Request Form For Changes in Demographics PDF

DRF – V5 – August 2022
REQUEST FORM FOR CHANGES IN DEMOGRAPHICS
D D M M Y Y Y Y
Branch Code Tracker ID: Date:
CUSTOMER NAME:
CUSTOMER ID: ACCOUNT NUMBER:

A. ADDRESS: (Attach self attested proof)
Update Mailing Address Update Overseas Address (NRI / Foreign National)
Address:
Building/Street:
Landmark:
City: State:
Country: Postal/Zip Code:
Update Permanent Address Permanent address same as mailing address Update Overseas Address (NRI / Foreign National)
Address:
Building/Street:
Landmark:
City: State:
Country: Postal/Zip Code:

For NRO/NRE accounts – Use a separate form if Mailing and Permanent address is being updated at the same time to an Indian
address and Overseas address is not available or needs to be updated.
B. MOBILE NUMBER UPDATION AND DECLARATION
I am holding the afore-mentioned account with YES BANK. I hereby confirm that my present mobile number is Country Code
Kindly update this number in the bank's records for sending any communication related to my above account, as well as transaction advices.
(NOTE : FILL MANDATORY DEDUPE SECTION E OF THIS FORM IF APPLICABLE)
C. UPDATION OF PERSONAL DETAILS (* ATTACH SELF ATTESTED PROOF)
DATE OF BIRTH* D D M M Y Y Y Y PREFIX CHANGE*:
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:
(NOTE : FILL MANDATORY DEDUPE SECTION E OF THIS FORM IF APPLICABLE)
D. UPDATION / RENEWAL OF LEGAL ENTITY IDENTIFIER (LEI) NUMBER
I/We hereby submit the following details to YES Bank Limited (''the Bank'') for their records (Tick anyone of the below)
Updation of LEI number Renewal of LEI expiry date
LEI Number LEI Expiry Date
(For either of the selected option, both LEI no. & expiry date should be mentioned)
DECLARATION & TERMS & CONDITIONS FOR SERVICE REQUEST
I hereby give my consent to YES BANK LTD (“Bank”) to use my Aadhaar number and biometric information to establish my identity for availing banking services. I have no objection in the Bank sharing my Aadhaar
details to UIDAI to obtain my demographic information for facilitating Aadhaar based authentication /verification. I have been informed by the Bank about other alternative options available for establishing my identity
including submission of physical KYC documents.
I confirm that I have read all the terms and conditions including schedule of charges related to my account as displayed and updated on the website www.yesbank.in from time to time and confirm that the said terms
and conditions/charges shall continue to remain valid and binding on me in relation to the account held by me and the services/facilities provided by the Bank from time to time. I confirm that the details given herein
are true and correct and acknowledge that the change requested by me/us would be updated in Bank’s records within the committed period from the date of its receipt by the Branch and shall be effective on its
updation ▪ I/we acknowledge that till the change request is effective in the bank’s records, all communications will continue to be sent at the old address/mobile number/e-mail ID. I understand that on updation of the
new mobile number/email id, all transaction and other alerts with respect to my account would be received in this mobile number/email id and I hereby authorize the Bank to contact me for verification call backs or
checks to confirm veracity of any transaction as deemed fit. I shall promptly inform the Bank about any changes in my mobile number/email id from time to time. The bank will not be responsible for return/dishonor of
any old outstanding/unpaid cheques/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 or new name as and when it is
updated. In case of IEC, Bank shall have the option to reject the request for updation of IEC where its authenticity could not be verified from the DGFT/Ice Gate website.
Signature of 1st Applicant / Signatory Signature of 2nd Applicant/Signatory Signature of 3rd Applicant/Signatory
ACKNOWLEDGMENT RECEIPT
Date & Time: _________________________ Account Number: Service Request: _______________
We acknowledge the receipt of request from Mr./Mrs./Ms. _________________________________________________ with Service Request no. ____________________
Stamp & Signature of Bank Official Contact Number of bank official: ______________________
Page 1 / 2
DRF – V5 – August 2022
REQUEST FORM FOR CHANGES IN DEMOGRAPHICS
FOR BANK USE ONLY

E. Mandatory Mobile/Email Id De-dupe check by BM/RM/CSD: (To be filled by Bank Official)
I confirm that I have conducted a dedupe for the above mobile email Id number through YES Genie/FCR & have found that the number already exists for customer id
I a lso confirm that I have contacted the customer w ho holds the mobile number /
email Id already updated in the above customer id via phone / email / other modes and he/ she has provided his/her consent to update the same mobile number/email Id for the client
(name) holding the customer id for which mobile/email Id updation request is placed.
I also confirm that the relationship between the two customer/ customer ids is that of
Instruction received by: Mail (Courier/post) Customer in-person Mapped RM/PSM Bearer
Customer signed in my presence (Not applicable for Mail) 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 (strike-off whichever not applicable)
DBM/BM: 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 (PB/DBM): Name: _________________________________ Signature: ______________________________ Emp. ID: ________________

(Alphanumeric Id)
Approved by (DBM/BM): Name: _________________________________ Signature: ______________________________ Emp. ID: ________________

(Alphanumeric Id)
T&C for Changes 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 / dishonour 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 Operation Instructions Change requests.
List of Self attested proofs required: For accepted documents 1. Address change: Aadhaar Card (Ekyc Aadhaar Verification is permissible)Valid Passport, Driving licence, Voter's I card, Job Card issued
by NREGA, Letter issued by National Population Register containing details of Name and Address. 2. Signature: Pan, Passport, DL, Cheque copy. 3. Name change: Aadhaar, Passport, DL, 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

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DRF – V5 – August 2022

REQUEST FORM FOR CHANGES IN DEMOGRAPHICS

Branch Code Tracker ID: Date:

CUSTOMER ID: ACCOUNT NUMBER:

Country: Postal/Zip Code:

Country: Postal/Zip Code:

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

PAN UPDATION* IEC UPDATION*

Date & Time: ___________ Account Number: Service Request: _

FOR BANK USE ONLY

Branch Official / RM : Name: ___________________ Signature: _ Emp. ID: ____

Branch Official : Name: ___________________ Signature: _ Emp. ID: ____

DBM/BM: Name: _______________ Signature: Emp. ID:

Verified by (PB/DBM): Name: _______________ Signature: Emp. ID:

Approved by (DBM/BM): Name: _______________ Signature: Emp. ID:

24 x 7 YES TOUCH PhoneBanking Number:

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