Current Account Opening Form for Indian Residents

Approvals
Approved for issue of cheque books
Approved for issue of Mahabank Debit card
Approved for access to the following delivery channels
Phone Banking Mobile Banking Internet Banking Others ______________________
FOR BRANCH USE
Observations of the Official opening the account briefly indicating the reasons for risk classification
Signature of authorised Offical
Date / /
Approvals - Delivery Channel Requests
Bank of Maharashtra
Bank with personal touch – One Family One Bank – Bank of Maharashtra
Account No.
Branch Name Branch Code
Mobile Banking
Request ID______________________
Phone Banking
Request ID______________________
Cheque Book
Request ID _____________________
Verified By _____________________
Documents obtained (Please tick on appropriate clause)
Account opening form
Customer Information forms for all applicants / signatories
Identity Proof for each individual applicant
Address Proof for each individual applicant
Undertaking for account opened under relaxed KYC Norms, where Identify/Address proof not submitted
Undertaking by Guardian for Minor's accounts
HUF Letter for Joint Hindu Family Accounts
Form 60/61 in case, PAN not available
Any other, ________________
In case of Non-Individual customers, Customer information form for Non-individuals and all required
documents listed on page 2 of Customer information form for Non-Individuals
Letter of thanks/ Letter for
confirmation sent to
· Introducer
Date: ______________
· Customer
Date: ______________
Account opened by
Name of the operator
____________________________
Signature of the operator.
Risk Classification
High / Medium / Low
Name of the Authorised Official
___________________________
Signature of AO with Code No.
Mahabank debit Card
Request ID
Primary Card ___________________
Add on Card 1 __________________
Add on Card 2 __________________
Entered on / /
Internet Banking
Enquiry and request only
Including financial transactions
Request ID______________________
Mode of operation - Singly / Jointly /
Severally
Entered by ______________________
Current Account Opening Form for Indian Residents
The Branch Manager
Bank of Maharashtra Date _______________
___________________ Branch
Please open my / our Current Account with initial deposit of Rs _________________________
(In words Rs.__________________________________________________________) in Cash / by cheque
(Cheque No. _______________ Dated _______________ Bank and Branch Name _________________________)
(Cheque must be a crossed Account Payee self cheque drawn by the customer)
Please tick and fill in details wherever applicable
Type of Account required - General Pearl Sapphire
Purpose / Reason for opening account - All Business transactions Collection account
Interest - Dividend Payment account Any other ________________
If the customer does not have existing account with Bank of Maharashtra (For new customers)
Names of the Applicants / Joint Holders / Authorised Signatories (Block Letters)
(Please leave one space blank after each word. In case of Minor’s account, please write parent’s / legal guardian’s
name below the minor’s name)
Bank of Maharashtra
Bank with personal touch – One Family One Bank – Bank of Maharashtra
Account No.
Branch Name Branch Code
(Each of the Individual applicants, who do not have account with our bank, must fill in the Customer Information form separately while
opening the account)
Appl. Customer Number Account Number Branch name Banking Since
Date dd/mm/yy
1
2
3
4
5
6
Appl. Title First Name Middle Name Surname
1
2
3
4
5
6
(Please give below the exisiting account details, if any, for each of the applicants)
Title of the account (Please leave one space blank after each word)
M/S
Customer Short Name
(Please give below the exisiting account details, if any, of the customer)
Customer Number Account Number Branch name Banking Since
Date dd/mm/yy
1
Additional Facilities Required Credit Card Mahabill Pay Bancassurance Others _________________
Statement Requirement (Charges Applicable based on frequency)
Daily Weekly Fortnightly Monthly Quarterly Other ___________
Access Channels Required Debit Card Add-on Card Internet Banking
Mobile Banking Phone Banking
Request for Mahabank debit Card (maximum 19 characters for cardholder’s name)
A. I / We request for issue of Mahabank debit card
Primary Card (Name of first applicant) _________________________________________________________
Add on Card 1 (Name of the joint applicant 1) __________________________________________________
Add on Card 2 (Name of the joint applicant 2) __________________________________________________
B. I / We authorise the bank to levy applicable fees and charges as prescribed from time to time
Additional details related to account
Expected origin of Funds for credit to account Local / Foreign inward remittances
Expected Utilization of funds by debit to account Local / Remittances abroad
Anticipated level of annual activity / Account turnover Rs.
Instructions for Account Operation
For Individuals Singly Jointly Any one severally Other____________
For Firms/ As per Partnership deed dated ___________ As per Resolution dated_________
Companies Jointly by all signatories Other _____________
(Copy of the partnership deed / resolution enclosed)
Balance Payable to – Self Jointly to all Anyone or survivor
As per Partnership Deed / Resolution Other__________________________
Request for Phone Banking
I / We register my /our Fax No. for Phone Banking - Fax No.
In case of joint accounts / HUF all authorised signatories hereby give consent to avail the service
In case of trusts, charitable institutions, societies, etc. persons listed as authorised signatories as per
resolution are authorised to avail the service
Request for Mobile Banking
I / We register my / our mobile number/s for mobile banking facility
Names of persons authorised to avail Mobile banking facility Mobile No
1. _______________________________________________ ____________________
2. _______________________________________________ ____________________
3. _______________________________________________ ____________________
In case of joint accounts and HUF accounts all the joint holders/coparceners hereby give consent to
nominate the above mentioned person/s
Request for Internet Banking
I / We apply and would like to register for internet banking facility -
For inquiry and request only
For inquiry, requests and financial transactions (Funds transfer between my/our own accounts and to
third party accounts maintained with the bank, utility payments, etc.)
User name Login ID Preference (10 digits) Email Address
1)
2)
3)
I/We request the bank to link my / our D-mat account to my/our internet banking ID for enquiry
only. My client ID is _________________________
In case of joint accounts and HUF all signatories / members have read and agreed to abide by the
terms and conditions governing the said internet facility and authorise above-mentioned user/s to
access and operate this account through internet facility
In case of trust / society etc. above mentioned users are authorised as per the resolution (Copy
attached).
Please tick and fill in details wherever applicable
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Authorisation and Undertaking by applicants
I / We confirm that we have read and understood the account Rules and I/ We hereby accept and agree to be bound by
the terms and conditions, outlined in these rules which govern the above selected account and services and
amendments there to made by the Bank from time to time.
We request you and authorise you until any notice in writing to the contrary is given to you by either/any of us, to honour
all cheques, Bills of Exchange, Promissory Notes, and other orders, drawn accepted or made on the said Account by
_____________________________________, and to act on any instructions so given relating to the account, whether
the account be in credit or overdrawn. In the event of such notice, the account will be operated by both I all of us jointly.
We shall be jointly and severally liable on all such cheques, Bills of Exchange, Promissory Notes and Orders honored
by you as aforesaid, and for any overdrafts created in our account, together with interest and charges.
I/We agree that the bank may debit my/our account for service charges/ incidental charges as applicable from time to
time. I / We understand that the bank may at its absolute discretion discontinue any of the services completely or
partially and / or close the account without any notice to me/us in case account operations are not satisfactory which
include frequent dishonour of cheques / dishonour of high value cheques, etc. In the event of death, insolvency or
withdrawal of any one or more of us the monies then and thereafter standing at the credit of the said account and / or
any securities held by you in our account be at the disposal of the survivor or survivors of us.
I/We confirm that I am / We are resident of India and I / we certify that the information furnished above is true and correct
to the best of my/ our knowledge. I/We authorize the bank to verify the details given therein through any third party as
necessary. I/ We also authorise issuance of Mahabank Debit card / Phone Banking / Mobile banking / Internet Banking
facilities, and or any other Mahabank facilities with linkage to the account. I/ We undertake to ratify and confirm the
transactions that the user /s do /es or cause/s to do through any of the above mentioned multiple delivery channels.
This authority shall be in force until any one of us revokes by a notice in writing delivered to the bank and duly
acknowledged by the bank.
Affix recent
photo of 1st
applicant/
signatory
Affix recent
photo of 2nd
joint applicant/
signatory
Affix recent
photo of 3rd joint
applicant/
signatory
Affix recent
photo of 4th
joint applicant/
signatory
Please tick and fill in details wherever applicable
Any accounts with other banks Yes No Main Bankers
Details of Accounts and / credit facilities with other banks, if any
Name of bank & branch Account No Credit Facility Balance Amount
Nomination details, if any, as per enclosed nomination form (Only for Individuals / Joint Individuals / Proprietorship)
Signature of 1st Applicant Signature of 2nd Applicant Signature of 3rd Applicant Signature of 4th Applicant
(Please sign in black ink inside the blocks provided above. Applicants should also sign across photographs)
Note: Customer is requested to contact the branch for a copy of terms and conditions
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