M-316

FOR RESIDENT INDIAN

(CASA AND TERM DEPOSITS)

DOCUMENTATION CHECK LIST

INDIVIDUAL/SOLE PROPRIETORSHIP:

PROOF OF IDENTITY AND ADDRESS: Please produce any one of the documents from List A and List B.

LIST A: IDENTITY PROOF LIST B: ADDRESS PROOF

1. Passport 1 Passport
2. PAN card 2 Voter’s Identity Card
3. Voter’s Identity Card
3 Driving licence
4. Driving license and photograph
5. Identity card / confirmation from employer 4 Telephone bill
(subject to the bank’s satisfaction) 5 Bank account statement
6. Letter from a recognized public authority or 6 Letter from any recognized public authority
public servant verifying the identity and residence 7 Electricity bill
of the customer to the satisfaction of bank 8 Ration Card
7. Letter from employer (subject to satisfaction of 9 Letter from employer (subject to satisfaction of the bank)
the Bank For rural branches in the absence of any of the above documents,
ration card/ certificate from the local body/ NGO/MFI will suffice for
establishing identity and address of the applicant.

SOLE PROPRIETORSHIP FIRMS: SENIOR CITIZENTS FOR PROOF OF DATE OF BIRTH

Any one of the following is required: Any one of the following is required

1. Shop and Establishment certificate / Municipal license 1. Birth Certificate 6. Govt ID Card
2. Sales and Income Tax Returns 2. Passport 7. School leaving certificate
3. Registration Certificate of Sales Tax 3. Driving License 8. Voter’s ID Card
4. Chartered Acct Certificate 4. Ration Card 9. LIC/Insurance Policy
5. Existing Bank Statement from the current Banker , for a 5. Pension Card
minimum period of 6 months.

NOTE: 1. Original and a photo copy are to be produced. Original will be returned after verification.

2. MANDATORY FOR CASH DEPOSITS >RS.50000/-: Proof of PAN / GIR No or Form 60 .

3. MINOR ACCOUNTS: Copy of the Birth Certificate should be produced.

4. The Manager /Officer shall visit and verify the current address if it is different from the document produced.

5. All signatures are to be obtained in the presence of bank’s official.

TECHNOLOGICAL SERVICES AT AFFORDABLE PRICE

 M-316

FOR OFFICE USE ONLY

CUSTOMER ID 1 ACCOUNT NO

CUSTOMER ID 2

CUSTOMER ID 3
To DATE ( dd/mm/yyyy)____________________
The Branch Manager, Karur Vysya Bank Ltd.
Please open my /our sole / joint / sole proprietorship account at your_____________________ BRANCH.

PERSONAL DETAILS
APPLICANT TITLE FIRST NAME MIDDLE NAME SUR NAME OCCUPATION
FIRST MR/MS/MRS

SECOND MR/MS/MRS

THIRD MR/MS/MRS
DATE OF RELATIONSHIP
SEX FATHER’S / MARITAL
BIRTH WITH THE FIRST PAN/GIR *
(M/F) HUSBAND’S NAME STATUS
(dd/mm/yyyy) APPLICANT
FIRST

SECOND

THIRD
*PLEASE FILL FORM 60 IF PAN/GIR NO IS NOT AVAILABLE.
FIRM’S NAME( FOR SOLE PROPRIETORSHIP)

MAILING ADDRESS: (FIRST APPLICANT)

DOOR NUMBER BLDG / ROAD
NAME
LAND MARK

AREA STATE

CITY PIN CODE

PHONE NO (RESI) MOBILE

NO
PHONE NO (OFF) PAN NO

E-MAIL ID

PERMANENT ADDRESS ( IF DIFFERENT FROM ABOVE)

DOOR NUMBER BLDG / ROAD
NAME
LAND MARK

AREA STATE

CITY PIN CODE

PHONE NO (RESI) MOBILE

NO
PHONE NO (OFF) PAN NO

E-MAIL ID
 M-316

ACCOUNT OPTIONS ( CURRENT AND SAVINGS BANK )

Current Multi City Current-KVB Standard (Rs.25000) Multi City Current-KVB Classic (Rs.50000)

Multi City Current-KVB Premium(Rs.1.00 lakh) Multi City Current –KVB Gold (Rs.5.00 lakhs)

Savings Rainbow Savings Honey Bee Jumbo Savings Other _____________________(specify)

FIXED DEPOSITS Deposit Period_________________________

Fixed Deposit TTT (Reinvestment) Gayathri Cash Certificate Vishranti

Manimala (Recurring Deposit)- Rs. ___________pm_________months. Other__________________________(specify)

MATURITY & PAYMENT INSTRUCTIONS

On Maturity of Deposit:
Renew principal plus interest Renew principal only Do not renew Pay Cash (if maturity value is <Rs.20000)

Issue Pay Order/ DD Credit to account No.

For regular interest payment: Monthly Quarterly WAIVE TDS ( Form 15G enclosed )

Issue Pay Order/ DD Credit to account No

Note: If no instruction is given, the bank will renew the deposit on the due date automatically for the principal and accrued interest for the same
period at the rate of interest prevailing on the date of maturity.

INITIAL PAYMENT DETAILS

For Savings and Current Account:
RS. RS.IN WORDS

Cash Cheque*/ DD/ PO No:

Date _________________ Bank & Branch___________________________________________________________

(*Cheque should be drawn payable to Karur Vysya Bank Ltd, _Customer’s name, crossed account payee)

OPERATION INSTRUCTIONS

Single Either or Survivor Former or Survivor Any one or Survivor Jointly by all PA Holder Mandate Holder

By______________________________________________________________________________________________

STATEMENT OF A/C AND CHEQUE BOOK FREQUENCY

Statement frequency:

Savings Account Quarterly Monthly *

Current Account Monthly Fortnightly* Weekly*
Receive statement by E-Mail by courier* Collect personally*

Cheque Book Yes No

Kindly note for Savings account, as soon as the number of unpaid cheques in your account falls below 5, an auto cheque book recorder request is generated.
Through auto order, you will receive your cheque book in two days and you need not place an order for a new cheque book with us.
*SUBJECT TO CHARGES APPLICABLE.

MINOR ACCOUNT

Name of the Parent / Guardian

Minor’s Date of Birth D D M M Y Y Y Y Relationship Father Mother By court order (Affix a copy )

I shall represent the minor in all future transactions of any description in the above account till the said minor attains majority. I shall fully indemnify the bank
against any claim of the above minor for any withdrawal/transaction made by me in his/her account.

Signature of the guardian_______________________________________________

 M-316

INTRODUCTION DETAILS

Introduction by the existing KVB Customer : Name:

Customer ID

Account No

I confirm that I am an account holder with The Karur Vysya Bank Ltd for over 6 months. I confirm that I personally know the applicant/s detailed herein for more
than 6 months and confirm his/her identity and address.

Signature verified _____________________(for bank use) Signature of Introducer___________________________________

Introduction by existing banker( signature verification certificate is required)

INSTRUCTIONS / DECLARATION

Sweep in Rainbow Savings account:

In case of insufficient balance in my Savings Account, please clear my cheque/ allow withdrawal by closure /premature closure by
breaking units of my fixed deposits.

____________________________________________
Signature
Current Account : I/We declare that I / We do not enjoy credit facilities with other bank/s.
I/We enjoy credit facility / have current account with other banks, details of which are furnished below:
(If credit facility is enjoyed with other bank, NOC should be obtained and produced for opening the account )

Name of the Bank Account No Facility Amount

Sole proprietorship account:

From Mr/Mrs

Residential address

PHONE
NO

I wish to inform that I __________________________________________________am trading under the names and style of

M/s

and that I am the sole proprietor of the said concern. I shall be responsible for all transactions in my account
with you and obligations incurred with you or arising from the operation of my account, whether such
obligations or transactions are in the course of business under the said trade name and style or otherwise.
Notwithstanding any change in the constitution of my concern or disposal of my proprietary interest in
business in the said name and style of my business is closed for any reason, I shall continue to be liable to
discharge all my obligations to you at all times and undertake to intimate you about such changes and also
reconstitute or close the accounts as may be warranted.

Registration No________________________________

Place____________________ Date___________________

Signature (to be signed in individual capacity without stamp)

 M-316

DECLARATION

(1) I/We have read and understood the Terms and Conditions( a copy of which I/We am/are in possession of ) governing the opening of an
account with KVB and those relating to various services including but not limited to (a) ATMs (b) Anywhere Banking Convenience Plus . (2) I/We
accept and agree to be bound by the said terms and conditions including those/limiting the Bank’s liability. (3) I/We understand that the Bank may
, at its absolute discretion, discontinue any of the services completely or partly without any notice to me/us. (4) I/We agree that the Bank may debit
my account for service charges as applicable from time to time. (5) I/We confirm that I/We am/are residents of India. (6) I/We agree to notify the
Bank in future if I/We avail any credit facility from any other bank and I/We authorize you to inform the existence of our account with you to the
lending banker. (7) I/We also abide by the terms and conditions of the bank for off line transactions. (8) I/We shall be liable to you for any monies
owing to you from time to time in case the account is overdrawn and /debit balance is caused including your commission , interest and other
incidental charges. (9) In the event of death or insolvency or withdrawal of any of us the survivor/s shall have full control of any monies standing to
my/our credit in our account with you and the survivor/s will have full powers to operate the account / close the account. (10) I/We request and
authorize you to honor all cheques and other orders drawn or bills of exchange accepted or notes made on our behalf, to debit such cheques to
our account with you whether such accounts be for the time being in credit or overdrawn . (11)I/We also request you to accept the endorsement
signed by me/us on cheques /orders/bills or notes payable to us. (12)The cheques/Bills presented by us in our account for collection are at our
sole risk and responsibility and the bank is not liable for any loss or damages in case the instruments are lost in transit. (13) I/We accept the
Bank's right to take steps to close the account if frequent return of cheques for want of funds or any other undesirable feature is observed.(14)
The floating rate of interest is subject to floating interest rate fixed by the bank from time to time and notified by the bank and no separate
intimation or notice will be given to the depositor.
Debit /ATM Card:
(15) I/We authorise the bank to issue a KVB Debit cum ATM card to me/us. I /We acknowledge that the issue and usage of the card is governed
by the terms and conditions as in force from time to time and agree to be bound by the same. I/We accept that the terms and conditions are liable
to be amended by KVB from time to time. I/We further unconditionally and irrevocably authorise KVB to debit my/our account with an amount
equivalent to the annual fee and charges for use of the Debit Cum ATM card. I/We hereby confirm that this account will be operated singly and in
case of Joint accounts the operation instruction will not be jointly by all.

I/We undertake to strictly utilise the card in accordance with the Exchange Control Regulations as laid down by Reserve Bank of India from time to
time. I/We confirm that the foreign exchange which will be used will be within the limits of the Business Travel Quota as per Foreign Exchange
Management Act 1999, or rules notified under the Act or any other Act governing such transactions. I /We will adhere to guidelines, which are
issued by the Reserve Bank of India concerning the use of foreign exchange.

1st Applicant 2nd Applicant 3rd Applicant

Please paste colour photo here. Please paste colour photo here. Please paste colour photo here.
Please do not use pins, staples Please do not use pins, staples Please do not use pins, staples
or tape or tape or tape

Signature Signature Signature

For Bank Use:

I hereby declare that this account opening form is complete in all respects. I have verified the signature of the introducer and it is found correct. All
the signatories have signed before me. All KYC norms are fully complied with. Relevant documents have been obtained. I authorise opening of
the account.

Date____________Manager/Officer’s Name____________________Code No__________Signature________________________________

 M-316

FORM 60(See third provison to rule 114B)

CUSTOMER ID
FORM OF DECLARATION TO BE FILLED BY A PERSON WHO DOES NOT
HAVE EITHER A PERMANENT ACCOUNT NUMBER OF GENERAL INDEX
REGISTER NUMBER AND WHO MAKES PAYMENT IN CASH IN RESPECT
OF TRANSACTION SPECIFIED IN CLAUSES (a) to (h) OF RULE 114B

1.FULL NAME AND ADDRESS OF THE DECLARANT

2. PARTICULARS OF TRANSACTION 3.AMOUNT OF THE TRANSACTION

4.ARE YOU ASSESSED 4(i) DETAILS OF WARD/CIRCLE/RANGE WHERE THE LAST RETURN OF INCOME WAS FILED:
TO TAX?

YES NO
4(ii) REASONS FOR NOT HAVING PERMANENT ACCOUNT NUMBER/GENERAL INDEX REGISTER NUMBER:

5.Details of 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 to-day,
the_________________day of____________________

DATE :

_______________________________
PLACE: SIGNATURE OF THE DECLARANT
Instructions: Documents which can be produced in support of the addresses are:
(1) Ration Card (b) Passport (c) Driving License (d) Identity card issued by any institution (e) Copy of the electricity bill or telephone bill showing residential
address (f) Any document or communication issued by any authority of Central Government, State Government or local bodies showing residential
address. (g) Any other documentary evidence in support of his address given in the declaration.

NOMINATION UNDER SECTION 45ZA OF THE BANKING REGULATION ACT 1949 AND NOMINATION REGISTRATION NO
NOMINATION FORM RULES 2(1) OF THE BANKING COMPANIES (NOMINATION) RULES, 1985 IN RESPECT OF
DA-1 BANK DEPOSIT.

(Name/s and address/es of the depositor/s- .I/We nominate the following person to whom in the event of my/our/minor’s death, the amount of deposit in the
account(s), particulars whereof are given below, may be returned by THE KARUR VYSYA BANK LTD______________________in which the deposit is held.
NATURE OF DEPOSIT DISTINGUISHING ADDITIONAL NAME ADDRESS RELATIONSHIP IF NOMINEE IS A
NO DETAILS IF WITH DEPOSITOR MINOR, HIS/HER
IF ANY DATE OF BIRTH
ANY

2.As the nominee is a minor on this date, I/We appoint Shri/Smt/Kum** NAME/S AND ADDRESS/ES OF THE WITNESS/ES*
1.
______________________________________________________AGE_______
2.
_________________________________________________________________

_________________________________________________________________ SIGNATURE/S OF THE WITNESS/ES SIGNATURE(S)/THUMBIMPRESSION(S)

OF THE DEPOSITOR(S)*
1.
_________________________________________________________________
(Name, address & age) to receive the amount of deposit on behalf of the nominee in the
event of my/our minor’s death during the minority of the nominee. 2.

*Where the deposit is made in the name of a minor, the variation of nominations should be signed by a person lawfully entitled to act on behalf of the minor. ** Strike out if the nominee is
not a minor. *. Thumb impression(s) shall be attested by two witnesses. PLACE__________________________________ DATE__________________________
 ------------------------------------------------------------------------------------------
ACKNOWLEDGEMENT FOR NOMINATION REGISTRATION (TO BE RETURNED TO THE CUSTOMER AFTER REGISTRATION OF NOMINATION)
NATURE OF DEPOSIT ACCOUNT NUMBER
NAME OF THE DEPOSITOR/S

NOMINATION IN FAVOUR OF REGISTERED ON REGN NO FOR THE KARUR VYSYA BANK LTD

OFFICER/MANAGER
 M-316

THE KARUR VYSYA BANK LTD NAME OF THE APPLICANT YOUR DATE OF BIRTH
PERSONAL
INFORMATION BRANCH ______ ______ ______
In order to serve you better we would appreciate if you could fill up this CUSTOMER ID DD MM YY
form .
The information will be kept strictly in confidence
EDUCATION DEPENDENT'S NAME D.O.B RELATIONS
MARITAL DOCTORATE 1.
DEPENDENT HIP
STATUS PROFESSIONAL
S
MARRIED FATHER
GRADUATE POST- 2.
MOTHER GRADUATE
SINGLE 3.
CHILDREN OTHERS
SPOUSE DETAILS
OCCUPATION____________________ E-MAIL ID________________________ 4.

MONTHLY INCOME RS.______________BANKING 5.

WITH____________________
EMPLOYMENT DETAILS

OCCUPATION SALARIED SELF EMP/PROFESSIONALS BUSINESS RETIRED STUDENT OTHERS

PROFESSION DOCTOR CA ARCHITECT SOFTWARE/IT LAWYER JOURNALIST

CONSULTANT ICWA/ACS ENGINEER BANK STAFF OTHERS(PL.SPECIFY)__________

DATE OF
EMPLOYED WITH (SALARIED) PUB LTD CO PVT LTD CO GOVT UNDERTAKING MNC OTHERS RETIREMENT

NO OF YRS IN
GRADE CLERK OFFICER JR MANANAGEMENT MIDDLE MGT SR MGT SERVICE

MONTHLY HOUSEHOLD INCOME

<RS.5000 5001-10000 10001-20000 20001-30000 30001-50000 50000 PLUS

ASSET OWNERSHIP

ASSETS COMPUTER CELL PHONE TWO WHEELER HOUSE COMMERCIAL PROPERTY CAR MAKE______________MODEL
YEAR__________

T.V FRIDGE WASHING MACHINE MICRO OVEN MUSIC SYSTEM

RESIDENCE

RESIDENCE SELF OWNED FAMILY RESIDENCE COMPANY PROVIDED RENTED PURCHASED ON LOAN

CREDIT CARD

IF YES:, NO OF CARDS OWNED:_____________ NO OF YEARS SINCE CARD OWNED___________ NAME OF THE MOST FREQUENTLY USED CARD
_______________

BANKING ACTIVITIES
ACCOUNTS WITH
OTHER BANKS NATIONALISED PRIVATE SECTOR CO-OPERATIVE FOREIGN MAIN
BANKER______________________

INVESTMENT PREFERENCE

PREFERRED INVESTMENTS BANK DEPOSIT COMPANY DEPOSIT MUTUAL FUNDS SHARES PPF GOLD PROPERTY INSURANCE
OTHERS

LOANS

LOANS AVAILED DURING LAST 3 YEARS CAR HOUSING DURABLES AGAINST SHARES BUSINESS AGAINST GOLD
OTHERS

PRESENT LOAN REQUIREMENTS , IF ANY:

KVB SERVICES AVAILED OF

BON VOYAGE BUSINESS COMPUTER LOAN EDUCATIONAL LOAN FLEXI MOBILE HAPPY HOME INSTA LOAN FARMER’S TWO
WHEELER LOAN

PERSONAL LOAN PROFESSIONAL LOAN QUICK LOAN RENT FIN SWARNA MITRA TWO WHEELER LOAN VARTHAGA MITHRA
GREEN CARD

GREEN HARVESTER GREEN TRAC DOCTOR LOAN SWAROJGAR CREDIT CARD SCHEME MAHILA SWARNA LOAN SCHEME EASY TAX
 SPECIAL HOME LOAN OTHERS
DECISION TO OPEN THE ACCOUNT WAS INFLUENCED BY

PRESS ADVT CONVENIENT LOCATION ATM LOCATION EMPLOYER’S BANK RECOMMENDED BY FRIENDS APPROACHED BY BANK STAFF INTERNET
INTERNET ACCESS TRAVEL ABROAD
RELIGION
OFFICE HOME NOT APPLICABLE YOU TRAVEL ABROAD ON WORK FAMILY HOLIDAYS

Thank You for providing the information.

M-316
B
ATM CUM INTERNATIONAL DEBIT CARD APPLICATION FORM (FOR Individual/Proprietorship/Partnership/HUF only)
NAME OF THE BRANCH CUSTOMER ID DATE

TYPE OF SB/CURRENT ACCOUNT INDIVIDUAL SOLE PROPRIETORSHIP PARTNERSHIP HUF

NAME OF THE ACCOUNT:

ACCOUNT DATE OF BIRTH

D D M M Y Y Y Y
NUMBER
NAME OF THE INDIVIDUAL /SOLE-PROPRIETOR / MANAGING PARTNER / KARTHA (in whose name the ATM/DEBIT Card is required)

I would also like to line my following KVB SB/Current Account** to my ATM cum DEBIT card ( standing in my/our name with other branches of your bank)

ACCOUNT NUMBER

ACCOUNT NUMBER

NOMINATION DETAILS (FOR INSURANCE COVER) :Name of the Nominee___________________________________________________________________

Relationship with the Card Holder__________________ Date of Birth (if Minor)__________________Name of guardian (if Minor)__________________________

Please paste colour

photo here. Please
do not use pins,
staples or tape
Signature of Applicant (Please sign in black ink only) Bank seal & Signature of Authorised signatory.

 ------------------------------------------------------------------------------------------
INTERNET BANKING APPLICATION FORM (FOR Individual/Proprietorship/Partnership/HUF only)
NAME OF THE BRANCH CUSTOMER ID DATE

TYPE OF SB/CURRENT ACCOUNT INDIVIDUAL SOLE PROPRIETORSHIP PARTNERSHIP HUF

NAME OF THE ACCOUNT:
ACCOUNT DATE OF BIRTH D D M M Y Y Y Y
NUMBER
FACILITY APPLIED FOR
INQUIRIES AND REQUESTS INQUIRIES AND FINANCIAL INQUIRIES AND FIANANCIAL TRANSACTIONS
TRANSACTIONS ( PERSONAL ONLY ) ( PERSONAL AND THIRD PARTY )
ACCOUNTS FOR FUNDS TRANSFER ( PLEASE FURNISH THE ACCOUNT NUMBERS )
1 2

3 4
AUTHORISED USERS: NAME OF THE USER SIGNATURE
1 1

2 2

3 3
DECLARATION
I/We have read and agree to abide by the terms and conditions governing kvb@net Internet Banking facility of THE KARUR VYSYA BANK LTD provided tome/us
including those excluding/limiting the Bank’s liability and agree to any other changes to be made by the Bank from time to time and acknowledge that the Bank
may in its absolute discretion discontinue any of the services completely or partially without notice to me/us. I/We request you to provide access as requested
above. I/We agree that the Bank may debit my account for the service charges as applicable from time to time.

**I/We authorise the above mentioned user/s to access and operate the accounts through kvb@net. (** strike out if not applicable)

1. Signature_________________________________2. Signature_________________________________3.Signature_____________________________
1.Name _________________________________ 2. Name____________________________________3.Name________________________________
Kindly note that Login ID and Password will be alloted by the Bank and sent to you on successful processing of your appliction. You will be forced to change your password at first login.

FOR BANK/ BRANCH USE ATM / INTERNET BANKING CELL USE

Certified that the account Number, address, signature/s of the account
holder/s are as per branch records S.NO__________________________________________________

DATE BRANCH MANAGER DATE OF PROCESSING________________ PROCESSING OFFICER