Term Deposit Related Requests
(Kindly fill the form in Capital Letters only)
Siebel Request No.
For Bank Use:
Customer Account Type:
Wealth Privy Resident Individual Non Individual Non Resident
Date D D M M Y Y Y Y
Home Branch Bank Account No.
ActivMoney Facility: It is a facility of automatically sweeping out funds above a pre-specified threshold from your Current / Savings Account to a Term Deposit (TD)
Account for 180 days. In case of insufficient balance in Current / Savings Account, the TD will be broken prematurely and the required amount will be transferred
to Current / Savings Account.
Activation Deactivation
Sweep threshold*: Deactivate Sweep-out, Sweep-in to continue
Default others (Please select either a or b below & specify amount) Deactivate Sweep-out & Sweep-in, continue TDs as standalone
a) Sweep out threshold (Rs) Deactivate Sweep-out & Sweep-in, redeem TDs to CASA
b) Sweep in amount (Rs)
Note:
Ÿ Sweep in amount will be swept in the current / savings account from the term deposit as and when required under LIFO (Last in First out) basis.
Ÿ Sweep In / Out Limit: I / We understand that minimum sweep in / sweep out threshold For Edge / Classic / Nova / Synergy / Sankalp / All Salary Account Schemes (excluding Privy
classification) shall be Rs. 25,000/-. For Ace / Pro / Everyday Savings, sweep in / sweep out threshold shall be Rs. 50,000/-. For all savings accounts under Privy Classification sweep in /
sweep out threshold shall be Rs. 3 lakhs. For Current Account, sweep in / sweep out threshold will be greater than or equal to twice the AQB (Average Quarterly Balance) requirement
of the variant chosen, or Rs.50,000, whichever is higher. For current accounts of Coop Banks / RRBs / Gramin Banks, Sweep out limit is 1 Cr and Sweep in limit is nil. The threshold
cannot be specified for values less than the default limits.
Ÿ FDs made through the ActivMoney facility will be created as well as broken in multiples of Rs.5,000/- unless specified. Please refer ActivMoney page on the website for detailed
information.
Other TD related requests:
TDS Certificate / Duplicate TDS Certificate For the FY Q1 Q2 Q3 Q4
Linking of Standalone
Term Deposit Number with A/c No.
Delinking of Standalone
from A/c No.
Term Deposit Number
Pre-mature Term Deposit redemption Partial redemption Full redemption amount Rs.
For Term Deposit number credit in A/c number
OR issue demand draft favouring OR through RTGS/NEFT***
Duplicate TD advice
Declaration
The particulars contained herein shall be valid for the account specified herein.
I / We have read, understood and agreed to the Terms and Conditions relating to various services and products and also the conditions prescribed herein. I / We accept and agree to be
bound by the said Terms and Conditions including those excluding / limiting the Bank’s liability. I / We understand and agree that the Bank may at its absolute / sole discretion, discontinue
any of the services completely or partially without any prior notice to me / us. I / We agree that the Bank may debit my / our account for service charges as applicable from time to time.
I / we agree and instruct the bank that the nomination, if any, made by me / us in respect of the Current / Savings Account of which I / We are seeking the benefits of the ActivMoney
facility, will be deemed to be the nomination for any sweep TD created pursuant to the ActivMoney facility.
• I / We am / are aware For FDs made through the feature of ActivMoney (2 way sweep deposits) Regular Fixed Deposit rates will be applicable for all customers including Senior
Citizens / Bank Staff (Expect Non-Resident.
• I / We am / are aware ActivMoney facility cannot be provided to:
o Current or Savings account where already Linked FD Facility/ One Way Sweep facility is linked
o Current or savings account where overdraft facility is availed
o Any other accounts where the feature of Active Money has been disabled at the time of the creation
I / We am / are aware that the pre-mature withdrawal of Deposit(s) will be allowed as per the mode of operation specified in FD. I / We hereby authorize the Bank that in event of death of
anyone of the depositor(s), the Bank on receipt of written request from the surviving depositor(s), as per the mode of operation, to allow the surviving Depositor(s) to pre-maturely
withdraw the term deposit without seeking concurrence from the legal heirs of the deceased depositor(s). Note: I / We further declare and confirm that any modification to the above
authorization / mandate shall be only by way of joint instructions by all the applicants / joint holders. I / We am / are aware that penalty charges are levied to the premature withdrawal of
deposits as per the applicable terms and conditions of the Bank and I / We have been informed about the applicable penal interest rate for premature withdrawal. I / We agree that the
Bank may debit my / our Account for service charges as applicable from time to time. I / We hereby declare that the information furnished above is true and correct to the best of my
knowledge. I / We am / are further aware, that in the event of Death of an applicant / joint holder and in the absence of Joint Mandate for premature of Deposit(s), the premature
withdrawal of the term deposit will be allowed only with the concurrence of the legal heirs of the deceased joint holder(s) & no penalty charges will be levied on such premature
withdrawal.
Please refer detailed terms and conditions on the website
Signature(s) (Guardian in case of Minor)
1st Account Holder 2nd Account Holder 3rd Account Holder 4th Account Holder
(Sign, Name & Designation with (Sign, Name & Designation with (Sign, Name & Designation with (Sign, Name & Designation with
stamp of Organization) stamp of Organization) stamp of Organization) stamp of Organization)
(For Individual – at Account level changes, all the account holders need to sign whereas at CRN level changes, respective CRN holderhas to sign. For non-individual,
signatures as per MOP required.)
For Bank Use only
Date of acceptance D D M M Y Y Y Y Sol ID
Receiver's stamp
Signature verified by Sign & Emp Code
Authorized by
Documents sent to CPC/RPC on D D M M Y Y Y Y
KMBL/AUG-2023/V1.02
Acknowledgement Slip
We acknowledge the receipt of Term Deposit related instruction from Mr./Mrs./Ms
relating to customer relationship number under service request number
Date: Bank Official (Sign and stamp)
For Kotak Mahindra Bank Ltd.,
Kotak Mahindra Bank Ltd. CIN: L65110MH1985PLC03813
Registered Office: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400 051. www.kotak.com
