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THIS FORM WILL PASS THROUGH A SCANNER, PLEASE FILL IN BLOCK LETTERS E.G. A N I T A K U M A R
DETAILS OF ORGANISATION
*Name
Name should be
PERSONAL DETAILS - AUS Mandate *Benificiary Owner Share % * Fields are Mandatory
in First Name
Middle Name
& Last Name
Existing CRN Yes (In case you have an existing relationship with the Bank) No (Please fill the details below) format & upto 40
characters only
Name
*DOB (Date should be in DD/MM/YYYY format) *Marital Status Single Married Others
*Gender Male Female Nationality Indian Others Related to Staff Yes Employee ID No
*Email ID
*Income Slab 0-2 lakhs >2-5 lakhs >5-10 lakhs >10-25 lakhs > 25 lakhs
*Identity & Address documents of all shareholders holding more than 25% share capital in the company and more than 15% in a partnership will be mandatorily required.
CHANNEL ACCESS REQUEST (Not applicable for Co-operative banks) Access to online
tax payment
I wish to apply for access to the following channels Channel access will be granted only to the person specifically authorised for the purpose. will be activated
Additional AUS by default
PG will be activated by default for customers registered for Net banking with unconditional transaction for Authorised
#
PB NB DC rights. Signatories
opting for
Transaction Rights PB - Phone Banking; NB - Net Banking; DC - Debit Card (Not applicable for Co-operative Banks); Net Banking
PG - Payment Gateway (Online Shopping / Trading) Access
View Rights Chip Card* Non-Chip Card** *Chip cards will enable international usage. **Non-Chip cards are for domestic use only.
# Platinum or higher variant of debit cards will be chip cards enabled for international usage.
SMS BANKING & ALERT FACILITY (Refer General Schedules of Features and Charges for charges applicable)
Alerts facility enables you to receive alerts on your Email and/or Mobile regarding account transactions and maintenances. New alerts may be added from time to time. By ticking on any of
the options below. I/We expressly consent and authorize the Bank to make telephone calls and send SMS and/or emails to inform me/us on any information or updates relating to Bank’s
existing/new products/services. The said consent is valid till such time I/We withdraw the same in writing.
** Bank will send all alerts to the preferred mobile number and E-mail address mentioned in this
Additional AUS form. The Bank will also use these details for sending out transaction information and updates about
Alert Type
SMS E-mail product and Services.
In case you do not wish to receive information/updates, you can register yourself for Do Not Call on
a) Daily Balance + Transaction and Value Added Alerts the Bank’s website www.kotak.com.
Please select either (a) or (b) as per your requirement Alerts that have been mandated by RBI and such alerts as deemed appropriate by the Bank will be
sent even if you have not subscribed for the facility.
b) Weekly Balance + Transaction and * Transaction and Value Added Alerts will be sent to all Authorized Signatories, irrespective of the
Value Added Alerts mode of operation. Regulatory & Risk alerts will be sent by the Bank by default without charges
SIGNATURE & PHOTOGRAPHS (Please attach recent passport size photograph in the space provided below) Preferably the
Passport size
photograph
against the red
background
should be
attached
Paste your latest
Passport size
photograph
here
AFFIDAVIT DL ELE_ID EMP_CERT ID_DOC IP Cheque L-L PAN PAN Downloaded copy
PASSBOOK PASSPORT PHOTOGRAPH PHOTO_CR RATION REL_DECL SALE-DEED UTILITY
VERDEC OTHERS Please Specify
CUSTOMER DECLARATION
The particulars contained herein shall be valid for all accounts opened by me/us or to be opened by me/us hereafter either singly or with other(s) and/or by me/us in any representative
capacity with the Bank unless informed to you otherwise. I/We have read/obtained/understood and agree to the terms and condition and citizen charter governing the opening of an
account with Kotak Mahindra Bank Ltd. (the Bank) and those relating to various Services including but not limited to (a) ATMs (b) Phone Banking (c) Debit Card (d) Net Banking (e)
Mobile Banking (f) Payment Gateway (g) Kotak Bill Pay (h) SMS Banking (i) Alerts Service (j) Opening of an Investment Account. 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/We agree that the Bank may debit my/our account for service charges as applicable
from time to time. I/We understand that investment products are not Bank objects or other obligations of or guaranteed or insured by Kotak Mahindra Bank Ltd. or their affiliates. They
are subject to risk and possible loss of principal. Past Performance is not indicative of future performance. I/We hereby declare the above information is true and correct to my/our
Knowledge. I/We shall advice the Bank immediately in the manner as agreed by me/us and acceptable to the Bank, in case of any change in the above details and information given by
me/us. I/We have read and understood the terms and conditions available at Bank’s web-site www.kotak.com.
For Corporate and Co-operative Bank: I/We have read and understood the Kotak Mahindra Bank account terms and conditions. I/We accept and agree to be bound by the said
terms and conditions including those excluding/limiting your liability. I/We agree that the Bank may debit my/our account for service charges as applicable from time to time. I/We do
hereby authorize the bank to conduct my/our credit history verification with CIBIL or any other credit rating agency.
In Case CRF used for New a/c opening: I have read and understood the details of all features and charges available in General Charges (GSFC) as applicable to the Product
subscribed by us in the AOF attached. I have also read and understood other conditions of Most Important Document.
Abbreviation:
AS-DEED - Association Deed; BOV - Bank Officers Visit Report; BOARD-RES - Duly certified Board Resolution on companies Letter Head; CA CERT - CA Certificate; CERT-CS - Certificate
from Company Secretary indicating reg. office, mailing address etc; COMMENCE - Certificate of Commencement of Business; CSTD - ST/CST/VAT/TIN Certificate issued by Sales Tax
Department; DL - Driving License; ELE_ID - Election ID; EMP_CERT - Employment Certificate; EST LICEN - Shops & Establishment License; FI – Field Investigation; INCORP - Certificate
of Incorporation; ID-DOC - Valid ID docs with photo; IP Cheque - Initial Payment Cheque; ITR - Income Tax Return; IEC - Certificate of Importer Exporter; L-L - Leave & License
agreement; MR - Municipal Registration; PANACK - Pan Acknowledgement; PART/HUF DECL - Partnership/HUF Declaration; PART-DEED - Partnership Deed; PHOTO-CR - Photo Credit
Card; RP - Certificate issued by any Recognised Professional Body; REL-DECL - Relation Declaration; ST - Sales Tax Registration; SOLE-DEL - Sole Proprietorship Declaration; VERDEC –
Vernacular Declaration;
Disclaimer: The above mentioned is not an exhaustive list please refer Document Collected Master.