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(OFFICE USE ‘CUSTOMER COPY mel Pasa gute hi trans no. fr any ‘re Geuricaton *Pleae staph relevant doors hee. , — Dae: ‘Signals of Bank ofa ‘Glean wape al documents nthe apace proved above) 7 SAVINGS/CURRENT ACCOUNT OPENING CELLU FORM FOR NON RESIDENT INDIVIDUALS. Porn) (ee neat Please open my NRE (Non Resident External)/ NRO (Won Resident Ordinary) NRE & NRO (Beth) account at your. Branch (Pease fl the for in BLOCK LETTERS oniy-All fis marked *** are MANDATORY) ("PERSONAL DETAILS (THISIS A MACHINE READABLE FORM AND WILL PASS THROUGH A SCANNER) ‘APPL PREFIX FullNamo (Please leave one space between wordbioreg.) AJAY RAM MISHAA te 2 0 you are an existing customer plense move dectiy to secton "C". pe eg a A a once Sauenae, Saketno, Ao ra App Please ick where you would Ie your coespondence obese Local Oversees (©) Overs ‘cross (*Compulsory) soy ‘sae Na Wro atone county PIN code ca sa.) Tao) arene Sivonen wt bo Fax ee No Seno ovenens e-mail id on page no. oe Bide Tekin RETRANKRE egeraton al seroas ls same a8 above pl tick the box ‘© ianyot the applicants are EXISTING NRE/ NRO ACCOUNT HOLDERS, please mention he Customer Identification No, Romagaeataeraie |ATEOONY aR “MOTHER'S MAIDEN NAME ‘Customer ID cael tt a ey 2d Appl acs amo as pray apa. Yes No Srd App adeross samo a pany appl. Yes No Sarita Areare nin ind ea prestcers PEP Dereon: Fe a i cence setts co hedonic ase ‘is pend Poneto tact ets scr heroes aly spre Ponceau rans ecoate en Soar (sty tanto isos niet olde iret Tee. i art Hee pce ane rg monte ey a gn cry rh wa Gopiitaecreaneatatenepeenn aa” NOMINATION : Yo (1eo, plsaso atch Nomibton Fann) No (WWe dodo a Wie de not wsh oaks ararinaon rou NAL Aazaure) Name nominee PAYMENTDETAILS TypectCurences: $ & € ¥ AS CS Re Amount i ash ‘Cheque No. tod craw on Bank, __Branch. ‘The cheque shouldbe crossed Alc Payee and drawn payable to “HOFC Bank Lid. Ae, (Customer Name “Account Operating Insructions MandataPOA (Pease atach ever dossiers) NRE Sle —_Ether/Aryone.or Survor Joly (No DebwATM Card wl be issued) Yes NO. NRO__Singe __Either/Ary one or Survivor city (No Debw/ATM Card wil be issued) Yoo No. PANN (iret avralppiasyataches Frm 61) = faicreat Pan, ER pate yrs s * Are you or any ofthe applicants @ Polticaly Exposed Person (PEP)? it Yes, please fil separate LI AML Form forall applicants. Source ofFunde Salary Busines Income ‘Aayleutire ——Inveamentincome Others apac) ‘Occupation Salaried ‘Sot-omployed Rested ‘Sol erpioyed professional Hovsouito ‘student Unempioyed Omer ealarod employed win Pato Lid. Partsrship Proprotorship Publ Limited 5 ube sector Goverment Multinational ‘Otros (ol spc) nebvatons: Woicme Kt wud be denvered te mang arate. ‘you co not recs yer voice wethin 2 woo oh dat of accnowledgeret, ey eal at actor co oct! ho rarest branch “Tne PA puser or ATAU Deb oa fe 2g ou: Vacecton on the ATI wb derptchede your malig adres by pos. ‘ATM CARD / DEBIT CARD Tear an DF ATM Oo Oa le |p iyi ar HD Sai TDS pe i i) INTERNATIONAL evo erave aout outa wah opens baa aucaro Teg CARD | | ATucano || Sincare || (Please note ta faci is aval for operating Itraton: Sng, Ether! Nee yao" Sauer) | MO“! | Anyone or Suro) i iDRAceTie tet pal. ‘etApplcant NRE: 2nd Api. 2nd Aptian NRE. ‘rd Appt ‘ Appieant NRE: ony NRE Aare ‘eer SEES [amen wo sentem | an Aooant no eee | Se Applicant NAO. Fer Wanna Cre re care span NETBANKING REGISTRATION mieten pm tt nt ht ne Pa pt ea De te i pte are ee Peerage mtn tea fran ergo Fa tg my Mey iP et Paros oa [NETBANKING E-mail ID: (Writein BLOCK LETTERS onlytores:) AJVAY AMI SHRA®ABC.CO.1IN 1 Zhe. Ap. EMAIL ALERTS We nevty ure HO= BANC seal tng ema my ueci UH es in a loc be ert real Det tnt acne ote carte ened ave ite en ses rine eee aes pees = ; oe ———s es eee eae ees Se ammeter en tts = ee Pa Pas oT tent EE nerf mn he eh cry om nin SSS jpn =| “iWo career” do not consat to recelva Infommaton / s0"vco otc for Marking purposes through Tolophona/Moolla’SMS/Emallby the Bankits agents. WWo covfirmthat (We have ossand undersioedthe above Decaraen, andthat he deta provdedon Meformare oreo. Name. Dae Namo, a oN: Wolcone Ki Branch onde PROMO (FO) ue a CODE: ote NRO. FUNDS PARKED stupent | PasicnaTune | pare | FORCPUUSE| DATE ow —f- a aly ; ‘ever D ‘SOURCING BR CODE Seif Employed sinco Years Monts Nature of Businoss Manufacturing Sone Provider Agrouturo Stock Broker RaalEstao Trader Otho Dat of incorporation ‘Type ct company ‘Sole Propitorship Partnership PubleLimted Co, Private Limted Co Otters (oe epeciy) ‘Sof employed Professional Doctor encs Lawyer ‘Archioct IT Coneuant ‘Others (ls specty)__ Name ofthe Currency Gross Aral come _<50000 ‘000100000 _,00000-,00000 00000-90900 00000-75000 [ifertrcenteasartiiipes 750000-1000000 _1000000-15.00,000 _>16,00.00 ao

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