KYC UPDATION FORM
MODEL CO-OP.BANK LTD,
______________________________ Branch
Date of submission:____________________________
AFFIX PHOTO HERE
Account No.___________________________________ Customer No.____________________________
Name of the account holder / Title of Account _________________________________ _____________
Residential Address/Commercial Address:
____________________________________________________________________________________
_____________________________________________________________________________________
Telephone Nos. Res. _________________ Office________________ Mobile_______________________
I/We enclose the following documents in compliance of KYC updation norms:
For Individuals
1) Proof of Identity: Aadhar/Election Card/Driving License/Passport/PAN
Card/________________________________________________________
2) Proof of Residential Address: Tel.Bill/Elect. Bill/Ration Card/or as per item
1.above.__________________________________
For Propreitory Concerns
1.Proof of Identity and Address of the proprietor (as for individuals above)
2.Proof of Name, address and activity of the concern : (Any Two of the following) Shop & Est.
License, Sales and Income Tax Returns (with , CST/VAT Certificates, Licenses issued by registering
authority like Institute of Cert Accountants of India, Indian Medical Council, Food & Drug Control
Authorities, and documents issued by Sales Tax/Service Tax/Profession Tax authorities and utility
bills in the name of the proprietory concern.
For Firm/ Company/ Institutions/ Trusts/ Associations
1) Proof of Identity and Address of all the authorised signatories (as for individuals above)
2) Proof of Business and Commercial Address: Shop & Est. License/Service Tax Registration
Number/LBT/MVAT/Copy of Leave and License Agreement/Society Maintenance Bill for Shop
or Office/ I. Tax Return of the firm.
2) Other documents : Resolution of Association or Trust or Company/Memorandum and Articles
of Association/PAN Card copy of Firm/Institution / any other____________________________
_____________________________ ________________________
Signature of account holder/s
*Rubber Stamp (in case of Company/Institution)