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User Details

CUSTOMER FORM

Please open an account at

Type of Account

Savings Account

Savings Salary Account

Current Branch Name

(A) Personal Details

Applicant Name

1^st Applicant:

2^nd Applicant:

3^rd Applicant:

If you are an existing customer please move directly to section "c"

Name to be dispalyed on atm/debit card 1^stApplicant: 2^ndApplicant: 3^rdApplicant:

Date of birth 1^st Applicant:

2^nd Applicant:

3^rd Applicant:

Gender

1^st Applicant:

Male

Female

Other

2^nd Applicant:

Male

Female

Other

3^rd Applicant:

Male

Female

Other

(B) PAN No: (if not available please attach Form 60/61)

Applicant No 1^st Applicant: 2^nd Applicant: 3^rd Applicant:

Mother's maiden name 1^st Applicant: 2^nd Applicant: 3^rd Applicant:

Incase applicant is a minor,please write parent/guardian's name(as applicant)

Mailing Address: Company Name/Flat No. & Bldg.Name Road No/Name Landmark City Email ID

Telephone Mobile

Pin Code Country Select Country

In case of a minor please provide details (Name of parent and natural guardian)

Name of father/spouse

If any of the applicants are EXISTING ACCOUNT HOLDERS,please mention the customer Identification No:

1^st Applicant. Cust Id

2^nd Applicant. Cust Id

3^rd Applicant. Cust Id

Introducer Name

ACCOUNT NO:

CUSTOMER ID:

Nomination:

Yes

if Yes,Name of Nominee

PAYMENT DETAILS

Amount RS:

Mode of pay

Cash

Cheque

Cheque No:

Dated

drawn on

Bank(Branch)

Account Operating Instructions

Single

Either/Any one or Survivor

Jointly ( Debit / ATM card will not be issued)*

Please Note: Cheque book of 25 leaves & 50 leaves will be issued to Savings and Current a/c holders respectively by default.

BELOW FIELDS ARE MANDATORY

Account No

Customer Id

Name:1^st Applicant:(Prefix)

Fullname

Permanent Address(Full)

*City

*PIN code

*State

*Country Select Country

ATM CARD / DEBIT CARD

1^st Applicant: 2^nd Applicant: 3^rd Applicant:

Regular

Gold

*Annual Changes Applicable

*Availble in Select Cities.

NETBANKING REGISTRATION

1^st Applicant: 2^nd Applicant: 3^rd Applicant:

Email Id 1^stApplicant: Email Id 2^ndApplicant: Email Id 3^rdApplicant:

MOBILEBANKING REGISTRATION

Mobile Number 1^stApplicant: 2^ndApplicant: 3^rdApplicant:

Name of Carrier 1^stApplicant: 2^ndApplicant: 3^rdApplicant:

The Average Quarterly Balance (AQB) required to be maintained for this account is Rs:

DECLARATION :I/We have read and understood the Terms & Conditions governing the opening of an account with HDFC Bank and those relating to various services including but not limited to (A) ATMs, (B) PhoneBanking, (C) Debit Cards, (D) MobileBanking, (E) NetBanking, (F) BillPay facility. I/We accept and agree to be bound by the said Terms & 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/We agree that the Bank may debit my/our account for the service charges applicable from time to time. I/We confirm that I/We am/are resident of India. I/We authorise the Bank to disclose, from time to time any information relating to my savings account to any parent/subsidiary, affiliate and associate of HDFC Bank, and to third parties engaged by the Bank, for purposes as detailed in the Terms & Conditions Booklet. I/We confirm that I/We am/are in possession of and have read the Terms and Conditions booklet which details the rules governing account operations, the schedule of charges which specifies the charges applicable from time to time for various services and the tear away Customer copy detailing the instructions and account opening rules. I /We have understood that I/We am/are required to maintain:

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I/We confirm that I/We have read and understood the Declaration given above and confirm that all the details provided on the form are correct.I/We also confirm that my/our account has been opened by Bank Officer Mr./Ms. & I/We have signed in his/her presence.

Name: Date:

For Bank Use Only :

A/C No.

CUSTOMER ID NO.

Where a/c is to be opened:

Product Code:

LC CODE:

LG CODE:

Company Code:

Service Branch Code:

Service ID:

Promo Code:

Occupation:

Salaried

Self-employed

Retired

Self-employed prof

Housewife

Politician

Student

Others (any)

If salaried employed with :

Private Ltd

Partnership

Proprietorship

Public sector

Government

Multinational

Self Employed since :

Years

Months

Nature of Business :

Manufacturing

Service Provider

Agriculture

Real Estate

Trader

Others(any)

Date of Incorporation

Type of Company/Firm :

Sole Proprietorship

Partnership

Public Limited

Private Limited

Others

Self Employed Professional :

Doctor

CA/CS

Lawyer

Architect

IT Consultant

Others

Source of Funds :

Salary

Business Income

Agriculture

Investment Income

Others

Gross Annual income :

50,000

50,000 - 1,00,000

5,00,000 - 7,50,000

7,50,000 - 10,00,000

10,00,000-15,00,000

15,00,000

Residence type :

Owned

Rented / Leased

Ancestral / Family

Company provided

ABOVE FIELDS ARE MANDATORY *

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