FORM-I
SAVING BANK ACCOUNT OPENING FORM
For Bank Use Only
Name & Code of the Branch
Cust ID
Affix
A/C No.
Passport
size Photo
[FOR SMALL ACCOUNT]
1. Name in Full (Mr/Ms)
s t e v e c l a r k
2. Father/ Husband/Guardian Name T o m CL A R K
3. Residential address:
C/o AS N
House No. and name :
Street No. and name
Landmark
Village /City District
State T E X A S
Pin code
Telephone/Landline Mobile No.
4. Sex : [Male/Female] Date of Birth: [DD/MM/YYYY]
5. a) Occupation : 1. Salaried [ ] 2. Self-employed/Professional [ ] 3. Business [ ] 4. Student [ ]
5. Retired [ ] 6. Agriculture & Allied [ ] 7. Other Specify [_____________________]
If self employed: 1. Doctor [ ] 2. Lawyer [ ] 3. Engineer [ ]
4. Business [ ] 5. CA [ ] 6. Others [ ]
b) Category- SC/ST/OTHERS
6. KYC Documents Provided YES/NO
7. Nomination Required YES/NO
8. Request for ATM Debit Card : YES/NO; SMS Alert : YES/NO
9. Introduction [if applicable]:
Name of the introducer
Customer ID Account No.
I know Shri/Smt _____________________________for the past_____________Years/months. He/she is residing at the address given above.
Date : ________ Signature of the introducer_________________ __________________________________________
(Name, SS No & Signature of the verifying Branch official)
Please open a Savings Bank account in the name of Mr./Ms. ______________________________(first/sole applicant) and Mr./Ms.
______________________(second Applicant)**. The Saving Bank rules and regulations including those relating to Small Account
have been explained to me/us and I/we agree to abide by the same. An additional photograph of sole/each applicant is attached.
Date: ______________
Place:_______________ Signature/Thumb Impression of first/sole Applicant Signature/Thumb Impression of second Applicant
Name & No. of BC/BF.
Signature of Business Correspondent/Facilitator________________________
Name, SS No & Signature of the verifying Branch official________________
** The Joint Account holder (i.e. second applicant) shall fill up a supplementary Form.
FORM-II
SAVING BANK ACCOUNT OPENING FORM –ADDITIONAL INFORMATION
[For full KYC Compliance]
1. Mode of Operation
Self Only [ ] Former of Survivor [ ] Either or Survivor [ ]
Any One or Survivor [ ] Jointly [ ] Any other (specify) [ ]
2. SSN 123-456-8901
_____________________
3. Income Per annum
1. Upto $ 20000/- [ ] 2. $ 2000/- to 50000/- [ ] 3. $ 50001/- to 10000
4. ` 1000001/ to 5 lac [ ] 5. $ 500001/- to 100000 [ ] 6. Above $ 10000
[ ] [ ]
4. Educational Qualification
1. Upto HSC [ ] 2. Graduate [ ]
3. Post Graduate [ ] 4. Professional (Pl. Specify) [ ]
5. Email ID
6. KYC Document : Identification Proof :[ ] Address Proof : [ ]
7. Request for add on:-
S.NO. Product
1 e-Statement of Account Yes/No
2. Cheque Book Yes/No
3. Mobile Banking Yes/No
4.. Internet Baking Yes/No
5. Credit Card Yes/No
6. Others Yes/No
___________________________________________________________________
8. Additional Information for Cross Selling
I would like to also avail:-
S.NO. Product
1 Housing Loan Yes/No
2. Vehicle Loan Yes/No
3. Mutual Fund Yes/No
4. Life/General INsurance Yes/No
5. Pension Yes/No
6. Others Yes/No
I/we understand that a booklet on the Banking Codes & Standards Board of India Code (BCSBI) posted on your website
shall be provided to me on demand.
Terms & Conditions:
I/we confirm having received, read and understood (a) the accounts rules and hereby agree to be bound by the terms &
conditions outlined in these rules which governs the account(s) which I/we am/are opening/will open and (b) amendments
to the rules made from time to time and those relating to various services availed by me/us when displayed by the Bank
on its notice board or on its website and those relating to various services offered by the Bank including but not limited to
debit card, credit card, internet banking mobile banking and other facilities listed in this form. The usage of these facilities
is governed by the terms and conditions stipulated by the Bank from time to time.
Date: ______________
Place:_______________ Signature/Thumb Impression of first/sole Applicant Signature/Thumb Impression of second Applicant
FORM-III
SAVING BANK ACCOUNT OPENING FORM(supplementary form for second applicant)
For Bank Use Only
Name & Code of the Branch
Cust ID Affix
A/C No. Passport
size Photo
1. Name in Full (Mr/Ms)
(second applicant)
2. Father/ Husband/Guardian Name
3. Residential address:
C/o
House No. and name :
Street No. and name
Landmark
Village /City District
State
Pin code
Telephone/Landline Mobile No.
4. Sex : [Male/Female] Date of Birth: [DD/MM/YYYY]
5. a) Occupation : 1. Salaried [ ] 2. Self-employed/Professional [ ] 3. Business [ ] 4. Student [ ]
5. Retired [ ] 6. Agriculture & Allied [ ] 7. Other Specify [_____________________]
If self employed: 1. Doctor [ ] 2. Lawyer [ ] 3. Engineer [ ]
4. Business [ ] 5. CA [ ] 6. Others [ ]
5. (b) Category- SC/ST/OTHERS
6. KYC Documents Provided [YES/NO]
Signature/Thumb Impression of second Applicant
Name & No. of BC/BF.
Signature of Business Correspondent/Facilitator________________________
Name, SS No & Signature of the verifying Branch official________________
ACCOUNTS OF INDIVIDUALS : LIST OF KYC DOCUMNETS
(one document from each list)
LIST I LIST 2
Documents accepted as proof of identity Documents accepted as proof of residence
1 Passport 1
Ration Card
2 PAN card 2
Electricity Bill
3 Voter’s Identity Card 3
Telephone Bill
4 Driving licence 4
Bank account statement
5 Job card issued by NREGA duly signed by an officer of the State 5
Letter from employer (to the satisfaction of the Bank)
Government(For Small Accounts) 6
Letter from any recognized public authority (to the satisfaction of the
6 The letter issued by UIDAI containing details of name, address and Aadhaar Bank)
number 7 Credit Card Statement- not more than 3 months old
7 Identity card (subject to the bank’s satisfaction) 8 Income/Wealth Tax Assessment Order
8 Letter from a recognized public authority or public servant verifying the 9 Letter from Public Sector employer
identity and residence of the customer to the satisfaction of bank. 10 Letter from any recognized public authority having proper and
9 Government/Defence ID card verifiable record of issuance of such certificates.
10 ID cards of reputed Public Sector employers 11 Voter ID Card (only if it contains the current address)
11 Pension Payment Orders issued to the retired employees by Central/State 12 Pension Payment Orders issued to retired employees by Government
Government Departments, Public Sector Undertakings Departments/Public Sector Undertakings, if they contain current
12 Photo ID cards issued by Post Offices address.
13 Photo identity cards issued to bonafide students by a University, approved 13 Copies of Registered Leave & License agreement/Sale Deed/Lease
by the University Grants Commission (UGC) and/or an Institute approved Agreement.
by All India Council for Technical Education (AICTE). 14 Certificate and also proof of residence, incorporating local address as
14 Photo identity issued by any public authority having proper record of well as permanent address, issued by the Hostel Warden of the
issuance of identity proof which is verifiable from records University/Institute, where the student resides, duly countersigned by
15 Ex-Servicemen Card with photograph the Registrar/Principal/Dean of Student Welfare. Such accounts shall
16 Bar Council/Medical Association/ICAI/ICWAI/ICSI Card with photograph however, be required to be closed on completion of education/leaving
17 Student Identity Card with photo issued by reputed colleges with validity the University/Institute provided the constituent does not give any
during the course period. other acceptable proof of residence to the Bank.
18 Defense Dependent’s Card with photograph’ 15 For students residing with relatives, address proof of relatives, along
19 Married woman identity proof with maiden name, if supported with a with their identity proof, can also be accepted provided declaration is
verified true copy of marriage certificate given by the relative that the student is related to him/her and is
20 Credit card with photo together with statement of such card, not more staying with him/her.
than three months old. 16 In respect of officials of Central/State Governments and Public Sector
21 Registered Property document with photo identity undertakings, who are low risk customers for Bank, Branch Heads may
22 Arms License issued by State / Central Government of India. verify the photo/identity and confirm residential address of such
23 Freedom fighter’s pass issued by Ministry of Home Affairs, Government of officials from independently verifiable sources, to their satisfaction,
India with photograph of applicant. and permit opening of accounts. This facility is extended only to the
24 Employee State Insurance Card (ESIC) with photograph supported by latest Gazetted officers of Central/State Government and Senior
month’s pay slip.. Management and above functionaries of Public Sector Undertakings.
25 17 Latest telephone bills from any telephone service providers and
Talati / Patwari (a local govt. official) attestation by way of putting rubber
stamp and signature. Gram Sarpanch / Mukhiya attestation by way of mobile service providers not more than 2 month old, postpaid.
putting rubber stamp and signature (For Small Accounts) 18 Consumer gas connection card/book/Pipe gas bill
19 Certificate from ward/equivalent rank officer, maintaining election roll
certifying address of the applicant
20 Post Office Savings Pass Book
21 Domicile Certificate with communication address and photograph
22 Certificate by Village Extension Officer (VEO) / Village Head or equal or
higher rank officer. Branch to confirm the authenticity of the
NOTE; If passport having current address is given as proof of identity, there is certificate and that it has been issued by the person who is holding the
no need to give separate proof for address from list 2. said office.
23 Court divorce order – Marriage annulment order issued by Court
To be filled by those who do not have either PAN/GIR
FORM NO. 60 FORM NO. 61
[See second proviso rule 114B] [See proviso to clause (a) of rule 114C (1)]
Form of declaration to be filed by a person who does not Form of declaration to be filed by a person who has agricultural
have a permanent account number and who enters into income and is not in receipt of any other income chargeable to
any transaction specified in rule 114B income-tax in respect of transactions specified rule 114B
1. Full name and address of the declarant__________________ 1. Full name and address of the declarant__________________
___________________________________________________ ___________________________________________________
2. Particulars of transaction_____________________________ 2. Particulars of transaction_____________________________
3. Amount of the transaction____________________________ 3. Details of the documents being produced in support of
Address in column (1): Yes No
4. Are you assessed to tax? Yes No
5. If yes,(i) Details of Ward/Circle/Range where the last return of I hereby declare that my source of income is from agriculture and
income was filed_____________________________ I am not required to pay income-tax on any other income, if any.
(ii)Reasons for not having permanent account
Number:____________________________________
6. Details of the document being produced in support of address
In column(1)
VERIFICATION
I, ______________________, do hereby declare that what is stated above is true to the best of my knowledge and belief. Verified today, the ________________ day of
___________,_____________
Date:_____________ Place:_______________
Signature of the declarant
______________
Branch Office………………………………
FORM DA-1: NOMINATION
Nomination under Section 45 ZA of Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of Bank
Deposits,
I/ We ( Name(s)) ________________________________________________________________________________________________
R/o_____________________________________________________________________________________________________________
nominate the following person to whom in the event of my/our/ minor’s death, the amount of deposit in the account may be returned by State Bank of
Patiala, Branch Office______________
DEPOSIT NOMINEE
Nature Account No. Additional Name Address Relationship Age Date of birth
of Details, if with depositor,
Account any if any
* As the nominee is minor on this date, I/we appoint Mr/Ms_______________________________________________________
Age________ Address______________________________________________________________________________________
_________________________________________________________________________________________________________
to receive the amount of the deposit on behalf of the nominee in the event of my/our/minor’s death during the minority of the nominee.
Place:_________________________________
Date:__________________________________ @ Signature(s) / #Thumb impression(s) of depositors
@Where the deposit is made in the name of minor, the nomination is to be signed by natural/legal guardian of the minor to act on behalf of the minor.
*Strike out if nominee is not a minor
WITNESSES
Name & Signature of the first witnesses Name & Signature of second witnesses
Name___________________________ Name___________________________
Signature:________________________ Signature:________________________
Address:_________________________ Address:_________________________
Place:___________________________ Place:___________________________
Date:____________________________ Date:____________________________
Telephone No._____________________ Telephone No._____________________
#Thumb impression(s) shall be attested by two witnesses; otherwise it shall be attested by one
witness.………………………………………………………………………………………………………………
NOMINATION REGISTERED
The above mentioned nomination is registered at serial no ____________________________________ in respect of (Type of Account.)
_________________ Deposit Account No.________________ ___________________________.
Date_____________________. For ________________
(Authorised Official)
SS No.____________
