Customer Information Updation Form

Name :
Address:

Customer ID:
Account Number:
There is no change in my mailing address
I wish to change my Mailing address as below
Flat no!ldg name
"oad name
#and mar$
City %in code
&tate Country
I wish to update my contact details as below
Tel 'off( )*t +no Tel'"(
Fa* no Mobile no
) mail
%AN
%lease paste recent passport si,e photograph of all the authori,ed signatories
%hoto
&ignature
Name------------------------------------
&ignature

Name------------------------------------
%hoto
%hoto
&ignature
Name------------------------------------
&ignature
Name------------------------------------
%hoto
%lease enclose your proof of identity and communication address in all cases
Note :
.+The address on this form should be same as in supporting documents+
/+If there are more than 0 signatories 1use photocopies of this form+
2+The submitted data is 3alid for all account numbers held in your customer ID+
Documents Submitted : ( To be filled by Bank Official)
Photograph/s Identity Proof Address proof Entity proof
KYC Certification ( To be filled by Bank Official)
I have met Mr./Ms--------------------------- in person at his/her residence/office/others (please
specify)------------------and confirm that information in profile sheet is filled up after detailed discussion
ith !ustomer. I also confirm that the form has "een signed "y the applicant in my presence
#ate ------------ Employee $um"er ------------------- %ignature of &an' (fficial ---------------