Complex Forms 2 | Clear Admin Template

# Complex Forms 2

## ACCOUNT OPENING FORM

Please open an account at
Please open my Savings Account Savings Salary Account
Current Branch Name
(A) Personal Details
Applicant Name
1st Applicant:
2nd Applicant:
3rd Applicant:

If you are an existing customer please move directly to section "c"

Name to be dispalyed on atm/debit card 1stApplicant: 2ndApplicant: 3rdApplicant:
Date of birth 1st Applicant:
2nd Applicant:
3rd Applicant:
Gender
Gender : Male Female Other
Gender : Male Female Other
Gender : Male Female Other
(B) PAN No: (if not available please attach Form 60/61)
Applicant No 1st Applicant: 2nd Applicant: 3rd Applicant:
Mother's maiden name 1st Applicant: 2nd Applicant: 3rd Applicant:

Incase applicant is a minor,please write parent/guardian's name(as applicant)

Mailing Address: Company Name/Flat No. & Bldg.Name Road No/Name Landmark City Email ID
Telephone Mobile
Pin Code Country
In case of a minor please provide details (Name of parent and natural guardian)
Name of father/spouse
If any of the applicants are EXISTING ACCOUNT HOLDERS,please mention the customer Identification No:
1st Applicant. Cust Id
2nd Applicant. Cust Id
3rd Applicant. Cust Id
(c) INTRODUCTION DETAILS BANK Customer(Introducer's) Name:
Introducer Name
ACCOUNT NO:
CUSTOMER ID:
Nomination: No Yes
if Yes,Name of Nominee
PAYMENT DETAILS
Amount RS:
Mode of pay Cash Cheque
Cheque No:
Dated
drawn on
Bank(Branch)
Account Operating Instructions
Single Either/Any one or Survivor Jointly ( Debit / ATM card will not be issued)*

Please Note: Cheque book of 25 leaves & 50 leaves will be issued to Savings and Current a/c holders respectively by default.

BELOW FIELDS ARE MANDATORY
Account No
Customer Id
F P N
Name:1st Applicant:(Prefix)
Fullname
Permanent Address(Full)
*City
*PIN code
*State
*Country
ATM CARD / DEBIT CARD
1st Applicant: 2nd Applicant: 3rd Applicant:
Regular Gold

*Annual Changes Applicable

*Availble in Select Cities.

NETBANKING REGISTRATION
1st Applicant: 2nd Applicant: 3rd Applicant:
Email Id 1stApplicant: Email Id 2ndApplicant: Email Id 3rdApplicant:
MOBILEBANKING REGISTRATION
Mobile Number 1stApplicant: 2ndApplicant: 3rdApplicant:
Name of Carrier 1stApplicant: 2ndApplicant: 3rdApplicant:
The Average Quarterly Balance (AQB) required to be maintained for this account is Rs:

DECLARATION :I/We have read and understood the Terms & Conditions governing the opening of an account with HDFC Bank and those relating to various services including but not limited to (A) ATMs, (B) PhoneBanking, (C) Debit Cards, (D) MobileBanking, (E) NetBanking, (F) BillPay facility. I/We accept and agree to be bound by the said Terms & Conditions including those excluding /limiting the Bank's liability. 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/our account for the service charges applicable from time to time. I/We confirm that I/We am/are resident of India. I/We authorise the Bank to disclose, from time to time any information relating to my savings account to any parent/subsidiary, affiliate and associate of HDFC Bank, and to third parties engaged by the Bank, for purposes as detailed in the Terms & Conditions Booklet. I/We confirm that I/We am/are in possession of and have read the Terms and Conditions booklet which details the rules governing account operations, the schedule of charges which specifies the charges applicable from time to time for various services and the tear away Customer copy detailing the instructions and account opening rules. I /We have understood that I/We am/are required to maintain:

Select imageChange Remove
Select imageChange Remove
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I/We confirm that I/We have read and understood the Declaration given above and confirm that all the details provided on the form are correct.I/We also confirm that my/our account has been opened by Bank Officer Mr./Ms. & I/We have signed in his/her presence.

Name: Date:
For Bank Use Only :
A/C No.
CUSTOMER ID NO.
Where a/c is to be opened:
Product Code:
LC CODE:
LG CODE:
Company Code:
Service Branch Code:
Service ID:
Promo Code:
Occupation:
Salaried
Self-employed
Retired
Self-employed prof
Housewife
Politician
Student
Others (any)
If salaried employed with :
Private Ltd
Partnership
Proprietorship
Public sector
Government
Multinational
Self Employed since :
Years
Months
Nature of Business :
Manufacturing
Service Provider
Agriculture
Real Estate
Trader
Others(any)
Date of Incorporation
Type of Company/Firm :
Sole Proprietorship
Partnership
Public Limited
Private Limited
Others
Self Employed Professional :
Doctor
CA/CS
Lawyer
Architect
IT Consultant
Others
Source of Funds :
Salary
Business Income
Agriculture
Investment Income
Others
Gross Annual income :
50,000
50,000 - 1,00,000
5,00,000 - 7,50,000
7,50,000 - 10,00,000
10,00,000-15,00,000
15,00,000
Residence type :
Owned
Rented / Leased
Ancestral / Family
Company provided
ABOVE FIELDS ARE MANDATORY *

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