Account Opening Form

Nature of deposit

Distinguishing No.

Additional details, if any

Name & Address of nominee

Relationship with depositor, if any

If nominee is a minor, her/his date of birth

ACCOUNT OPENING FORM
SAVING / FIXED DEPOSIT A/C
CUSTOMER NO.
A/C NO.
DATE

To,
The Manager
Abu Dhabi Commercial Bank
Branch
India

I/We request you to open the following type of A/c with you.
Please tick wherever applicable
Saving Fixed Reinvestment
* Whether Multi Unit facility required Yes No
(Please tick if applicable)
* For days months years at the rate of % p. a. (as applicable).
With an Initial deposit of Cash Rs.
Cheque/s Rs.
* Applicable only for term deposit

No.

FULL NAME(S) OF APPLICANT(S) (Surname first)

NATIONALITY

DATE OF BIRTH (In case of Minor/s )

1)
2)
3)
4)

Address of the 1st Applicant

Address for Correspondence

Tel. No. Off. Res.

MODE OF OPERATIONS

1. Singly	4. Either or Survivor
2. Any two jointly	5. Former / Latter or Survivor
3. Both or Survivor	6. Others (Please Specify)

Please offer specific instructions by choosing one option.

INTRODUCTION

I certify that I have known since the past months / years and confirm his / her identity, occupation and address as stated in this application.

Name :

_____________________
Signature of Introducer
Verified the above signature

______________________
Authorised Signatory

A/C No. :

ADDITIONAL INFORMATION

Pass Port No. / Driving license No.

Do you hold any credit card ? Yes No

If Yes, Details

Account/s with other banks / our bank Details of credit facility enjoyed (if applicable)

Details if any

STATEMENT

To be collected personally / messenger (Authority letter to be given in case statements are to be delivered through messenger)

To be mailed

NOMINATION FACILITY

Required Not Required

If required, please fill in Form DA1 (Enclosed)

(Nomination should be in favour of a single person only)

INSTRUCTIONS REGARDING INTEREST PAYMENT AND SAFE CUSTODY

1. Please keep fixed deposit in safe custody and renew for similar period

Please keep it on 'Auto renewal' basis until further instructions from me/us

2. Please Credit interest to my/our Savings / Current A/c. No.

3. Please remit interest by draft on

OTHER DETAILS / DOCUMENTS (AS APPLICABLE)

I / We enclose the certified copies of following (as applicable)

1. Certificate of date of birth 2. Pass Port 3. Identity Card issued by Election authority

4. Power of Attorney/Mandate (separate card enclosed, original P/A to be verified)

5. Board Resolution/Trust deed/Registration Certificate in case of trust and societies/non-profit Association/Articles of Association/Memorandum of Association (In case of Co.'s registered u/s 25 of Companies Act 1956)

6. Declaration - (For Fixed deposit A/c - on A/C of sole Proprietorship / Public / Pvt. Ltd.Co. / Partnership firm- as per prescribed format)

I / We declare that the Rules and General Business Conditions and schedules of charges pertaining to these accounts have been read and understood by me/us and I / We agree that the above accounts will be conducted in accordance with the same.

Yours faithfully,

Name(s)	Signature(s)
1.	______________________
2.	______________________
3.	______________________
4.	______________________

DECLARATION FOR MINOR'S A/C

I hereby declare that the date of birth of the above minor account holder who is my is and I am his/her natural and lawful guardian/guardian appointed by court vide the court order dt. (copy enclosed). I shall represent the said minor for the purpose of this account relationship until he/she attains majority. I shall conduct the operations of the accounts for the benefit of the minor and I indemnify the bank against the claim if any from the above minor for any transactions made by me in his/her account.

Verified by me.

___________________

Authorised Signatory

_____________________

Signature of guardian

FOR OFFICE USE ONLY

Applicant interview by _____________________________________ on _________________________ Brief details of interview _________________________________________________________________ ____________________________________________________________________________________ Account opened on ________________________ by

____________________________

(Signature)

Letter of thanks sent to customer on _________________
Letter of thanks sent to introducer on ________________
Letter of first cheque book issued on _________________
Cheque book No. from __________________ to __________________

Approved
_______________________	_______________________
Manager	Authorised Signatory

SPECIMEN SIGNATURE / S
(TO BE CAPTURED USING SCANNER - PLEASE USE BLACK INK)

Customer No.
A/C No.

1. Name :

Signature : _________________________________

2. Name :

Signature : _________________________________

3. Name :

Signature : _________________________________

4. Name :

Signature : _________________________________

______________________

Authorised Signatory

FORM DA 1

Nomination under section 45ZA of the
Banking Regulation Act. 1949 and Rule 2(1)
of the Banking Companies (Nomination) Rule
1985 in respect to bank deposits

I / We
(Name and address)

nominate the following person to whom in the event of my/our/minor's death the amount of the deposit, particulars whereof are given below, may be returned by ABU DHABI COMMERCIAL BANK.

(NAMES & ADDRESS OF BRANCH/OFFICES IN WHICH DEPOSIT IS HELD)

** 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 depositor(s)

Name (s), Signature (s) and address (es) of witness (es) @

* Where deposit is made in the name of minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor.

** Strike out if nominee is not minor.

@ Thumb impression (s) shall be attested by two witnesses.
Nomination register details : (For office use only)
Reg : Entry Ref. No. __________________________ dated _____________________

__________________________
Authorised Signature

Please print this form out with the required information and send them to the address given below:

Abu Dhabi Commercial Bank - (Mumbai Branch)
Rehmat Manzil,
75, Veer Nariman Road,
Churchgate,
Mumbai 400020 - INDIA