Know Your Customer(KYC) Form

Company Name(s): 

Annexure to Account Opening Form
Indian Overseas Bank
………………………Branch
KNOW YOUR CUSTOMER - CUSTOMERS' RECORD OF PROFILE
To be filled in by applicant customer at the time of opening account as also by the existing customers

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1. Name : …………………………………………………
2. Spouse / Father's Name : …………………………………………………
3. Type of account : …………………………………………………
Account Account Number Date of opening the account
a. SB
b. CD
c. Term deposit
d. ………………
e. ………………
………………………………
………………………………
………………………………
………………………………
……………………………..
……………………………..
……………………………..
………………………………
4. Age (tick appropriate box) : Below 20 years
: 21 - 40 years
: 41 - 60 years
: 61 years and above
5. Occupation
Service Professional Others
Government
Public Sector Undertaking
Private
Lawyer
Doctor
Information Technology
Chartered/
Cost Accountant
Engineer
Other self-employed
Pensioner
Retired non-pensioner
Housewife
Student
Farmer / Trader /
vendor/ Business
Others
6. Educational qualification: Non-graduate Graduate Post graduate Others
7. Nationality: …………………………
8. Accommodation: Own Rental
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
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For use at branch
a. Indexed under: …………………………………………..
b. Identity and genuineness of address verified as per instructions in force: ………….
c. Remarks: ………………………………………………………………………………
Date: Authorised signatory
d. Record of updation: Refer table below:
Year Date Details of Updation Authorised signature
with date
I Year
II Year
III Year