NRO to Resident status / account conversion form
The Branch Manager
Au Small Finance Bank Ltd. Request Date: _______________________
________________ Branch
Name of Account Holder: __________________________________________________________________________________________________________
Customer ID:__________________ Mobile No:_____________________________ Email: _______________________________________
Existing Residential Status: NRI/PIO Resident Indian
New Residential Status: Resident Indian NRI/PIO
A/C number Mode of operation A/C holder status Existing product New product
_________________ _________________ __________________ __________________ _______________
I confirm that all unused cheques have been destroyed by me / enclosed cheque leaves from No. __________________ to _____________________, I also authorise
the bank to destroy all the unutilised cheques, if any, in the system.
I have destroyed/ enclosed the ATM/Debit Card(s) issued to me. The corresponding card numbers are given below:
Card No.1 ____________________________________ Card No.2 _____________________________________
New debit card required: Yes /No ; if yes, please fill a separate debit card application form.
Additional detail, as required:
For Product Change from NRO Account to Resident Savings Account:
Date of return to India: __________________________
I hereby request you to change my constitution and the Product code as mentioned above. I confirm that I have read and understood all the terms and condition
associated with the product and I accept and agree to be bounded by the same.
Primary Holder’s Name: ______________________________________________________
Joint Holder’s Name: ______________________________________________________________
Primary Holder’s Signature: ______________________________ Joint Holder’s Signature: ______________________________
BANK USE ONLY
Following have been destroyed:
ATM/Debit card Y N Unused cheque leaves: Y N
Signature verified by: __________________ Employee No_____________
(Name of the employee)
Signature: _______________
Terms & Conditions:
Any special instructions, both financial and non-financial in nature, like standing instructions, stop payment instructions, issuance of cheque
books, Demand Drafts, pay Orders, requests for hot listing ATM/DEBIT Cards, Issuance of duplicate card/PIN must be communicated in writing
and/or via valid Internet Banking User ID (wherever such an option is available subject to terms and conditions applicable for such facility), otherwise it
shall not be binding on the Bank to comply with such instructions.
At any point in time, a customer cannot maintain dual Resident status; hence all NRO accounts (Savings, Term Deposits and Individual Current
Account) will be converted to relevant Resident Accounts when the constitution of the customer changes from NRI to Resident Indian.
After re-designation of savings account the account number will remain the same.
maintenance of Average Monthly Balance for the resident savings account as applicable.
Acknowledgement Copy
Customer Name: ____________________________________________________________
Customer ID: _________ SR No. __________ Date of Request Receipt: ________
Name of Branch Official: _________________________________________________________
Employee Number of Branch Official: _________________
Signature of Branch Official: ____________________ Branch Seal: ___________________
