FD FORM HUF+_OVERSES INDIANS 26-08-2020

F I R S T P R E F I X M I D D L E

L A S T

P R E F I X

Type of Account:

Fixed Deposit Recurring Deposit Tax Saver FD FD Plus* NRE Deposit NRO Deposit FCNR Deposit RFC Deposit

Branch Name ______________________________

Branch Code: Scheme Code

Date:

Primary Applicant

Name*

Joint Applicant

Name*

Customer ID*

PAN

***

Customer ID*

***If PAN is not available, please ﬁll up Form 60 or 61 separately. PAN/Form 60/61 is not required for NRE/FCNR deposits

f Joint Applicants If more than one joint applicant, use TDJ01 form for joint applicant.

FD/RD Account O

*To avail Senior en Rate of Interest, ensure your Date of Birth is updated in Bank Account. Special rate available for Staﬀ and Senior ens are not applicable for NRE/NRO/FCNR/RFC deposits

Mode of Opera *

*I would need Fixed Deposit in the form of (Tick one): Receipt Physical Advice e-Advice

Self

Jointly by all

Either/ survivor

Minor A/C operated by Guardian

Former / survivor

Others_____________________________

Anyone/ survivor

Type of Deposit account

Deposit/Installment Amount: Period: Months Days

Period of RD should be only

f 3 months

Interest payout (Tick one): C

e (Reinvestment) Monthly (MIC) Quarterly (QIC) Half-yearly*

Simple (Payout) *

Applicable for Overseas Indians only

Auto Renewal:

Auto Closure:

No. of

Y N

If Yes, please ﬁll “INTEREST PAYMENT/MATURITY PROCEEDS”

Standing I or RD: kindly debit my A/C no. on of every month.

TDS to be deducted: Form SB/CAA/C No

OR FD

If No, TDS exempt reference No

TDS exempt submission date

D D M M Y Y Y Y

Form 15H/G

Y N

To be collected separately by Branch wherever applicable.

Interest Payment / Maturity Proceeds

For Interest Payment/Maturity Proceeds:

Credit My Axis Bank A/C No

Issue DD

Notr: 1) Interest payment is subject to RBI guideline fr efer the latest interest rate chart at the branch or visit www.axisbank.com 3) Interest pa ce.

4) No interest would be paid if the NRE/FCNR deposit is prematurely closed before 1 year and also subject to terms and c

Applicant Signature

R e Details * Applicable for Overseas Indians only

Payment by : DD Cheque Wire Transfer TC FC Debit to Account

Amount `/FC

Currency Type : INR

FC (Please specify Foreign Currency)_____________________________ R ough _______________________________________________________

Note: Funds in NRO account cannot be debited for crea f NRE and FCNR deposits

I ayment Details

Deposit Amount `

(in words) __________________________________________________________________________________________________

Mode of Payment :

Cash

Debit my/ our

A/C

A/C No.

(as per mode of oper )

To open account with cash, customer can deposit cash upto `49,999/- in account opening branch only

Cheque No. Dated Cheque should be crossed A/C payee and drawn payable to “Axis Bank Ltd A/c <Applicant Name>”

D D M M Y Y Y Y

Drawn on_______________________________________________Bank_______________________________________Branch

Oﬃce use only: I eposit Tran ID

D D M M Y Y Y Y

Value Date

Fixed/Recurring Deposit

Exisng Customers - Resident Individuals/HUF/Overseas Indians

For Oﬃce Use

Customer Onboar

*Cannot be closed prior to maturity

F I R S T M I D D L E

L A S T

Signature

Applicant Signature only for A/C Debit

Signature

(No auto renewal for RD, FD Plus, Tax Saver and FD selectively.)

Nomina a1 Form)* (Only f )

I wish to nominate *** I do not wish to nominate Print Nominee Name:

Y N

N under 45 ZA of the Banking R Act, 1949 and Rule 2 (1) of the banking Companies (N ) Rules 1985 in respect of bank deposit

I/We (Name) _____________________________________________________________ (Address) _______________________________________________________________________________________

Nominate the following person to whom in the event of my/our/minior’s death the amount of deposit in the above account may be returned by AXIS BANK LTD.

Name

Address:

Same as Primary Applicant

If diﬀerent form Primary Applicant

R with depositor, If any Age Years If nominee is Minor, Date of Birth

*As nominee is minor I/We appoint (name)

*Strike out if nominee is not a minor

R with minor*

Address: Same as Primary Applicant If diﬀerent

to receive the amount of deposit on behalf of the nominee in the event of my/our minor’s death during the minority of the nominee

Signature of Witness*** ____________________________________________________________

Name _____________________________________________________________________________

Address ___________________________________________________________________________

Date _______________________, Place ________________________

Signature of Primary Applicant** ___________________________________________________

Name ____________________________________________________________________________

Address __________________________________________________________________________

Signature of the Joint Applicant(s)

*Strike out if nominee is not a minor **Where deposit is made in the name of a minor y a person lawfully of the minor.

*** In case of thumb impr

e **** I hereby decline to presently nominate any individual and I understand & acknowledge the risk & consequences associated en by me

Rules & Regula

1)The payout of interest on Term Deposits under Monthly Interest C scheme, takes place at a discounted rate as prescribed under the IBA guidelines.

2)The payout of interest for Quarterly Interest C

is applied on Simple Interest basis.

3)TDS: 1) Incase of reinvestment deposit ,Interest is compounded on anniversary quarter and for TDS purpose interest is computed on calendar quarter basis.

Interest payment is subject to RBI guideline from

to Interest payment is subject to tax at source. TDS rates will be as applicable from to as per the Income Tax Act, 1961 and Income Tax rules. of TDS in respect of interest on

Fixed Deposits (wherever applicable) TDS in respect of interest earned on ﬁxed deposits, is deducted on the basis of the total interest projected on the aggregate of ﬁxed deposits of the customer, for the ﬁnancial year. Thus, if the total projected interest in a

ﬁnancial year crosses the threshold limit as applicable from

to TDS is deducted pr from the ﬁxed deposits at the of interest This is in accordance with 194 A3 (i) (a) of the Income Tax Act. Individuals seeking

from TDS on the interest income of FD and RD, have to submit a completed Form 15 G/H at the Bank branch within the new Financial Year and every a new deposit is booked. For all new Reinvestment Term Deposits to be opened on and 1st

August, 2013 and all

Reinvestment Term Deposits that may be renewed on and 1st August 2013, interest reinvested would be net of TDS and hence the maturity value would vary to that extent.

d. In case the term deposit is closed prematurely, before

of the minimum period of 7 days, no interest shall be paid for the said term deposit.

e.No interest payable on premature withdrawal within 1 year for NRE and FCNR Deposits.f. For NRE /FCNR Deposits of a contracted amount is less than ` 5 Crores (or equivalent in FCNR), interest rate shall be rate applicable for the period the deposit has

remained w ith the bank or the contracted rate, whichever is lower.g. For NRE /FCNR Deposits of a contracted amount is ` 5 Crores & above (or equivalent in FCNR), interest rate shall be 1% below the card rate prevailing as on the date of deposit, as applicable for

the period the depo sit has remained with the bank.

5.a. In the event of the death of one of the depositor, premature

and payment of Term Deposits held in 'Either or Survivor' or Former or Survivor' or 'any one' basis shall be allowed to survivor /s. Such payment to survivor/s shall give valid discharge to the

bank. Such premature withdrawal shall not

any pe nal charge. However, the interest rate shall b e the rate applicable for the pe riod the dep osit has remained with the bank.

b. In the event of 'With disposal'

being 'Either or Survivor' and a premature withdrawal is required by either of the joint holder even when both are alive: In case either one of us request the bank, to allow either of us to prematurely withdraw the said

C. In case the mode of

is 'Either or survivor' or 'Former or Survivor' or 'Anyone or Survivor', in the event of the death of one of the deposit holder, premature withdrawal is required by the survivor: In the event of the death of either one of us, the survivor, if

he / she so request the bank, to prematurely withdraw the said deposit without seeking the concurrence of the legal heirs of the deceased joint deposit holder, the bank is

to honour the same. We Further aﬃrm that payment of the proceeds of such deposit

to the survivor represents a valid discharge of the bank's liability provided.

d. (i)There is no order from a competent court restraining the bank from making the payment from the said account. (ii) That the survivor would be receiving the payment from the bank as a trustee of the legal heirs of the deceased depositor and that such payment

to him/her shall not aﬀect the right or claim that any person/s may have against the survivor to whom the payment is made.

e.Where the deposit is held singly and premature withdrawal is required by the nominee in the event of death of the deposit holder. (i) In the event of my death, the nominee named for the deposit is

to prematurely withdraw the said deposit, if he/she so

requests the bank, without seeking the concurrence of my legal heirs. I further aﬃrm that payment of the proceeds of such deposit to the nominee represents a valid discharge of the bank's liability (ii)That the nominee would be receiving the payment from the

bank as a trustee of the legal heirs of the deceased depositor and that such payment to him/her shall not aﬀect the right or claim that my legal heirs may have against the nominee to whom the payment is made.

6) All encashment or withdrawals of Fixed Deposit with repayment as direct credit to the linked account can be executed at any Axis bank branch.

the

Business Prime Lending Rate +4% for the period of delay. (iii) F

of a month will be

treated as full month for the purpose of

such penalty i. e. if the instalment due on 31.05.2011, is paid on 02.06.2011 the delay shall be treated as one

month. (iv) Please note that standing

for Instalment dates 28th/29th/30th/31st will not

be available at the

of Recurring Deposit Account opening. (v) The penalty so leviable shall be deducted from the total payment payable at the of maturity

of the Recurring Deposit.

8) For all new Reinvestment Term Deposits to be opened on and

1st August, 2013 and all Reinvestment Term Deposits that may be renewed on and 1st August 2013, interest reinvested would be net of TDS and hence the maturity value would

vary to that extent.

10) FD Plus Deposits cannot be closed prior to date of maturity. Premature withdrawal is not permissible under this scheme except for ex

cases which include bankruptcy/winding up/dir by court/regulators/receiver/liquidator/deceased cases.

Premature closure arising out of afor

scenarios in the above cases will result in the change of applicable interest rate from the FD Plus rate to that of Normal Fixed Deposit rate (as per the prevailing rate) and will include of penalty.

11) In case of minor, minor

needs to be ﬁlled in.

12) An overdue term deposit or its

may be renewed from the date of Maturity, provided the overdue period from the date of maturity the date of renewal does not exceed 14 days. The rate of interest payable on the amount of the deposit so renewed

shall be the appropriate rate of interest for the period of renewal as prevailing on the date of maturity. If the overdue period is more than 14 days and if the depositor places the

e amount of overdue deposit or at least the principal amount of deposit as a fresh

term deposit, interest may be paid for the overdue period on the amount so placed as a fresh deposit at the rate decided by the Bank which at present is simple interest at Savings Bank interest rates.

13) The Bank reserves the right to disallow premature withdrawal of large deposit for amount ` 5 crs and above held by

other than Individuals and Hindu Undivided family(HUF).

14)Personal Inf

a. Any of my details including personal inf change of address etc. will be provided by me to the bank, along with documents of proof within 2 weeks of such change. I agree to indemnify Axis Bank for any fraud, loss or

damage, due to my providing wrong inf

or not the inf that may occur to me and to Axis Bank and based on which the bank may act as true and correct. b. All inf provided by me of any nature (including personal & e

inf

) will be used in the provision of services or of providing inf and updates (including value-added services), research and credit scoring, v in or electronic

clearing network as may be required by law/customary

by the bank c. All inf provided by me of any nature (including personal & e inf ) can be shared with agencies/service providers who have an agreement with Axis Bank for

business purpose and on need to know basis. Axis Bank shall always strive to comply with the rules and r

as applicable from to on this context in accordance with the bank's Privacy policy. If I intend to revoke my consent to the sharing of the

data, the products/services available to me, pursuant to the consent provided earlier, shall no longer be available to me, and I shall be required to

closure of such products/services.

15)FATCA-CRS Terms and C

The Central Board of Direct Taxes has on 7th August 2015 Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian ﬁnancial such as the Bank to seek personal, tax

and beneﬁcial owner inf

and certain and from all our account holders. In relevant cases, inf will have to be reported to tax appointed agencies/ withholding agents for the purpose of ensuring appropriate

withholding from the account or any proceeds in r

thereto. Should there be any change in any inf provided by you, please ensure you advise us promptly, i.e. within 30 days.If you have any about your tax residency, please contact your tax

advisor. If you are a US

or resident or green card holder, please include United States in the foreign country inf ﬁeld along with your US Tax I Number.$ It is mandatory to supply a TIN or equivalent if the country in which you

are tax resident issues such

If no TIN is yet available or has not yet been issued, please provide an and this to the form.

16) The deposits in the Bank are insured with DICGC for an amount of ` 5 lakhs (principal + interest) per depositor.

(Please do not sign this form if it is BLANK. Please ensure all relev e completely ﬁlled to your sign the form)

I do hereby solemnly declare that the inf ovided above is up to date and correct and I hereby submit my recent pho tocopy of the KYC documents.

Signature of Primary Applicant*

Signature of 1st Joint Applicant

Signature of 2nd Joint Applicant Signature of 3rd Joint Applicant

Signature of Bank Oﬃcial in

whose presence signed

Credit Card Oﬀer:

I wish to apply for Credit Card against

this FD

EMP No.

Date

For Oﬃce Use Only

Applicant for Customer

A/C No.

SE Code Ledger No

REP Code

A/C Manager

A/C Lable 1 _______________________________ A/C Lable 2 _______________________________

Camp Code Camp. Reference Number

DECLARATION BY THE BRANCH

I hereby c that this account opening form is complete in all respects and relevant documents have been obtained as per the KYC guidelines of the Bank

and RBI (as amended from

to ) and performed due diligence to verify the genuineness of the customer. The Account may please be set up in Finacle.

Incase of signature mismatch, I c

that the customer has been personally met and has signed in my presence. Kindly process the request.

For Axis Bank Limited

Branch Head / Authorized Signatory

Name of Oﬃcial: _________________

: ____________________

S. S. Number : _____________________

Premature Encashment: a. For Rupee Term Deposits of a contracted amount less than 5 Crores opened/renewed on or after May 1, 2014 (including Flexi deposits), interest rate shall be 1.00% below the card rate, prevailing as on the date of deposit,

as applicable for the period the deposit has remained with the bank. However, for Rupee Term Deposits closed within 14 days from the date of booking of the deposit interest rate shall be rate applicable for the period the deposit has remained with the bank.

For Rupee Term Deposits of a contracted amount less than 5 crores opened/renewed on or after December 15, 2017 (including Flexi deposits), for the first partial withdrawal with value <= 25% of Term Deposit original principal value, Premature

Closure Penalty Rate will not be applicable. For subsequent partial withdrawals, Premature Closure Penalty Rate will apply on the entire withdrawal amount. For the partial withdrawal with value > 25% of Term Deposit original principal value,

Premature Closure Penalty Rate will be applicable for the entire withdrawal amount. However, for Rupee Term Deposits closed within 14 days from the date of booking of the deposit, interest rate shall be rate applicable for the period the deposit has

remained with the bank.

c. For Rupee Term Deposits of a contracted amount of 5 Crores and above, interest rate shall be 1% below the card rate prevailing as on the date of deposit, as applicable for the period the deposit has remained with the bank. This would also be

applicable on Rupee Term Deposits closed within 14 days from the date of booking of the deposit.

am being customer of the Bank fully aware that, I am required to provide correct personal details viz; Date of Birth (“DOB”), constitution code (Individual or HUF), etc; to avail the benefit of the preferred Rate of Interest (“ROI”) rate as

individual Senior

Citizen”. But, if after creation of said FD, I change or update my above-mentioned personal details basis which the Bank considers that I am ineligible to avail benefit of preferred ROI (as available to individual Senior Citizen), in that

case the Bank shall

have right to modify the ROI at its discretion without any prior notice or intimation.

17)

Please note, the customer shall provide his correct personal details only at the time of creation of the TD. Also note that the Rate of Interest modified will be applicable from the last open effective date of the Fixed Deposit.

Auto-renewal option is not available for Fixed Deposit Plus, Tax Saver and deposit booked for Other Legal Entities (Cooperative Societies, Partnership , Limited Liability Partner , Trust , Associations, Club, University, Financial Institution ). Minimum

deposit amount for opening of FD Plus account is Rs. 3 crore.

7) (i) For Recurring Deposits opened on or

9th August,2016, in case of delay in payment of any instalment/s beyond the calendar month, the depositor /s shall be liable to pay a penalty at ` 10 per ` 1000 per month for the period of delay. (ii) For

Recurring Deposit Customers, in case of delay in payment of any instalment/s beyond the calendar month, the depositor /s shall be liable to pay a penalty at

deposit, the bank is

to honour the same. We further aﬃrm that the payment of proceeds of such deposits to either one of us represents a valid discharge of the bank's liability, provided there is no order from a competent court restraining the bank

from

making the payment from the said account to either of us.

not

Customer Onboarding Section - Joint Applicant / Guardian / Karta

Name*

If Yes, Customer ID

F I R S T M I D D E

Existing Customer*

Y N

L A S T

PREFIX

TDJ01

Contact details updation required

Y N

If No, please proceed to filling the Declaration

If not existing customer, I confirm if found otherwise, bank reserves the right to consolidate the customer IDs as it may decide, without any notice to me

Address Details

Mobile No

Permanent Address

Landmark*

City*

Communication /

Residence Address

Pin code*

State*

Email Address

Please ensure to furnish correct email ID.

Tel. No.(R)

Tel. No. (O)

Same as communication address

Please note the address below

Preferred Language of Communication

Landmark*

City*

Pin code* State*

Country*

E.G. RKADAM@GMAIL.COM

Country*

Residence Type* Owned

Rented/Leased

Ancestral/Parental

Company Provided

Residence Type Owned

Rented/Leased

Ancestral/Parental

Company Provided

Know Your Customer*

Identity Proof Document Type*

Address Proof Document Type*

ID No.*

Issuing Authority

Place of Issue

Account opening through e-KYC (Aadhaar)

Transaction ID

Y N

Same as primary holder

Please note the address below

To be filled by the Branch

***If PAN is not available, please fill up Additional declaration Form 60 or 61

Following fields Are Applicable for new customers or any KYC Modifications Only (for existing customers, address, contact details given below will be updated in all accounts held with the bank)

PAN*

or FORM 60/61

D D M M Y YY Y

Gender*

Married*

Minor*

Y N Y NM F T

Aadhaar No “$”

Passport Expiry Date

Driving License Expiry Date

D D M M Y YY Y

(If PAN is not available, please fill up additional declaration Form 60 or 61)

# If minor / senior citizen, please provide proof of DOB ^T stands for 'third gender'

Mother’s Name*

Father's Name*

Mother’s Maiden Name

D D M M Y YY Y

If minor please fill Minor Declaration Section

Occupation

$ I hereby state that I have no objection in authenticating my self with Aadhaar best authentication system and consent to providing my Aadhaar number, Biometric and / or one time pin (OTP) data (and / or any similar authentication mechanism) for Aadhaar based authentication

for the purposes of availing of the Banking Services from Axis Bank.

(# Only absolute numeric values to be entered in this section

DOB / DOI

CUSTOMER INFORMATION & PROFILE (Mandatory)

#Please mention occupation codes as applicable for Non Individuals in case of HUF

Additional Declarations (Tick as applicable)

Minor Declaration

Type of Guardian:

Father Mother

Court Appointed Testamentary Guardian

Full Name of Guardian Mr. Ms.

I hereby declare that the date of birth of the minor who is my ____________________ is ______/______/______ and I am his/her natural and lawful guardian/ guardian appointed by court order,

dated ______/______/_____ (copy enclosed). I shall represent the said minor in all future transactions of any description in the above account until the said minor attains majority. I indemnify

the Bank against the claim of the above minor for any withdrawal/transactions made by me in his/her account.

Signature___________________________

Fatca- Crs Declaration

Please tick the applicable tax resident declaration (Any one)*

I am a tax resident of India and not resident of any other country OR I am a tax resident of the country/ies mentioned in the table below:

Please indicate the country/ies in which the entity is a resident for tax purposes and the associated Tax ID Number below:

City of Birth

FATCA- CRS Certification: I have understood the information requirements of this Form (read along with the FATCA/CRS Instructions and Terms & Conditions) and hereby confirm that the

information provided by me/us on this Form is true, correct, and complete and hereby accept the same.

Signature___________________________

Country#

Tax Identification

Number%

Identification Type

(TIN or Other, please specify)%

Address For Tax Purpose

Communication Address

Permanant Address

Landmark

State________________

Country_______________

# To also include USA, where the individual is a citizen/ green card holder of USA % In case Tax Identification Number is not available, kindly provide functional equivalent

Country of Birth

Residential

Address Type for Tax Purpose -

Business

Registered Office

Please note the address below

FORM 60

Form for declaration to be filed by an individual or a person (not being a company or firm) who does not have a permanent account number and who

enters into any transaction specified in rule 114B

Verification

I, _______________________________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief. I further declare that I

do not have a Permanent Account Number and my/ our estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961)

computed in accordance with the provisions of Income-tax Act, 1961 for the financial year in which the above transaction is held will be less than maximum amount not chargeable

to tax. Verified today, the …………..........................……… day of ……………………20__

Place ________________________Date________________________

Signature_________________________

If applied for PAN and it is not yet generated enter date of application

D D M M Y YY Y

and acknowledgement number

If PAN not applied, fill estimated total income (including income of spouse, minor child etc. as per

section 64 of Income-tax Act, 1961) for the financial year in which the above transaction is held

Agricultural income `

Other than Agricultural income `

Declaration & Signature

I do hereby solemnly declare that the information provided above is up to date and correct and I hereby submit my recent photograph and self-attested photocopy of

the KYC documents.

Signature of Joint Applicant

PHOTO

EMP No.

Date

D D M M Y YY Y

35 mm X 35 mm

Information on other Products & Offerings*

Signature___________________________

I do hereby give my consent to receive such information through

SMS Phone Calls

Y N Y N Y N

I hereby agree to Axis Bank/Subsidiaries/Affiliates/Agents Contacting me for various other product updates, marketing promotions,

special offers or any such information form time to time.

Signature of Bank Official in whose presence signed

Signature of all other holders

Declaration

• I hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I

undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false

or untrue or misleading or misrepresenting, I/We am/are aware that I/we may be held liable for it.

• My personal / KYC details may be shared with Central KYC Registry

• I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered

number/email address

• I hereby confirm to download my CKYC details and use it for abiding any bank’s guideline.

Place: ______________________________________

D D M M Y Y Y Y

Date

Signature of

1st Joint Applicant

TD/RD APF ETB Form/Version June 24 2728286/06/2024