Account Opening Form: Savings Account (Individual)

Form SB-1 · Branch: HSR Layout, Bengaluru

Instructions: Please fill all details in BLOCK LETTERS. Fields marked * are mandatory. Dates must be written as DD/MM/YYYY.

1. PERSONAL DETAILS
Applicant's Full Name *
Father's / Spouse's Name *
Mother's Maiden Name
Date of Birth *	(DD/MM/YYYY)	Gender *	M F T
Marital Status		Nationality
PAN *		Aadhaar No. (last 4 digits only)
Occupation		Gross Annual Income
2. PERMANENT ADDRESS
House / Flat No.		Street / Road
Area / Locality		City / Town
State		PIN Code
Is your correspondence address the same as your permanent address?	Yes No
3. CORRESPONDENCE ADDRESS AND CONTACT
Correspondence Address (if different)
Mobile No. (+91)		E-mail ID
4. NOMINATION (Nominee details)
Name		Relationship with Applicant
Date of Birth	(DD/MM/YYYY)
5. DECLARATION
I hereby declare that the details furnished above are true and correct to the best of my knowledge and I undertake to inform the bank of any changes therein.
Place