NRI ACCOUNT OPENING FORM FOR INDIVIDUALS

Customer ID
Account No.
BSR-4 ID CODE
SOL ID/Br. ID
Account Type
1. To: The Manager, UCO Bank………………… Branch I / We request you to open an NRI account with your Bank and provide access to all your products as selected by me / us hereafter.
TITLE OF THE ACCOUNT (Mr/Ms/Mrs)
BUSINESS / ACTIVITY
ORIGIN/SOURCE OF FUNDS
Salary
Business
Investments
Inheritance
Others (specify0
2. TYPE OF ACCOUNT (Tick applicable))
SAVINGS
Non-Resident (External) Rupee Savings Bank A/c
TERM DEPOSIT
Non-Resident (External) Rupee Reinvestment Plan Deposit A/c
Non-Resident (External) Rupee Term Deposit A/c
Foreign Currency (Non-Resident) Term Deposit A/c
Foreign Currency (Non-Resident) Reinvestment Plan Deposit A/c
CURRENT DEPOSIT ACCOUNT
Non-Resident (External) Rupee Current A/c
INITIAL DEPOSIT/ DETAILS OF REMITTANCES
1. Cheque/ Demand Draft.No. dt. amount (enclosed) 2. Wire/Telegraphic Transfer No dt. amount Name and address of the remitting bank:
TERM DEPOSITS
TERM DEPOSIT Period
Amount
Int. Rate
Maturity Amt.
3. MODE OF OPERATION
The Account shall be operated / may be closed on maturity by applicant/s
Singly
Both or Survivor
Either or Survivor
Former or Survivor
Latter or Survivor
Any one or Survivor
Others (specify)
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4. PAYMENT/RENEWAL INSTRUCTIONS
PAYMENT/RENEWAL INSTRUCTIONS (INTEREST/PRINCIPAL)
Please transfer interest to Savings/Current A/c No………. Renew Principal only Renew Principal Plus Interest Please keep Term deposits in safe custody and renew for similar period on maturity
Do not renew and (please tick….) * Mail transfer for maturity amount in (INR/USD/GBP/Euro) * Transfer to Savings/Current A/c No……………………………. Any other instructions (please specify)
5. STATEMENT OF ACCOUNT REQUIRED (YES/NO):
Please indicate address (Overseas/Indian/Office etc)/ e-mail ID where statement of account is to be sent/ e-mailed:
6.
NOMINATION REQUIRED :
YES
NO [If yes please fill in form DS-1A]
7. PERSONAL DETAILS
a.Name(s)
First Name
Middle Name
Surname
Signature
1ST Applicant
2nd Applicant
3rd Applicant
b. Verification of Signature
VERIFICATION OF SIGNATURE SIGNATURE, NAME OF PERSON VERIFYING WITH RUBBER STAMP AND/OR SEAL & ADDRESS
1. Verification of Signature to be made by a Indian Embassy High Commissioner Bank Consulate Notary Public Person known to the Bank 2. Verification is not necessary if you have an account with this branch. (Please give the Account No. …………………………………………) Above signatures verified by (Name) Designation… Signature……………………………………… Place…………. Date……………………
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c. Introduction Details (any one)
Self A/c No……………………………………… (in case of an existing customer of the Bank) In case of attestation by self please enclose (any 2 of the following) 1. Cheque drawn on bank A/c abroad 2. Latest overseas Bank Statement in original 3. Copy of Telephone/Electricity Bill 4. Cancelled paid cheque of your Overseas Bank A/c 5. Drawing income/Employee ID/Labour Card
d. Details of Passport & Residence Visa/ID Card Copies duly attested by Banker/Notary Public/Indian Embassy/A person known to the Bank/Self
Applicant’s Name
Passport No.
Date & Place of Issue
Nationality
Present Occupation
1)
2)
3)
Declarations: I/We have read and understood the terms and conditions relating to opening and operation of the Bank's deposit accounts and agree to abide by the same. I/we authorize the Bank to debit my/our account for service charges and other dues as may be applicable from time to time. Further I/we declare that I am/We 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 is found to be not correct 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 deposit/s. I/We agree to abide by the provisions of the Foreign Currency (Non-Resident) Account/Non-Resident (External) Account Scheme. I/We hereby undertake to intimate you about my/our return to India for permanent residence immediately on arrival. I/We agree that if the 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 Reserve Bank of India in this regard. I/We authorize the bank to automatically renew the deposit on the due date for an identical period unless the instruction to the contrary from me/us is 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 in force at the time of renewal. I/We further understand that the interest applicable on renewals will be at the applicable ruling rates on the date of maturity and that the renewal will be noted on the deposit receipt on my/our presenting the same on the maturity date or later for renewal/payment.
Signature of 1st Applicant
Signature of 2nd Applicant
Signature of 3rd Applicant
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8. Format for Declaration cum Undertaking of NRI (Under Section 10(5), Chapter III of Foreign Exchange Management Act, 1999) I/we hereby declare that I/we shall not undertake any transaction which may involve or is designed for the purpose of any contravention or evasion of the provisions of the Foreign Exchange Management Act, 1999 or of any rule, regulation, notification, direction or order made there under. I/we also hereby agree and undertake to give such information/documents, before the Bank undertakes the transaction(s) and as may be required from time to time as will reasonably satisfy you about the transaction(s) in terms of the above declaration. I / We also understand that if I/We refuse to comply with any such requirement or make unsatisfactory compliance therewith, the Bank shall refuse in writing to undertake the transaction and shall if it has reason to believe that any contravention/evasion is contemplated by me/us report the matter to Reserve Bank of India. *I/We further declare that the undersigned has/have the authority to give this declaration and undertaking on behalf of the firm/company. Place: Signature of the applicant Date: For Foreign Exchange * Applicable when the declaration/undertaking is signed on behalf of the firm/company. Non-Resident Indians (NRIs) , Persons of Indian Origin (PIOs) and residents of any jurisdiction where opening or maintaining the account is prohibited by the laws or regulatory requirements of such jurisdiction are not eligible to open and maintain this account. 9. Declaration in case of a minor account : I hereby declare that the date of birth of minor is _______/ _________ / ________ who is my (relationship _______________ and I am his/her natural guardian / lawful guardian appointed vide 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 of any withdrawal / transactions made by me in his / her account. SIGNATURE OF CUSTOMER FOR BRANCH USE
NAME
SIGNATURE
PF NO.
DATE
1. Creation of Customer Profile authorized by (in whose presence customer profile filled in)
2. Account opening Authorized, copies of documents obtained & verified, Customers name checked with the barred list and Risk category verified by
3. Account opened by
4. Letter of thanks sent to the A/c Holder(s) on ……………. & acknowledgement received on …………………..
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* Please fill up the individual customer profile
CUSTOMER PROFILE (To be filled in separately by every individual)
(To be filled by bank)
Customer ID No.
1. Name of Account Holder (in block letters) (Tick the appropriate boxes, wherever required) Mr./Ms/Mrs First Middle Last
2. Father/Husband’s Name
3. Gender
Male :
Female :
4. Nationality
5. Date of birth (DD/MM/YYYY)
6. Place of Birth
7. Religion
HINDU / MUSLIM / SIKH / CHRISTIAN / OTHERS
8. Identification Mark ___________________________________________________ 9. Address :
(a) Overseas Address [Tick]
Owned
Parental
Rental
Employer provided
Address
Landmark:
City :
State/Country
PIN
Telephone No.(with ISD Code)
E-Mail
Mobile No.
(b) Indian Address [Tick]
Owned
Parental
Rental
Employer provided
Address
Landmark:
City :
State :
PIN
Telephone No.(with STD Code)
E-Mail
Mobile No.
(c) Office/Business Address
Landmark:
City
State/Country
PIN
Telephone No.(with STD/ISD Code)
E-Mail
Branch Office : …………………………
ID No. : ………………………………..
Photograph :
Please paste recent
Passport Size
Photograph
With signature across the photograph
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10. Minor : YES NO If yes, furnish details of guardian
a. Relationship with Minor
Father
Mother
Guardian
b. Name of Guardian : Mr./Ms.
c. Address of Guardian
City :
State :
PIN
11. Whether Staff Member : Yes No If yes, working in which branch: 12. Occupation : [Tick]
Salaried-Govt./PSU Sector Salaried Other Retired Govt./PSU Sector
Retired Other Student House-wife Self Employed Medical
Legal CA/CS Other Professional (Specify) Trading/Mfg
Others (Specify) Other Not working 13. Educational qualification :
Under Graduate Graduate Post Graduate Others (Specify ) ______________ 14. Total annual Income (Individual) :
Up to USD10000.00
USD10000.00 – USD50000.00
USD50000.00- USD100000.00
Above USD100000.00
15. Annual Turnover (in case occupation is business) _____________________________________ (In case of new business, expected Turnover to be given) Nature of business _______________________________________________
Whether documentary proof in support of item no.15 provided: YES NO
If yes, type of Proof: Balance Sheet Income Tax Return Sales Tax Return
Excise Return Other (specify) _______________________________
16. Whether Income Tax Assessee? YES NO Please furnish requisite reference number(PAN/GIR No etc)
Tax Reference Number
17. Proof of Identify: [Tick - copy submitted]
Passport Citizenship Card
Driving License Other (specify) _________________________________ 18. Proof of address: [Tick - copy submitted]
Electricity Bill
Telephone Bill
Bank A/c.statement
Other (Specify) ___________________
19. Martial Status: Married Single If married, date of marriage anniversary (optional):
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20. Name of spouse (in block letters) Mr / Mrs. First Middle Last
Address
City :
State/Country
PIN
Telephone No. (With STD/ISD Code)
Mobile No.
E-mail :
Customers ID No.(If any)
Maiden/Nick Name: ______________________________
Whether Employed/Self Employed: Yes No If yes, furnish Office/Business address
Office / Business Address
City :
State/Country:
PIN
Telephone No. (With STD/ISD Code)
21. Spouse’s qualification: [Optional]
Under graduate
Graduate
Post Graduate
Others (specify)________________
22. Whether dealing with any other bank, Yes ____ No _____ (If yes, please give details )
NAME OF THE BANK AND BRANCH
Facilities / services being availed
SB
CA
TD
TL
Others
23. Whether already dealing with UCO Bank, if yes, please give details
Nature of Account
Account No.
Branch Office
24 Loans availed: (Tick whichever is applicable)
SL.NO.
TYPE OF LOAN
NAME OF INSTITUTION/BANK
AMOUNT
1.
CAR LOAN
2.
CONSUMER LOAN
3.
HOUSING LOAN
4.
MORTGAGE LOAN
5.
EDUCATION LOAN
6.
ANY OTHER
7.
8.
9.
10.
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25. Assets (approximate value) USD. _______________ [Details as per individual asset value - Optional] :
Vehicle owned :
Car
Two wheeler
Others(Mov/Imov)
None
Life policy for :
UptoUS$2000/-
Upto USD5000/-
Upto USD10000/-
Above USD10000/-
Other Investments Up to USD5000/- Upto USD10000/-
Up to USD50000/- Above USD50000.00 Any Other Assets: (Specify) ____________________________________________________
26. How many times have you been to India in last 3 years
Never
1 to 5 times
Above 5 times
27. Any relative settled abroad? Yes (Optional) Their names and addresses
No
If Yes, please mention their names and addresses
Name
Address
1.
2.
3.
28. DECLARATION: . I hereby declare that the information furnished above is true and correct to the best of my knowledge.
SIGNATURE OF CUSTOMER Date : _________ Place : ____________ [For Branch use] Customer Profile signed in my presence – Name of Officer with PF No. : __________________________________ Signature ___________________ Date :
Risk Category : High Risk Medium Risk Low Risk 1st Review done on _____________ 2nd Review done on _____________ (Date) (Date)
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NOMINATION DETAILS Nomination under Sec 45ZA of the Banking Regulation Act 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of Bank Deposits.
Form DS 1A
I / We ……………………………………………………………………………………..(name & address) nominate the following person to whom in the event of my/ our/ minor’s death the amount of deposit held in the account, particulars whereof are given below may be returned by ………………….branch of the bank.
Nature of Deposit
Account Number
Addl. Details,If any
Name & Address of nominee (only one nominee)
Relationship of the nominee with the Depositor, if any
Age of the nominee
If nominee is a minor, date of birth
As the nominee is a minor on this date, I/we appoint Mr/ Mrs/ Miss ……………....................................... ………………………………………………………. (Name, address and age) to receive the amount of deposit in the account on behalf of the nominee in the event of my/our/minor’s death during the minority of the nominee. [strike off, if nominee is not a minor]
Specimen Signature of nominee (optional)
Identification mark of nominee (if illiterate)
Place : Date :
Signature of Depositor(s) *
Witness : Name(s) : Address(es) : Tel. No. Place : Date :
Signature
[Note * Where deposit is made in the name of a minor, the nomination should be signed by a lawfully entitled guardian to act on behalf of the minor._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ UCO BANK B/O ACKNOWLEDGEMENT Date : We acknowledge receipt of Nomination made by you in favour of Shri/Smt./Ms ……………………………… aged …… yrs in respect of your ……………. (SB/CA/TD etc.) A/c. No. ……………………….on Form DS 1A.
Branch Manager
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ADDITIONAL NRI DEPOSIT ACCOUNT OPENING FORM . .[This form shall be used for opening of subsequent / additional deposit accounts in case an account is already existing under the same account title, The additional deposit account shall be opened under the same customer ID and title.]
UCO BANK
.............................Branch
Existing Account Details
1st Name
2nd Name
3rd Name
Name
A/c no.
Customer ID
Mode of Operation
New Account Particulars (Please indicate the type of Account)
Account Type
Amount
Period of Deposit
Rate of Intt. (%pa)
Account Operation Mode
Single Either or survivor Former or survivor .
Anyone Joint Others
Payment /Remittance Details
Cheque No
Date
Drawee Bank & Branch
Amount
Origin/ Source of Funds
Salary
Business
Investments
Inheritance
Others (please specify)
Renewal of the Deposit
Withdrawal / Renewal Instruction
The Bank is authorised to automatically renew the deposit with accrued interest/principal amount only for the same period on maturity at the prevailing rate of interest unless informed otherwise.
Payment of the Deposit on maturity
By Mail Transfer for maturity amount
By transfer to SB/CA number
Any other Mode (specify)
Payment of Interest
By Mail Transfer
By transfer to SB/CA number
Any other Mode (specify)
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Declaration
I/We have read and understood the terms and conditions relating to opening and operation of the Bank's deposit accounts.and agree to abide by the same. I/we authorise the Bank to debit my/our account for service charges and other dues as may be applicable from time to time. Further I/we declare that I am/We 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 is found to be not correct 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 deposit/s. I/We agree to abide by the provisions of the Foreign Currency (Non-Resident) Account/Non-Resident (External) Account Scheme. I/We hereby undertake to intimate you about my/our return to India for permanent residence immediately on arrival. I/We agree that if the 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 Reserve Bank of India in this regard. I/We authorize the bank to automatically renew the deposit on the due date for an identical period unless the instruction to the contrary from me/us is 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 in force at the time of renewal. I/We further understand that the interest applicable on renewals will be at the applicable ruling rates on the date of maturity and that the renewal will be noted on the deposit receipt on my/our presenting the same on the maturity date or later for renewal/payment. Format for Declaration Cum Undertaking of NRI (Under Section 10(5), Chapter III of Foreign Exchange Management Act, 1999) I/we hereby declare that I/we shall not undertake any transaction which may involve or is designed for the purpose of any contravention or evasion of the provisions of the Foreign Exchange Management Act, 1999 or of any rule, regulation, notification, direction or order made there under. I/we also hereby agree and undertake to give such information/documents, before the Bank undertakes the transaction(s) and as may be required from time to time as will reasonably satisfy you about the transaction(s) in terms of the above declaration. I / We also understand that if I/We refuse to comply with any such requirement or make unsatisfactory compliance therewith, the Bank shall refuse in writing to undertake the transaction and shall if it has reason to believe that any contravention/evasion is contemplated by me/us report the matter to Reserve Bank of India. *I/We further declare that the undersigned has/have the authority to give this declaration and undertaking on behalf of the firm/company. Place: Signature of the applicant Date: For Foreign Exchange * Applicable when the declaration/undertaking is signed on behalf of the firm/company. Non-Resident Indians (NRIs) , Persons of Indian Origin (PIOs) and residents of any jurisdiction where opening or maintaining the account is prohibited by the laws or regulatory requirements of such jurisdiction are not eligible to open and maintain this account.
Signature (s) and Date
Date
1st Applicant
2nd Applicant
3rd Applicant
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For Office use :
(1) Particulars verified
Signature of verifying Official(s)
(2) Account No...................... Opened on ................. ...
Authorised Signatory