CUSTOMERUPDATIONFORMFORRESIDENTINDIVIDUAL

PERSONALDETAILS

CUSTOMERID(NonMandatory)
ACCOUNTNUMBER(Mandatory)
SALUTATION Mr. Mrs. Ms. Recent
NAME(Mandatory) PassportSize
Photograph
tobesigned
DATEOFBIRTH(Mandatory) acrossthe
NATIONALITY(Mandatory) photograph

MOTHERSMAIDENNAME(Mandatory)

PANNUMBER
AADHAARNUMBER(NonMandatory)

CommunicationAddress: Residence Permanent Office

FlatNoandBldg.Name

RoadName

AreaandLandmark
City PINCode

State Country

Tel(Off) EXTNo. Tel(Resi)

FaxNo
MobileNo
EMailID

CHANGEOFADDRESS

Thereisnochangeinmymailingaddress.

IWishtochangemymailingaddress/contactDetailsasmentionedabove

OCCUPATIONDETAILS(ADDITIONALINFORMATIONOFAPPLICANTS)

Occupation Salaried Selfemployed Retire SelfEmployedProf Housewife Politician Student Other(Plsspecify)

Ifsalariedemployedwith PrivateLtd Partnership Proprietorship PublicLtd Publicsector Government Multinational Other(Plsspecify)

IfSelfEmployedsince Years Months

NatureofBusiness Manufacturing ServiceProvider Agriculture StockBroker RealEstate Trader Other(Plsspecify)

SelfEmployedProfessional Doctor CA/CS Lawyer Architect ITConsultant Other(Plsspecify)

SourceofFunds Salary BusinessIncome Agriculture InvestmentIncome Other(Plsspecify)

GrossAnnualIncome <50,000 50,0001Lac 13Lac 35Lac 57Lac 7.510Lac 1015Lac >15Lac

Residencetype Owned Rented/Leased Ancestral/Family CompanyProvided

Idoherebysolemnlydeclarethattheinformationprovideabovewithrespecttomyaccountisuptodateandcorrect
Iherebysubmitaselfattestedphotocopyofthefollowingas:
AddressProof:
IdentityProof
Ihavealsoattachedmyrecentphotographabove

SignatureofAccountHolder

Note:
1)Pleaseprovideselfattestedaddressproofevenwhenthereisnochangeofaddress.
2)Listofacceptableidentityandaddressproofisgivenoverleaf.
3)Ifyouwishtomakeachangeinanyofyourcontactdetailspleasefilltheappropriateboxesgivenabove
4)Inabsencesofvalidaddressproof,theaddressproofofacloserelativewithwhomaccountholderisresidingmaybeprovidealongwithadeclarationfromthecloserelativesIdandaddressproof.Thedeclarationshould
statethataccountholderisacloserelativeandresidesattheaddressmentionedabove.
5)Incaseofjointaccountsseparateformtobefilledbythejointholders
6)Pleasecontactthenearestbranchtoknowmoredetails
7)*SelfattestedcopyofAadhaarcardhastobeattachedforAadhaarnumberupdation.TheaccountnumbermentionedintheformabovewillbelinkedwiththeAadhaarnumber.*

FORCPUUSEONLY FORBRANCHUSEONLY

Identityproofupdatedon BranchName

Addressproofupdatedon BranchCode

Photographupdatedon SignatureofBankEmployee

Name&signatureofDVU NameandECNNo.