Customer Information Updation Form (NRI) : Notes
Customer Information Updation Form (NRI) : Notes
Customer Information Updation Form (NRI) : Notes
Notes:
1. Your contact details mentioned below will be updated in our records.
2. Signatures of all the account holders are mandatory.
3. Enclose self-attested photocopies of ID proof, Non-Resident status proof (Only for NRI) and Address proof for all account holders.
4. Passport size photographs of all holders to be pasted.
5. * marked points are mandatory.
6. ** marked points are mandatory if the customer is a NRI.
7. The address on this form should be same as in supporting documents.
8. If there are more than 2 signatories, use photocopies of this form.
9. The submitted data is valid for all accounts held by you
Account Number:
Customer ID:
1. PRIMARY APPLICANT PERSONAL DETAILS:
*Name:
Area Code
Number
Country Code
Area Code
Number
Tel (Res):
*Mobile Number:
Country Code
Number
Area Code
Number
Page 1 of 6
Tel (Res):
Country Code
Area Code
Number
*Mobile Number:
Country Code
Number
I/We acknowledge and confirm that I/we have read and understood the terms and conditions governing my/our accounts held with ICICI Bank
Limited., India (ICICI Bank) as available on http://www.icicibank.com/nri-banking/RHStemp/termNcondition.html and further agree and confirm that
I/we shall be bound by such terms and conditions governing my/our accounts with ICICI Bank.
I/We declare, confirm and agree to inform ICICI Bank regarding any change in my/our Overseas / Permanent Address and to provide new address
to the bank within two weeks of such a change.
*Customer Profile:
A)
Occupation
a.
b.
Proprietorship
Partnership
Pvt. Ltd.
Public Ltd.
Public Sector
Government
Multinational
Trading
Services
Retailing
Agriculture
Stock Broker
Real Estate
Architect
c.
Lawyer
Doctor
CA/CS
Consultant
Engineer
Retired
Student
Graduate
Post Graduate
If Others
House Wife
B)
Education
Under Graduate
C)
D)
Up to 1 Lakh
>1Lakh - 10Lakh
25 Lakh to 1cr
>1 Cr to 10 Cr
>10 Cr.
Salary
Business Income
Agriculture
Inheritance
Rent
Pension
Source of funds
Investment
FOR ICICI BANK USE ONLY (PRIMARY APPLICANT KYC CERTIFICATION) (Applicable for face to face cases):
I have met Mr./Ms./Dr. ______________________________________________________________in person and hereby confirm that the identity details
filled in the Customer Identification Updation Form which has been filled in my presence, and I have verified the same with the original documents.
I have understood the documents and certify that the documents convey compliance with Bank's KYC guidelines.
Employee Number: ______________________________________
At present working at:________________________________________________________ (Mention city and country)
as (Designation):_________________________________________
Signature of Bank official________________________________
KNOW YOUR CUSTOMER DOCUMENT (KYC) (TO BE FILLED BY BRANCH OFFICIAL):
Identity Proof:
Expiry Date (Only for ID proof wherever applicable):
DDMMYYYY
Address Proof:
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5
2.
Mr.
Ms
Dr.
*Date of Birth:
DDMMYYYY
Single
M
Married
F
NRI
Resident
DDMMYYYY
Y
N
(document copy to be attached)
*Photo Identity Proof Document No. (Passport No. mandatory in case of a NRI):
** Date of Issue:
DDMMYYYY
*Place of Issue:
**Expiry Date:
DDMMYYYY
** Type of Visa/ Labour card/ Work permit: _________________________________ (Please provide proof)* (Visitor & Business visas are not allowed)
#Politically Exposed Person (PEP) Individuals who are or have been entrusted with prominent public functions in a foreign country. Examples
include but are not limited to Heads of State or of Governments, Senior politicians, Senior government/judicial/military officers, Important political
party official. The term PEP also includes the families (close family members such as spouse, children, parents and siblings and may also include
other blood relatives and relatives by marriage) and close associates (include close business colleagues and personal advisors/consultants to the
PEP as well as persons who obviously benefit significantly from being close to such a person) of the PEPs.
Contact Details:
*E-mail ID:
Communication Address (Address Proof Mandatory):
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________
Tel (Office):
Country Code
Area Code
Number
Country Code
Area Code
Number
Tel (Res):
*Mobile Number:
Country Code
Number
Page 3 of 6
5
Tel (Office):
Country Code
Area Code
Number
Country Code
Area Code
Number
Tel (Res):
*Mobile Number:
Country Code
Number
I/We acknowledge and confirm that I/we have read and understood the terms and conditions governing my/our accounts held with ICICI Bank
Limited, India (ICICI Bank) as available on http://www.icicibank.com/nri-banking/RHStemp/termNcondition.html and further agree and confirm that
I/we shall be bound by such terms and conditions governing my/our accounts with ICICI Bank.
I/We declare, confirm and agree to inform ICICI Bank regarding any change in my/our Overseas / Permanent Address and to provide new address
to the bank within two weeks of such a change.
*Customer Profile:
A)
Occupation
a.
b.
Proprietorship
Partnership
Pvt. Ltd.
Public Ltd.
Public Sector
Government
Multinational
Trading
Services
Retailing
Agriculture
Stock Broker
Real Estate
Architect
c.
Lawyer
Doctor
CA/CS
Consultant
Engineer
Retired
Student
Graduate
Post Graduate
If Others
House Wife
B)
Education
Under Graduate
C)
D)
Up to 1 Lakh
>1Lakh - 10Lakh
25 Lakh to 1cr
>1 Cr to 10 Cr
>10 Cr.
Salary
Business Income
Agriculture
Inheritance
Rent
Pension
Source of funds
Investment
FOR ICICI BANK USE ONLY (PRIMARY APPLICANT KYC CERTIFICATION) (Applicable for face to face cases):
I have met Mr./Ms./Dr. _______________________________________________________in person and hereby confirm that the identity details filled in
the Customer Identification Updation Form which has been filled in my presence, and I have verified the same with the original documents. I have
understood the documents and certify that the documents convey compliance with Bank's KYC guidelines.
Employee Number: ______________________________________
At present working at:________________________________________________________ (Mention city and country)
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as (Designation):_________________________________________
DDMMYYYY
Address Proof:
2.
OCCUPATION
MALE
FEMALE
MALE
FEMALE
Business
41141
41142
41441
41442
41341
41342
Business
(Manufacturing, Trading,
OCCUPATION
Salaried
41241
41242
(Proprietorship, Partnership,
Pvt.Ltd., Public Ltd.,
Real Estate)
Professional
earners, Others
Photograph of
Photograph of
First Holder
Second Holder
Signature of
First Holder
Signature of
Second Holder
Name:.........................................................................
Name:.........................................................................
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NRI
Status
Proof
ID Proof
for NRI
ID proof
for
Resident
Indian
Address
Proof
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
Yes
Yes
Yes
No
No
No
Yes
No
Yes
No
No
No
Yes
Yes
No
No
No
No
Yes
No
No
No
No
Yes
Yes
No
No
No
Yes
No
No
Yes
No
No
Yes
Yes
Yes
No
Marriage Certificate
No
No
No
No
No
Yes
No
No
No
Yes
Yes
No
No
No
No
Yes
Yes
No
No
No
No
Yes
Yes
No
Voter's ID Card
No
No
Yes
Yes
No
No
No
No
Yes
Yes
No
No
No
No
Yes
Yes
No
No
Birth certificate
No
No
No
No
No
Yes
Ration Card
No
No
No
No
No
Yes
Matriculation certificate
No
No
No
No
No
Yes
No
No
No
No
No
Yes
Court Affidavit
No
No
No
No
No
Yes
No
No
No
No
No
Yes
No
No
No
Yes
No
No
Page 6
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Oversea Relationship
Address
Proof
Proof