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Free Indian Bank CIF Opening (Full KYC) - PDF Form Download

Indian Bank CIF Opening (Full KYC)
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Indian Bank CIF Opening (Full KYC)

This is a FULL KYC Form for Indian Bank please fill the form in the Indian Bank Branch.

Text Version of the Form

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Annexure 1

A CIF (Customer Information File) Opening Form
for Personal CIF (Full KYC)
……………………………………………….. Branch

I request the Bank to open account(s) / provide services opted by me and the required individual
details are given below:

Customer Name & Address (ALL IN BLOCK LETTERS PLEASE) (Please wherever applicable)

Particulars Details of Applicant Affix
MR / MRS / MS / DR. / ER. / MINOR recent
Passport
FIRST NAME size Photo

MIDDLE NAME

LAST NAME

FATHER/SPOUSE NAME

ADDRESS

(RESIDENCE)
DATE OF BIRTH ____ / ____ / _______.
GENDER Male Female Others

MARITAL STATUS Married Single
CITY & PIN CODE
OCCUPATION
STATE
IF STAFF, S.R.NO. ID Card No.: PHONE No. (RESI)

ADDRESS PHONE No. (OFF)

(PLACE OF WORK) MOBILE No.

E MAIL ID

CITY & PIN CODE PAN No.

STATE AADHAR No.

RELIGION : HINDU / MUSLIM / CHRISTIAN / OTHERS COMMUNITY: FC / OC / BC/ MBC/ SC/ ST ANNUAL INCOME

Particulars of Identification

1. Copy of the Passport alone where the address on the passport is the same as the address on the account opening
form (OR)
2. Any one document from each of the under-noted 2 lists, for Photo ID and proof of residence

List I (latest/recent) put  List II (latest/recent) put 
1. Passport where the address differs  1. Telephone Bill 
2. Voter’s Identity Card  2. Bank Account Statement 
3. PAN Card  3. Income/Wealth tax assessment order 
4. Driving Licence  4. Credit Card Statement 
5. Govt. / Defence ID card *  5. Electricity Bill 
6. ID cards of reputed employers *  6. Ration Card 
7. Letter from a recognised public authority or Public  7. Letter from Employer * 
servant verifying the identity and residence of the applicant *
* subject to the Bank’s satisfaction. 8. Postal Identity Card 

SIGNATURE OF THE APPLICANT :

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 / KYC particulars are verified by me.

CIF (CUSTOMER INFORMATION FILE) FOR THIS CUSTOMER MAY BE OPENED.

Signature of the verifying Official ………………………………………………………..
……………………………………………………………..
Signature of the Introducer Name of the verifying officer with SS No. ……………………………………………………

Branch Use : Social Attributes (as per the codes available in CBS)

Religion – Caste Income Category BPL  Above BPL 

Physically Challenged Special Category

Politically Exposed Risk Category Low  Medium  High 

Created by : Initial _____________ Authorised by: Initial _____________ CIF No.

CDPC use : (if applicable )
Date of updation at CDPC : ____/____/____ Updated by : Authorised by :
Initial. with name Initial with name & SS No.

Form Type :

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