Change or Addition of Contact Information:

Additional Information:

(Please use Capital Letters only. Use one cell for one letter and leave a blank

Date of Birth:

between words)

Account No.:
Name of Base Branch where you maintain your Account:

(DD-MM-YYYY)
Annual Income:
Up to 3 lac

3 lac to 5 lac

10 lac to 20 lac
Customers Name:

5 lac to 10 lac

20 lac to 30 lac

30 lac to 50 lac

More than 50 lac

PAN No.:
Occupation:
Mobile No.:
(ISD Code, e.g. 91 for India, 44 for UK, 971 for UAE etc. Followed by Mobile No)

Business

Self-employed

Professional

Doctor

Lawyer

Service

Pvt Sector

Agriculture

Other

IT

Govt/PSU/Public Sector

CA

Tel. No.:
(STD Code, e.g. 011 for Delhi, 022 for Mumbai followed by Landline No)

Optional Information:
Yes

Do you own a House in your name:

E-mail:

Do you own a Car

Yes

No

No

Address:
House/Flat No.:

Do you own a Debit Card

Yes

No

Road/Building/Colony/Locality/Area:

Do you own a Credit Card

Yes

No

Do you have an Internet Banking A/C

Yes

No

Please submit duly signed form to your branch for

updation.
_______________________________________________
For Office Use:

Landmark:

City:
Form Received on

Pin Code:

Customer Identified / Documents verified: Yes

Customers Signatures Verified: Yes

State:

KYC Compliant

Yes

No

No

Country:
Account Opened on:

(Please submit documentary evidence for change in information )

Transaction alerts on Mobile ?

Yes
No
Information on Banks products & services by E-mail and/or Mobile
Yes

No

Signature of Verifying Officer

Specimen Signature No. :

Signature
Important Note: Use separate form for Joint Account Holder
Please give 24 to 48 hours for information to be updated in your account
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No