Foreign Currency Account Opening Form
For SEEPZ++

Account Opening Form should be accompanied by :-

For Individuals :-

• Passport Copy

• Work Permit/Employment Visa/ Social Security No./Resident Permit

• Recent Passport-size Photograph

For Corporates

• Specimen Signature Forms duly signed.
• Passport copies of Authorised Signatories
• Company Resolution for opening and operating the account.

• Certified copy of the latest Memorandum & Articles of Association of the Company.

• List of Present Directors.

• Certificate of Incorporation.

• Certificate of the Banker of the Corporate certifying the names of Directors/Authorised Signatories.

• Any other certificate/document as per laws/rules/authorities of the country of incorporation of the Corporate.

• In case of operations of the account be a local attorney:
- Resolution for grant of P.A.
- Covering letter for grant of P.A.
- Passport-size photograph of Attorney
- Signature of P.A. holder duly attested.

UNION BANK OF INDIA
Off-shore Banking Unit
SEEPZ++, Mumbai

Good People to Bank with

FOREIGN CURRENCY ACCOUNT OPENING FORM

The Branch Manager
Union Bank of India
SEEPZ++

I/We request you to open an account with you for which I/We furnish the following information

Title of A/c. Mr/Mrs/Ms/Messers _________________________________________________________

Occupation/Activity of Business ___________________________________________________________

Name of Joint Holders/Partners/Proprietor /Director____________________________________________

1st APPLICANT 2nd APPLICANT 3rd APPLICANT
First name
Middle Name
Surname
Short Name
Date of Birth (DD/MM/YYYY)
-----/-----/-----------
-----/-----/-----------
-----/-----/-----------
Status of Origin
• Indian National
• PIO
• Foreign National

Passport /Other Resident Permit No.
Date & Place of Issue
Validity
Nationality
Present Occupation
Overseas Address

Country

Tel. (O)
Tel ®
Fax
Mobile
E-mail
Local Address

Tel.(O)
Tel®
Fax
Mobile
Signature

Please send mails to Local Address Overseas Address

Please send account statement by e-mail monthly/quarterly
Yes
No

PAYMENT
DETAILS Cash/USD/GBP/EUR _____________________
Cheque/Draft/TC No.______________, drawn on __________________ Bank
___________________________Branch for Rs.____________Dated _________
Transfer from Savings/Current Account No.__________________
CHOICE OF
ACCOUNT Type of Account Account No.
(Bank use only) Amount/
Currency Tenure
Foreign Currency – SB/CD
Foreign Currency – FIXED/DRC
Foreign Currency –Floating Deposits
Others
DATE OF ESTABLISHMENT (in case of Corporate) : DD/MM/YYYY
IN CASE ANY APPLICANT IS MINOR, PLEASE FURNISH DETAILS BELOW:
Name:______________________________________ Name of parent/natural guardian _____________________________
Address of the guardian __________________________________________________________________
Relationship with minor
Of 1st Accountholder Father Mother By Court Order
Others (please specify)
MANDATE FOR ACCOUNT OPERATION
Single Either or anyone or survivor Former or survivor
Jointly by all Others (Specify)
SWEEP IN INSTRUCTIONS :- AMOUNT : PERIOD:
CHEQUE BOOK REQUIRED Yes No
INTEREST & REPAYMENT
INSTRUCTIONS Interest Payment Instructions (Fill in only if the interest is not to be renewed with the principal)
Please remit by Draft/Mail Transfer/TT at mailing address fvg.me/ ____________________ __________________________________________________________________
Credit to my SB/CD Account No.______________ with _____________ (branch)
Others (Please specify)
FACILITIES REQUIRED? Internet Banking Tele-Banking Facility
NOMINATION REQUIRED? Yes* No
• Please complete the nomination form attached herewith.
I/We declare that I/We do not enjoy credit facilities with other bank/s.
I/We enjoy credit facility/have Current Accounts with other bank/s.
(Please attach details of such facilities seperately)
Name of bank & branch Account No. Facility Amount

DECLARATION
UNDERTAKING  I/We hereby declare that I am/we are Non resident/non-resident Indian (s) of Indian nationality/ origin.
 I/we are Resident but authorised to maintain foreign currency account as per rules and guidelines of RBI and FEMA.
I/We understand that the above account (s) 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/declaration 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 agree that no claim will be made by me/us for any interest on the deposit/s for any period after the date/s of maturity of the deposits. I/We agree to abide by the provision of the Foreign Currency Account. I/We agree that pre-mature closure of deposit is not permitted. I/We hereby undertake to intimate you about my/our return to India for permanent residence immediately on arrival.

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 Bank in this regard.

I/We agree for refixing interest rate as per the deposit scheme at intervals determined by Banks. All interest rates will be at relevant London Inter Bank offer rate prevailing on the previous day.

I/We confirm having received, read and understood the Account Rules and hereby agree to be bound by the terms and oonditions, outlines 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 Telebanking/Internet Banking. I/We agree that banks can change the rules at any time and Publication of change of rules in their webiste or branch premises is sufficient notice to me / us.
I/We understand that the bank may at its absolute discretion discontinue any of the services completely or partially without any notice to me/us. I/We agree that the bank may debit my account for service charges as applicable from time to time.

I/We understand that the deposits accepted by OBU ae not covered by deposit insurance.

I/We hereby declare that the information furnished above is true and correct to the best of my knowledge.
I /We authorize the Bank to automatically renew the deposit with accrued interest for the identical period as that of original deposit on the maturity date at the prevailing rate on interest unless otherwise informed by me.

I/We are authorised to maintain foreign currency account as per rules and guidelines of RBI and FEMA/ We are bound by the changes brought by RBI/Foreign Exchange Management Act from time to time.

I/We understand that the deposits accepted by OBU are not covered by deposit insurance.

Signature Signature Signature

INTRODUCTION /VERIFICATION OF SIGNATURE
I/We hereby authenticate signature/s of the abovenamed account holder/s
Name ____________________________________________Account No._________________________________________
(If applicable)
Address:_____________________________________________________________________________________________
__________________________________________________________________Pin _______________________________

Signature
Note: Authentication of signature to be made by a Bank/Indian Embassy/ High Commission/Consulate/Notary Public/Person known to the Bank.
DECLARATION IN CASE OF A MINOR ACCOUNT
I hereby declare that the date of birth is ___/___/___ of the minor who is my _______________________ and I am his/her natural guardian/lawful guardian appointed by the court order dated _______________ (copy enclosed). I shall represent the said minor in all future transactions of any description in the above account until the said minor attains majority. I indemnify the Bank against the claim of the above minor for any withdrawal/transactions made by me in his/her account

Signature of Guardian

For Bank Use

Cus.ID.No

FOR BRANCH USE
Letters of thanks sent to introducer/customer on Account opened by
Name:

Signature Authorized by
Name:

Signature

Please tell us about yourself to serve you better
PERSONAL INFORMATION (To be filled in by each authorized signatory)
Do you have any relatives in Union Bank of India Yes No
Do you have any relations with Directors of Union Bank of India Yes No

Marital Status Married Single
Dependents Spouse Parents No.of Children
Undergraduate Graduate Post Graduate Doctorate Professional
EMPLOYMENT DETAILS :
Occupation Salaried Self empl. Business Retired Student
Others Prof.
Profession Doctor C.A. Engineer Architect Software/IT
Lawyer Journalist Consultant Others
Employed
(Salaried)
with Grade Public Ltd.Co.
Worker Pvt.Ltd.Co.
Supervisor Govt.Sector
Junior Mgmt. Multinational
Middle Mgmt. Others
Senior Mgmt.
Employer’s Name No.of years in service
Employer’s Address
ESTIMATED INCOME Rs.
DETAILS OF OTHER SOURCES OF INCOME IF ANY?

ANNUAL HOUSEHOLD INCOME
< 200,000 200,000-500,000 500,000-10,00,000 10,00,000-25 lacs 25 lacs & above
DETAILS OF FOREIGN COUNTRIES VISITED DURING THE LAST THREE YEARS

ASSET OWNERSHIP
Assets Computer Cellular Phone House Commercial Property
Land
Vehicles Car Two wheeler Both (Car & Two None
Car Make Wheeler Year of Purchase
Residence Self owned Family Residence Company Provided Rented Purchased on loan
ESTIMATED VALUE OF ASSETS: Rs.
BANKING/INVESTMENT ACTIVITIES
Other banks Nationalized Pvt.Sector Co-operative Foreign
Main Banker Name: Branch:
Preferred investments Mutual Funds Shares Bank Deposits Property
Gold Others
LOANS
Loans availed in the last three years Car
Housing Business
Durables Loans against shares Others
UNION BANK PRODUCTS/SERVICES AVAILED OF
Union Comforts Union Homes Union Miles Union Rent Union Shares
Union Gold Union Cash Union Health Union Shiksha Union Smile
Cash Management Services DEMAT Services Insurance
INTERNET ACCESS If yes At Home At Office
PREFERRED REMITTANCE ROUTE TO INDIA
Exchange House Bank On-line Money Transfer
Private Money Transfer Cheque
SPOUSE DETAILS CREDIT CARD DETAILS
Name E-mail ID Name of issuer
Occupations Card Details Credit Limit:
DO YOU HAVE MEDICAL INSURANCE? Yes No