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I/We tender herewith(Rs........................................................................................)No..................... date.......... as initial deposit. My/ourparticulars are as under:-
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Rs........................../-in cash/Cheque/DD. |
| 1. Name of the First Depositor |
..................................................................... |
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Husband/Father /mother's name or Guardian appointedby Court.....................................................................
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| Date of Birth |
......... |
........... |
.................. |
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(DD / |
MM / |
YYYY ) |
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(In words)................................. |
| 2. Name of Second Depositor |
..................................................................... |
| Husband/Father /mother's name |
..................................................................... |
| Date of Birth |
......... |
........... |
.................. |
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(DD / |
MM / |
YYYY ) |
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(In words)................................. |
| 3. Name of Third Depositor |
..................................................................... |
| Husband/Father /mother's name |
..................................................................... |
| Date of Birth |
......... |
........... |
.................. |
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(DD / |
MM / |
YYYY ) |
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(In words)................................. |
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4. Name of minor/person of unsound mind accountholder
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..................................................................... |
| Father /mother/guardian's name |
..................................................................... |
| Date of Birth |
......... |
........... |
.................. |
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(DD / |
MM / |
YYYY ) |
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(In words)................................. |
| 5. Aadhaar Number of account holder(s) |
.................................................................... |
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6. Permanent Account Number (PAN) of account holder(s)....................................................................
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| 7. Present Address |
................................................................... |
| Permanent Address |
................................................................... |
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................................................................... |
| 8. Contact details |
Telephone Number........................... |
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Mobile Number................................. |
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EmailID................................................
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| 9. Type of Account |
Single or Joint or through Guardian for minor orperson of unsound mind or blind or differently abled throughauthorized person.
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10.(*) Details of date of Birth of Minor(Applicable in case of minor account)
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................................................................ |
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(d) Certificate No.................................................................................
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(e) Date of Issue................................................................................
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(f) Issuing authority................................................................................
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11. (*) Name of Guardian(Natural/Legal)(In case the account is opened on behalf of aMinor/person of unsound mind)
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................................................... |
| 12. 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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The following documentsare accepted as valid documents for the purpose of identificationand 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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................................................... |
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13. The operation of theaccount will be:-(In case of joint account)
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(a) By all theholders together or the surviving holder/s.(b) By either of the holder/s, or the survivingdepositor/s,
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| 14. My/our specimen Signatures |
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| 1. ….................................... |
2.............................................3. …...............................
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| (Name) …........................................... |
| 1. ….................................... |
2.............................................3. …...............................
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| (Name) …........................................... |
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| 1. ….................................... |
2.............................................3. …...............................
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| (Name) …........................................... |
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| 1. ….................................... |
2.............................................3. …...............................
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| (Name) …........................................... |
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