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SAVINGS BANK A

SAVINGS CCOUNT
ACCOUNT
OPENING FORM FOR
RESIDENT INDIVIDU ALS
INDIVIDUALS
Date : D D M M Y Y Y Y Form Type R S B A A A/c No. :

For Office Use : A/c. to be opened at _________________________________________ Branch Code Scheme Code A/c. Report Code

Ledger No. A/c. Label SE Code A/c. Manager

A) PERSONAL DETAILS i Please open my/our Savings Bank Account. Please fill the form in BLOCK LETTERS only. Fields marked i (star) are MANDATORY.
APPLICANT TITLE FULL NAME Please leave one space between words e. g. R A J E N D R A R A J K A D A M

PRIMARY

JOINT

DATE OF BIRTH # GENDER MARRIED MINOR** PAN NUMBER*** (Please )


PRIMARY D D M M Y Y Y Y M F Y N Y N or FORM 60 / 61 attached

JOINT D D M M Y Y Y Y M F Y N Y N or FORM 60 / 61 attached

# If Senior Citizen, provide proof of Date of Birth **If Minor, please fill-up minor declaration section below *** If PAN No. is not available, please attach form 60 or 61
O
Existing Customer If Yes, Cust. ID C Salaried Self Business Retired Student Housewife Others (Please Specify)
C
U Employed
P
PRIMARY Y N A
T
I
O
JOINT Y N N

B) DEBIT CARD DETAILS i

Card Required Name as desired on Debit Card


PRIMARY Y N VISA MASTER GOLD

JOINT Y N VISA MASTER GOLD


Mother’s Maiden Name Debit Card Nominee’s Name
PRIMARY

JOINT

Nominee’s Relationship with the card holder If Minor, Date of Birth Name of Guardian
PRIMARY D D M M Y Y Y Y

JOINT D D M M Y Y Y Y

C) MINOR DECLARATION
Type of Guardian: Father Mother Court Appointed

Full Name of Guardian Mr. Ms.

I hereby declare that the date of birth of the minor who is my is / / and I am his / her natural and lawful guardian / guardian
appointed by court order, dated / / (copy enclosed). I shall represent the said minor in all future transactions of any description in the above account until the said
minor attains majority. I indemnify the Bank against the claim of the above minor for any withdrawal / transactions made by me in his / her account.

Date: D D M M Y Y Y Y
Signature of Guardian

D) ADDRESS DETAILS

[Communication
Address i [ CITY

STATE COUNTRY PIN CODE

Permanent Address i Same as communication address Please note the address as below

Please provide
complete address
for faster courier
deliveries.
CITY STATE

COUNTRY PIN CODE


STD Code Tel. No. (Office) Ext. No. Tel. No. (Residence) Fax No.

PRIMARY

JOINT

Mobile Number E-mail Address (e.g. rkadam@gmail.com) Preferred Language for Communication *

PRIMARY

JOINT
*Other than English

E) MODE OF OPERATION i Self Either or survivor Former or survivor Anyone or survivor

Jointly by all Minor A/c. operated by Guardian Others

F) INITIAL DEPOSIT DETAILS Encash24 Required Y N If yes, attach separate encash24 declaration form
Payment by
Cash Cheque No. Date: D D M M Y Y Y Y Drawn on Bank Branch

Debit my / our existing account. Account No. Deposit amount Rs. Ps.

G) CHANNEL FACILITIES i Please refer Terms and Conditions for charges, wherever applicable.

Mobile Banking Service Y N iConnect Required Y YN N If Yes, Please  below


The mobile banking service will be activated on the Primary Applicant’s mobile
number provided above. This is a chargeable service beyond a free trial period. Inquiry only Inquiry and Fund Transfer
E-statement Y N
Cheque Book Required Y N Signature of Applicant
In case you select E-statement option, physical statement shall be disabled.
This form is processed through automated system. Please ensure that all mandatory fields have been filled correctly else the form is liable to be rejected.
H) KNOW YOUR CUSTOMER (KYC) DETAILS
Provide KYC document (Attach photocopies of the following documents and produce the original copies of these documents for verification.)

Document for proof of Identity Document Identification No. Issuing Authority Place of issue
PRIMARY

JOINT
Document for proof of Address Document Identification No. Issuing Authority Place of issue
PRIMARY

JOINT

For Salary Accounts - Employee Code


(Any one of the following)
Reference Details

Letter from Employer verifying identity and permanent address OR Referrer’s cust id

Introduction by a designated Company Official Relationship


and KYC documents as above
Referrer’s Signature
Signature with Company Seal

I) PRIMARY HOLDER’S PERSONAL INFORMATION


Education Non Matric Undergraduate Grad./ Post Grad. Gen. (B. Sc., M. Com., etc.) Grad/Post-Grad. Professional (BE,MBA,MBBS etc)
If salaried, employed with Public Ltd. Co. Pvt. Ltd. Co. Govt. Sector Multinational Institution

Name of Company Grade Clerk Officer Junior Mgmt. Middle Mgmt. Senior Mgmt.
If Self-Employed Profession CA Engg. Doctor Proprietorship Partnership
Monthly Household Income (Rs.) Upto 5,000 5,001-10,000 20,001-50,000 50,001-1,00,000 >1,00,000

J) NOMINATION DETAILS (FORM DA1)


Nomination under Section 45 ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of bank deposits.
I / We (name) (Address)
nominate the following person to whom in the event of my / our / minor’s death the amount of deposit in the above account, may be returned by AXIS BANK Ltd.
NOMINEE (Only one individual nominee permitted)

Name Address : Same as primary applicant :

If different from primary applicant

Relationship with depositor, if any Age Years If nominee is a minor, his / her date of birth : D D M M Y Y Y Y

* As the nominee is a minor on this date, I / We appoint (name) Relationship with the minor*

Address : Same as primary applicant : If different from primary applicant


to receive the amount of the deposit on behalf of the nominee in the event of my / our / minor’s death during the minority of the nominee.

Signature of witness ** Signature of primary depositor

Name Name

Address Address

Date: Place Signature of Joint holder(s)


*Strike out if nominee is not a minor ** Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor.

DECLARATION
I/We have read and understood the Terms and Conditions (a copy of which I am in possession of) governing the opening of an account with AXIS BANK and those relating
Primary Applicant to various services including but not limited to ATMs / Debit Card / Mobile Banking / Phone Banking / Net Banking / Bill Pay Facility. I/We accept and agree to be bound
by the said Terms and Conditions including those excluding/limiting the Bank’s liability. I/We understand that the Bank may, at its absolute discretion, discontinue any of
the services completely or partially without any notice to me/us. I agree that the Bank may debit my account for service charges as applicable from time to time.
I/We am/are residents of India. Apart from this, the current Schedule of Charges
Please paste has been received by me and I agree with the same.
Passport Size colour I agree to maintain AQB of Rs ________________________________ in my account.
Photograph here Signature of
Signature of
Primary Applicant
Primary Applicant

Joint Applicant

Please paste Signature of Bank Official in


Passport Size colour
Signature of whose presence signed
Signature of
Photograph here Joint Applicant
Received by
Scanned by

Joint Applicant
Verified by

Date : D D M M Y Y Y Y EMP. No.

DECLARATION BY THE BRANCH


I hereby certify that this account opening form is complete in all respects and relevant documents have been obtained. The Account may please be set up in Finacle.

Enclosure Details (This information must be filled-up by the branch before sending AOF for automatic processing) For AXIS BANK Limited
Number of Add-on forms enclosed : 0 Number of Pages of KYC documents enclosed :
For CPU/HUB Use only

Camp. Code Camp. Reference Number

Special Instructions for CPU


Received on
Scanned on
Verified on
Remarks

Affix Special
Scheme Sticker Branch Head / Authorised Signatory
<<SBRES-JAN2009-3.2>>

S. S. Number : ___________________________
Savings Bank - Rules & Regulations Savings Bank - Rules & Regulations
1. The Savings Bank Account should be used to route transactions of only non-business/non-commercial nature. 1. The Savings Bank Account should be used to route transactions of only non-business/non-
In the event of occurrence of such transactions or any such transactions that may be construed as dubious or commercial nature. In the event of occurrence of such transactions or any such transactions
undesirable, the Bank reserves the right to unilaterally freeze operations in such accounts and/or close the that may be construed as dubious or undesirable, the Bank reserves the right to unilaterally
accounts. freeze operations in such accounts and/or close the accounts.
2. Interest on the Savings Bank Deposit is calculated at a rate fixed by RBI from time to time which is currently 2. Interest on the Savings Bank Deposit is calculated at a rate fixed by RBI from time to time
3.5%. This interest will be paid at quarterly rests on the minimum balance in the account between the 10th and which is currently 3.5%. This interest will be paid at quarterly rests on the minimum balance
the last day of the month. in the account between the 10th and the last day of the month.
3. The balances in the account must adhere to the minimum quarterly average balance stipulation laid down by 3. The balances in the account must adhere to the minimum quarterly average balance stipulation
the Bank and communicated to you at the time of opening of the account and any change may be advised to laid down by the Bank and communicated to you at the time of opening of the account and any
you. Non-maintenance of this quarterly average balance will attract applicable penalty on a quarterly basis change may be advised to you. Non-maintenance of this quarterly average balance will
and on a date determined by the Bank. attract applicable penalty on a quarterly basis and on a date determined by the Bank.
4. If there is no transaction in the account for 12 months the account automatically gets classified as a ‘dormant 4. If there is no transaction in the account for 12 months the account automatically gets classified
account’ whereupon further debit transactions are not permitted in the ordinary course. The account gets as a ‘dormant account’ whereupon further debit transactions are not permitted in the ordinary
classified as ‘inoperative’ if there are no transactions for 24 months. A request for activation of the account has course. The account gets classified as ‘inoperative’ if there are no transactions for 24 months.
to be made by the customer in both cases. A request for activation of the account has to be made by the customer in both cases.
5. The customer should maintain minimum quarterly average balance as may be required from time to time in 5. The customer should maintain minimum quarterly average balance as may be required from
the account. The non-maintenance of such adequate balance shall automatically entitle the Bank to levy the time to time in the account. The non-maintenance of such adequate balance shall automatically
charges for non-maintenance of the average balance. In such an event the Bank shall have the first right to set entitle the Bank to levy the charges for non-maintenance of the average balance. In such an
off any available credit that may be available in the account including from amounts flowing into the said event the Bank shall have the first right to set off any available credit that may be available in
account from the collection proceeds or any deposits. Therefore it is advised in such an event the customer the account including from amounts flowing into the said account from the collection proceeds
should fund the account adequately to avoid such a situation. or any deposits. Therefore it is advised in such an event the customer should fund the account
Not withstanding the above if the Bank is of the opinion that if the customer does not maintain the average adequately to avoid such a situation.
quarterly balance and / or if the account remains a Zero account, the Bank shall have a right to close the Not withstanding the above if the Bank is of the opinion that if the customer does not maintain
account by issuing 15 day’s notice. In the event if the said account is funded within 15 day’s period the Bank the average quarterly balance and / or if the account remains a Zero account, the Bank shall
may not exercise the said right of closure, if not the Bank shall close the account without any further notice to have a right to close the account by issuing 15 day’s notice. In the event if the said account is
the customer. funded within 15 day’s period the Bank may not exercise the said right of closure, if not the
6. Satisfactory conduct of the account entails maintaining stipulated minimum quarterly average balance as well Bank shall close the account without any further notice to the customer.
as sufficient balance to honour cheques issued to third parties. If there are high incidences to the contrary, the 6. Satisfactory conduct of the account entails maintaining stipulated minimum quarterly average
Bank reserves the right to close the account under intimation to the customer. balance as well as sufficient balance to honour cheques issued to third parties. If there are
7. Any special instructions, both financial and non-financial in nature, like standing instructions, stop payment high incidences to the contrary, the Bank reserves the right to close the account under
instructions, issuance of cheque books, Demand Drafts, Pay Orders, requests for hot carding ATM/DEBIT intimation to the customer.
Cards, issuance of duplicate card/PIN must be communicated in writing. Otherwise, it shall not be binding on 7. Any special instructions, both financial and non-financial in nature, like standing instructions,
the Bank to comply with such instructions. stop payment instructions, issuance of cheque books, Demand Drafts, Pay Orders, requests for
8. The Savings Bank Account entitles free access to AXIS BANK ATMs, Internet Banking and Telebanking unless hot carding ATM/DEBIT Cards, issuance of duplicate card/PIN must be communicated in
otherwise stated. writing. Otherwise, it shall not be binding on the Bank to comply with such instructions.
9. Availing of the Anywhere Banking facility and the At Par Cheque facility is contingent upon the limits and 8. The Savings Bank Account entitles free access to AXIS BANK ATMs, Internet Banking and
service charges stipulated for these facilities. Telebanking unless otherwise stated.
10. Any change of address should be immediately communicated in writing to the Bank along with Address Proof. 9. Availing of the Anywhere Banking facility and the At Par Cheque facility is contingent upon
11. To all Customers under Salary scheme : This is a special account offered to customers with regular direct the limits and service charges stipulated for these facilities.
Salary credits coming into this account. In case, the monthly salary is not credited into the account for more 10. Any change of address should be immediately communicated in writing to the Bank along
than 3 consecutive months, the special features offered under Salary Power account shall stand withdrawn with Address Proof.
and the account shall be treated as Normal Savings account under our standard charge structure and all 11. To all Customers under Salary scheme : This is a special account offered to customers with
charges shall be levied and applied as applicable to normal savings accounts. regular direct Salary credits coming into this account. In case, the monthly salary is not
12. I/We agree to maintain a quaterly average balance of Rs.___________ in the account failing which, the Bank credited into the account for more than 3 consecutive months, the special features offered
may deduct charges as per rules prescribed in schedule of charges. under Salary Power account shall stand withdrawn and the account shall be treated as
13. Mere deposit of the amount for opening an account does not mean that the Bank has opened the account. The Normal Savings account under our standard charge structure and all charges shall be levied
account opening cannot be deemed to come into existence until the bank gives the intending customer a and applied as applicable to normal savings accounts.
welcome kit containing account number, cheque book, debit card etc. 12. I/We agree to maintain a quaterly average balance of Rs.___________ in the account failing
I agree to the terms and conditions detailed as above and confirm to have received a copy of the same. which, the Bank may deduct charges as per rules prescribed in schedule of charges.
13. Mere deposit of the amount for opening an account does not mean that the Bank has opened
the account. The account opening cannot be deemed to come into existence until the bank
gives the intending customer a welcome kit containing account number, cheque book, debit
Signature of the Applicant/s : card etc.
Terms & Conditions for Usage of Channel Facilities Terms & Conditions for Usage of Channel Facilities
Debit Card: The usage of the Debit card will be in accordance with the Exchange
Control Regulation and in the event of any failure, the card holder will be liable for Debit Card: The usage of the Debit card will be in accordance with the Exchange Control Regulation
action under the Foreign Exchange Management Act 1999 and the amendments thereof and in the event of any failure, the card holder will be liable for action under the Foreign Exchange
stipulated by the Reserve Bank of India. The usage of the Debit card will be governed by Management Act 1999 and the amendments thereof stipulated by the Reserve Bank of India. The
the Terms & Conditions specified from time to time as decided by the Bank.The cardholder usage of the Debit card will be governed by the Terms & Conditions specified from time to time as
needs to accept full responsibility for the Debit card and agree not to make any claims decided by the Bank.The cardholder needs to accept full responsibility for the Debit card and agree
against AXIS BANK, in respect thereto. not to make any claims against AXIS BANK, in respect thereto.
ATM Card: The usage of the ATM Card called the TRUST 24 Card issued to special
categories of customers will be in accordance with the rules and regulations concerning ATM Card: The usage of the ATM Card called the TRUST 24 Card issued to special categories of
the TRUST 24 CARD. The Bank reserves the rights to suspend the services of TRUST 24 customers will be in accordance with the rules and regulations concerning the TRUST 24 CARD. The
Card unilaterally without any prior notice or assigning any reason. Bank reserves the rights to suspend the services of TRUST 24 Card unilaterally without any prior notice
iCONNECT: The usage of the iConnect facility will be bound by the terms and condi- or assigning any reason.
tions governing the iConnect and the various services including but not limited to
Funds Transfer Facility (FTF) through iConnect. It is the duty of the account holder to iCONNECT: The usage of the iConnect facility will be bound by the terms and conditions governing
protect and keep the User ID and password protected, safe and secured. The account the iConnect and the various services including but not limited to Funds Transfer Facility (FTF) through
holder shall be fully responsible for any of the linked accounts getting debited based iConnect. It is the duty of the account holder to protect and keep the User ID and password protected,
on the instruction(s) given through the iConnect User ID and password and the Bank safe and secured. The account holder shall be fully responsible for any of the linked accounts getting
will not be responsible or held responsible and any claim or demand will not be made debited based on the instruction(s) given through the iConnect User ID and password and the Bank
against the Bank in this regard. The fees, duties or other charges associated with these will not be responsible or held responsible and any claim or demand will not be made against the
services will be as applicable. All the linked accounts (including any new accounts that Bank in this regard. The fees, duties or other charges associated with these services will be as appli-
may be opened) will be covered under the Funds Transfer Facility as per rules in force cable. All the linked accounts (including any new accounts that may be opened) will be covered under
from time to time. the Funds Transfer Facility as per rules in force from time to time.
Mobile Banking: The account holders are responsible for the registration of Mobile
Banking at the Cell phone Number/s mentioned. In the event of availing any addi- Mobile Banking: The account holders are responsible for the registration of Mobile Banking at the
tional / specialized facility through Mobile Banking, the account holder shall be fully Cell phone Number/s mentioned. In the event of availing any additional / specialized facility through
responsible for the account being debited on instruction from the specified mobile Mobile Banking, the account holder shall be fully responsible for the account being debited on
Number/s. The fees, duties or other charges associated with these services will be as instruction from the specified mobile Number/s. The fees, duties or other charges associated with these
applicable. In case of mistake on part of the account holder or that of the mobile services will be as applicable. In case of mistake on part of the account holder or that of the mobile
service provider in respect of these services, the Bank will not be responsible and the
account holders agree that no claim will be made against the Bank service provider in respect of these services, the Bank will not be responsible and the account holders
E-statement: The E-statement provided is an optional facility provided to the account agree that no claim will be made against the Bank
holders and not a compulsion by the Bank for availing such a facility. On agreeing to E-statement: The E statement provided is an optional facility provided to the account holders and not
subscribe through the E statement. Account Holder(s) agree to be bound by all the a compulsion by the Bank for availing such a facility. On agreeing to subscribe through the E state-
Terms and Conditions that may be specified by the Bank at the time availing such ment. Account Holder(s) agree to be bound by all the Terms and Conditions that may be specified by
facility and such other conditions as specified by the Bank from time to time. On
agreeing to avail the facility of E statement, Account Holder (s) agree, and understand the Bank at the time availing such facility and such other conditions as specified by the Bank from time
that the Bank shall discontinue the physical statements being sent to the Account to time. On agreeing to avail the facility of E statement, Account Holder (s) agree, and understand
Holder(s). Axis Bank shall not be liable or responsible for any breach of secrecy caused that the Bank shall discontinue the physical statements being sent to the Account Holder(s). Axis Bank
as a result of the E Statements being sent to the registered email with the Bank. Axis shall not be liable or responsible for any breach of secrecy caused as a result of the E Statements being
Bank is not liable to verify the any authenticity of the emails. The facility being a sent to the registered email with the Bank. Axis Bank is not liable to verify the any authenticity of the
optional one the Account Holder (s) shall not hold the Bank liable if any problem arises emails. The facility being a optional one the Account Holder (s) shall not hold the Bank liable if any
with the Account holder(s) computer network as result of receiving Statements from the problem arises with the Account holder(s) computer network as result of receiving Statements from the
Bank. In case of Joint Account Holders the Joint Account Holders shall not hold liable Bank. In case of Joint Account Holders the Joint Account Holders shall not hold liable the Bank for
the Bank for receiving the E statement to the Designated email address of one of the receiving the E statement to the Designated email address of one of the Account Holder. The Account
Account Holder. The Account Holder(s) shall at all times be responsible for updating Holder(s) shall at all times be responsible for updating the details with the Bank from time to time to
the details with the Bank from time to time to receive this service uninterrupted of the receive this service uninterrupted of the Bank. Account Holder shall not hold Axis Bank responsible if
Bank. Account Holder shall not hold Axis Bank responsible if they do not receive they do not receive Statements due to incorrect Email address and technical reasons beyond the
Statements due to incorrect Email address and technical reasons beyond the control of
the Bank. The Account Holder confirm to have read and understood the Terms & control of the Bank. The Account Holder confirm to have read and understood the Terms & Conditions
Conditions pertaining to usage of this Channel Facility. The Bank shall at its own pertaining to usage of this Channel Facility. The Bank shall at its own discretion at any time may
discretion at any time may discontinue/alter/modify the facility at the terms and condi- discontinue/alter/modify the facility at the terms and conditions as specified therein at the sole discre-
tions as specified therein at the sole discretion of the Bank. tion of the Bank.

<<SBRES MAR2009-3.2>>
Disclaimer: Disclaimer:
I/We am /are aware that AXIS BANK Ltd does not seek any information relating to login
id/ password in any form including through e-mails from its customers. I/We agree and I/We am /are aware that AXIS BANK Ltd does not seek any information relating to login id/ password
undertake that I/We shall never part with any sensitive information of my/our account in any form including through e-mails from its customers. I/We agree and undertake that I/We shall
especially through internet/ email/ phone medium. I/We further agree and confirm that never part with any sensitive information of my/our account especially through internet/ email/ phone
AXIS BANK Ltd shall not be liable for any losses arising from my/our sharing/disclosing medium. I/We further agree and confirm that AXIS BANK Ltd shall not be liable for any losses arising
of login Id, password, cards, card numbers or PIN (Personal Identification Number) to from my/our sharing/disclosing of login Id, password, cards, card numbers or PIN (Personal Identifi-
anyone, nor shall make claims on the bank for any unauthorized use. I/We shall take
all precautions to protect my/our account details so as to avoid any unauthorized use. cation Number) to anyone, nor shall make claims on the bank for any unauthorized use. I/We shall
take all precautions to protect my/our account details so as to avoid any unauthorized use.