DRF – V3 – April’2020

REQUEST FORM FOR CHANGES IN DEMOGRAPHICS

(FOR BANK USE ONLY)

Branch Code Tracker/ID No.:

D D M M Y Y Y Y

Date:

CUSTOMER NAME:

CUSTOMER ID: ACCOUNT NUMBER:

(A) ADDRESS* (ATTACH SELF ATTESTED PROOF) & CONTACT DETAILS UPDATION

Update Mailing Address

Address:

Building/Street:

Landmark:
(Please mention prominent landmark to ensure deliverables reach you. Address to be max 105 characters including spaces)

City: State:

Country: Postal/Zip Code:

Update Permanent Address Permanent address same as mailing address

Address:

Building/Street:

Landmark:
(Please mention prominent landmark to ensure deliverables reach you. Address to be max 105 characters including spaces)

City: State:

Country: Postal/Zip Code:

Update Overseas Address (Applicable for NRI Customers, in case you are updating your mailing/permanent address
from overseas to Indian address)
Address:

Building/Street:

Landmark:
(Please mention prominent landmark to ensure deliverables reach you. Address to be max 105 characters including spaces)

City: State:

Country: Postal/Zip Code:

Address as per passport for NRIs / PIOs only (Copy Attached) I hereby declare that no address is mentioned on the passport
Address:

Building/Street:

Landmark:
(Please mention prominent landmark to ensure deliverables reach you. Address to be max 105 characters including spaces)

City: State:

Country: Postal/Zip Code:

Tel No.:(Res.) Tel No.:(Off.)

Countrycode Areacode Number Countrycode Areacode Number
#
Mobile No.: Fax No.:
Countrycode Number Countrycode Areacode Number
#
Please provide Annexure II as a signed declaration

Date: D D M M Y Y Y Y ACKNOWLEDGMENT RECEIPT

Account Number:

We acknowledge the receipt of Customer request from Mr/Mrs/Ms ................................................................................................................................... with service request
number ..................................................................

Type of service request ..................................................................................................................................

Stamp & Signature of Bank Official

Contact Number of bank official: ______________________
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DRF – V3 – April’2020
REQUEST FORM FOR CHANGES IN DEMOGRAPHICS

ANNEXURE II : MOBILE NUMBER DECLARATION

I am holding the afore-mentioned account with YES BANK. I hereby confirm that my present mobile number is
Country Code
and that the same may be updated in the bank's records for sending any communication related to my above account, as well as transaction advises.
B. UPDATION OF PERSONAL DETAILS (* ATTACH SELF ATTESTED PROOF)

DATE OF BIRTH* D D M M Y Y Y Y

PASSPORT* EXPIRY DATE*: D D M M Y Y Y Y

NAME CHANGE*
New Name:
Short Name:
Note: If Debit Card is required in new name, please fill channel request form
SIGN CHANGE*

Existing signature of Applicant/Signatory New signature of Applicant/Signatory

PAN UPDATION* IEC UPDATION*

EMAIL ID UPDATION:

DECLARATION & TERMS & CONDITIONS FOR SERVICE REQUEST

I/ We, the undersigned, being customer of YES BANK LTD. (hereinafter referred to as “Bank”) hereby confirm that I/We have read, understood and agree to abide and be bound by all
the provisions of the terms & conditions as displayed on the website: www.yesbank.in which govern, all of my/ our accounts, present and future, maintained/ opened/ to be maintained/
to be opened with the Bank from time to time and also the provisions of the various services/ facilities provided at present/ that may be provided in future.
I/We hereby declare that all details provided in this form are true and correct and supported by valid documents enclosed with this form. I/We accept and agree that this declaration
shall being addition to any other declaration provided by me/us with respect to the facility provided by YES BANK and agree to indemnify and keep from any loss, damage, claim
action, costs, charges and expenses which YES BANK may suffer or incur as a result of any defect/mispresentation made by me/us in the above declaration.
I/ We understand that the Bank may at its sole discretion, at any time and from time to time, without prior or post intimation to me/ us, add, alter or modify any of the said terms and
conditions and that I/ We hereby agree to abide and be bound by all such changes as if they form part of the terms and conditions and that any transaction in my/ our account(s) with
the Bank and/ or usage of any services by me/ us subsequent to such change shall be deemed and tantamount to my/ our acceptance of all such changes. I/We understand, agree and
acknowledge Yes Bank’s schedule of charges, as amended from time to time as applicable for service requests.
I also authorize the bank to contact me on the above mentioned number for doing verification call backs or checks to confirm the veracity of any transaction, as deemed fit by the bank. I confirm
that the said mobile number is held by me and is not in use by any other third party and i undertake that shall dully and promptly inform the bank if and when my mobile number changes.
Please Note:
Changes requested would be effected in the Bank's records by the Bank within the committed period from the date of receipt at the Branch and the said changes would be effective
in the systems from that date only. Deliverables, if any, will be sent to the mailing / communication address as per the latest records available with the Bank.
The fresh / new Signature(s) would be valid once the changes are updated in the system. The Bank will not be responsible for return / dishonor of any such old outstanding / unpaid
cheque / debits / requests and which are still in transit and yet to be received / actioned by the Bank and not in conformity with the fresh / new Signature(s) and / or Operating
Instructions Change request.
a. I hereby authorize the Bank to retrieve my demographic details such as DOB, gender, address and photograph for KYC purposes from Unique Identification Authority of India
(UIDAI), using biometric / OTP authentication. I hereby further confirm that the OTP for Aadhaar validation is entered by me in presence of the employee of the Bank.
b. I hereby agree, declare and undertake that I have no objection in authenticating myself with Aadhaar based authentication system and to provide my identity information
(Aadhaar number, biometric information & demographic information ) for Aadhaar based authentication and/or any similar authentication mechanism provided by the
Government from time to time, for the purpose of availing banking services including operations of account or any other facility relating to banking operation.
c. I have been informed by the Bank, that submission of Aadhaar is not mandatory, and there are alternative options for KYC and establishing identity including by way of physical
KYC with officially valid documents other than Aadhaar. All options were given to me.
d. I have been explained in local language about the purpose of collecting Aadhaar (applicable for vernacular language)

Signature of 1st Applicant/Signatory Signature of 2nd Applicant/Signatory Signature of 3rd Applicant/Signatory

(To be signed by the holder making the request)
FOR BANK USE ONLY
Instruction received by: Mail/Representative (Courier/post/Sales staff/Runner boy) Customer in-person Mapped RM/PSM Bearer
Customer signed in my presence (Not applicable for Mail/Representative) Confirmation obtained from customer (request received through bearer/mail/RM)
Branch Official / RM : Name: _________________________________ Signature: ______________________________Emp. ID: _______________
(Alphanumeric Id)
Branch Official : Name: _________________________________ Signature: ______________________________Emp. ID: _______________
In cases where a customer has walked in to the branch, 2 branch officials to sign above. (Alphanumeric Id)

Customer confirmation obtained from registered mobile number/Email ID/through due diligence activity (strike-off whichever not applicable)
BSL/BBL: Name: _________________________________ Signature: ______________________________ Emp. ID: _______________
(Alphanumeric Id)
Signature has been verified from bank’s records.
The customer request & documents have also been checked and approved for further processing
Original KYC documents are checked for the documents attached herewith.
Verified by (BSP/BSL): Name: _________________________________ Signature: ______________________________ Emp. ID: _______________
(Alphanumeric Id)

Approved by (BSL/BBL): Name: _________________________________ Signature: ______________________________ Emp. ID: _______________

(Alphanumeric Id)

Terms & Conditions for change request: 1. Changes requested would be effected in the Bank's records by the Bank within the committed period from the date of receipt at the Branch and the said changes
would be effective in the systems from that date only. Deliverables, if any, will be sent to the mailing / communication address as per the latest records available with the Bank. 2. The fresh / new Signature(s)
would be valid once the changes are updated in the system. The Bank will not be responsible for return / dishonor of any such old outstanding / unpaid cheque / debits / requests and which are still in transit
and yet to be received / actioned by the Bank and not in conformity with the fresh / new Signature(s) and / or Operating Instructions Change request.
List of Self-Attested Proofs required: Few accepted documents 1. Address change: Aadhaar Card (EKYC Aadhaar verification is permissible), Valid Passport, Driving Licence, Voter’s ID Card, Job Card
issued by NREGA, Letter issued by National Population Register containing details of name and address 2. Signature: Pan Card, Passport, Drivers License, Cheque Copy. 3. N a m e C h a n g e : A a d h a a r,
Passport, Drivers License, Gazette Copy. (Identity-Signature-Address Proofs)

YES TOUCH 24 x 7 Banking Services

24 x 7 YES TOUCH PhoneBanking Number:

1800 1200 (Toll Free for Mobiles & Landlines in India) +91 22 30993600 (When calling from Outside India) SMS “Help” space <CUST ID> Log on to our website Email us at
Toll Free Number from USA/Canada 1877 659 8044 UK: 808 178 5133 UAE: 8000 3570 3089 (UAE) to +91 92233 90909 www.yesbank.in [email protected]

NRI customers can submit the change request by emailing a scanned copy of the signed request to [email protected], Page 2 / 2