Sidbi Fixed Deposit Application Form (Page 6 of 8) in pdf

Know Your Customer Form (KYC)

(For Non Individuals )

(use separate KYC form for each Authorized Signatory)

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Please fill this form in BLOCK LETTERS (All information as applicable in Section A,B and C below is mandatory).

This information is sought under the Prevention of Money Laundering Act, 2002, the rules notified thereunder and SEBI guidelines on Anti Money Laundering.

A. Identity Details (Please see guidelines A1 to A5 overleaf)

1. Name of the Applicant (As in supporting document)

Name of the

depositor

2. Date of

Incorporation

3. Nationality

Indian

Others (please specify)

(please tick any one)

4. Status

Resident

Non-Resident

(please tick any one)

5. Permanent Account Number (PAN) (Mandatory)

(please attach attested photo copy of PAN card)

6 Constitution

Proprietorship

HUF

Partnership

Trust or

Private Ltd

Public Ltd

(pl tick)

Concern

Firm

Foundation

Company

Others (Pl

specify)

B. Address Details (please see guidelines B1 to B4)

Tel No.

1. Address of

Mobile

Correspondence

2. Registered

Office Address

C. Proof of Identity provided by Applicant (Please submit any one of the following certified documents and tick against the document attached)

(i)

Certificate of incorporation and Memorandum & Articles of Association

In case of

(ii)

Resolution of the Board of Directors to open an account and identification of those who have authority to operate the account

Company

(iii)

Power of Attorney granted to its managers, officers or employees to transact business on its behalf

(iv)

Copy of PAN allotment letter (v) Copy of the telephone bill

(i)

Registration certificate, if registered

In case of

(ii)

Partnership deed

Partnership Firm

(iii)

Power of Attorney granted to a partner or an employee of the firm to transact business on its behalf

(iv)

Any officially valid document identifying the partners and the persons holding the Power of Attorney and their addresses

(i)

Certificate of registration, if registered

In case of Trust or

(ii)

Power of Attorney granted to transact business on its behalf

Foundation

(iii)

Any officially valid document to identify the trustees, settlors, beneficiaries and those holding Power of Attorney,

founders/managers/ directors and their addresses

(iv)

Resolution of the managing body of the foundation/association

(i)

Registration certificate (in the case of a registered concern)

(ii)

Certificate/licence issued by the Municipal authorities under Shop & Establishment Act

(iii)

Sales and income tax returns, duly authenticated/ acknowledged by the Income Tax/ Sales Tax Authorities.

In case of

(iv)

CST/VAT certificate

Proprietorship

(v)

Certificate/registration document issued by Sales Tax/Service Tax/Professional Tax authorities

Concern

(vi)

Licence issued by the Registering authority like Certificate of Practice issued by Institute of Chartered Accountants of India,

Institute of Cost Accountants of India, Institute of Company Secretaries of India, Indian Medical Council, Food and Drug Control

Authorities, registration/licensing document issued in the name of the proprietary concern by the Central Government or State

Government Authority/ Department, etc.

(vii)

IEC (Importer Exporter Code) issued to the proprietary concern by the office of DGFT.

In case of Hindu

(i)

Copy of any of these documents in the name of Karta, viz PAN Card, Passport, Driving Licence, Voters’ Id Card, Photo Ration

Undivided Family

Card, Photo Debit / Credit Card issued by bank, Any other identification with Photograph (subject to satisfaction of SIDBI)

(ii)

Deed of Declaration of HUF

Unincorporated

(i)

Resolution of the Managing Body of such Association or body of individuals

Association or a

(ii)

Power of Attorney granted to him to transact on its behalf

Body of

(iii)

An officially valid document in respect of persons holding an attorney to transact on its behalf

Individuals

(iv)

Such information as may be required to establish the legal existence of such an association or body of individuals.

Clubs, Socieites

(i)

Resolution for opening of the account

and Associations

(ii)

A copy of Bye-laws

(iii)

Identity of authorised signatories

(iv)

Copy of certificate of registration in the case of registered clubs, societies and associations

D. Proof of Address provided by Applicant (Please submit any one of the following certified documents and tick against the document attached)

(i)

Latest Telephone Bill

(ii)

Latest Electricity Bill

(iii)

Latest Bank Account Statement

(iv)

Registered Lease / Sale Agreement of Office

(v)

Latest Bank Passbook

(vi)

Latest Demat Account Statement

Sidbi Fixed Deposit Application Form Page 6

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