Account Opening Form For Non-Resident Indian (NRI)

1. APPLICANT DETAILS:
3. STATUS OF ORIGIN:
4. PASSPORT DETAILS (PLEASE ATTACH COPY):
5. MINOR ACCOUNT OPENED UNDER GUARDIANSHIP:
Customer ID. Account No. ATM Card No. Lead Id.
Indian National Held Indian Passport
Persons of Indian Origin (PIO)
Spouse is NRI by Origin
Indian National Held Indian Passport
Persons of Indian Origin (PIO)
Spouse is NRI by Origin
Indian National Held Indian Passport
Persons of Indian Origin (PIO)
Spouse is NRI by Origin
NAME
S/o, D/o, W/o
First Name
Middle Name
Last Name
Title
(Mr./Ms./Mrs.)
Title
First Name (Mr./Ms./Mrs.)
Middle Name
Last Name
Date of Birth Gender Married
NAME
S/o, D/o, W/o
First Name
Middle Name
Last Name
Title
(Mr./Ms./Mrs.)
Title
First Name (Mr./Ms./Mrs.)
Middle Name
Last Name
Date of Birth Gender Married
NAME
S/o, D/o, W/o
First Name
Middle Name
Last Name
Title
(Mr./Ms./Mrs.)
Title
First Name (Mr./Ms./Mrs.)
Middle Name
Last Name
Date of Birth Gender Married
Passport No.
Place of Issue Nationality
Date of Issue Valid Upto
Passport No.
Place of Issue Nationality
Date of Issue Valid Upto
Passport No.
Place of Issue Nationality
Date of Issue Valid Upto
2. MAILING ADDRESS:
Phone
No.
Mobile
No.
Phone
No.
Mobile
No.
Phone
No.
Mobile
No.
Country Pin
OVERSEAS ADDRESS
Flat/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
Phone No.
Mobile No.
Pin
Email ID.
ADDRESS IN INDIA
Country Pin
OVERSEAS ADDRESS
Flat/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
Phone No.
Mobile No.
Pin
Email ID.
ADDRESS IN INDIA
Country Pin
OVERSEAS ADDRESS
Flat/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
Phone No.
Mobile No.
Pin
Email ID.
ADDRESS IN INDIA
Title (Mr./Ms./Mrs.) First Name Middle Name Last Name
Name of Guardian
Address
Pin State
Relationship
Father
Court Appointed
Other (Specify)
Mother
6. PAYMENT DETAILS FOR OPENING ACCOUNT:
Cash: USD / GBP / EURO / Other (Specify)_______________ Debit Account No.
Cheque/DD No. Amount _____________ drawn on Bank Branch
NRI1300000001
NRE-SB/CD/Term/Flexi NRO-SB/CD/Term/Flexi FCNR (B) Term Union Smart Account Scheme
AOF-5
7. INTRODUCTION BY EXISTING UNION BANK CUSTOMER/VERIFICATION OF SIGNATURE:
Introducer's Name
Account No. Customer ID
Note: Authentication of Signature to be made by made by a Bank/Indian Embassy/High Commission/Consulate/Notary Public/Person Known to the Bank
Dated Signature
I confirm that I am an account holder with Union Bank of India for over six months. I confirm that I know the applicant/s detailed above for years months
and confirm his/her/their identity, occupation & address as stated in the application.
I/we hereby authenticate signature/s of the above named account holder/s
First Name Middle Name Last Name
Please tick in the respective boxes if you wish to avail the following facilities
International Debit cum ATM Card
(Not Applicable for NRO Accounts)
Add on Card
Internet Banking View Transaction Both E-Mail Mother's Maiden Name
Name of Nominee
(For Free Accident Insurance)
Title (Mr./Ms./Mrs.) First Name Middle Name Last Name Relation Date of Birth
SMS Banking Mobile Phone No. Alert Required: if balance falls below Rs. Debit/Credit above Rs.
Statement by E-mail:Periodicity Quarterly Monthly Fortnightly For Individual Account Combined Statement for Primary Customer ID.
Mailing Choice: Overseas Address Local Address No Correspondence
Cheque book required
Sweep-in-facility: Please clear my cheque/allow withdrawal by transferring from my/our Saving/Current Account No.
8. FACILITIES REQUIRED:
9. NOMINATION (NOMINATION FORM DA-1):
Nomination under sec. 45 ZA of the Banking Regulation Act. 1949 and rule 2(1) of the Banking Companies (Nomination) Rules, 1985 in respect of bank
deposits.
Nature of Deposit
Name of nominee
10. DECLARATION:
NRI1300000001
AOF-5
• I/We hereby declare that I/We am/are non-resident Indian(s) of Indian nationality or origin. I/We understand that the above accounts 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 incorrect in material particulars, you are not bound to pay any interest on the deposit made by me/us.
• I/We hereby declare/undertake to intimate you about my/our return to India for permanent residence immediately on arrival. I/We shall not
make available to any person resident in India Foreign Currency against reimbursement in rupees or in any other manner in India. I/We confirm that all
debits to my/our accounts for the purpose of investment in India and credit representing sale Proceeds of investment in India are covered either by
general or special permissions of Reserve Bank of India.
• I/We confirm having received, read and understood the account rules and hereby agree to be bound by the terms and conditions, outlined in these
rules which govern the account(s) which I/We am/are opening with Union Bank of India and amendments there to make from time to time and those
relating to various services including but not limited to ATM Card/Telebanking/Internet Banking/SMS Alert.
•
through this form, I / we request you to redesignate my / our existing resident savings bank / term deposit account number
I hereby declare that the information furnished above is true and correct to the best of my knowledge. Having opened my /our NRE/FCNR account
Title (Mr./Ms./Mrs.)