Account Opening Form (NRI)_NRE&NRO Combo final

DSA ID Sol ID

Delivery Point

Branch

Positions Held

Political Party

Government Organisation

Name of the Party/Organisation Designation Period of Office

I hereby declare that ................................................................................................................................................................................................................................................................................................... is a Non-Resident Indian holding Indian Passport.

I hereby declare that............................................................................................................................... is a Person of Indian origin holding ........................................................................................................................................... (issuing country)

Passport, satisfying one of the following conditions, for which proof is attached:

1. Held an Indian passport in the past. 2. Father/mother/grandfather/grandmother (name) ......................................................................................................................................................... is/was a citizen of India by virtue of the

constitution of India or the Citizenship Act 1955.

For PIO’s:

Country

Tax Identification Number

Certification

Identification Type (TIN or Other

, please specify)

I hereby declare and confirm that I am a Non-Resident Indian on contract with ............................................................................................................................................................................................................................................................

I hereby certify that .................................................................................................................................................... was born on .................................................................................. and attains majority on ............................................ and I am

the natural guardian/legal guardian appointed by the court order dated ......................................................................................................... Name of the guardian........................................................................................................................

.............................................................................. Relationship With Minor ........................................................................................................................... Account No....................................................................................................................................

....................................................................................(name and address of the Shipping company) registered in ........................................................................................................................................................................................... (Country).

For Seafarer’s:

For Accounts in the name of Minors:

I am a Politically Exposed Person who performs important functions for the State in the capacity as Senior Official of Govt. or Political Parties or closely related to Politically

Exposed Person/s by name ...........................................................................................................................................................................................................................................................................................................................................................

^Permissible documents are: Election lD/PAN Card/Driving License/UIDAI card/NREGA Job Card, #To also include USA, where the individual is a citizen/ green card holder of USA, % In case Tax Identification Number is not

available, kindly provide functional equivalent. It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is yet available or has not yet been issued,

please provide an explanation and attach to the form.

l, .......................................................................................................................................... holder of passport number .................................................................................. residing at ................................................................................................................................

............................................................................ hereby declare that I am neither a citizen of USA nor a resident of USA for tax purposes and I am not a tax resident of any country other than India even though

a) My residence/mailing address is of a country other than India b) My telephone number is of a country other than India c) I have a standing instruction to an account maintained outside India. d) My place of birth is in USA

I have understood the FATCA/CRS terms and conditions and here by confirm that the information provided by me in this form is true, correct and complete. I also confirm that I have read and understood FATCA CRS rules

notified by CBDT and here by accept the same. I undertake the responsibility to declare and disclose within 30 days from the date of change, any changes that may take place in the information provided above as well as in the

documentary evidence provided by me or if any certification becomes incorrect and to provide fresh and valid self certification along with documentary evidence.

My personal/ KYC details may be shared with Central KYC Registry. I hereby consent to receiving information from Central KYC Registry through SMS/ Email on my registered number/email address.

C 111 E 1/4 *Networth = Assets minus Liabilities

For Politically Exposed Persons:

FATCA/CRS declaration - please tick any one, as applicable to you.

I am a tax resident of India and not of any other country (If not holding Indian Passport, provide documentary evidence in support)^

I am a tax resident of the country mentioned in the table

Document Name^

Document No

Expiry Date

Please indicate ALL the countries in which you are a resident for tax purposes and the associated Tax ID Number below

Declaration (Please tick)

NRI ACCOUNT OPENING FORM

Affix Pre –Opened

Kit Sticker

C111E 07/2023

Employer’s Name & Address: .....................................................................................................................................................................................................................................................................................................................................................................................

Communication / Overseas Address

COUNTRY

Mobile No

(With Country Code)

Office Ph No

(With Country Code)

Contact No

(With STD Code)

Email ID

Fax

CODE

STATE

COUNTRY

Permanent Address/ Address In India

Yes

Passport No

Issue Date

Expiry Date

Place of Issue

Visa Expiry Date

Visa/PIO/OCI Card No.

Seafarer

Nationality

APPLICANT 1

Scheme Name 1

Scheme Name 2

Scheme Code 1

Scheme Code 2

Currency & Initial Remittance 1 Currency & Initial Remittance 2

Customer ID 1

ID 2

C-KYC 1

C-KYC 2

Existing Customer

Yes

A/c No 1 A/c No 2

Mode Of Operation

Single

E or S

Joint

A or S

F or S

L or S

Date

D D M M Y Y Y Y

Account Type

COMBO NRE & NRO NRE NRO SB CA FD CC RD MFSF Flexi RD FCNR FRP

Maiden Name

(if any)

Full Name

Mr/Mrs/Ms

Marital Status

Date Of Birth

Single Married Name of Spouse

If Staff PF No

Father's Name

(Mandatory)

Residence Address for Tax Purposes

PAN Aadhaar No

First

LastMiddle

First

Mother's

Maiden Name

LastMiddle

Male

Gender

Address in India

Address Type

Residential Status

Non Resident Indian

Foreign National Person of Indian origin

Residential Business/ Office

Overseas address

Female Transgender

Country of Birth

City of Birth

Minor

Yes

If yes, Name of Guardian Differently abledPhysically challenged

Category

General

OBC

Others.........

Edu. Qualification

Under Graduate

Graduate

P.G

Professional

Others..............

Religion

Christian

Hindu

Muslim

Sikh

Others.........

Investments

Life Insurance

Mutual Fund

Demat A/c

Bank Deposit

Private Funds

Asset Owned

House

Car

2 wheeler

Others

Liabilities

Loans

Credit Card

Others

Monthly Income (

)

Upto 10,000

10,001 to 25,000

25,001 to 50,000

50,001 to 1,00,000

1,00,001 to 5,00,000

5,00,001 to 25,00,000

25,00,001 to 50,00,000

Above 50,00,000.

Occupation

Private Sector Public Sector Government Sector Business

Professional

Self Employed

Home Maker

Retired Student

Choose sub category of occupation

Academicians

Bureaucrat Luxury Car Dealers

Financial Sector

Judiciary Media Pawn Broker Real Estate

Scrap Dealers Stateman

Stock Brokers

Virtual Currency

Dealers in Art and Antiques Dealers in Arms and Armaments

Entertainment lndustry Professional lntermediaries

Dealers in Gems, Jewels and Precious Stones Crypto trading

*Networth................................

3/4 3/4

Purpose of Opening the Account

Savings

Salary

Up to Rs 10,000

Rs 10,001- 50,000

Rs 50,001 - 1,00,000

Rs 1,00,001-5,00,000

Above Rs 5,00,000

Up to Rs 10,000

Rs 10,001- 50,000

Rs 50,001 - 1,00,000

Rs 1,00,001-5,00,000

Above Rs 5,00,000

Parents

Personal Savings

Rental/Interest/

Dividend/ Proceeds of

Shares/Investment

Others..................................

Repayment of Loans

Collection of Instruments

Others..................................

International

NRE NRO

Yes No

Domestic

Source of Fund Expected Monthly Remittance Expected Monthly Withdrawals

NRO

NRE

NRO

NRE

NRO

NRE

NRO

NRE

NRO

NRE

No No

Yes Yes

Account

Activity

Channel

Facilities

ATM card

(Please Tick)

Card Type NRE

Cheque Book

E Mail Alert

Name of Joint Account Holders (other than user) 1 ......................................................................................................................................................................................................................................................

2 ........................................................................................................................................................................................ 3 .......................................................................................................................................................

I/We authorize ............................................................................................................................................................ (Applicant) to avail of ATM Card/ Fednet/ Mobile Banking/ Mobile Alert/ Email Alert/

Fed e-Pay / Telebanking Service in respect of all the accounts linked to his/ her/our customerlD(s) mentioned in this application form. I/We undertake to ratify and confirm whatever

the applicant does or causes to do through these service(s). This authority shall continue to be in force until anyone or all of us revokes it by a notice in writing delivered to you.

Yes No

Yes

View Facility Transaction Facility

Please Suggest 3 User ID

(For Fed net)

Net Banking

(Fed Net)

Mobile Alert Mobile Banking

ATM CARD /FEDNET /MOBILE BANKING/ MOBILE ALERT/ EMAIL ALERT/ TELE BANKING/ FED e-PAY MANDATE - INDIVIDUALS

(Applicable for accounts of Individuals having more than one operators)

Signature of Joint Account Holders (other than user)

2 3

Place............................................... Date........................................

FORM NO. 60

[See second proviso to rule 114B]

2. Date of Birth

Incorporation of declarant

Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent account number and who enters into any transaction specified in rule 114B

4.Flat/ Room No

8.Road/ Street/ Lane 9.Area/ Locality 10.Town/ City

5.Floor No.

11. District

14. Telephone Number (with STD code)

17. Date of Transaction

20. Aadhaar Number issued by UIDAI

(if available)

22. If PAN not applied, fill estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act,

1961) for the financial year in which the above transaction is held

21.If for PAN it is applied and not yet generated enter

date of application and acknowledgment number

18. In in case of transaction joint names,

number of persons involved in the transaction

19. Mode of

transaction

Cash Cheque Card Draft/Banker's Cheque

Online transfer Other

12. State

15.Mobile Number

13. Pin Code

16.Amount of transaction (Rs.)

6.Name of premises 7.Block Name/No.

1.First Name Middle Name Surname

3.Father's Name (in case of individual) First Name Middle Name Surname

Agricultural income (Rs.)

Other than agricultural income (Rs.)

23. Details of document being

produced in support of

identify in Column 1

24. Details of document being

produced in support of

address in Columns 4 to 13

Document

code

Document

identification number

Name and address of the

authority issuing the document

Name and address of the

authority issuing the document

Document

identification number

Document

code

I, _____________________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief. I further declare that I do not have a

Permanent Account Number and my/ our estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961) computed in accordance with the

provisions of Income-tax Act, 1961 for the financial year in which the above transaction is held will be less than maximum amount not chargeable to tax.

ACKNOWLEDGMENT (ACCOUNT OPENING FORM)

Verified today, the _________ day of 20_____

Place __________________________________

(Signature of declarant)

Note:. Before signing the declaration, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all respects. Any person making a false statement in the declaration shall be liable to prosecution under section 277 of

the Income-tax Act, 1961 and on conviction be punishable,- (i) in a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but which may extend to seven years and with fine; Ili) in any

other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine. 2. The person accepting the declaration shall not accept the declaration where the amount of income of the nature referred to in item 22b

exceedsthe maximum amount which is not chargeable to tax, unless PAN is applied for and column 21 is duly filled.

To,

Shri/Smt...............................................................................................................................(Primary A/c Holder), Shri/Smt................................................................................................................................... (Joint A/c Holder)

Reg : Application for Opening Combo NRE & NRO, NRE/NRO Savings/Current/Deposit ......................................................................................................................................................................... account with us

with an initial remittance of ……….........................................…………… in Account No.1, Initial remittance of ………..........................................…………… in Account No. 2. Dated ......................................................

We acknowledge with thanks the receipt of your application for opening ........................................................................................................................................................................... Account/s as referred above

Your pre-opened account will be activated within a maximum of 15 working days (subject to verification of documents)

Your welcome kit (Applicable for Saving accounts only) will be sent to the communication address of the primary account holder within

15 working days (subject to verification of documents)

Yours Faithfully

Manager

For further queries relating to this application please call us at our Contact Center numbers +91 484 2630994 or 2630995

Card Type NRO

Customer Search Made

Nomination under Section 45 ‘ZA’ of the Banking Regulations Act, 1949 and Rule 2(1) of Banking Companies (Nomination) Rules, 1985 in respect of bank deposits

Yours Faithfully,

Manager

Branch: .......................................................................................................................................................................... Date: ....................................................................

FORM DA 1

ACKNOWLEDGMENT (NOMINATION)

Customer Risk Rating (Applicant 1)

Low Medium High

Address Proof

ID Proof

Photos

PAN CARD/

Form 60

Yes

Yes No

Lead ID

KYC Norms complied with

PF No. .....................

Clerk

SP No. ...........................

Asst. Manager

SP No. ...........................

Principal Officer

Verified with the UN List and no matching details identified

No Cust ID exists in the name of the applicant

Existing Cust ID

PAN Card ______________________________ verified through online official link

Signature of introducer verified

Customer Risk Rating (Applicant 2)

Low Medium High

For Office Use:

Date:................................................................................

Place:...............................................................................

Signature(s)

Applicant 1 Applicant 2

I/We .....................................................................................................................................................................................................................................................................................................................................................................

(Name/s and address/es) nominate the following person to whom in the event of my/our/minor’s death the amount of the deposit, particulars where of are given below, may be returned by

The Federal Bank Ltd., Br ..............................................................................................................................................................................................................................................................................................................................

Distinguishing

No.

Additional

details, if any

Name

Deposit

Nature of

deposit

Address

Nominee

Relationship with

depositor, if any

Age

If nominee is a

minor, date of birth

Note: * 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 & strike out if nominee is not a minor. @ Thumb impression(s) shall be attested by two witnesses

4/4

The Bank official/representative have briefed me/us about the advantages of nomination and requested to fill nominee details. After considering Bank’s request I/we have decided not to

provide the nomination and demand that the Bank should open my/our account/s without nomination.

Place:.................................................................................. Date:..................................................... *Signature(s) Thumb Impression(s) of the depositor(s)

SI Frequency Mly Qly Hly Yly

SI Debit Amount SI Execution Date

Period

(a)

As the nominee ........................................................................................................ is a minor on this date. I / We appoint Shri/Smt/Kum ........................................................................................................... (name,

address, and age) .................................................................. 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.

(b)

Place:.................................................................

Date: .................................................................

Signature(s)/ Thumb Impression(s) of witness(es)

Signature

(s)/ Thumb Impression(s) of the depositor(s)

Add Standing Instruction (SI) for RD Debit Account (NRI CASA) Credit Account (RD)

Shri./Smt./Ms.:..................................................................................................................................................................................................................................................................................................................................................

Dear Sir/Madam,

Reg: Nomination in respect of your /Deposit Account number/s...................................................................................................................................................................................................................................... with us.

Ref: Your application in form DA1 .......................................................................................................................................................................................................................... dated: ......................................................................

We acknowledge receipt of your letter of nomination dated ...................................................................................................................... nominating Shri. /Smt./Ms.………………………......................................……….

.................................................... for Account 1 & nominating Shri. /Smt./Ms.……………………………….......................................................................................................... for Account 2

1. I/ We hereby undertake:

(A) To inform the bank immediately on my/our coming back to India for permanent settlement/residence. (B) To inform the bank immediately on any change occurring in my business/office/communication address/other contact details. (C) In respect of NRO/ NRE accounts, all the debits and credits

will be carried out strictly as per FEMA regulations; In cases of debits to the NRE/ NRO account for the purpose of investment in India and for credits representing sale proceeds of investments, I/we will ensure that such investments/ disinvestments are made in accordance with FEMA regulations/

such other regulations issued by the Reserve Bank of India, in this regard. (D) The transactions carried out/ to be carried out in the account will not involve any purposes in contravention to or evasion of the provisions of FEMA Act or of any rule, regulation including Foreign Exchange Management

(Borrowing and Lending) Regulations, notification, direction or order made thereunder (E) To pay any overdraft created in my/our account inadvertently together with applicable interest and without demur. (F) To inform the bank of the wrong credits in my/our account, pertaining to other customers

and refund the same together with applicable interest and without demur.

2. I / We understand & declare that:

(A) l/We have read and understood the Terms and Conditions (3 copy of which I am in possession of) governing the opening and operation of NRE /NRO/FCNR/FRP account under Savings/Current/Fixed/Recurring Deposit schemes of Federal Bank and those relating to various services including but

not limited to ATMs /Debit Card/Mobile Banking / Tele Banking / Internet Banking/ Mobile & e-mail alert/IMPS/Cheque Book— Delivery. I /We accept and agree to be bound by the said Terms and Conditions. I /we agree that the Bank may debit my account for service charges as applicable from time

to time. Apart from this the current Schedule of Charges has been received by me/us and I/we agree with the same. l/We further understand and agree that any subsequent changes in the tariffs/service charges shall be published by the Bank in its website and/or on the notice boards of its branches,

which shall be sufficient notice to me/us regarding such change. (B) 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 my/our deposits. (C) In the event of my NRI status is changed in future, my /our existing NRI account will be re-designated to Resident/RFC account(s) (as applicable). (D) Rate of interest applicable, premature withdrawal of the deposit, premature termination of the deposit

in the event of death of the depositors, TDS on interest earned and filing/ renewal / cancellation of the nomination will be as per RBI/IBA/Income Tax/ Bank's rules in force from time to time. (E) I/We will not make available to any person resident in India any foreign exchange against reimbursement

in India in Rupees or otherwise. l/We understand that the bank may at any time and without notice to me/us combine and consolidate all or any of my/our accounts and set off or transfer any sum or sums standing to the credit of anyone or more of such accounts in or towards the satisfaction of any

of my/our liabilities to the bank on any account or in any other respect whether such liabilities be actual or contingent, primary or collateral and several or joint. Unless and until modified or cancelled by filing a fresh nomination form/request for cancellation, a nomination once filed will continue to be

applicable to the deposit when renewed without any change in the name and constitution of the account. (F) l/We understand that there will be no interest paid in NRE/NRO current accounts. (G) Term Deposits will be automatically renewed on maturity for a similar Term at the rate of interest prevailing

on the maturity date on same terms and conditions unless instructed by me/us to the contrary or credit to my/our NRE/NRO SB/CA A/c No ............................................................................................................................................. on maturity on receipt of FD receipt duly discharged by me/us /facility for partial

withdrawal in units/automatic loan facility. (H) l/we hereby declare that the above details are correct. (I) l/we wish to avail the add-on facility /facilities, as selected above, in my account. (J) For the purpose of availing the services in respect of joint accounts, I /we enclosing the mandate from the joint

account holders. (K) In the cases of all types of joint accounts, name of the first person will be considered for all Income Tax Purpose. (L) I/We will verify the account details/balances periodically (at least once in every 3 months) and ensure correctness of the same in order to avoid/curtail fraudulent

transactions occurring in the account, irrespective of the reasonable care and caution exercised by the Bank. (M) Where Joint Deposits are made with mandate Former or Survivor/Either or Survivor/Anyone or Survivors/Latter or Survivor, in the event of death or one or the Depositors, the Bank may

allow premature termination of term deposit at the request of the Survivor(s) (N) l/We hereby unconditionally authorise the Bank to activate the cheques issued to me/us in the account forthwith without insisting for my/our written acknowledgment of having received the cheque book. I/We shall not

hold the Bank liable/responsible in any manner for any consequence(s) of whatsoever nature arising from activating the cheque book facility as per this authorisation. Please open a deposit account in my/ our name/s as per the scheme selected. I/we agree to maintain Average Quarterly/ Monthly

Balance of Rs ......................................................................................................................................... in the account. (O) The above account will become operational only on receipt of an activation SMS /Email to my/our registered phone number/email id from the Bank and Bank shall have the right to dishonour/refuse

any transaction requested by me using Cheuqe / Debit Card/ Internet Banking/Mobile banking prior to activation of the account.

3. I/We understand/acknowledge that (i)Centralised Positive Pay System (CPPS) facility, an additional indicator provided by NPCI, is available for all CTS cheques to pre-empt occurrence of cheque related frauds (ii) CPPS facility would be an added safety measure to reconfirm the key particulars of the

cheques issued like date, name of the beneficiary / payee etc., to ensure correctness/genuineness of the cheques presented for collection (iii) in the event of non-subscription to CPPS facility, l/We would become incapable/ disentitled to lodge complaints under the dispute redressal mechanism at

the CTS grids/clearing houses

4. I/We have carefully read, understood and agreed to all the Terms and Conditions document published in Fedral Bank’s webste (www.federalbank.co.in/general-terms-and-conditions) and I/We undertake abide by the same at all times. I/We further hearby authorise the bank to share all the

information provided by me/us of any nature with credit rating/credit information companies. other service providers who have an agreement with the Bank for business pupose. and to third parties engaged by the bank for the purposes as detailed in the Terms and Conditions

5. I/we hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and i/we undertake to inform you of any changes there in, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I/we

am/are aware that I/we may be held liable for it. My/our personal/KYC details may be shared with central KYC registry. I/we hereby consent to receive information from central KYC registry through SMS/Email on the above registered number/email address. I/we hereby give explicit consent to download

my/our KYC document(s) and data from CKYCR for the purpose of the on-boarding process of the bank.

6. I/we hereby state that I/we have no objection for federal bank validating and fetching my/our ekyc details from Unique identification authority of India(UIDAI) through the Federal bank ekyc system using my/our Aadhaar number Aadhaar card/s which is /are provided by UIDAI. I/we further authorise

UIDAI to release my/our identity/Address available in UIDAI data base to the Federal Bank. I/we also agree to provide the biometric scan of my/our finger (s) and the Aadhaar number/s or Aadhaar card/s details as required by the Federal Bank for the above purpose. I/we hereby state to have submitted

Aadhaar number voluntarily to the Federal Bank for the purpose of KYC Process.

7. In case of accounts without PAN or any equivalent e-document thereof or Form no.60, I/we hereby authorise the Federal Bank to either partly or in-full to freeze the account in the event of the PAN or any equivalent e-document or Form no.60 is not being furnished when called upon by the Bank.

In case of NRE & NRO account opening together , the duly signed Form 60 may be used for both account opening.

8. I/We undertake to submit data/information and valid and up to date KYC documents for periodic updation of KYC details or for validating the genuineness and identity of the transaction/person/s or for any other valid reason from time to time as may be required by the Bank, failing which, bank is

at liberty to place partial or full restrictions in the operation, including freeze on the account.