Customer Information Updation Form (NRI) : Notes

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Customer Information Updation Form (NRI)

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:

Social Security No. / Unique ID No. (Aadhaar):


PAN:

(please attach the PAN card copy)

There is no change to my current overseas address

I wish to update my current overseas address as below

Current Overseas 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

There is no change to my Permanent address

Number

I wish to update my Permanent address as below

Permanent Address (Proof Mandatory if different than Current Overseas Address):


_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________
Tel (Office):
Country Code

Area Code

Number

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Tel (Res):
Country Code

Area Code

Number

*Mobile Number:
Country Code

Number

Communication to be sent to:


Current Overseas Address

Permanent Address (Default is current overseas address if no box is ticked)

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.

If Salaried, employed with

b.

Proprietorship

Partnership

Pvt. Ltd.

Public Ltd.

Public Sector

Government

Multinational

Others (Please specify)

If Self Employed, and if in Business, nature of Business


Manufacturing

Trading

Services

Retailing

Agriculture

Stock Broker

Real Estate

Others (Please specify)

Architect

If Professional, type of Profession

c.

Lawyer

Doctor

CA/CS

Consultant

Engineer

Others (Please specify)

Retired

Student

Graduate

Post Graduate

Professional (Please specify)

>10 Lakh 25 Lakh

If Others
House Wife

B)

Education
Under Graduate

C)

D)

Gross Annual Income (INR)


Nil

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

Funds of family members

Investment

Other (Please specify)

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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2.

JOINT HOLDER 1 / GUARDIAN DETAILS (In case of Joint account):

To be filled by the customer


*Name:

Mr.

Ms

Dr.

*Date of Birth:

DDMMYYYY

*Mothers maiden name:


*Fathers name:
*Marital Status:
*Gender:

Single
M

Married
F

Social Security No. / Unique ID No. (Aadhaar):


*Current Residential status:

NRI

Resident

Relationship with Primary applicant:


**Date of becoming NRI:
*Are you a PEP# or related to one?
PAN:

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

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Permanent Address (Proof Mandatory if different than Current Overseas Address):


If the address is same as the Communication address then please tick here
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
City:____________________________ PIN Code:________________________ State:__________________________ Country:_________________________

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.

If Salaried, employed with

b.

Proprietorship

Partnership

Pvt. Ltd.

Public Ltd.

Public Sector

Government

Multinational

Others (Please specify)

If Self Employed, and if in Business, nature of Business


Manufacturing

Trading

Services

Retailing

Agriculture

Stock Broker

Real Estate

Others (Please specify)

Architect

If Professional, type of Profession

c.

Lawyer

Doctor

CA/CS

Consultant

Engineer

Others (Please specify)

Retired

Student

Graduate

Post Graduate

Professional (Please specify)

>10 Lakh 25 Lakh

If Others
House Wife

B)

Education
Under Graduate

C)

D)

Gross Annual Income (INR)


Nil

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

Funds of family members

Investment

Other (Please specify)

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):_________________________________________

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:

BSR Code Matrix (FOR BANK USE ONLY):


1.

In case of NRI (Non-Resident Indian) joint holder

2.

BSR to be captured as 52081

In case of resident joint holder

OCCUPATION

MALE

FEMALE

Agri Allied / Farmers


Landholding Nil,

MALE

FEMALE

Business
41141

41142

<=5 acres, > acres)

(Shroffs / Moneylenders, Stock

41441

41442

41341

41342

Brokers, Dealers in Bullion)

Business
(Manufacturing, Trading,

OCCUPATION

Salaried
41241

Services, Retailing, Agriculture,

41242

(Proprietorship, Partnership,
Pvt.Ltd., Public Ltd.,

Real Estate)

Public Sector, Government,

Professional

Multinational, Wage Salary

(Doctor, CA/CS, Lawyer,

earners, Others

Architect, Consultant, Engineer)


Housewife, Retired, Student
Please activate my account basis this form in case the same is dormant
Signatures and Photographs
(Please paste recent passport size photograph of all Account holders / Authorised signatories)

Photograph of

Photograph of

First Holder

Second Holder

Signature of
First Holder

Signature of
Second Holder

Name:.........................................................................

Name:.........................................................................

Signature/s to be as per Bank records

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Mentioned below are acceptable list of documents :


Document

NRI
Status
Proof

ID Proof
for NRI

ID proof
for
Resident

Indian
Address
Proof

Valid Indian passport with photo and signature

No

Yes

Yes

Yes

Yes

Yes

In case of PIOs : Foreign passport having


parents' /spouse's name

Yes

Yes

No

No

Yes

Yes

In case of NRIs : Valid Visa/ Work Permit/ Resident Card

Yes

No

No

No

Yes

No

In case of PIOs: PIO card/ OCI card

Yes

No

No

No

Yes

Yes

Utility Bills : (Electricity, Land line, Piped Gas, Water Connection)


not older than 2 months

No

No

No

No

Yes

No

Bank Statement /Post office saving bank account statement


( Showing 2 customer induced transactions - not older
than 3 months from the date of account opening)

No

No

No

Yes

Yes

No

PAN card issued by the Income Tax Department

No

No

Yes

No

No

Yes

Driving License bearing the photo & the expiry date

No

No

Yes

Yes

Yes

No

Marriage Certificate

No

No

No

No

No

Yes

No

No

No

Yes

Yes

No

Documents issued by government departments of foreign jurisdictions


(Valid ID Documents issued by a Government authority having the
customers name, and address, e.g. National ID card,.etc)

No

No

No

Yes

Yes

No

Property or Municipal Tax receipt

No

No

No

Yes

Yes

No

Voter's ID Card

No

No

Yes

Yes

No

No

Job card issued by NREGA duly signed by an


officer of the State Government

No

No

Yes

Yes

No

No

Aadhaar letter card issued by Unique Identification


Authority of India (UIDAI)

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

School leaving certificate

No

No

No

No

No

Yes

Court Affidavit

No

No

No

No

No

Yes

Life Insurance policy

No

No

No

No

No

Yes

Pension or family PPOs

No

No

No

Yes

No

No

Leave and License agreements / Letter for accommodation


(An agreement made with employers being State or Central
Government departments, statutory or regulatory bodies, public
sector undertakings, scheduled commercial banks, financial
institutions and listed companies can be accepted as a valid
overseas address proof. If a letter of accommodation has been
issued by such employer, then the same can be accepted as
a valid overseas address proof.)

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Oversea Relationship
Address
Proof
Proof

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