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I tender herewith(Rs........................................................................................)No..................... date.......... as initial deposit. Myparticulars are as under:-
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Rs........................../- incash/Cheque/DD.
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| 1. Name of the account holder |
..................................................................... |
| Husband/Father /mother's name |
..................................................................... |
| Date of Birth |
......... |
........... |
.................. |
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(DD / |
MM / |
YYYY ) |
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(In words)................................. |
| OR |
| 2. Name of minor account holder |
..................................................................... |
| Father /mother's name or the guardian |
..................................................................... |
| Date of Birth |
......... |
........... |
.................. |
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(DD / |
MM / |
YYYY ) |
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(In words)................................. |
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| 3. Aadhaar Number of account holder/guardian |
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| .................................................................... |
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4. Permanent Account Number (PAN) of account holder/guardian
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| .................................................................... |
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| 5. Present Address |
................................................................... |
| Permanent Address |
................................................................... |
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................................................................... |
| 6. Contact details |
Telephone Number........................... |
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Mobile Number................................. |
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EmailID................................................
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| 7. Type of Account |
Single or through Guardian for Minor orpersonof unsound mind or blind or differentlyabled through authorizedperson.
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| 8. (*)Details of Birth proof |
................................................................ |
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(d) Certificate No.................................................................................
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(e) Date of Issue................................................................................
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(c) Issuing authority................................................................................
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| 9. (*) Name of Guardian (Natural/Legal) |
................................................... |
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(In case the account is opened on behalf of aMinor/person of unsound mind)
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| 10. Details of other KYC documents attached |
1. Proof of identification |
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................................................... |
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2. Address proof |
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................................................... |
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11. (The followingdocuments are accepted as valid documents for the purpose ofidentification and address proof:1. Passport2. Driving license3. Voter's ID card4. Job card issued byNREGA signed by the State Government officer5. Letter issued by the National PopulationRegister containing details of name and address);
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................................................... |
| 1. The operation of the account will be:- |
(a) By the Guardian tillthe account holder attains majority.(b) By the account holder on attaining majority,
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12. Specimen Signatures1..............................
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2..................................3.,.................................(Name)..................................................................
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