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Annexure A

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47 views1 page

Annexure A

Uploaded by

s5839riidd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Re-KYC Self-Declaration – Annexure A

(Applicable to Resident & Non-Resident Customers only)

Branch: Date:

Customer Name:

Account No.: Customer ID:

Occupation: Salaried Self-Employed Retired Student Housewife Unemployed Politician


(Kindly tick any one)

If Salaried: Pvt. Ltd. Public Ltd. Proprietor Partnership Public Sector Government Multi-national
(To be ticked only when
occupation is Salaried) Trust / Association / Club

If Self-Employed: IT Professional Service Provider Agriculture Bullion / Gold Jeweller Stockbrocker


(To be ticked only when
occupation is Self-Employed) Trader Money Lender

No. of Years in Annual Income:


Business:
(Only absolute & numeric
(If Self-Employed)
values to be entered)

Source of Funds: Salary Business Income Investment Income Agricultural Income Others

Customer Declaration

• I hereby declare that there is no change in my KYC details recorded with the Bank
• Kindly update my KYC basis the above-mentioned self-declaration
• I hereby declare that the details furnished above are true and correct to the best of my knowledge
• I undertake to inform the Bank of any changes in my KYC / profile details immediately

***** End of document *****

O002434406_02_24

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