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SECONDARY APPLICANT PERSONAL DETAILS

Prefix
Please fill Name as Passport

DOB

Married
Single

Status

NRI (Indian Passport)

Person of Indian Origin (PIO - Foreign Passport)

Gender

Male Female Transgender
Yes
No

Pancard

Form 60

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:

SECONDARY APPLICANT ADDRESS

Overseas

Indian

SECONDARY APPLICANT OCCUPATION & ACCOUNT ACTIVITY

Household Expense
Savings/Investments
Others
Salary
Business Income
Inheritance
Investments
Savings
Sale of Property
Others
Upto 2 years
2-5 years
Above 5 years
Salaried
Self-employed
Business
House Wife
Unemployed
Retired
IT

Salaried

 Public Ltd. Company
 Govt.
 Private Ltd. Company
 PSU
 MNC
 Others

Name of the Employer

Designation

Self Employed

 CA
 Doctor
 Trader
 Lawyer
 Exporter/Importer
 Engineer
 Others

Business Since

Nature of Business

 Manufactoring
 Service Provider
 Agriculture
 Stock Broker
 Trader
 Real Estate
 Others

* Name of Company

Name of Company

 Public Limited
 Private Limited
 Proprietorship
 Partnership
 Others
< USD 30,000
USD 30,000-48,000
USD 48,000-72,000
USD 72,000-1,20,000
> USD 1,20,000

* Are you politically exposed person? What is PEP?

Yes No

Separate AML Form would be required for which Bank Employee will connect with you

SECONDARY APPLICANT FATCA / TAX RESIDENCY DECLARATION

For customers, travelling first time to Overseas as NRI (if he/she intends to reside in a foreign country for more than 182 days for education, employment or vocation) , need not provide Tax Identification Number/ SSN Number(USA), such customers are required to mention Name of the Overseas Country, Mention Tax Identification Number/ SSN Number(USA) as (Not Available/Not Applicable).
* City of birth
* Country of birth

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

Country of Residence

What is FATCA Declaration?

SECONDARY PIO DECLARATION

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

Document in support of PIO Status

PEP DECLARATION

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.

PRIMARY CONTACT DETAILS & CHANNEL REQUEST

NRE

Cheque Book (Free)

 Yes  No

Debit Card (Free)

 Yes  No
NRO

Cheque Book (Free)

 Yes  No

Debit Card (Free)

 Yes  No
Indian Mobile
91
* Email
* Country Code
* Overseas Mobile
Indian Overseas

SECONDARY CONTACT DETAILS & CHANNEL REQUEST

NRE

Cheque Book (Free)

 Yes  No

Debit Card (Free)

 Yes  No
NRO

Cheque Book (Free)

 Yes  No

Debit Card (Free)

 Yes  No

FATCA DECLARATION

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.

NOMINEE ADDITION - FORM DA1

The Bank, through its authorized representative had explained to me the necessity of nomination facility as per the extant guidelines of RBI. However, I am not inclined to nominate anyone under my account though I am fully aware of the risks and consequences of not having a nominee under my account.

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

Upload Documents

*  Please upload Self Attested documents, Please upload the Self-Attested documents additionally attested by any one of the following: the limit is 4mb for picture in format png/jpg/jpeg only and for KYC Document in format png/jpg/jpeg/pdf/tiff/docx/doc/zip
a) Authorised officials of overseas branches of Scheduled Commercial Banks registered in India (OR)
b) Branches of overseas banks with whom Indian banks have relationships (OR)
c) Notary Public abroad (OR)
d) Court Magistrate (OR)
e) Judge (OR)
f) Indian Embassy / Consulate General in the country where the non-resident customer resides.

PRIMARY APPLICANT - DOCUMENT UPLOAD SECTION

Primary Applicant - Passport Copy

* Front 

Back 

Other 

Primary Applicant - Visa Copy

* Front 

Back 

* Is your passport address same as communication address?

Primary Applicant - Address Proof
Front  Back 

SECONDARY APPLICANT - DOCUMENT UPLOAD SECTION

Secondary Applicant - Passport Copy

* Front 

Back 

Other 

Secondary Applicant - Visa Copy

* Front 

Back 

PHOTO & SIGNATURE

PRIMARY APPLICANT

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

Please wait...

SECONDARY APPLICANT

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

Please wait...

Place
Date

I agree to terms & conditions and general declarations.