customer updation form bw

Re-KYC Form for Individuals Bar code

Form 60. Form 61.(Agricultural income only)(Non PAN Card holder)

PERSONAL

F I R S T N A M E M I D D L E N A M E

CustomerID

Account Number

Customer NamePrefix (Mr ,Miss ,Mrs) Full Name

PAN Number

If Yes

OCCUPATION & INCOMESalaried Self-employed RetiredOccupation

Self-employedprofessional Housewife PoliticianStudent

Multinational Private Limited Public sector GovernmentPublic LimitedPartnershipProprietorship

Self Employed since

Date of Incorporation

D D / M M / Y Y Y YYears Months

15 LacGross Annual Income (`)

Nature of Business

Agriculture Manufacturing Stock Broker

ServiceProvider

Real Estate Trader

Type of Company/ Firm

Partnership Private Limited Co.

Public Limited Co.

Sole Proprietorshi p

Self Employed Professional

Doctor CA/CS IT Consultant Architect Lawyer

Source of Funds

Salary Agriculture

Residence Type

OwnedRental/Leased

Ancestral/Family

Company Provided

ADDRESS & CONTACT

Please Affix photo

DECLARATIONI declare that the information provided above with respect to my account is up to date and correct. I submit a self attested photocopy of the following as:

Address Proof

Identity Proof

I have also attached my

recent photograph alongside

Place

Date

Please sign in black ink only

Sign Across

FOR BRANCH USE ONLYSourcing Branch Name

Signature/Customer ID Verified/Address Change Verified

Branch Code

PB CODE

If Company Owner

Signature of PB

Signature of Account Holder

Others (Please Specify)




Investment Income

Business Income



S U R N A M E

(Please leave space between two words)

Yes No

Do you wish to update Aadhaar Number in the Bank records?

Do you wish to link your Aadhaar Number to your Primary Account Number held with the Bank?

Yes No

If Yes

CUSTOMER ACKNOWLEDGEMENT COPY

Reference Number________________________ Acknowledgement date Signature of Bank Official________________________________D D M M Y Y Y Y

Instructions and checklist for Re-KYC form are on the other side of the page

AadhaarNumber

AccountNumber

There is no change in my mailing address. I wish to change my mailing address/contact details as below.

Road Name

Landmark

City PIN Code

State

Country

Flat no/Bldg Name

(Please leave space between two words)

Tel. (O)

Email ID*

ExtensionNumber S T D - N U M B E R

MobileNumber

N U M B E R

Tel. (R) N U M B E R- S T D

+91

Instructions / Checklist for filling KYC form

Valid Passport

PAN card

E-Aadhaar letter downloaded from UIDAI site/Aadhaar card issued by government of India.

Valid Permanent Driving license

Election Card / Voters ID card

Job card issued by NREGA duly signed by an officer of the State Government

Letter issued by a Gazette officer ,with a duly attested photograph of the person Acceptable

only for opening low risk Basic Savings Bank Deposit Account (BSBDA)

Valid Passport

PAN Card

Valid Permanent Driving license(Except driving license issued by the Govt of Maharashtra)

Election/ Voter ID card (if it has address)

E-Aadhaar letter downloaded from UIDAI site/ Aadhaar card issued by government of India.

Job Card issued by NREGA ,duly signed by an officer of the State Government

Letter issued by a Gazette officer ,with a duly attested photograph of the person Acceptable

only for opening low risk Basic Savings Bank Deposit Account (BSBDA)

Identity card issued by Central/State Government ,Public sector undertaking ,any Scheduled

Commercial Bank ,or any Public Financial Institution for their employees is also acceptable.

Valid List of Documents for Individuals

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B. Documents for establishing address (submit any one)

A. Documents for establishing proof of identity (submit any one)

Please provide self attested address proof even when there is no change of address.

List of acceptable identity and address proof is given below.

In absence of valid address proof ,the address proof of a close relative with whom account

holder is residing may be provided along with a declaration from the close relative ,and the

close relative's ID and address proof. The declaration should state that account holder is

a close relative and resides at the said address.

Incase of joint accounts separate forms need to be filled by the joint holders.

Self attested copy of Aadhaar card has to be attached for Aadhaar number updation. The

account number mentioned in this form will be linked with the Aadhaar number .

Please contact the nearest branch to know more details.

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