4 CUSTOMER INFORMATION FORM (For Non - Individual entities) Tick boxes as applicable. *Mandatory Fields. (Please fill the form in BLOCK LETTERS only. THIS IS A MACHINE READABLE FORM AND WILL PASS THROUGH A SCANNER) Save a tree Green initiative inside I/We hereby request The Ratnakar Bank Ltd. (RBL Bank) to open my/our account at your Branch Entity Customer ID (For Existing Customer) New R Kit D D M M Y Y Y Y Application Date If selected: Please fill Customer ID & Account number on Page 3 under Bank Use Section. *Entity Detail *Name Date of Incorporation D D M M Y Y Y Y Country of Incorporation PAN/GIR No. Form 60 / 6 Yes No If PAN not available *Constitution Partnership 2 Private Ltd 3 Sole Proprietorship 4 Public Ltd 5 Public Sector 6 HUF 7 Trust *Industry Type *Annual Turnover (Avg. income for corp.) *Address Details Manufacturing 2 Construction 3 NBFC 4 Non Profit Organization 5 Micro Enterprises 6 Others If others fill as per Bank s KYC policy 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25 Lakh - Cr. 5-5 Cr. 6 5-50 Cr. 7 50-00 Cr. 8 > 00 Cr. Preferred Mailing Address *Address Line Address Line 2 8 Club 9 Society 0 Association Statutory Body 2 LLP 3 Others If others fill as per Bank s KYC policy Address Line 3 *State Contact Details *City *Country *Pin Code Country Code STD Code Phone No Extension Fax No. Email ID (For e-statement & e-alerts) Registered Office Address *Address Line Address Line 2 Mobile No. Same as Mailing Address (For receiving SMS Alerts) Address Line 3 *State Contact Details *City *Country *Pin Code Country Code STD Code Phone No Extension Fax No. Email ID *Details of Partner/Director/Trustees/Karta/Authorised Signatory Name Designation Customer ID No. (If existing customer) 2 3 4 Direct Banking Channel Request SMS Banking Internet Banking (Please fill Corporate Internet Banking Form) Phone Banking Debit Card (These facilities are provided only for accounts where mode of operations is or either or survivor)
*Nature of Account(s) to be open Savings Account Reccuring Deposit *Mode of Operation Singly 2 Jointly 3 Either or Survivor 4 Former or Survivor 5 As per Board Resolutions 6 (No Debit Card will be issued) Initial Payment Details : Initial Amount : ` Cash Amount Cheque No. Branch Paise In Words Debit to my RBL Bank A/c Note: If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt. Cheque Book Yes No Fixed Deposit Details Debit Card (Not applicable for FD / RD) st 2nd 3rd 4th Applicant Applicant Applicant Applicant Dated D D M M Y Y Y Y Drawn on Bank, SMS Alert Email Alert Others Please specify You will be registered for e-mail / SMS alerts. Registered customers will receive transaction alerts as per the following thresholds - for Current Account above Rs. 5000 and for Savings Account above Rs. 2000. For applicable charges, visit your nearest branch or www.rblbank.com Please provide your e-mail address for receiving e-statements Amount `. Paise Tenure Months Days Amount in Words Cash Amount Cheque No. Current Account Recurring Account Fixed Deposit *AMB/AQB ` Interest Rate. % p.a. Dated D D M M Y Y Y Y Drawn on Bank, Save a tree Branch Debit to my RBL Bank A/c Note: If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt. Interest Payout Frequency: Monthly 2 Quarterly 3 Half Yearly Calendar 2 Anniversary 4 At Maturity If Calendar Selected, interest payout will be as per calendar days. If anniversary selected, interest payout will be as per deposit anniversary. Maturity Instructions Renew Principal & Interest 2 Renew Principal & Repay Interest 3 Do Not Renew Interest/Maturity payment to Sweep-In Instruction Account Number OR DD/PO to Mailing Address Sweep-in is the facility of linking Savings / Current Account with Term Deposit Account. In case of insufficient balance, the linked Term Deposit shall be broken prematurely on Last In First Out basis (in the order of set-up of Sweep in instructions) and the required amount shall be transferred to the Saving / Current Account. This facility is allowed if either of the holder is common in the Saving / Current Account and Fixed Deposit Account. In case of the Saving / Current Account enjoying OD facility against FD, then Sweepin facility will not be allowed. Savings / Current Account No. I wish to avail Over Draft facility in my Savings / Current Account No. mention deposit as per the T&C applicable for such facility against the above Note: In case if we do not received specific instruction from you before maturity of the Fixed Deposit, we will renew the Fixed Deposit for the original term as of the Fixed Deposit, at the applicable rate of interest prevailing on the day of maturity / renewal of Deposit and send you an fresh advice. If you have been issued FD receipt against your deposit and your maturity instruction is Do Not Renew you would be required to surrender the discharge FD receipt to the branch after which the maturity proceed will be handed over to you / credited to your CASA Account. Recurring Deposit Details Monthly Installment Amount `. Amount in Words SI Tenure: Months Start Date D D M M Y Y Y Y Standing Instruction For Recurring Deposit I/We authorize The Ratnakar Bank Ltd. to debit Monthly installment of `. from my/our Operative Account No. MATURITY INSTRUCTIONS (Auto renewal not supported) Payment of Deposit on Maturity by Transfer to Account No. OR DD/PO to Mailing Address In case of Fixed Deposits & Recurring Deposits having mode of operation as Either or Survivor or Former or Survivor Account holders can mandate to allow premature withdrawal by one of the joint depositors on the death of other. Please select Yes No * In case of Yes, please provide a specific joint mandate from the all depositors for the said purpose (Format/copy available with Branch) Other Bank Details I / We declare that I/We do not enjoy any credit facilities with any bank I / We declare that I/We enjoy the following credit facilities with others banks at present Bank Name Amount Bank Name Amount 2 Please attach no objection certificates issued by other banks if any facilities availed by you from them. Ver. :- CN723.002
Only For Sole Propritorship Nomination I/We wish to make a nomination for above account Yes No. (Only one individual nominee permitted) Form DA : As per RBI guidelines, I / We confirm that I / we have been explained about the benefits of nomination facility to my / our bank account by RBL Bank official. However, I / we state that in-spite of the explanation of the said benefits, I / we do not wish to nominate any person to the above mentioned Bank Account. Request you to kindly process my / our account opening form without the nomination facility Nomination under Section 45 ZA of the Banking Regulation Act, 949 and Rule 2() of the Banking Companies (Nomination) Rules 985 in respect of bank deposits. I/We (Name) (Address) nominate the following person to whom in the event of my / our / minor s death the amount of deposit in the above account, may be returned by RBL Bank. Name Address: Same as primary application: If different from primary applicant Relationship with depositor, if any Age Years. If nominee is a minor, his / her date of birth: D D M M Y Y Y Y *As the nominee is a minor on this date, I / We appoint (name) Relationship with the minor* Address: Same as primary applicant: If different from primary applicant to receive the amount of the deposit on behalf of the nominee in the event of my / our / minor s death during the minority of the nominee. Nomination details to be displayed on statement / passbook Y N Signature of witness Name Address Signature(s) / Thumb impression(s) of depositor(s) ** Signature of witness Name Address Date: Place Signature of Joint holder(s) *Strike out if nominee is no a minor. **Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor. **Witness attestation is needed only for Thumb-Impression(s) For Bank Use Only Know Your Customer Details (KYC) HUF Public LTD. Pvt. LTD. Society Trust Partnership *Document Type *Document *Document 2 *Document 3 *Doc ID No. Sol. Prop. Other Place of Issue Date of Issue Expiry Date I have met Mr. / Ms. in person. I hereby confirm the identity and address. The form has been filled and signed in my presence. The original documents have been verified by me. I confirm that I have visited the communication address of the entity and confirm that I have met (name of the authorised signatory of the entity) at the communication address of the entity as mentioned in the account opening form Name of Bank Official Signature of Bank Official Emp. ID Ver. :- CN723.002 * Preferred Customer ID 2 0 Savings Account 3 0 Current Account 4 0 Fixed Deposit 7 0 Recurring Deposit 7 5 Flexi Fixed Deposit *Customer Type Do Not Call Exports/ Imports involved Yes No Pvt. / Public Ltd Non Individual Risk Categorization Low Medium High Promo Code 2 *LC Code Sourcing Code LG Code Lead Generator *Value Date D D M M Y Y Y Y *Primary Relationship Manager ID Person exposed to politics Closed Relative Of Person Exposed To Politics *BSR Type of Organization *Business Segment *Funds Parked at Account *Funds Parked Branch code 3
For Bank Use Only Cont. *Expected No. of Transactions Annually Expected Transaction Amount - ( `. In lacs) *Cash Deposits - Annual 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25-50 Lakh 5 50 Lakh - Cr. 6-5 Cr. 7 5-0 Cr. 8 > 0 Cr. (In `.) *Cash Withdrawal - Annual (In `.) *FCY Inward - Annual (In USD) *FCY Outward - Annual (In USD) *Domestic Inward < 250 2 250-500 3 500-000 4 000-2500 5 >2500 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25-50 Lakh 5 50 Lakh - Cr. 6-5 Cr. 7 5-0 Cr. 8 > 0 Cr. 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25-50 Lakh 5 50 Lakh - Cr. 6-5 Cr. 7 5-0 Cr. 8 > 0 Cr. 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25-50 Lakh 5 50 Lakh - Cr. 6-5 Cr. 7 5-0 Cr. 8 > 0 Cr. 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25-50 Lakh 5 50 Lakh - Cr. 6-5 Cr. 7 5-0 Cr. 8 > 0 Cr. *Domestic Outward 0-5 Lakh 2 5-0 Lakh 3 0-25 Lakh 4 25-50 Lakh 5 50 Lakh - Cr. 6-5 Cr. 7 5-0 Cr. 8 > 0 Cr. Bus. Seg. Promo Code MIS Code.3 MIS Code.4 MIS Code.5 MIS Code.6 MIS Code.7 *Source of Income Salary Business Income Investment Income Agriculture Others Please specify I/We, Checked by Signature of Bank Official Emp. ID Declaration I/We am / are residents of India. I/We, declare that the information furnished by me / us is true and correct. I/We, the undersigned have read and understood and agree to abide and be bound by all the provisions of the Terms & Conditions published on the bank s website www.rblbank.com governing the opening of all my / our accounts, present and future with RBL Bank and those relating to various services including but not limited to ATMs/Debit Card/Mobile Banking/Internet Banking/Phone Banking/Bill Payment Facility etc. I/We understand that the Bank may at its sole discretion discontinue any of the services completely or partially without any notice to me /us. I agree that the Bank may debit my account for service charges as applicable from time to time. I/We agree that if the premature withdrawal is permitted at my/our request, the payment of interest on the deposit may be allowed in accordance with the prevailing stipulations laid down by the Bank / Reserve Bank of India from time to time. Declaration under Foreign contribution (Regulation) Act, 200 and foreign contribution (Regulation) Rules, 20 (Strike off. In case of non selection, Option will be default option). I/We confirm that as part of the regular operations, I/we do not receive any foreign contribution from abroad and if in future we will be receiving the same then we will inform the bank in advance with sufficient notice. OR 2. I/we confirm that as a part of the regular operation, we receive foreign contribution from abroad. Separate approval from ministry of home affairs (MHA) has been sought for crediting the foreign contributions with the FCRA Account with Bank which has been opened specifically for such FCRA credits and I/we confirm that in the account with RBL Bank, no foreign contributions will be credited. I/we also confirm that approval obtained for the FCRA account is account specific as well as Bank and Branch specific. I/We consent do not consent to receive information/service etc for Marketing purposes through Telephone/Mobile/SMS/Email by the Bank/its agents. I/We am/are aware that post registration I/We may receive a call from the Bank to verify the correctness of request for registration. *Signature of Partner/Director/Trustees/Karta/Authorised Signatory Authorised Signatory Authorised Signatory 2 Authorised Signatory 3 Authorised Signatory 4 4
Most Important Terms & Conditions If no salary credits are made in the Account for a continuous period of three months, the Bank reserves the rights to change/close the status of the Salary Account to Bank's regular savings account without any intimation to me or my organization and the terms and conditions as applicable to the regular savings account shall apply to this account from the date of change of the status. 5
Fixed Deposit Account Currently, Bank pays no Interest if the Fixed Deposit is prematurely withdrawn within 7 days of placing the deposit. If fixed deposit is prematurely withdrawn after 3 days but before the due date, then % penal interest shall be applied as penal rate to the rate that was prevailing on the date the deposit was placed and for the period for which the deposit was kept with the bank. Interest rates are quoted on per annum basis and the number of days in a year are taken at actual (i.e. 366 days in a Leap Year) Interest on deposits is payable either quarterly or compounded (i.e. re-investment of interest) or monthly at discounted value at the option of the depositor. Interest rates are revised from time to time and displayed in the Branches' Display Board, and the website, to inform the public. Premature repayment penalty will be applicable as per terms and conditions. Fixed Deposits held in joint Names: Premature payment of the Fixed Deposit is allowed only after the request is signed by all joint depositors. The mandate "payable to either or survivor" is applicable only at the time of maturity of the deposit. Loan/ Overdraft, if loan is sought against the Fixed Deposit; the loan/ overdraft application needs to be signed by all joint depositors. The Bank computers interest based on the actual number of days in year. In case, The Deposit is spread over a leap and a non-leap year, the interest is calculated based on the number of days i.e. 366 days in a leap year & 365 days in a non leap year. In the event of the death of the depositor, premature termination of term deposits will be allowed. Such premature withdrawal would not attract any penal charge. I/We agree that in case of a joint account having mode of operation as either or survivor, anyone of us, as the account holders, may create a fixed deposit/recurring deposit by placing a request through branches, ATM, phone banking, internet banking or mobile banking channel's as made available by RBL Bank from time to time. I/We agree that such a fixed deposit/recurring deposit shall be created in the name of all the account holders with mode of operation as either or survivor and I/we shall be bound by the terms and conditions applicable to such fixed deposit/recurring deposit or to a fixed deposit created by renewing/auto-renewing a fixed deposit. I/We also understand that for availing a loan against such fixed deposit or for premature termination of such a fixed deposit/recurring deposit or any fixed deposit created by renewing/autorenewing a fixed deposit, written consent of all the fixed deposit/recurring deposit holders would be required in the manner specified by RBL Bank. I/We shall not raise any dispute/claim against RBL Bank for creating/closing a fixed deposit/recurring deposit in the manner specified above and shall keep RBL Bank indemnified against any loss/harm suffered by RBL Bank with respect to any dispute/claim raised by anyone of us or any third party. Miscellaneous A Copy of the Code of Bank's Commitment to Customers and Schedule of charges for key information on the usage and benefits of various services/ facilities offered by the Bank is available on request and on Bank's website. In case of payment of balance in accounts of deceased customers to survivors/ claimants, the Bank adopts safeguards as appropriate and guided by the regulators. Know Your Customers guidelines While opening an account the Bank shall satisfy itself about the address, identity of a person(s) seeking to open an account, ti assist in protecting the prospective customer/s, members of the public and ourselves against fraud and other misuses of the banking system. The Bank is required to obtain recent photographs of the person(s) opening/ operating the account. Person/ entity who has been allotted PAN number by income Tax Department are required to quote the number in the Account opening Forms. Alternatively please provide Declaration in From 60 (non-agricultural) or Form 6 (Agricultural). In case of a minor who does not have any income chargeable to Income Tax. He/She shall quote the Permanent Account Number (PAN) or General index Register Number (GIRN) of his father or mother or guardian as the case may be at the time of opening and account with the Bank. Latest approved list of KYC documents is available with the branch, kindly contact your nearest branch for the same. The Bank has a clearly defined Grievance Redressal process for speedy and effective redressal of customer grievance. For registering your grievances, kindly contact the Branch Manager or our phone banking executives. You can also visit us at www.rblbank.com for registering your grievance. If required, grievance can be escalated to the Regional Nodal Officer of your region and the Principal Nodal Officer. The contact details of Nodal Officers are displayed at our branches and website. Acknowledgment Received application for Savings Current Fixed Deposit Recurring Deposit Account. Initial Payment Details Initial Amount: In Words Ref No. Cheque No Dated D D M M Y Y Y Y Drawn on Bank Branch Debit to my RBL Banl A/c Cash Amount ` Note: If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt. DD/PO/Cheque subject to clearance Amount Only for FD or RD - Monthly Installment Tenure Interest Rate Received duly completed Nomination Form DA Yes No Name of Bank Official Signature of Bank Official Emp. ID Date D D M M Y Y Y Y Please Quote your reference No. for any communication. Phone Banking No. 7 Days a week 9AM to 7 PM +9 22 656300 to 99 6