UNITED BANK OF INDIA ACCOUNT OPENING FORM (INDIVIDUAL)

Branch ___________________
    
Account No _____________________

 Date _______________
Please tick type of account
      
SAVINGS ACCOUNT
    
with Cheque Book  
   
with Cheque Book   		CURRENT DEPOSIT ACCOUNT    RECURRING DEPOSIT   
 
Monthly Instalment Rs.__________
REINVESTMENT PLAN  OTHER TERM DEPOSIT (specify)  Amount of Deposit
_________		 Period of Deposit/
________
Days Months Years

 

FULL NAME (IN BLOCK LETTERS)
     		DATE OF BIRTH
1.  
2.  
3.  

   

PAN/GIR No. or Form No. 60/61/
   
1. ______________________
  
2. ______________________
   
3. ______________________
   		Nationality
__________________________
  
__________________________
   
__________________________
  

    

Complete address with telephone number, fax and email of all the depositors
Office Address Residential Address Residing at this address since (year)
     
     
     

  
  
    
  
    

Address of Communication --         First Depositor         Second Depositor         Third Depositor

   

MODE OF OPERATION
By me By either/any one of us or survivor By Former or Survivor of us
By guardian on behalf of minor Jointly by us Other (Specify)
In respect of Term Deposit please send the renewal
notice		 do not send the
renewal notice
In case of United Bonanza
Savings Account :		 Minimum balance to be maintained
in the SB Account Rs.___________

Amount of per unit of FD Rs.___________

Period of Term Deposit days_______________
Standing Instruction Please debit monthly instalment of RD account from my savings bank account no.
Please credit monthly quarterly interest on Fixed Deposit to my savings bank acount no.
In case the operation is by Either / Any One or Survivor
   
         yes           No
The bank may, on receipt of a written application from either / any one or survivor of us, in its absolute discretion and subject to such terms and conditions as the Bank may stipulate, (a) grant loan /advance against the security of the term deposit receipt to be issued in our joint names or (b) make premature payment of the proceeds of the term deposit or (c) close the account without reference to the other depositors. The Bank will be fully discharged while closing the account in this manner.

In case the operation is by Former or Survivor

         yes           No

   
 
 
 

Date of birth (In case of
minor)		 Name of the Guardian & relationship Whether under Natural or Legal
     
     
     
   
I/ We agree to be bound by the Bank’s rules and regulations governing _____________________ account from time to time. I/ We will maintain minimum balance in the account and on the event of fall in the minimum balance the Bank may realise the service charge

   

Full Signature

   Specimen Singnature
1.     
1. ______________________________
2.     
2. ______________________________
3.      
3. ______________________________
    
   
I certify that I have known ______________________________  for past ____________ months/ years and confirm his/ her/ their occupation and address. I also confirm that I know all the depositors How do the depositors know the introducer?
     Relation     Neighbour
Signature

Name ____________________________

Account No. _______________________

Address  ________________________
   
_______________________________
    
_______________________________

     Colleague      Friend
Others (Please specify) ___________________
    
_____________________________
   
If the account is to be opened on self introduction, description of the papers furnished.

 



 

Paste one passport size photograph and sign across it in presence of the branch official

Paste one passport size photograph and sign across it in presence of the branch official

Paste one passport size photograph and sign across it in presence of the branch official

     

For Office use :

___________________________________________________________

Verified Introducer’s Signature. Official’s Name :______________________________________________

Official’s Signature : __________________________________________________

Account opened on : DD/MM/YYYY ______________________________________

Letter of thanks sent to customer on : DD/ MM/ YYYY __________________________________

Acknowledgement received from customer on : DD/ MM/ YYYY ________________________________

Letter of patronage sent to the introducer on : DD/ MM/ YYYY __________________________________

Reply received from the introducer on : DD/ MM/ YYYY ______________________________________

Name of the Second Official _______________________________________________________

Signature of the Second Official __________________________________________________

  Form No. DA-1 for nomination is executed below
    		  Do not require nomination
  
   Please do not indicate the nomination on the passbook / deposit receipt
   
__________________________________________________________________________
    

 

 

 

 

 

 

 

 

 

FORM –DA1

Nomination under Section 45 ZA of Banking Regulation Act, 1949 and Rule 2(1) of the Banking (Nomination) Rules 1985 in respect of Bank Deposits.

I / We _______________________________________________________ nominate the following person to whom in the event of my / our / minor’s death the amount of deposit in the above account, may be returned by United Bank of India. Branch _____________________________________________________ (Name and Address of the branch / Office in which deposit is held)
     

Particulars of Nominee
Name Address Relationship with Depositor, if any Age If noiminee is minor, his/her date of birth
 

 

 

       

Cut Here
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UNITED BANK OF INDIA
_______________________Branch

Shri/Smt_________________________________________

Dear Sir/ Madam,

We acknowledge nomination made by you in favour of Shri/ Smt ____________________ aged _______________ years in respect of  your account ___________________ numbering _________________ on the basis of DA 1 Form dated________________________.
  

Yours faithfully
Branch Manager

Date_____________

2. As the nominee is a minor on this date, I / We appoint Shri/Smt/Kum _________________________________  (Name, Address and Age) to receive the amount of the deposit on behalf of the nominee in the event of my/our/minor’s death during the minority of the nominee.

Place :

Date :

Signature (s) / Thumb Impression(s) of the depositor (s)

* Strike out if the nominee is not a minor  Thumb impression shall be witnessed by two witnesses
    
* Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor.

 

Additional Information : (Please put a tick mark)

Depositor First Second Third
Annual Income Less than Rs. 50,000/-      
Rs. 50,000/- to Rs. 1 Lac      
Rs. 1 Lac to Rs. 2 Lac      
Rs. 2 Lac to Rs. 5 Lac      
Rs. 5 Lac to Rs. 10 Lac      
Above Rs. 10 Lac      
Principal Economic Activity Agriculture      
Salaried      
Professional      
Business      
Retired      
Others      
Nil      
Source of Wealth Self Acquired      
Inherited      
Gifted      
Others      
Educational Qualification High School Leaving      
Graduate      
Post Graduate      
Professional      
Others      
Assets Two Wheeler      
Four Wheeler      
Insurance Policy      
Investment      
Do you have Credit Card? If so, which Card?      
How many times have you been abroad in last three years      
Dealing with other Banks, if yes, give particulars      
Signature      

  
 
UNITED BANK OF INDIA   _________________ Branch
    
CUSTOMER PROFILE

Name

(1)__________________________________

(2)__________________________________

(3) _________________________________

    

Name of

___________________________________
†F/M/H

___________________________________
†F/M/H

___________________________________
†F/M/H
    

Address of Communication ________________________________
Telephone Number ___________________________________(o)
   
___________________________________(r)
  
________________________________(mob)
Type of Account & Account Number ___________________________________
Date of Opening the Account ________________________________
Residential Status Resident /Non Resident
   
Sex Male / Female
Age __________________Years
Educational Qualification (a) School Final
   
(b) Graduate
     
(c) Post Graduate
   
(d) Professional
   
(e) Others
Principal Economic Activity
Annual Income : _________________________________
  
Annual Turnover expected : _________________________________
   
Purpose of opening the account : _________________________________
    
Classification of the Account as Low Risk    /     High Risk
    
Observation of the official opening the account : (Briefly indicate reason for risk classification also) __________________________________________

____________________________________
Signature of the Bank Official

† F-Father, M-Mother, H-Husband
^ Should be based on Annual Income
* To be obtained through discussion
  
High Risk : Customer transactions crossing threshold limit
  
Low Risk : Pensioner’s Account, Priority Sector/Micro Credit Account, Accounts opened for disbursing funds under Government Sponsored Schemes.

BUSINESS PROFILE
  
Geographical Location of the Business : __________________________________________
  
Nature/Activity of Business/Occupation : __________________________________________
  
Estimated income from the business : __________________________________________
  
Any other source of income : __________________________________________
  
Total annual income : __________________________________________
  
Approximate value of movable and Immovable assets __________________________________________
  
Details of existing bank accounts : __________________________________________
  
Detail of Credit Facilities, if any, availed : __________________________________________
  
Details of foreign countries, if any, visited :
during last three years		 __________________________________________
    
      
________________________________________

________________________________________
Signature of the Customer

Signature of the Bank Official