Annexure 3

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

A ........................................................ Branch

I request the Bank to open account(s)/provide services opted by me/us & the required entity / individual details are given below: Customer Name & Address (ALL IN BLOCK LETTERS PLEASE) (Please wherever applicable)
Particulars of Identification / Introduction A. Any one document from each of the under-noted 2 lists, for Identity and proof of address
List I (latest/recent) put
List II (latest/recent) put
1. Memorandum of Association
1. Telephone Bill
2. Articles of Association
2. Bank account statement
3. Board Resolution
3. Income/Wealth tax assessment order
4. Partnership Deed
4. Credit Card Statement
5. Trust Deed
5. Electricity Bill
6. Joint Hindu Family letter
6. Certificate/License under Shops & Establishment Act
7. Minutes of SHG meeting
8. CST/VAT certificate
9. Certificate by Sales/Service/Prof. tax authorities
10.Certificate/Licence under Shops & Establishment Act
B. 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. ............................................................
Details of Beneficial Owners
Name
Designation
Signature
Personal CIF No.
Date : ____ / ____ / _______
Created by : Initial ______________ Authorised by : Initial _______________ Entity 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
Other Details
NAME OF ENTITY
CONSTITUTION
Proprietary / Partnership
Pvt. Ltd. / Public Ltd / L L P
NATURE OF ACTIVITY
Trust / J H U / S H G / N G O
ADDRESS (REGISTERED OFFICE) CITY & PIN CODE STATE
DATE OF INCORP.
____ / ____ / _______.
PHONE NO.
PHONE NO.
FAX NO.
E MAIL ID.
ADDRESS (FACTORY) CITY & PIN CODE STATE
PAN NO.
TAN NO.
CST/VAT NO.
Risk Category
Low  Medium  High 