customer information form (for non - individual … · i/we hereby request the ratnakar bank ltd....

I/We hereby request The Ratnakar Bank Ltd. (RBL Bank) to open my/our account at your ___________________ Branch

If selected: Please fill Customer ID & Account number on Page 3 under Bank Use Section.

(For Non - Individual entities)

PGreen initiative inside Save a tree

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CUSTOMER INFORMATION FORM

Tick boxes as applicable. *Mandatory Fields.

(Please fill the form in BLOCK LETTERS only. THIS IS A MACHINE READABLE FORM AND WILL PASS THROUGH A SCANNER)

Entity Customer ID(For Existing Customer)

New

*Entity Detail

*Name

Date of Incorporation D D M M Y Y Y Y Country of Incorporation

Name Designation Customer ID No. (If existing customer)

(For e-statement & e-alerts)

*Constitution Partnership Private Ltd Sole Proprietorship Public Ltd Public Sector TrustHUF

*Annual Turnover (Avg. income for corp.)

Club Society Association Statutory Body LLP

0 - 5 Lakh 5 - 10 Lakh 10 - 25 Lakh 25 Lakh - 1 Cr. 1 - 5 Cr. 5 - 50 Cr. 50 - 100 Cr. > 100 Cr.

*Industry Type OthersManufacturing Micro Enterprises Construction NBFC Non Profit Organization If “others“ fill as per Bank’s KYC policy

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Mobile No.

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(For receiving SMS Alerts)

*Address Details

Preferred Mailing Address

Contact Details

*Address Line 1

Address Line 2

Address Line 3 *City

*State *Pin Code*Country

Country Code STD Code Phone No Extension

Fax No.

Email ID

Contact Details

*Address Line 1

Address Line 2

Address Line 3 *City

*State *Pin Code*Country

Fax No.

Email ID

Country Code STD Code Phone No Extension

Registered Office Address Same as Mailing Address

*Details of Partner/Director/Trustees/Karta/Authorised Signatory

R Kit

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PAN/GIR No. Form 60 / 61 Yes NoIf PAN not available

OthersIf “others“ fill as per Bank’s KYC policy

Application Date

D D M M Y Y Y Y

Direct Banking Channel Request

SMS Banking Internet Banking(Please fill Corporate Internet Banking Form) (These facilities are provided only for accounts where mode of operations is or either or survivor)

Phone Banking Debit Card

Note: In case if we do not received specific instruction from you before maturity of the Fixed Deposit, we will renew the Fixed Deposit for the original term as of the Fixed Deposit, at the applicable rate of interest prevailing on the day of maturity / renewal of Deposit and send you an fresh advice. If you have been issued FD receipt against your deposit and your maturity instruction is “Do Not Renew” you would be required to surrender the discharge FD receipt to the branch after which the maturity proceed will be handed over to you / credited to your CASA Account.

I wish to avail Over Draft facility in my Savings / Current Account No. against the abovemention deposit as per the T&C applicable for such facility

Interest Payout Frequency:

Account Number OR DD/PO to Mailing Address

Branch Code

Interest/Maturity payment to

Maturity Instructions

Renew Principal & Interest Renew Principal & Repay Interest Do Not Renew

Sweep-In Instruction

Sweep-in is the facility of linking Savings / Current Account with Term Deposit Account. In case of insufficient balance, the linked Term Deposit shall be broken prematurely on Last In First Out basis (in the order of set-up of Sweep in instructions) and the required amount shall be transferred to the Saving / Current Account. This facility is allowed if either of the holder is common in the Saving / Current Account and Fixed Deposit Account. In case of the Saving / Current Account enjoying OD facility against FD, then Sweep-in facility will not be allowed.

Savings / Current Account No. Branch Code

*Mode of Operation

Initial Payment Details :

D D M M Y Y Y Y

(No Debit Card will be issued)

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SMS Alert Email Alert PSave a tree Please provide your e-mail address for receiving e-statements

You will be registered for e-mail / SMS alerts. Registered customers will receive transaction alerts as per the following thresholds - for Current Account above Rs. 5000 and for Savings Account above Rs. 2000. For applicable charges, visit your nearest branch or www.rblbank.com

Singly Either or SurvivorJointly Please specify

Others

Initial Amount : ` In Words

Dated Drawn on Bank, Cash Amount Cheque No.

Note: If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt.

Debit to my RBL Bank A/c Branch Code_______________________ Branch

Paise

Former or Survivor As per Board Resolutions

Applicant Applicant Applicant Applicant

InterestRate % p.a..

Cheque BookYes

No

Debit Card 1st 2nd 3rd 4th(Not applicable

for FD / RD)

Fixed Deposit Details

D D M M Y Y Y Y

Tenure

Amount in Words _____________________________________________________________________________________________________________________

Amount .` Paise Months Days

Dated Drawn on Bank, Cash Amount Cheque No.

Note: If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt.

Debit to my RBL Bank A/c Branch Code_______________________ Branch

Monthly1 Calendar1 Quarterly 2 Anniversary2 Half Yearly3

At Maturity 4

1 2 3

Ver. :- CN171213.002

In case of Fixed Deposits & Recurring Deposits having mode of operation as ‘Either or Survivor’ or ‘Former or Survivor’ Account holders can mandateto allow premature withdrawal by one of the joint depositors on the death of other. Please select* In case of ‘Yes’, please provide a specific joint mandate from the all depositors for the said purpose

Yes No

(Format/copy available with Branch)

Other Bank Details

Please attach no objection certificates issued by other banks if any facilities availed by you from them.

I / We declare that I/We do not enjoy any credit facilities with any bank I / We declare that I/We enjoy the following credit facilities with others banks at present

I / We declare that I/We enjoy the following credit facilities with others banks at present and undertake to inform you in writting as soon as any credit facility is availed of by us from any others bank

*Nature of Account(s) to be open

Scheme Name Scheme NameScheme Name

Savings Account Current Account

Scheme Name

Recurring Account *AMB/AQB `

Fixed Deposit

Reccuring DepositScheme Name

Recurring Deposit Details

Monthly Installment Amount `.

Standing Instruction For Recurring Deposit

from my/our Operative Account No. Branch Code

I/We authorize The Ratnakar Bank Ltd. to debit Monthly installment of `.

Amount in Words _____________________________________________

Tenure: Months Start Date D D M M Y Y Y Y

MATURITY INSTRUCTIONS (Auto renewal not supported)

Payment of Deposit on Maturity by

Transfer to Account No.

ORBranch Code DD/PO to Mailing Address

______________________________________________________________

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If Calendar Selected, interest payout will be as per calendar days. If anniversary selected, interest payout will be as per deposit anniversary.

SI

Amount AmountBank NameBank Name

Signature of witness

Name

Address

Date: Place

** Signature of witness

Name

Address

Signature of Joint holder(s)

*Strike out if nominee is no a minor. **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.

**Witness attestation is needed only for Thumb-Impression(s)

Nomination Form DA 1:

I/We wish to make a nomination for above account Yes No. (Only one individual nominee permitted) As per RBI guidelines, I / We confirm that I / we have been explained about the benefits of nomination facility to my / our bank account by

RBL Bank official. However, I / we state that in-spite of the explanation of the said benefits, I / we do not wish to nominate any person to the above mentioned Bank Account. Request you to kindly process my / our account opening form without the nomination facility

Nomination under Section 45 ZA 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) (Address)

nominate the following person to whom in the event of my / our / minor’s death the amount of deposit in the above account, may be returned by RBL Bank.

Name Address: Same as primary application:

If different from primary applicant

Relationship with depositor, if any Age Years. If nominee is a minor, his / her date of birth:

*As the nominee is a minor on this date, I / We appoint (name)

Relationship with the minor* Address: Same as primary applicant: If different from primary applicant

to receive the amount of the deposit on behalf of the nominee in the event of my / our / minor’s death during the minority of the nominee.

Signature(s) / Thumb impression(s) of depositor(s)Nomination details to be displayed on statement / passbook Y N

Know Your Customer Details (KYC)

I have met Mr. / Ms. ______________________________________________________________ in person. I hereby confirm the identity and address.

The form has been filled and signed in my presence. The original documents have been verified by me.

*Document 3

*Doc ID No.

Place of Issue

Date of Issue

Expiry Date

*Document 1 *Document 2

Name of Bank Official Emp. ID

I confirm that I have visited the communication address of the entity and confirm that I have met __________________________________________________________

(name of the authorised signatory of the entity) at the communication address of the entity as mentioned in the account opening form’

HUF Public LTD. Pvt. LTD. Society Trust Partnership

*Document Type

Sol. Prop. Other

Ver. :

- C

N171213.0

02

Only For Sole Propritorship

D D M M Y Y Y Y

For Bank Use Only

Signature of Bank Official

*Funds Parked at Account *Funds Parked Branch code

*BSR Type of Organization *Business Segment

*Value Date D D M M Y Y Y YPromo Code 2 *LC Code Sourcing Code

LG Code Lead Generator

Flexi Fixed DepositScheme Code

Do Not Call Exports/ Imports involved Yes No

*Customer Type Non Individual Pvt. / Public Ltd Risk Categorization Low Medium High

*Primary Relationship Manager ID

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Savings AccountScheme Code Preferred Account Number Prefix

3 0 Current AccountScheme Code Preferred Account Number Prefix

4 0

Fixed DepositScheme Code

Recurring DepositScheme CodePreferred Account Number Prefix

7 0

Preferred Account Number Prefix

7 5

*Branch Code Preferred Customer ID Prefix

2 0

Closed Relative Of Person Exposed To Politics Person exposed to politics

I/We am / are residents of India. I/We, declare that the information furnished by me / us is true and correct. I/We, the undersigned have read and understood and

agree to abide and be bound by all the provisions of the Terms & Conditions published on the bank’s website www.rblbank.com governing the opening of all my /

our accounts, present and future with RBL Bank and those relating to various services including but not limited to ATMs/Debit Card/Mobile Banking/Internet

Banking/Phone Banking/Bill Payment Facility etc. I/We understand that the Bank may at its sole discretion discontinue any of the services completely or

partially without any notice to me /us. I agree that the Bank may debit my account for service charges as applicable from time to time. 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 the Bank / Reserve Bank of India from time to time.

Declaration under ‘Foreign contribution (Regulation) Act, 2010 and foreign contribution (Regulation) Rules, 2011 (Strike off. In case of non selection, Option 1 will be default option)

1. I/We confirm that as part of the regular operations, I/we do not receive any foreign contribution from abroad and if in future we will be receiving the same then

we will inform the bank in advance with sufficient notice. OR

2. I/we confirm that as a part of the regular operation, we receive foreign contribution from abroad. Separate approval from ministry of home affairs (MHA) has

been sought for crediting the foreign contributions with the FCRA Account with _______________________ Bank which has been opened specifically for such

FCRA credits and I/we confirm that in the account with RBL Bank, no foreign contributions will be credited. I/we also confirm that approval obtained for the

FCRA account is account specific as well as Bank and Branch specific.

I/We consent do not consent to receive information/service etc for Marketing purposes through Telephone/Mobile/SMS/Email by the Bank/its

agents. I/We am/are aware that post registration I/We may receive a call from the Bank to verify the correctness of request for registration.

Declaration

*Signature of Partner/Director/Trustees/Karta/Authorised Signatory

Signature of Authorised Signatory in black ink with stamp


Authorised Signatory 1






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Checked by Emp. ID Signature of Bank Official

*FCY Inward - Annual(In USD)

*Cash Deposits - Annual 0 - 5 Lakh 5 - 10 Lakh 10 - 25 Lakh 25 - 50 Lakh 50 Lakh - 1 Cr. 1 - 5 Cr. 5 - 10 Cr. > 10 Cr.(In .)`

*Cash Withdrawal - Annual(In .)`

(In USD)

*FCY Outward - Annual

*Expected No. of Transactions Annually

Expected Transaction Amount - ( . In lacs)`

250 - 500 500 - 1000 1000 - 2500< 250 >2500

*Domestic Outward

*Domestic Inward

0 - 5 Lakh 5 - 10 Lakh 10 - 25 Lakh 25 - 50 Lakh 50 Lakh - 1 Cr. 1 - 5 Cr. 5 - 10 Cr. > 10 Cr.





Bus. Seg. Promo Code MIS Code.3 MIS Code.4

MIS Code.5 MIS Code.6 MIS Code.7

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For Bank Use Only Cont.

*Source of Income Salary Business Income Investment Income Agriculture Others_____________Please specify

I/We,

Most Important Terms & Conditions

If no salary credits are made in the Account for a continuous period of three months, the Bank reserves the rights to change/close the status of the Salary Account to Bank's regular savings account without any intimation to me or my organization and the terms and conditions as applicable to the regular savings account shall apply to this account from the date of change of the status.

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Name of Bank Official Signature of Bank Official Date D D M M Y Y Y YEmp. ID

Please Quote your reference No. for any communication. Phone Banking No. 7 Days a week 9AM to 7 PM +91 22 61156300 to 99

Tenure Interest RateAmountOnly for FD or RD - Monthly Installment

Note: If the Initial amount of account opening is in cash then customer should visit the branch in person and obtain official receipt. DD/PO/Cheque subject to clearance

Acknowledgment

Received application for Savings Current Fixed Deposit Recurring Deposit Account.

Initial Payment Details

Initial Amount: In Words

Cheque No Drawn on Bank

Debit to my RBL Banl A/c Cash Amount `

Dated D D M M Y Y Y Y

Ref No.

Branch

Branch Code

Received duly completed Nomination Form DA 1 Yes No

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Fixed Deposit Account

nCurrently, Bank pays no Interest if the Fixed Deposit is prematurely withdrawn within 7 days of placing the deposit. If fixed deposit is

prematurely withdrawn after 13 days but before the due date, then 1% penal interest shall be applied as penal rate to the rate that was

prevailing on the date the deposit was placed and for the period for which the deposit was kept with the bank.

nInterest rates are quoted on per annum basis and the number of days in a year are taken at actual (i.e. 366 days in a Leap Year)

nInterest on deposits is payable either quarterly or compounded (i.e. re-investment of interest) or monthly at discounted value at the option of

the depositor.

nInterest rates are revised from time to time and displayed in the Branches' Display Board, and the website, to inform the public.

nPremature repayment penalty will be applicable as per terms and conditions.

nFixed Deposits held in joint Names:

• Premature payment of the Fixed Deposit is allowed only after the request is signed by all joint depositors. The mandate "payable to either

or survivor" is applicable only at the time of maturity of the deposit.

• Loan/ Overdraft, if loan is sought against the Fixed Deposit; the loan/ overdraft application needs to be signed by all joint depositors.

nThe Bank computers interest based on the actual number of days in year. In case, The Deposit is spread over a leap and a non-leap year, the

interest is calculated based on the number of days i.e. 366 days in a leap year & 365 days in a non leap year.

nIn the event of the death of the depositor, premature termination of term deposits will be allowed. Such premature withdrawal would not attract

any penal charge.

n

Miscellaneous

nA Copy of the Code of Bank's Commitment to Customers and Schedule of charges for key information on the usage and benefits of various

services/ facilities offered by the Bank is available on request and on Bank's website.

nIn case of payment of balance in accounts of deceased customers to survivors/ claimants, the Bank adopts safeguards as appropriate and

guided by the regulators.

Know Your Customers guidelines

nWhile opening an account the Bank shall satisfy itself about the address, identity of a person(s) seeking to open an account, ti assist in

protecting the prospective customer/s, members of the public and ourselves against fraud and other misuses of the banking system.

nThe Bank is required to obtain recent photographs of the person(s) opening/ operating the account.

nPerson/ entity who has been allotted PAN number by income Tax Department are required to quote the number in the Account opening Forms.

Alternatively please provide Declaration in From 60 (non-agricultural) or Form 61 (Agricultural).

nIn case of a minor who does not have any income chargeable to Income Tax. He/She shall quote the Permanent Account Number (PAN) or

General index Register Number (GIRN) of his father or mother or guardian as the case may be at the time of opening and account with the

Bank.

nLatest approved list of KYC documents is available with the branch, kindly contact your nearest branch for the same.

The Bank has a clearly defined Grievance Redressal process for speedy and effective redressal of customer grievance. For registering your

grievances, kindly contact the Branch Manager or our phone banking executives. You can also visit us at www.rblbank.com for registering your

grievance. If required, grievance can be escalated to the Regional Nodal Officer of your region and the Principal Nodal Officer. The contact details of

Nodal Officers are displayed at our branches and website.

I/We agree that in case of a joint account having mode of operation as either or survivor, anyone of us, as the account holders, may create a

fixed deposit/recurring deposit by placing a request through branches, ATM, phone banking, internet banking or mobile banking channel's as

made available by RBL Bank from time to time. I/We agree that such a fixed deposit/recurring deposit shall be created in the name of all the

account holders with mode of operation as either or survivor and I/we shall be bound by the terms and conditions applicable to such fixed

deposit/recurring deposit or to a fixed deposit created by renewing/auto-renewing a fixed deposit. I/We also understand that for availing a loan

against such fixed deposit or for premature termination of such a fixed deposit/recurring deposit or any fixed deposit created by renewing/auto-

renewing a fixed deposit, written consent of all the fixed deposit/recurring deposit holders would be required in the manner specified by RBL

Bank. I/We shall not raise any dispute/claim against RBL Bank for creating/closing a fixed deposit/recurring deposit in the manner specified

above and shall keep RBL Bank indemnified against any loss/harm suffered by RBL Bank with respect to any dispute/claim raised by anyone of

us or any third party.

customer information form (for non - individual … · i/we hereby request the ratnakar bank ltd....

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