TECHNOLOGICAL SERVICES AT AFFORDABLE PRICE
FOR NON RESIDENT INDIVIDUAL
BRANCH
(CASA AND TERM DEPOSITS)
FOR NRI /PIO Account
(When you meet the Bank Official in the Branch of KVB)
In case you are a NRI (Non Resident Indian)
a. Photocopy of the relevant pages of your current passport
where your name, address, date of birth, date and place of
issue, expiry date, photograph, signature & stamp regarding
stay outside India appear.
b. Photocopy of valid work permit / employment visa
( in case of expired visa, duly acknowledged petition made
to the Visa Authorities for renewal of visa will be accepted
as valid document)
In case youre a PIO (Person of Indian Origin)
a. Photocopy of the relevant pages of your current passport.
b. Any one of the following:
Copy of PIO card
OR Copy of past Indian passport of self /parent /
Grand-parent along with a self-declaration about Indian
origin
OR Self-declaration for PIO as given on page 2 of this
Account Opening Form.
ADDRESS PROOF: (At least one of the following address
proofs outside India required for the first applicant only)
a. Utility Bill
b. Driving Licence
c. Residence Permit (Govt. issued identity card)
d. Credit Card Bills
e. Overseas /Indian Bank Statement
The address proof must match with the communication
address given by you on Page 1 of the Account opening
form.
If you are from any Non Co-operative Countries and Territories (NCCT),
notified by FATF (Financial Action Task Force) , then additional documents
will have to be submitted.
Employment letter , indicating income OR
Latest income tax returns filed.
FOR NRI /PIO Account
(When you have not met the Bank Official in the Branch of KVB)
In case you are a NRI (Non Resident Indian)
a. Photocopy of the relevant pages of your current
passport where your name, address, date of birth, date
and place of issue, expiry date, photograph, signature &
stamp regarding stay outside India appear.
b. Photocopy of valid work permit / employment visa
( incase of expired visa, duly acknowledged petition
made to the Visa Authorities for renewal of visa will be
accepted as valid document)
c. Attestation of the photo copies of all the above
documents to be done by any one of the following:
Banker / Indian Embassy / Notary or equivalent of notary
as per applicable law OR
Any of the following 4 documents:
1. Copy of the latest statement of bank account or
relevant sheets of passbook of your account in
India/ Abroad (for the last 6 months)
2. Copy of any letter received from your existing
banker in India/Abroad (dated within last 3
months)
3. A Cheque drawn on an existing banker in India or
on your bank account abroad
4. An original cheque issued by you and paid by your
banker outside India.
In case you are a PIO (Person of Indian Origin)
Copy of the relevant pages of your current passport.
Copy of PIO Card, OR
Copy of past Indian passport of self/ parent/grand-parent
along with a self declaration about Indian origin, OR Self
declaration for PIO as given in Page 3 of this form.
Attestation on the photocopies of all the above documents
to be done by any of the following:
Banker/Indian Embassy/Notary (or equivalent of notary
as per applicable law) OR
Any one of the following 4 documents:
1.
Copy of the latest statement of bank account or
relevant sheets of passbook of your account in
India/ Abroad (for the last 6 months)
2.
Copy of any letter received from your existing
banker in India /Abroad (dated within last 3
months)
3.
A Cheque drawn on an existing banker in India or
on your bank account abroad
4.
An original cheque issued by you and paid by your
banker outside India.
A Copy of at least one of the following address proofs
outside India (only for the First Applicant)
1. Utility Bill
2.Driving License
3.Credit Card Bills
4. Overseas/Indian Bank Statement.
The address proof must match with the communication
address selected by you on page 1 of this form.
PAGE NO 1
THE KARUR VYSYA BANK LTD
(Regd.off: Erode Road, Karur-639002)
BRANCH
FOR OFFICE USE ONLY
CUSTOMER ID 1
ACCOUNT NO
CUSTOMER ID 2
CUSTOMER ID 3
DATE
To
The Branch Manager, Karur Vysya Bank Ltd.
Please open an account at your______________________________ BRANCH as per details given below:
PERSONAL DETAILS
APPLICANT
TITLE
FIRST
MR/MS/MRS
SECOND
MR/MS/MRS
THIRD
MR/MS/MRS
DATE OF
BIRTH
(dd/mm/yyyy)
FIRST NAME
SEX
(M/F)
MIDDLE NAME
FATHERS /
HUSBANDS NAME
MARITAL
STATUS
SUR NAME
RELATIONSHIP WITH
THE FIRST APPLICANT
FIRST
SECOND
THIRD
OVERSEAS ADDRESS ( MANDATORY)
DOOR NUMBER
( PLEASE TICK THE ADDRESS TO WHICH THE MAILS ARE TO BE SENT)
BLDG / ROAD
NAME
LAND MARK
AREA
STATE
CITY
PIN/ZIP CODE
PHONE NO (RESI)
PHONE NO (OFF)
PHONE NO (MOBILE)
E-MAIL ID
INDIAN ADDRESS
DOOR NUMBER
( PLEASE TICK THE ADDRESS TO WHICH THE MAILS ARE TO BE SENT)
BLDG / ROAD
NAME
LAND MARK
AREA
STATE
CITY
PIN CODE
PHONE NO (RESI)
PHONE NO (OFF)
PHONE NO (MOBILE)
E-MAIL ID
PAGE NO 2
PASSPORT DETAILS
FIRST APPLICANT:
PASS PORT NO
DATE OF ISSUE
PLACE OF ISSUE
NATIONALITY
EXPIRY DATE
SECOND APPLICANT
THIRD APPLICANT
OCCUPATION
SERVICE
ENGINEER
HOUSEWIFE
STUDENT
RETIRED
SERVICE
I.T.PROFESSIONAL
SELF EMPLOYED
SEA FARER
NURSE
DOCTOR
OTHERS (_________________________)
MODE OF OPERATION
SINGLE
SINGLE
EITHER OR SURVIVOR OF US
EITHER OR SURVIVOR
ANY ONE OF US OR SURVIVOR OF US
ANY ONE OF US OR SURVIVOR
FORMER OR SURVIVOR OF US
FORMER OR SURVIVOR
JOINTLY BY ALL OF US
JOINTLY BY ALL
LATTER OR SURVIVOR OF US
LATTER OR SURVIVOR
OTHERS(Please specify)____________
TYPE OF ACCOUNT & PERIOD OF DEPOSIT TO BE OPENED
NRE SB
NRE CURRENT
NRE TERM DEPOSIT
NRE TERM DEPOSIT CUMULATIVE
NROSB
NRO CURRENT
NRO TERM DEPOSIT
NRO TERM DEPOSIT -CUMULATIVE
FOREIGN CURRENCY DEPOSIT
FCNR TERM DEPOSIT
FCNR TERM DEPOSIT (CUMULATIVE INTEREST)
PERIOD OF DEPOSIT______________________CURRENCY______________AMOUNT__________________
INSTRUCTIONS TO THE BANK
PLEASE RENEW PRINCIPAL PLUST INTEREST/ PRINCIPAL ONLY ON THE DUE DATE FOR A SIMILAR PERIOD
CREDIT THE MATURITY PROCEEDS TO MY SB/CA A/C NO_________________________________________
CREDIT PERIODICAL INTEREST TO MY NRE/NRO A/C NO__________________________________________
PLEASE REMIT PERIODICAL INTEREST BY DD TO________________________________________________
OTHERS (PLEASE SPECIFY) ___________________________________________________________________
REMITTANCE DETAILS
DEBIT MY/OUR ACCOUNT NO______________________________WITH KVB _________________BRANCH
CHEQUE/DEMAND DRAFT NO___________DATED___________DRAWN ON______________BANK ENCLOSED
TT NO_________________DATED_________
AMOUNT:
NOMINATION
YES (Please attach separate Nomination form)
NO
ATM CUM DEBIT CARD & INTERNET BANKING
ATM-CUM-DEBIT CARD
INTERNET BANKING
(AVAILABLE FOR SINGLE/JOINT A/C ONLY)
(Please fill up and attach separate application form)
PAGE NO 3
SPECIMEN SIGNATURE & PHOTO
AFFIX
PHOTO
HERE
AFFIX
PHOTO
HERE
AFFIX
PHOTO
HERE
INTRODUCTION DETAILS
Self (if existing customer) . Please specify your existing Account Number.
DECLARATION
1.I/We hereby declare that I am/we are non-resident Indian(s)/ of Indian Origin. 2. I/We understand that the above
account will be opened on the basis of the statements/declarations made by me/us, and I/We also agree that if any of
the statements/declarations made herein is found to be not correct in material particulars, you are not bound to pay any
interest on the deposit made by me/us. 3. I/We agree that no claim will be made by me/us for any interest on the
deposit/s for any period after date of maturity of the deposits. 4. I/We agree to abide by the foreign currency (NonResident) Account/Non resident (external) account scheme, non resident (ordinary) account scheme. 5.I/We hereby
undertake to intimate you about my/our return to India for permanent residence immediately on arrival. 6.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 Reserve Bank of India in this regard. 7. I/We authorise the bank
to automatically renew the deposit on the due date for an identical period unless the instruction to the contrary from
me/us is received by the Bank before maturity. I/We understand that the renewal will be in accordance with the
provisions of the Reserve Bank of India scheme in force at the time of renewal. 8.I/We further understand that the
interest applicable on renewal will be at the applicable ruling rates on the date of maturity and that the renewed receipt
will be made available on my/our presenting the duly discharged original receipt on the maturity date or later for
payment.
-------------------------------------------------------------------------------------------------------------------------------------------------st
nd
rd
(Signature of the 2 applicant)
(Signature of the 3 applicant)
(Signature of the 1 applicant)
Enclosed : Photo copy of the Passport (Pages containing name, signature, date of birth, Visa) for our records.
DECLARATION CUM UNDERTAKING OF NRI
(Under Section 10(5) , Chapter III of Foreign Exchange Management Act, 1999)
I/We hereby declare that the transaction(s) the details of which are specifically mentioned in the Schedule hereunder
does not involve and is not designed for the purpose of any contravention or evasion of the provisions of the aforesaid
Act, or any rule, regulation, notification, direction or order made there under. . I/We also hereby agree and undertake to
give such information/ documents, before the Bank undertakes the transaction(s) and as may be required from time to
time as will reasonably satisfy you about the transaction(s) in terms of the above declaration. I/We also understand that
if I/We refuse to comply with any such requirement or make unsatisfactory compliance therewith, the bank shall refuse in
writing to undertake the transaction and shall if it has reason to believe that any contravention/evasion is contemplated
by me/us report the matter to Reserve Bank of India.
Place
Date
Signature of the applicant/s
PAGE NO 4
ATM CUM INTERNATIONAL DEBIT CARD APPLICATION FORM
NAME OF THE BRANCH
CUSTOMER ID
TYPE OF SB/CURRENT
ACCOUNT
DATE
PAGE NO 1
NAME OF THE ACCOUNT:
ACCOUNT
NUMBER
NAME OF THE INDIVIDUAL IN WHOSE NAME THE ATM DEBIT CARD TO BE ISSUED:
DATE OF BIRTH
I would also like to line my following KVB SB/Current Account** to my ATM cum DEBIT card ( standing in my/our name with other branches of your bank)
ACCOUNT NUMBER
ACCOUNT NUMBER
Please paste colour
photo here. Please
do not use pins,
staples or tape
NOMINATION DETAILS (FOR INSURANCE COVER) :Name of the
Nominee___________________________________________________________________
Relationship with the Card Holder__________________ Date of Birth (if Minor)__________________
Name of guardian (if Minor)__________________________
Debit Card: I/We have read and understood the terms and conditions governing the usage of the Debit Card. I/We accept to be bound by the said terms and conditions and to any changes made therein
from time to time by the Bank, at its sole discretion without any notice to me/us. I/We confirm that I/We am the sole account holder or have the required mandate to operate all the accounts linked to the
Debit Card(s) singly. I/We understand that upon issue of a Debit Card to me/us, the existing ATM card linked to my account will be deactivated I/We understand and undertake that the usage of the Debit
Card shall be strictly in accordance with the Exchange Control Regulation and in event of any failure to do so, I/We will be liable for action under the Foreign Exchange Management Act 1999 and the
amendments thereof stipulated by the Reserve Bank of India , or rules notified under the Act or any other Act governing such transactions. I/We accept full responsibility for my Debit Card and agree not to
make any claims against Karur Vysya Bank, in respect thereto. I/We agree that the cash deposited by me/us in the ATM will be credited by the Bank to the account after due verification and if it is found in
order within 24 hours from the next working day. I/We agree further that all complaints pertaining to all ATM transactions will be resolved by the Bank within about 2 months.
Signature of Applicant (Please sign in black ink only)
------------------------------------------------------------------------------------------
NOMINATION FORM DADA-1
NOMINATION UNDER SECTION 45ZA OF THE BANKING REGULATION ACT 1949 AND RULES 2(1) OF THE BANKING
COMPANIES (NOMINATION) RULES, 1985 IN RESPECT OF BANK DEPOSIT.
NOMINATION REGISTRATION NO
(Name/s and address/es of the depositor/s- .I/We nominate the following person to whom in the event of my/our/minors death, the amount of deposit in the account(s), particulars
whereof are given below, may be returned by THE KARUR VYSYA BANK LTD______________________in which the deposit is held.
NATURE OF DEPOSIT
DISTINGUISHING NO
ADDITIONAL DETAILS
IF ANY
RELATIONSHIP WITH DEPOSITOR IF ANY
NAME
DATE OF BIRTH OF NOMINEE
ADDRESS
2.As the nominee is a minor on this date, I/We appoint Shri/Smt/Kum**
NAME/S AND ADDRESS/ES OF THE WITNESS/ES*
1.
______________________________________________________AGE_______
2.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
(Name, address & age) to receive the amount of deposit on behalf of the nominee in the event of my/our
minors death during the minority of the nominee.
SIGNATURE/S OF THE WITNESS/ES
1.
SIGNATURE(S)/THUMBIMPRESSION(S) OF THE
DEPOSITOR(S)*
2.
*Where the deposit is made in the name of a minor, the variation of nominations should be signed by a person lawfully entitled to act on behalf of the minor. ** Strike out if the nominee is not a minor. *.
Thumb impression(s) shall be attested by two witnesses. PLACE__________________________________
DATE__________________________
------------------------------------------------------------------------------------------
ACKNOWLEDGEMENT FOR NOMINATION REGISTRATION (TO BE RETURNED TO THE CUSTOMER AFTER REGISTRATION OF NOMINATION)
NATURE OF DEPOSIT
ACCOUNT NUMBER
REGN NO
FOR THE KARUR VYSYA BANK LTD
NAME OF THE DEPOSITOR/S
NOMINATION IN FAVOUR OF
REGISTERED ON
OFFICER/MANAGER
PAGE NO 5
INTERNET BANKING APPLICATION FORM
NAME OF THE BRANCH
CUSTOMER ID
DATE
NAME OF THE ACCOUNT:
ACCOUNT
NUMBER
DATE OF BIRTH
FACILITY APPLIED FOR
INQUIRIES AND REQUESTS
INQUIRIES AND FINANCIAL
TRANSACTIONS ( PERSONAL ONLY )
ACCOUNTS FOR FUNDS TRANSFER ( PLEASE FURNISH THE ACCOUNT NUMBERS )
1
AUTHORISED USERS: NAME OF THE USER
INQUIRIES AND FIANANCIAL TRANSACTIONS
( PERSONAL AND THIRD PARTY )
SIGNATURE
DECLARATION
I/We have read and agree to abide by the terms and conditions governing kvb@net Internet Banking facility of THE KARUR VYSYA BANK LTD provided
tome/us including those excluding/limiting the Banks liability and agree to any other changes to be made by the Bank from time to time and acknowledge
that the Bank may in its absolute discretion discontinue any of the services completely or partially without notice to me/us. I/We request you to provide
access as requested above. I/We agree that the Bank may debit my account for the service charges as applicable from time to time.
**I/We authorise the above mentioned user/s to access and operate the accounts through kvb@net.
(** strike out if not applicable)
1. Signature_________________________________2. Signature____________________________3.Signature_____________________________
1.Name
_________________________________ 2. Name_______________________________3.Name________________________________
Kindly note that Login ID and Password will be allotted by the Bank and sent to you on successful processing of your application. You will be forced to change your password at first login.
FOR BANK/ BRANCH USE
Certified that the account Number, address, signature/s of the account
holder/s are as per branch records
ATM / INTERNET BANKING CELL USE
S.NO_____________________________________________________
DATE OF PROCESSING_____________________________________
DATE
BRANCH MANAGER
PROCESSING OFFICERS SIGNATURE_________________________
INFORMATION SHEET- ANNEXURE TO NRI APPLICATION FORM
ACCOUNT NUMBER
TO BE OBTAINED FOR EACH APPLICANT SEPARATELY
FULL NAME
PAGE NO 6
FATHERS/HUSBANDS NAME
1.Occupation
2.If self
Employed
SALRIED
SELF EMPLOYED /PROFESSIONAL
DOCTOR
LAWYER
UPTO 1000
1001-5000
PERSONAL
5.Date of Birth
D
BUSINESS
OTHERS(PL.SEPCIFY)____________
OTHERS(PL SPECIFY)____________________
Annual Turnover in US$
3. Source of
Funds
4.Monthly
Income (US$)
ENGINEER
STUDENT
5001-10000
10001-20000
>20001
6.Marital Status
M
MARRIED
7.If any of your relative settled abroad,
please give their names and addresses
7.1.Name & Address
UN MARRIED
7.2.Name
7.3Name
Address
Address
DEALING WITH OTHER BANKS
If yes
8.NAME OF THE BANK
NAME OF BANK BRANCH
9.TYPE OF A/C(s) / FACILTIES, IF ANY
EXISTING CREDIT FACILITIES, IF ANY
YES
NO
10. Car Loan
11.Credit Cards
12. Housing Loan
13.Education Loan
ADDITIONAL INFORMATION ( OPTIONAL)
1.Educational
Qualification
NON GRADUATE
GRADUATE
YES
NO
14. Consumer Loan
15. Business
16. Against Security
17. Others (Please specify)
POST GRADUATE
PROFESSIONAL___________________
(Please specify)
2.Educational
Qualification of
your Spouses
3.Family
Members
NON GRADUATE
GRADUATE
POST GRADUATE
PROFESSIONAL___________________
(Please specify)
AGE GROUP
Males
Females
4.How may
times you have
been to India
UPTO 10
11-20
21-45
46-60
>60
TOTAL
5. Your credit card details( if any)
Name of Bank__________________
NEVER
ASSETS
DESCRIPTION OF ASSET
6.Vehicles
1 TO 5 TIMES
ABOVE 5 TIMES
No of years in use_______________
(PLEASE TICK APPROPRIATE BOX)
CAR
OTHERS
NONE
7.House you live in
OWN
RENTED
EMPLOYERS
8.LIC POLICY
<US$2000
US$2001-5000
US$ >5001
<US$2000
9.OTHER INVESTMENTS
US$2001-5000
US$>5001-10000
US$1001-20000
US$>20000
10.ANY OTHER ASSETS
PLACE
DATE
SIGNATURE OF THE CUSTOMER
