/ member/ beneficiary/ trustee/settlor is an unlisted company/ LLP/ Partnership/ Association of Persons/ Body of Individuals/ Trust etc. holding more than 15 % shares of a customer (i) Details of profit/property/interest sharing: Details of Shareholding Provide Details as per below mentioned format (i) Sr No Name of Shareholder(s) Percentage Individual/ Non-Individual 1 Indi/Non- Indi 2 Indi/Non- Indi 3 Indi/Non- Indi 4 Indi/Non- Indi 5 Indi/Non- Indi 6 Indi/Non- Indi 7 Indi/Non- Indi 8 Indi/Non- Indi 9 Indi/Non- Indi 10 Indi/Non- Indi (ii) If the above partner is listed in a recognised stock exchange a) Name of the Stock Exchange b) Date of Listing: DD/MM/YYYY c) Ownership Structure/Pattern: Particulars % of holding
* Please provide KYC details of the entities/individuals of the above mentioned stakeholders Declaration I/ We, hereby confirm that the above-named persons hold or is entitled to more than 15% of shares or capital or profit in M/s. I/ We hereby agree, confirm and undertake to provide the KYC details of the aforesaid Beneficial Owner(s) as per Reserve Bank of India guidelines RBI/ 2012-13/ 385 (DBOD. AML.BC.NO. 21/14.01.001/2012-13) dated January 18, 2013. Authorised Signatory Authorised Signatory Authorised Signatory (To be signed by the Authorized Signatory of the LLP/ Partnership/ Association of Persons/ Body of Individuals/ Trust whose account is being opened) Date Place
List of Directors/ Partner/ Trustee/ Beneficiary/ Members Name of the Customer- Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Name of the Company / Partnership / Trust / HUF etc. List of Directors/ Partners Name of the Directors / Partners etc. Authori sed Signato ries Yes / No Resid ential status (Resid ent/ Non- Resid ent) If Non- Resident country of Non- Resident DIN/D-PIN*(As per MCA website) Authorised Signatory Name : Authorised Signatory Signature : Authorised Signatory Name : Authorised Signatory Signature :