Customer Information Form Page 2

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please prefix +91 22 before dialing.

Declaration

Please Fill in for Hindu Undivided Family

Please Fill in for Partnership Firm

As our HUF Firm wishes to open an account with your Bank in the said name _____________________________

Re: Opening of a new account in the name of :________________________________________________________

___________________________________________________________ we request to say that the first signatory to

We , the undersigned, are the only partners in the firm and are jointly responsible for liabilities thereof, we shall

his letter , i.e __________________________________________ is the Karta of the joint family and other signatories

advise you, in writing, of any change that takes place in the partnership forthwith and, all the partners will be liable

are the adult co-parceners of the said family.

to you on any obligation which maybe standing in the firm’s name in your books on the date of the receipt of such

notice and until all such obligations shall have been liquidated.

We further confirm that the business of the said family is carried on mainly by the said Karta as also the other

signatories hereto in the interest and for the benefit of the entire body of co-parceners of the joint family. We all,

Yours faithfully,

undertake that claims due to the Bank from the said family, shall be recoverable personally from all or any of us

Name and Signatures ( in individual capacity without Stamp) of Partners

and also for the entire family properties of which the first signatories , the Karta, including the share of minor

co-parceners.

We hereby undertake to inform the Bank, of the death or birth of a co-parceners, or any change occurring at

. 1

s

d

- /

anytime in the membership of our joint family during the currency of the Account

Name and Signature of Karta

. 2

s

d

- /

s

d

- /

. 3

s

d

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Name and Signature of Adult Co-parceners

-

. 4

s

/ d

. 1

s

d

- /

-

. 5

s

/ d

(Attach a list of partners if it exceeds the space above)

. 2

s

d

- /

Please Fill in for Sole Propreitorship Concern

. 3

s

d

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Re: Opening of a new Account in name of ________________________________________________________I refer

to the captioned account opened by you and declare as under :

-

I, the undersigned, am the sole proprietor of the firm and am solely responsible for the liabilities thereof, I shall

. 4

s

/ d

advise you in writing of any change that take place in the constitution of the firm and I will be liable to you for any

obligation which may be standing in the firm name in your books on the date of the receipt of such notice and

Name and Date of Birth of Minor Co-parceners

until all such obligation shall have been liquidated .

D

D M M Y

Y

Y

Y

Yours faithfully,

1.

Name:

D

D M M Y

Y

Y

Y

2.

Signature:

(Attach a list of co-parceners if it exceeds the space above)

(Please sign without the stamp)

I/We have read and understood Bank’s General Business Conditions (a copy of which has been sent to me/us/is in my possession) governing the business relationship with Deutsche Bank AG, India (”Bank”) and those special conditions

relating to various services including but not limited to Accounts, ATM, Phone Banking, Debit Card, Internet Banking, Bill payment etc. I/We accept and agree to be bound by the said Bank’s General Business Conditions including those

excluding/limiting the Bank liability. I/We understand that Bank may at its absolute discretion discontinue any of the services completely or partially without any notice to me/us. I/We agree that Bank may debit my/our account for service

charges as applicable from time to time. I/We authorise the Bank to keep providing me/us the information of the Bank’s new product and offers through my/our preferred mode of contact or through a phone call/email as convenient.

I/We confirm that I/We am/are resident of India. I/We hereby irrevocably authorise the Bank to disclose from time to time any information on or relating to my/our account(s) with the Bank to any other branch of the Bank and of its

subsidiaries or affiliates or any Authority or third party without specific consent. The Bank’s General Business Conditions, the receipt and acceptance of which I/We herewith confirm, and all other rules and conditions of the Bank including

any amendment thereto as notified by the Bank, shall apply to each of the accounts and all documentation in relation thereto.

Information pursuant to Anti-Money Laundering

[ ] I/We am/are the benefical owner of all assets run through my/our own account.

[ ] The beneficial owner of some/all assets runs through the account is/are (name and address of person for whom the account(s) are maintained).

The Branch of the Bank in

(State/Country) where my/our account/s is kept (the “Accountable Branch”) is the sole branch of account for repayment of any credit balance in the account and any interest

accruing thereon which will only be made at the Accountable Branch and in the currency in which the credit balance is denominated. Accordingly, the Bank shall not be required to repay any such credit balance or interest at its head

office or any branch other than the Accountable Branch for so long as and to the extent that the Accountable Branch cannot repay the balance or interest due to (a) an act of war, insurrection or civil strife; or (b) an action by the government

or any instrumentality of or in

(State/Country) (whether de jure or de facto) preventing such repayment. The competent court within whose jurisdiction the Accountable Branch is situated shall have

exclusive jurisdiction in respect of any claims against the Bank. However, this will not effect the Bank’s general lien and right of set-off over all my/our account/s at all branches of the Bank and for this purpose the Bank shall be entitled

to combine and consolidate all or any of such accounts.

FOREIGN EXCHANGE MANAGEMENT ACT, 1999 (FEMA)

I/We hereby declare that the transactions relating to foreign exchange routed through your Bank do not involve, and are not designed for the purpose of any contravention or evasion of the provisions of the

aforesaid Act or of any rule, regulation, direction, or order made hereunder.

Account facility shall be at sole descretion of Deutsche Bank AG, India.

*Customer Signature

(Sign within the box and use black ink for signature)

I/We also hereby agree and undertake to give such information/documents as will reasonably satisfy you about the transactions in terms of the above declaration.

Photograph

Photograph

Authorised Signatory 1:

Authorised Signatory 2:

Date:

Date:

Photograph

Photograph

Authorised Signatory 3:

Authorised Signatory 4:

Date:

Date:

For Bank Use Only

Customer Category

Private Banking

Private Banking Payroll

Business Banking

Personal Banking

Lead Generated By

Customer Sourced By

Customer Managed By

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(Only in case of Private Banking Customer)

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Customer Risk Profile

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Signature

Branch Manager/ Service Manager

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