DOB
Status
NRI (Indian Passport)
Person of Indian Origin (PIO - Foreign Passport)
Gender
Male Female TransgenderPancard
Form 60
Form for declaration to be filled 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.
*
I have applied for PAN and it is not yet generated
I have not applied for PAN
Enter the date of application
Acknowledgement number:
Overseas
Indian
Salaried
Name of the Employer
Designation
Self Employed
Business Since
Nature of Business
* Name of Company
Name of Company
* Are you politically exposed person? What is PEP?
Separate AML Form would be required for which Bank Employee will connect with you
Are you a Tax Resident/ Citizen or Green Card Holder in United States?
Yes No
Are you a tax resident of any other country?
Yes No
I hereby declare that I am a Person of Indian Origin and confirm that:
I held an Indian Passport in the past
I am a child/ a grandchild/ a great grandchild, who is/ was a citizen of India or of a person referred to in clause A or B
I belong to a territory that became part of India after the 15th Day of August, 1947
I am a spouse of foreign orgin of a citizen of India or spouse of foreign orgin of a person referred to in clause A or B or C or D
PEP Declaration : Politically Exposed Persons(PEP) are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments, Senior Politicians, Senior Government / Judicial / Military Officers, Senior Executives of State-Owned Corporations, Important Political Party Officials, etc. In addition, a 'Politically Exposed Person' includes the immediate family members of a Politically Exposed Person such as spouses, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conduct transactions on behalf of a Politically Exposed Person.
Cheque Book (Free)
Debit Card (Free)
Cheque Book (Free)
Debit Card (Free)
Cheque Book (Free)
Debit Card (Free)
Cheque Book (Free)
Debit Card (Free)
I/We have understood the information requirements of this Form as per the CBDT notified Rules 114F to 114H and hereby confirm that the information provided by me/us under this Form is true, correct, and complete.
I/We also confirm that I/We have read and understood the Terms and Conditions below and hereby accept the same. I/We understand that my personal details as provided/available in the bank records will be used for CBDT reporting / Central KYC Registry.
I hereby consent to receiving information from Central KYC Registry through SMS / Email.
CBDT Terms and Conditions: The Central Board of Direct Taxes (CBDT) has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions such as the Bank to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account holders. In relevant cases, information will have to be reported to tax authorities/ appointed agencies.
Towards compliance, I/We may also be required to provide information to any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto. Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days. Please note that you may receive more than one request for information if you have multiple relationships with Equitas Small Finance Bank or its group entities. Therefore, it is important that you respond to our request, even if you believe you have already supplied any previously requested information.
Nomination under section 45ZA of the Banking Regulation Act.- 1949, and the Rule 2(1) of The Banking Companies (Nomination) Rules, 1985, in respect of bank deposits,
nominate the following person to whom in the event of my/our/minor's death, the amount of the deposit in the account(s) opened with this application form may be returned by Equitas SFB.
Nominee Address
Same as Indian Address,
Same as Overseas Address
Stays at another address
* Front
Back
Other
* Front
Back
* Is your passport address same as communication address?
* Front
Back
Other
* Front
Back
Please upload a recent Color Passport Size Photo that matches your ID Proof (or) Alternatively paste a Color Passport Size photo on the Printed form and Sign across the Photograph.
Primary Applicant Signature
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Please upload a recent Color Passport Size Photo that matches your ID Proof (or) Alternatively paste a Color Passport Size photo on the Printed form and Sign across the Photograph.
Secondary Applicant Signature
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I agree to terms & conditions and general declarations.