List of Applicants - Union Bank of India

[Pages:2]TO BE FILLED IN CAPITAL LETTERS uhys ckWDl cSad }kjk Hkjs tk,a Blue Boxes are to be Filled by Bank:

'kk[kk Branch

[kkrk ?- Account No.

MsfcV dkMZ ua Debit Card No.

AOF-1 ID

cpr [kkrk vkosnd Applicant

pkyw [kkrk ukckfyx

Y Minor

eh;knh tek [kkrk

Account

tek gsrq% N Deposit: Amount `

List of Applicants:

vU; [kkrs dk m?s';

Others Purpose of Account________________________

vk/kkj ua

Aadhar No.

lg vkosnd 1 Co Applicant 1

isu ua

PAN No.

xzkgd vkbZMh-

Customer ID.

lg vkosnd 2 Co Applicant 2

xzkgd vkbZMh-

Customer ID.

xzkgd vkbZMh-

Customer ID.

fuokl@i=kpkj@LFkkuh; dk irk% Residence/Correspondence/Local Address:

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House/Flat No./Bldg. Name

lM+d vkSj bykds

Street & Locality

uxj

ftyk

City

District

jkT;

ns'k

fiu

State

Country

Pin

eksckby ua

Mobile No.

bZ-esy vkbZ Mh

E-Mail ID

* ;fn fdlh vkosnd ds iwoZ esa izLrqr irs@O;fDrxr tkudkjh esa ifjorZu gS] rks ?i;k ?vkosnd dh tkudkjh? QkeZ Hkjsa ?lhvkbZ,Q&1?

* If address/personal information of any applicant furnished earlier has changed, please fill "Information of Applicant" form (CIF-1)

Facilities Required:

MsfcV dkMZ

Debit Card

vuqekfur fons'kh izs"k.k

Foreign remittances expected

Please tick in the respective boxes if you wish to avail the following facilities

'kk[kk ls izkIr djsa

Collect from the Branch

ukekadu

Nomination

baVjusV cSafdax

Internet Banking

esjs i=kpkj ij izsf"kr dh tk,

Dispatch to my communication Address

,l-,e-,l- ,yVZl~

SMS Alerts

eksckby cSafdax

Mobile Banking

vU; mYys[k djsa

Others (Specify)___________

?sfMV dkMZ

Credit Card

ns'k dk dwV la

Country Code No.

O;kikjh vf/kxgz .k-ihvk,s l?ih,lVh,u@thihvkj,l?@chD;vw kj@;iw hvkb@Z Hkhe vk/kkj

Merchant Acq - POS (PSTN/GPRS)/BQR/UPI/Bhim Aadhaar

[kkrs esa vuqekfur okf"kZd VuZvksoj Expected Annual Turnover in the account

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