r
(EERSTE yr CUSTOMER UPDATION FORM FOR KYC
‘We understand your world
CUSTOMER ID
seus PREFIX _FULLNAME
ACCOUNT HOLDER I LUI LTT
AGCOUNT NO l
‘Occupation Cl Sataned C) Self employed C] Retieed C1 Salf-empiayed prof. (Housewife C) Politician
O Unempioyes 1 others
salaried employed wath) Private Lid ClPartnership C] Propdetorship (] Public Limited £) Public sector C] Government
TZ Muttinationall others (pls specity
Seif employed since Years Month
Nature of Business CO] Manufacturing O Service Provider CO Agriculture C1 Stock Broker CI Real Estate O Trader
OO Others.(Pis specify)
Date of ncorporatonl_T_] [J] (1 TT]
Type of Company / Firm [1 Sole proprietortip C) partnership CO] Punic Limited Co. C1 Private Limited Ce,
1 Others. (Pte specityy
‘Self emplayed professional C1 Coster O cacsicwa C1 Lawyer C1 architect C1 17. Consultant
OD others (Pie epecity
‘Soureotfunds C1 Salary CO) Business income C1 Agricutture C1 Investment income
others. Name Of currency|
Gross Annual Income CI <50,000 [1 50,000-7.00,000 [7 1,00,000-3,00,000 1 3,00,000-5,00,00011 5,00,000-7,50,000
Di 7,50,000-10,00,000 1 19,00,000-15,00,000 »15,00, 000
Remittance in AccountiNR) [1] 7,50,000-10,00,000 C 19,00,000-15,00.000 [1 »15,00,000
SCRAUGE OF AUDBEBR. Ci indian address C) Overseas address
Ci There isno change in my mailing addres. In case change of address plaase tick where your carrespondence lo be send
Oli wish ta change my indian & overseas addeasses/contact dotails as below,
‘Overseas
Address -
1 1
City fe
Country [TTF EEC -EEAE oe rot a
anes
City
Country
Contact detaits for communication
Tel (R) Tat (O} | I
ema OEE
FOR BRANCH USE ONLY
Signature/Customer ID Veriied'Address Charge Verified
Sourcing Branch Name Signature of PB.
PB-coDE [ Branch Code| hereby submit a photocopy of the following as:+
ID Proof — {Passport & Visa both are mandatory )
Passport (] Visa/Resident Card (| Proof of indian Origin 1]
Address Proof [] Passport [] utility Bill (] Driving License CJ Others
‘Signature of Applicant
Note:
1) You have to attach self atested Indian Passpar, Visa & ary one of the address proof, either Iridian or Overseas. In case you hold
‘foreign passport, visaisnotrequired.
2} Please provide self attested Passpod, Vise & Address Proof even when there are no changes in youraddresses
9) In absence of valid Address Proof, you can give the Address Proof & ID Proaf of your close relatives with whom you are residing,
alongwith a declaration from the close relative. The declaration should state that account holder is a case relative and resides at the
address mentioned above, AllDocuments should be selfattested by the account holder the close relalive.