SAVING BANK ACCOUNT OPENING FORM
[FOR SMALL ACCOUNT]

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]* Date of Birth: [DDM]*
6. a) Occupation--------------------------- [DDM] * (b) Category- [ [DDM] *
SMS Alert : Yes / No
Mobile No.
Landline No.
7. Request for ATM Debit Card : Yes / No
8. Second Applicant (Mr./Mrs./Ms.) (If any)
9. Mode of Operation [DDM]*
10. NOMINATION Name of nominee
*Please Attach Nomination Form
Please open a small account in my / our name(s) (as above). The Saving Bank rules and regulations including those relating to Small Account 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
Signature of Business Correspondent/Facilitator_______________________
Name, SS No. and Signature of the verifying Branch official________________
DDM DDM
DDM
Name and No. of BC/BF
Affix
Passport
size Photo
For Bank Use Only
1. The applicant has affixed his signature or thumb print, as the case may be, in my presence
2. I have explained the rules / regulations to the applicant __________________
3. Account has been opened on _______________________________
4. 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.