Document

ACCOUNT OPENING FORM FOR NON RESIDENT INDIVIDUALS

* Please open my

NRE Savings

NRO Savings

Both

* Mode of Operation

Single

Jointly (debit/atm not applicable)

Either or Survivor

Minor under guardian

* Preferred Branch

State

City/District

Branch

Are you referred by an employee or facilitator

Yes No

E/BF

Please enter the code

Account Variant (AMB charges are waived at present)

Regular

ELITE

PRIMARY APPLICANT PERSONAL DETAILS

* Prefix

* Please fill Name as Passport

* DOB

* Marital Status

Married

Single

Spouse Name

* Mother's Maiden Name

Father's Name

* Status

NRI (Indian Passport)

Person of Indian Origin (PIO - Foreign Passport)

* Gender

Male Female Transgender

* Country of Residence

* Nationality

Are you a US Person?

Yes

USA Citizen

Green Card Holder

Born in USA

Social Security No.

* Passport No

* Passport issuing country

* Passport Date of Issue

* Place of Issue

* Expiry Date

* Type of Visa

* Visa Place of Issue

* Visa Issue Date

Visa Expiry Date

OCI Card Number

Date of Issue

Place of Issue

Pancard

* PAN Card No

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:

A. Indian Agricultural Income Rs.

B. Other than Indian Agricultural Income Rs.

I Agree to Form 60 Declaration.

PRIMARY APPLICANT ADDRESS

Overseas (mandatory)

* Address

* State

* City

* Country

* Postal/Zip Code

Indian

* Address

* State

* City

* Country

* Postal/Zip Code

* Correspondence is to be sent to Indian Overseas
Please note that all communication and correspondence (including cheque book and debit card) will go to selected address.

PRIMARY APPLICANT OCCUPATION & ACCOUNT ACTIVITY

* Purpose of this Account

Household Expense

Savings/Investments

Others

* Source of Funds

Salary

Business Income

Inheritance

Investments

Savings

Sale of Property

Others

* No. of years in Foreign Country

Upto 2 years

2-5 years

Above 5 years

* Occupation Type

Salaried

Self-employed

Business

House Wife

Unemployed

Retired

Salaried

Public Ltd. Company

Govt.

Private Ltd. Company

PSU

MNC

Others

Name of the Employer

Designation

Self Employed

Doctor

Trader

Lawyer

Exporter/Importer

Engineer

Others

Business Since

Years

Date of incorporation

Nature of Business

Manufactoring

Service Provider

Agriculture

Stock Broker

Trader

Real Estate

Others

* Name of Company

Type of Company

Public Limited

Private Limited

Proprietorship

Partnership

Others

* Name of Currency in which you are earning

* Annual Family Income(Equivalent)

< 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

PRIMARY 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

* Social Secutiry Number

* Address for Tax Purpose

* Address Type

Are you a tax resident of any other country?

Yes No

* Mandatory to fill one below

Country of Residence

* Tax Identification Number

* Address for Tax Purpose

* Address Type

What is FATCA Declaration?

MINOR DECLARATION FORM

Type of Guardian

Full Name of Guardian Mr./Ms I hereby declare that the date of birth of the minor who is my is and I am his/her natural and lawful guardian/ guardian appointed by court order, dated (Copy Enclosed). I shall represent the said minor in all future transactions of any descriptions in the above account until the said minor attains majority. I indemnify the Bank against the claim of the above minor for any withdrawal/transactions made by me in his/her account.

PRIMARY APPLICANT 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

Download Affidavit

SECONDARY APPLICANT PERSONAL DETAILS

Prefix

Please fill Name as Passport

DOB

* Marital Status

Married

Single

Spouse Name

Mother's Maiden Name

* Mobile No (Enter International or Overseas number with ISD code)

Father's Name

Status

NRI (Indian Passport)

Person of Indian Origin (PIO - Foreign Passport)

Gender

Male Female Transgender

* Country of Residence

Nationality

Are you a US Person?

Yes

USA Citizen

Green Card Holder

Born in USA

Social Security No.

Passport No

Passport issuing country

Passport Date of Issue

Place of Issue

Expiry Date

Type of Visa

Visa Place of Issue

Visa Issue Date

Visa Expiry Date

OCI Card Number

Date of Issue

Place of Issue

Expiry Date

Pancard

* PAN Card No

Form 60

FORM 60

*
I have applied for PAN and it is not yet generated
I have not applied for PAN

Enter the date of application

Acknowledgement number:

A. Indian Agricultural Income Rs.

B. Other than Indian Agricultural Income Rs.

SECONDARY APPLICANT ADDRESS

Overseas

Address

State

City

Country

Postal/Zip Code

Indian

Address

State

City

Country

Postal/Zip Code

SECONDARY APPLICANT OCCUPATION & ACCOUNT ACTIVITY

Purpose of this Account

Household Expense

Savings/Investments

Others

Source of Funds

Salary

Business Income

Inheritance

Investments

Savings

Sale of Property

Others

No. of years in Foreign Country

Upto 2 years

2-5 years

Above 5 years

Occupation Type

Salaried

Self-employed

Business

House Wife

Unemployed

Retired

Salaried

Public Ltd. Company

Govt.

Private Ltd. Company

PSU

MNC

Others

Name of the Employer

Designation

Self Employed

Doctor

Trader

Lawyer

Exporter/Importer

Engineer

Others

Business Since

Years

Date of incorporation

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

Name of Currency in which you are earning

Annual Family Income(Equivalent)

< 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

* City of birth

* Country of birth

Are you a Tax Resident/ Citizen or Green Card Holder in United States?

Yes No

* Tax Identification Number

* Address for Tax Purpose

* Address Type

Are you a tax resident of any other country?

Yes No

* Mandatory to fill one below

Country of Residence

* Tax Identification Number

* Address for Tax Purpose

* Address Type

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

Download Affidavit

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

* SMS/OTP Alerts to be sent:

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

*I wish to nominate

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 Name

DOB

Relationship with Depositor (if any)

Guardian Name

Relationship of Nominee with Guardian

Guardian Age

Guardian Date of Birth

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.