SAVING BANK ACCOUNT OPENING FORM
[Account with Introduction]

The Joint Account holder (i.e. second applicant) shall fill up a supplementary Form
1. Name in Full
First Applicant (Mr./Mrs./Ms.)
2. Aadhar Number (if available)
3. Father/ Husband/Guardian Name
4. Residential address:
Building : Door /House/flat
Bldg. Number and name
Street – Number and Name
Locality
Landmark
Village /City District
State
Pincode
5. Sex: [DDM]* 6. Date of Birth: [DDM]*
7. a) Occupation--------------------------- [DDM] * (b) Category- [ [DDM] *
SMS Alert : Yes / No
Mobile No.
Landline No.
8. Request for ATM Debit Card : Yes / No
9. Second Applicant (Mr./Mrs./Ms.)(if any)
Mode of Operation [DDM]*
10. NOMINATION Name of nominee
Please attach Nomination Form*
Please open a Savings Bank account in my / our name(s) (as above). The Saving Bank rules and regulations including those relating to accounts with
introduction have been explained to me/us and I/we agree to abide by the same. An additional photograph of sole/each applicant is attached.
Date: ______________
Place:_______________ Signature/Thumb Impression of first/sole Applicant Signature/Thumb Impression of second Applicant
Introduction
Name of the introducer
Account No.
I know Shri/Smt. _____________________________for the past_____________Years/months. He/she is residing at the address given above.
Date : ________ Signature of the introducer_________________ Officer___________________
________________________________________________________________________________________________________________________
DDM DDM
DDM
Affix
Passport
size Photo
For Bank Use Only
1. I have explained the rules / regulations relating to account with introduction, to the applicant.
2. Account has been opened on _______________________________
3. ATM No. _____________________ has been issued and password has also been issued.
Date:__________________ Officer____________________(SS No)
* DDM - Drop Down Menu
** The Joint Account holder (i.e. second applicant) shall fill up a supplementary Form.
Name & Code of the Branch
Cust ID
A/C No.