Customer Information Updation Form (NRI)
Notes:
1. Your contact details mentioned below will be updated in our records.
2. Signatures of all the account holders are mandatory.
3. Enclose self-attested photocopies of ID proof, Non-Resident status proof (Only for NRI) and Address proof for all account holders.
4. Passport size photographs of all holders to be pasted.
5. * marked points are mandatory.
6. ** marked points are mandatory if the customer is a NRI.
7. The address on this form should be same as in supporting documents.
8. If there are more than 2 signatories, use photocopies of this form.
9. The submitted data is valid for all accounts held by you
Account Number:
Customer ID:
1. PRIMARY APPLICANT PERSONAL DETAILS:
*Name:
Social Security No. / Unique ID No. (Aadhaar):
PAN:
(please attach the PAN card copy)
There is no change to my current overseas address
I wish to update my current overseas address as below
Current Overseas Address (Address Proof Mandatory):
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________
Tel (Office):
Country Code
Area Code
Number
Country Code
Area Code
Number
Tel (Res):
*Mobile Number:
Country Code
There is no change to my Permanent address
Number
I wish to update my Permanent address as below
Permanent Address (Proof Mandatory if different than Current Overseas Address):
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________
Tel (Office):
Country Code
Area Code
Number
Page 1 of 6
Tel (Res):
Country Code
Area Code
Number
*Mobile Number:
Country Code
Number
Communication to be sent to:
Current Overseas Address
Permanent Address (Default is current overseas address if no box is ticked)
I/We acknowledge and confirm that I/we have read and understood the terms and conditions governing my/our accounts held with ICICI Bank
Limited., India (ICICI Bank) as available on http://www.icicibank.com/nri-banking/RHStemp/termNcondition.html and further agree and confirm that
I/we shall be bound by such terms and conditions governing my/our accounts with ICICI Bank.
I/We declare, confirm and agree to inform ICICI Bank regarding any change in my/our Overseas / Permanent Address and to provide new address
to the bank within two weeks of such a change.
*Customer Profile:
A)
Occupation
a.
If Salaried, employed with
b.
Proprietorship
Partnership
Pvt. Ltd.
Public Ltd.
Public Sector
Government
Multinational
Others (Please specify)
If Self Employed, and if in Business, nature of Business
Manufacturing
Trading
Services
Retailing
Agriculture
Stock Broker
Real Estate
Others (Please specify)
Architect
If Professional, type of Profession
c.
Lawyer
Doctor
CA/CS
Consultant
Engineer
Others (Please specify)
Retired
Student
Graduate
Post Graduate
Professional (Please specify)
>10 Lakh 25 Lakh
If Others
House Wife
B)
Education
Under Graduate
C)
D)
Gross Annual Income (INR)
Nil
Up to 1 Lakh
>1Lakh - 10Lakh
25 Lakh to 1cr
>1 Cr to 10 Cr
>10 Cr.
Salary
Business Income
Agriculture
Inheritance
Rent
Pension
Source of funds
Funds of family members
Investment
Other (Please specify)
FOR ICICI BANK USE ONLY (PRIMARY APPLICANT KYC CERTIFICATION) (Applicable for face to face cases):
I have met Mr./Ms./Dr. ______________________________________________________________in person and hereby confirm that the identity details
filled in the Customer Identification Updation Form which has been filled in my presence, and I have verified the same with the original documents.
I have understood the documents and certify that the documents convey compliance with Bank's KYC guidelines.
Employee Number: ______________________________________
At present working at:________________________________________________________ (Mention city and country)
as (Designation):_________________________________________
Signature of Bank official________________________________
KNOW YOUR CUSTOMER DOCUMENT (KYC) (TO BE FILLED BY BRANCH OFFICIAL):
Identity Proof:
Expiry Date (Only for ID proof wherever applicable):
DDMMYYYY
Address Proof:
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2.
JOINT HOLDER 1 / GUARDIAN DETAILS (In case of Joint account):
To be filled by the customer
*Name:
Mr.
Ms
Dr.
*Date of Birth:
DDMMYYYY
*Mothers maiden name:
*Fathers name:
*Marital Status:
*Gender:
Single
M
Married
F
Social Security No. / Unique ID No. (Aadhaar):
*Current Residential status:
NRI
Resident
Relationship with Primary applicant:
**Date of becoming NRI:
*Are you a PEP# or related to one?
PAN:
DDMMYYYY
Y
N
(document copy to be attached)
*Photo Identity Proof Document No. (Passport No. mandatory in case of a NRI):
** Date of Issue:
DDMMYYYY
*Place of Issue:
**Expiry Date:
DDMMYYYY
** Type of Visa/ Labour card/ Work permit: _________________________________ (Please provide proof)* (Visitor & Business visas are not allowed)
#Politically Exposed Person (PEP) Individuals who are or have been entrusted with prominent public functions in a foreign country. Examples
include but are not limited to Heads of State or of Governments, Senior politicians, Senior government/judicial/military officers, Important political
party official. The term PEP also includes the families (close family members such as spouse, children, parents and siblings and may also include
other blood relatives and relatives by marriage) and close associates (include close business colleagues and personal advisors/consultants to the
PEP as well as persons who obviously benefit significantly from being close to such a person) of the PEPs.
Contact Details:
*E-mail ID:
Communication Address (Address Proof Mandatory):
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________
Tel (Office):
Country Code
Area Code
Number
Country Code
Area Code
Number
Tel (Res):
*Mobile Number:
Country Code
Number
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5
Permanent Address (Proof Mandatory if different than Current Overseas Address):
If the address is same as the Communication address then please tick here
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________
Tel (Office):
Country Code
Area Code
Number
Country Code
Area Code
Number
Tel (Res):
*Mobile Number:
Country Code
Number
I/We acknowledge and confirm that I/we have read and understood the terms and conditions governing my/our accounts held with ICICI Bank
Limited, India (ICICI Bank) as available on http://www.icicibank.com/nri-banking/RHStemp/termNcondition.html and further agree and confirm that
I/we shall be bound by such terms and conditions governing my/our accounts with ICICI Bank.
I/We declare, confirm and agree to inform ICICI Bank regarding any change in my/our Overseas / Permanent Address and to provide new address
to the bank within two weeks of such a change.
*Customer Profile:
A)
Occupation
a.
If Salaried, employed with
b.
Proprietorship
Partnership
Pvt. Ltd.
Public Ltd.
Public Sector
Government
Multinational
Others (Please specify)
If Self Employed, and if in Business, nature of Business
Manufacturing
Trading
Services
Retailing
Agriculture
Stock Broker
Real Estate
Others (Please specify)
Architect
If Professional, type of Profession
c.
Lawyer
Doctor
CA/CS
Consultant
Engineer
Others (Please specify)
Retired
Student
Graduate
Post Graduate
Professional (Please specify)
>10 Lakh 25 Lakh
If Others
House Wife
B)
Education
Under Graduate
C)
D)
Gross Annual Income (INR)
Nil
Up to 1 Lakh
>1Lakh - 10Lakh
25 Lakh to 1cr
>1 Cr to 10 Cr
>10 Cr.
Salary
Business Income
Agriculture
Inheritance
Rent
Pension
Source of funds
Funds of family members
Investment
Other (Please specify)
FOR ICICI BANK USE ONLY (PRIMARY APPLICANT KYC CERTIFICATION) (Applicable for face to face cases):
I have met Mr./Ms./Dr. _______________________________________________________in person and hereby confirm that the identity details filled in
the Customer Identification Updation Form which has been filled in my presence, and I have verified the same with the original documents. I have
understood the documents and certify that the documents convey compliance with Bank's KYC guidelines.
Employee Number: ______________________________________
At present working at:________________________________________________________ (Mention city and country)
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as (Designation):_________________________________________
Signature of Bank official________________________________
KNOW YOUR CUSTOMER DOCUMENT (KYC) (TO BE FILLED BY BRANCH OFFICIAL):
Identity Proof:
Expiry Date (Only for ID proof wherever applicable):
DDMMYYYY
Address Proof:
BSR Code Matrix (FOR BANK USE ONLY):
1.
In case of NRI (Non-Resident Indian) joint holder
2.
BSR to be captured as 52081
In case of resident joint holder
OCCUPATION
MALE
FEMALE
Agri Allied / Farmers
Landholding Nil,
MALE
FEMALE
Business
41141
41142
<=5 acres, > acres)
(Shroffs / Moneylenders, Stock
41441
41442
41341
41342
Brokers, Dealers in Bullion)
Business
(Manufacturing, Trading,
OCCUPATION
Salaried
41241
Services, Retailing, Agriculture,
41242
(Proprietorship, Partnership,
Pvt.Ltd., Public Ltd.,
Real Estate)
Public Sector, Government,
Professional
Multinational, Wage Salary
(Doctor, CA/CS, Lawyer,
earners, Others
Architect, Consultant, Engineer)
Housewife, Retired, Student
Please activate my account basis this form in case the same is dormant
Signatures and Photographs
(Please paste recent passport size photograph of all Account holders / Authorised signatories)
Photograph of
Photograph of
First Holder
Second Holder
Signature of
First Holder
Signature of
Second Holder
Name:.........................................................................
Name:.........................................................................
Signature/s to be as per Bank records
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Mentioned below are acceptable list of documents :
Document
NRI
Status
Proof
ID Proof
for NRI
ID proof
for
Resident
Indian
Address
Proof
Valid Indian passport with photo and signature
No
Yes
Yes
Yes
Yes
Yes
In case of PIOs : Foreign passport having
parents' /spouse's name
Yes
Yes
No
No
Yes
Yes
In case of NRIs : Valid Visa/ Work Permit/ Resident Card
Yes
No
No
No
Yes
No
In case of PIOs: PIO card/ OCI card
Yes
No
No
No
Yes
Yes
Utility Bills : (Electricity, Land line, Piped Gas, Water Connection)
not older than 2 months
No
No
No
No
Yes
No
Bank Statement /Post office saving bank account statement
( Showing 2 customer induced transactions - not older
than 3 months from the date of account opening)
No
No
No
Yes
Yes
No
PAN card issued by the Income Tax Department
No
No
Yes
No
No
Yes
Driving License bearing the photo & the expiry date
No
No
Yes
Yes
Yes
No
Marriage Certificate
No
No
No
No
No
Yes
No
No
No
Yes
Yes
No
Documents issued by government departments of foreign jurisdictions
(Valid ID Documents issued by a Government authority having the
customers name, and address, e.g. National ID card,.etc)
No
No
No
Yes
Yes
No
Property or Municipal Tax receipt
No
No
No
Yes
Yes
No
Voter's ID Card
No
No
Yes
Yes
No
No
Job card issued by NREGA duly signed by an
officer of the State Government
No
No
Yes
Yes
No
No
Aadhaar letter card issued by Unique Identification
Authority of India (UIDAI)
No
No
Yes
Yes
No
No
Birth certificate
No
No
No
No
No
Yes
Ration Card
No
No
No
No
No
Yes
Matriculation certificate
No
No
No
No
No
Yes
School leaving certificate
No
No
No
No
No
Yes
Court Affidavit
No
No
No
No
No
Yes
Life Insurance policy
No
No
No
No
No
Yes
Pension or family PPOs
No
No
No
Yes
No
No
Leave and License agreements / Letter for accommodation
(An agreement made with employers being State or Central
Government departments, statutory or regulatory bodies, public
sector undertakings, scheduled commercial banks, financial
institutions and listed companies can be accepted as a valid
overseas address proof. If a letter of accommodation has been
issued by such employer, then the same can be accepted as
a valid overseas address proof.)
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Oversea Relationship
Address
Proof
Proof
