BANK OF MAHARASHTRA

ACCOUNT OPENING FORM (FOR NON-RESIDENT DEPOSIT SCHEMES)

The Manager,
Bank Of Maharashtra,
NRE SB ACCOUNT NO. : FCNR DEP. RECEIPT NO. : NRNR ACCOUNT NO. : NRO ACCOUNT NO. :
Branch,
DATE :
Please open an account as per details below (Please fill in block letters only)
1.
Sole/First applicant
:
(Surname)
(Name)
Middle Name)
*2.
Second Applicant
:
*3.
Third Applicant
:
* In case of joint Account
Date of Birth (In case of Minor)
Address Overseas:
In India :
Names And
Addresses
Phone No. :
Phone No. :
Fax No. :
Fax No. :
Communication may be sent on my [ ] Overseas / [ ] Indian address (Please tick applicable address)
Passport No.
Date & Place of Issue
Validity of passport
Nationality
Present Occupation
Passport
First Applicant
Details
Second Applicant
Third Applicant
(Please refer item No. 3 of Instructions and tick appropriately )
Amt. & Period
A] FCNR (B) TERM DEP. A/C (FGN. CUR.)
Types of
B] FCNR (B) CDR A/C. (FGN. CUR.)
Accounts to be
C] NRE TERM DEP. A/C. (IRS.]
opened
D] NRE CDR A/C. (IRS.)
E] NRE SAVINGS DEP> A/C. (IRS.)
F] NRNR RUPEE TERM DEP./CDRA/C. (IRS.)
G] NRO SAVING/TERM DEP./CDR A/C. IRS.)
1] Jointly
2] Either or Survivor
(In case of Joint Account Only)
Mode of Operation
3] Former/Latter or Survivor of us. 4] For other (please specify )
Details of Remittances
1. Demand Draft / SWIFT / or Telex Transfer No. dated Amt. In Fg. Currency (Amt. In words ). Name and address of the Remitting Bank
Standing Instructions
A. Regarding Interest Payment [Please tick appropriately] 1. Credit to NRE SB A/c No. 2. Send DD on the above Overseas / Indian Address
3. ___________________________________________________(Specify any other mode) B. Automatic Renewal of deposit (See item No. 4 Declaration) C. Other Instructions if Any
1. I/We hereby declare that I/We am/are non-resident Indian(s) of Indian origin. I/We understand that the above account will be opened on the basis of the statements/ declarations made by me/us, and I/We also agree that if any of the statements/ declarations made herein are found to be in
Declarations
correct in material particulars, the bank is not bound to pay any interest on the deposit made by me/us and that I/We shall solely be responsible for the consequences of such incorrect declaration / Statements.
2. I/We agree that no claim will be made by me/us for any interest on deposit/s for any period after the date/s of maturity of the deposits. I/We agree to abide by all Exchange control Regulations and the provisions of the various (Non-Resident) Account Schemes as stipulated by RBI & the Bank from time to time. I/We hereby undertake to intimate you about my/our return to India for permanent residence immediately on arrival.
3. I/We agree that if premature withdrawal is permitted at my/our request, the payment of interest on the deposit may be allowed in accordance with the prevailing stipulations laid down by the Reserve Bank of India and the Bank in this regard.
4. I/We authorize the bank to automatically renew the deposit on the due date for an identical period unless instructions to the contrary from me/ us is/are received by the bank before maturity. I/We understand that the renewal will be in accordance with the provisions of the Reserve Bank of India scheme as implemented by the bank and in force at the time of renewal.
5. I/We further understand that the interest applicable on renewals will be at the applicable ruling rates on the date of maturity/renewal.
6. I/We hereby undertake that I/We shall not make available to any person resident in India foreign currency against reimbursement in rupees of in any other manner in India in contravention of Exchange Control provisions.
7. I/We hereby undertake that in cases of debits to my/our account for the purpose of investment in India and credits representing sale proceeds of investments, I/We shall ensure that such investments/ disinvestments will be covered either by the general or special permission of Reserve Bank of India.
8. I/We undertake to intimate to the Bank of any change in the declaration/information given in this form. I HAVE READ THE “INSTRUCTIONS FOR FILLING ACCOUNT OPENING FORM”
Signature of the Sole/ 1st Applicant Signature of 2nd Applicant Signature of 3rd Applicant.
Name of the applicant (Please indicate Mr./Mrs./Miss.)
Specimen Signature
For Verification by Branch Official
Specimen
1. ________________________
_____________________
___________________________
Signatures
2. ________________________
_____________________
___________________________
3. ________________________
_____________________
___________________________
(* Authentication of signatures to be made by a Bank/Indian Embassy/ High Commission/Consulate/ Notary Public/ Person known to the Bank.)
Signature of the Introduce
Name & address of the Introducer
Verification of Signatures
A/c No. of the Introducer Place Date
Above signatures verified. (Signature of the Branch Official )
[* No verification is necessary if you have an account with this branch. Please sign this column giving your Saving Bank/ NRE Account No. ]
NOMINATION FORM DA 1
Nomination under Sec. 45 Z A of the Banking Regulation Act 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of Bank deposits. I/We Name (s) & address(es) nominate the following person to whom in the event of my/our/minor’s death, the amount of deposit in the account, particulars whereof are given below, may be returned by Bank of Maharashtra.
Name of the branch where account is held.
DEPOSIT
Nature of deposit
Distinguishing Number
Additional details if any
Nomination
NOMINEE
Name and Address
Relationship with depositor, if any
Age.
*if nominee is minor his date of birth
*As the nominee is a minor on this date, I/We appoint (Name, Address & Age) to receive the amount of the deposit in the account on behalf of the nominee in the event of my/our/minor’s death during the minority of the nominee.
Name, Signature of witness and Address
+Signature(s) of depositor (s)
Place * Strike out if nominee is not minor Date
+ Where deposit is made in the name of a minor the nomination should be signed by a person lawfully entitled to act on behalf of the minor.
For Branch use only
Particulars of Form DA 1 (if received) entered in Nomination Register Sr. No. Dt. Customer advised on Acknowledgement
received on Branch Manager/ Authorised Official