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Non Resident Indian Account Opening Form
First Applicant City / Branch
Occupation Type: Salaried Business OwnerSelf Employed Professional Others (Please specify)
Profession: Engineer Business Manager Govt. Personnel Defence Personnel Consultant Lawyer Journalist
Type of Company: Government Private Sector Multinational Company Others (Please specify)
CA Exporter/Importer Trader Agent/Broker Other (Please specify)
Industry: Trading Manufacturing IT/BPO Service Media Financial Services Other (Please specify)
Educational
Qualification:Undergraduate Graduate Other (Please specify)Postgraduate
If you have an existing relationship with us, please mention your account number
(In case applicant is a minor)
New Relationships for NRI/PIO Individuals
Permanent Address:
Country
Pin Code Permanent Tel.
Passport No.: Date of issue:
Place of issue: Date of expiry:
Country of residence:
If yes, Social Security No.:
DD M M Y Y Y Y Are you a
US based person ? Yes NoDD M M Y Y Y Y
Passport Details
Nationality:
City
Additional Details
VER/L/2007/04/98b
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Second Applicant (Please strike off, if not filled)
Relationship with first applicant : Child Spouse Others (please specify) ______________________Parent
If you have an existing relationship with us, please mention your account number
(In case applicant is a minor)
Occupation Type: Salaried Business OwnerSelf Employed Professional Others (Please specify)
Profession: Engineer Business Manager Govt. Personnel Defence Personnel Consultant Lawyer Journalist
Type of Company: Government Private Sector Multinational Company Others (Please specify)
CA Exporter/Importer Trader Agent/Broker Other (Please specify)
Industry: Trading Manufacturing IT/BPO Service Media Financial Services Other (Please specify)
Educational
Qualification:Undergraduate Graduate Other (Please specify)Postgraduate
Permanent Address:
Country
Pin Code Permanent Tel.
Passport No.: Date of issue:
Place of issue: Date of expiry:
Country of residence:
If yes, Social Security No.:
DD M M Y Y Y Y Are you a
US based person ? Yes NoDD M M Y Y Y Y
Passport Details
Nationality:
City
Additional Details
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8. Indemnification: In consideration of the BANK providing me the banking and related facilities, I/We agree to indemnify and hereby keep the BANK and the employees dealing with my account, indemnified from and against allactions,claims,demands,proceedings,losses,damages,costs,chargesand expenseswhatsoeverwhichthe BANK(includingbut notlimitedto itsemployees)may at anytime incur, sustain,suffer or beput to asa consequenceoforby reasonof orarisingoutof providingme/usthesaidfacilityor byreasonof theBANKand/oritsemployeesactingin good faithtakingor refusingto take oromittingtotakeactiononmy/our instruction includingbutnotlimitedtostandinginstructions.
9. GoverningLaw:AllagreementsandunderstandingashereinshallbesubjecttolawsofIndiaandbesubjecttothe JurisdictionofCourtsat NewDelhiforallpurposesandreasons.
10. Notice:-The BANKshallsendnoticetosuchaddress/destinationaslastknowntotheBANKin suchmediumasitdeemsfit.TheAccountHoldermaycorrespondwithBANKat /in suchmediumasisprovided/required,byBANKforeachspecificserviceor request.
11. Banks General authority: The BANK has full authority and discretion to act with regard to the operation of the Account and to do, not do, commit, or omit to do, in compliance of any law or rules or whatsoever in respect of theaccountandwefullydischargeandwaiveofallourrightsagainsttheBANKforanyclaimsforwhichtheBANKhasactedorbelievestohavebonafidelyactedoromittedtodoso.
12. I/We hereby further re-confirm and reiterate my/our the Indemnity contained in the T&Cs, whereof and hereby, I/We undertake to hold the Bank fully indemnified and harmless against any and all losses, liabilities, costs,prosecutions, expenses, etc. suffered and /or incurred by me/us due to utilisation of any of the Services by me/us and also due to instructions for availing various Services with respect to my/our account(s) being conveyed overelectronic media, for which the Bank may have no means to verify and authenticate that the same have been communicated by me/us to the Bank or by some third person(s) or to keep a record of the same and as well as for anylosses/liabilities due to misuse of any of the Services by me/us or any other person(s) with respect to my/our account(s). I/We, acknowledge that I/We have fully understood and read the T&Cs, as currently applicable. I/We
understandthattheBankmay,at itssole discretion,at anytime,and fromtimeto time,withoutanyprioror postintimationto me/us,addto,alter,changeormodifyany ofthe termsand conditionsof theT&CsandthatI/Weherebyagree toabideandbe bound byallsuchchangesas iftheyformpartof theT&Csas atpresent andthatanytransactionin my/ouraccount(s)withtheBankand/or usageof anyof theServicesbyme/us.Subsequentto such changeshallbedeemedandtantamounttomy/ouracceptanceofallsuchchanges.
13. I/We the undersigned hereby confirm and acknowledge my/our understanding that the contents of my/our above confirmation, understanding and indemnity was a material inducement for the Bank to permit me/us to availServicesover NetBanking,ATMs,Bank byPhone orBankingby otherelectronicmedia.
14. I/We,confirmthatanypersonalinformationprovidedbyme/ustothe Bankat thetimeofopeningthe account orat anytimethereafter,by anymeans,whetherwritten,verbal,orby electronicmediumhasbeen/ willbe provided by
me/usto theBank,onmy/our ownfreewillandvoluntarilyand such information maybe used bythe Bankand/oritspartners/vendorsforanypurpose whatsoever includingbutnot limited tocross-sellingof theirvariousproducts
Yes No
15. I/Wehavenothandedovercashoutsidebankspremisesforfundingmyaccountortowardsmyotherpayments.
Singly (First Applicant only) Jointly (All holders to sign) Either or Survivor Any Other ______________________________________
nominate the following person to whom in the event of my/my minor's death the amount of the deposit in the account, particulars whereof are given below, may be returned by ABN AMRO Bank.
I.....................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................................................................................NOMINEEI.....................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................Relationship with depositor, if any .................................................................................... Age ................ If minor, nominee's of birth
*As the nominee is a minor on this date I appoint (name)....................................................................................................................................................................(age)....................
(address) ....................................................................................................................................................................................................................................................................................
Deposit / AccountNATURE DISTINGUISHING NUMBER ADDITIONAL DETAILS, IF ANY
(Guardian's signature if applicant is a minor)
Date : .............................................................Name : ............................................................................................... Name : ...............................................................................
Place : .............................................................Address .......................................................................................................................................................................................................
Address ............................................................................
.............................................................................................
to receive the amount of the deposit in the account on behalf of the nominee in the event of my/my minor's death during the minority of the nominee.
*Strike out if nominee is not a minor **Where deposit is made/account is held in the name of minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor.
***Please ensure that the form is duly witnessed before submitting to the bank.
Please do not fill
P
SELF-SIGNED
P
S
SELF-SIGNED
(If not signing in English, please ask for Vernacular Indemnity format)
Guardian's signature if applicant is minor
** SIGNATURE OF DEPOSITOR(S)...................................................................................
*** SIGNATURE OF FIRST WITNESS.................................................................
SIGNATURE OF SECOND WITNESS
.................................................................
I hereby confirm that I do not require any nomination facility on my bank deposit.
VER/L/2007/04/98b
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