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) PAN Card Tick on Doc recd 2 3 Mandatory Proof of Business/ Mailing Address (Any one of the documents)**** Additional Mandatory Documents (Trust and Foundations) 4 Proof of Authorised Signatory 5 (Any one of the documents) Identity and Address proof of Authorised Signatory/ trustee/settler/beneficiary (i) Utility Bills in the name of Trust/Foundation* (not be more than 3 months old from the application date) (ii) Trust Deed/ Agreement (iii) 80G/ 12A certificate indicating the address. (i) Resolution must authorise at least two authorised signatories. (ii) List of all the trustee/settler/beneficiaries having 15% or more interest in the trust alongwith their respective percentage (to be signed by all such individuals/authorised signatory)** (i) NOC letter from other Banks/Based on self-declaration. (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 Trustee/Authorised Signatory) (ii) Passport (iii) Voter's 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 if Customer a US Entity: Yes No Note:i) In case the settlor has expired then the settlor's certified death copy has to be mandatorily collected. ii) Trust registered under Bombay Public Trusts Act are exempt from providing a 12A certificate. * Utilities Bills would constitute of only Landline Bill/ Water Bill/ Electricity Bill. ** List of all the trustee/settler/beneficiaries. *** All the KYC documents Identity/Address and Signature Proof - copy of both front and back to be obtained. ****In case Mailing address proof is not available, then a self-declaration letter can be obtained regarding the same.
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 Company/ LLP/ Partnership/ Association of Persons/ Body of Individuals/ Trust whose account is being opened) Date Place
Name of the Customer- List of Directors/ Partners 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. Name of the Directors / Partners etc. Authoris ed Signator ies Yes / No Residential status (Resident/ NRI) If NRI- Country Name (Place of current residenc e)
Foreign Accounts Tax Compliance Act Information Form for Individual Accounts 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, only if this information was not provided before or if customer 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 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 :
Foreign Accounts Tax Compliance Act Information Form for Non Individual Accounts 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 :