Know Your Customer - Customers' Record Of Profile Page 2

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9. Conveyance : Owning
Two-wheeler
Four-wheeler
Others…………..
10. Telephone: Owning telephone (No………………) / Not owning telephone
11. Credit Card: Holder (Branch………………….., Limit…………….) / Non-holder
12. Purpose of opening of account:…………………………………………………………
13. Source of funds : (e.g. salary, business etc)…………………………………………..
14. Annual Income: Rs………………………
15. If engaged in business
a. Location of business premises:……………………………………………………
b. Estimated income: Rs.……………………….
c. Other source of income: Rs…………………
d. Total annual income: Rs…………………….
e. Existing bank account, if any: ………………….
f. Credit facility availed: …………………………..
16. Passport: Holder (PP no………………… Valid up to…………………….)
PAN No.:…………………
17. Details of foreign countries visited during the last three years
…………………………………………………………………………………………
…………………………………………………………………………………………
18. Any other information which you would like to record with bank
…………………………………………………………………………………………
…………………………………………………………………………………………
I declare that the above particulars furnished by me / us are true and correct.
Signature of applicant
-----------------------------------------------------------------------------------------------------------------
For use at branch
a. Indexed under: …………………………………………..
b. Identity and genuineness of address verified as per instructions in force: ………….
c. Remarks: ………………………………………………………………………………

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