CIF (Customer Information File) Opening Form for Personal CIF (Full KYC)

Annexure 1
Affix recent
Passport size Photo
A ........................................................ Branch

I request the Bank to open account(s) / provide services opted by me and the required individual details are given below: Customer Name & Address (ALL IN BLOCK LETTERS PLEASE) (Please wherever applicable)
Particulars of Identification
1. Copy of the Passport alone where the address on the passport is the same as the address on the account opening form (OR)
2. Any one document from each of the under-noted 2 lists, for Photo ID and proof of residence
List I (latest/recent) put
List II (latest/recent) put
1. Passport where the address differs
1. Telephone Bill
2. Voter’s Identity Card
2. Bank Account Statement
3. PAN Card
3. Income/Wealth tax assessment order
4. Driving Licence
4. Credit Card Statement
5. Govt. / Defence ID card *
5. Electricity Bill
6. ID cards of reputed employers *
6. Ration Card
7. Letter from a recognised public authority or Public servant verifying the identity and residence of the applicant *
7. Letter from Employer *
* subject to the Bank’s satisfaction.
8. Postal Identity Card
SIGNATURE OF THE APPLICANT : DATE : ____ / ____ / _______ Introduction from an existing account holder of the branch Name of the Introducer ........................................................................ Type of account and a/c No................................................................... Address of the introducer...................................................................................................................................................................................... ..................................................................... PIN CODE.......................... Phone No............................. Account held since ................................. I hereby introduce the above named applicant(s) and certify that I know Mr/Ms.................................................................................. for the past........... months/years and confirm his/her occupation and address as stated in this application. I also attest his/her signature(s).
....................................................................... Signature of the Introducer
Signature of the introducer / KYC particulars are verified by me. CIF (CUSTOMER INFORMATION FILE) FOR THIS CUSTOMER MAY BE OPENED. Signature of the verifying Official ................................................................. Name of the verifying officer with SS No. ............................................................
Branch Use : Social Attributes (as per the codes available in CBS)
Religion - Caste
Income Category
BPL Above BPL
Physically Challenged
Special Category
Politically Exposed
Risk Category
Low Medium High
Created by : Initial _____________ Authorised by: Initial _____________ CIF No.
CDPC use : (if applicable ) Date of updation at CDPC : ____/____/____ Updated by : Authorised by : Initial. with name Initial with name & SS No.
Particulars
Details of Applicant
TITLE
MR / MRS / MS / DR. / ER. / MINOR
FIRST NAME
MIDDLE NAME
LAST NAME
FATHER/SPOUSE NAME
ADDRESS (RESIDENCE) CITY & PIN CODE STATE IF STAFF, S.R.NO.
DATE OF BIRTH
____ / ____ / _______.
GENDER
Male Female Others
MARITAL STATUS
Married Single
OCCUPATION
ID Card No.:
PHONE No. (RESI)
ADDRESS (PLACE OF WORK) CITY & PIN CODE STATE
PHONE No. (OFF)
MOBILE No.
E MAIL ID
PAN No.
AADHAR No.
RELIGION : HINDU / MUSLIM / CHRISTIAN / OTHERS
COMMUNITY: FC / OC / BC/ MBC/ SC/ ST
ANNUAL INCOME