Documente Academic
Documente Profesional
Documente Cultură
*May be renewed automatically for the same period/……….period unless you receive any other communication from me/us at least a day
before due date of maturity.
In case of Recurring Deposits:
Months Installment Amount Maturity date Maturity Value
On maturity, Amt. to be credited to Account No. & Branch
Full Name in Capital letters (In order of first , middle and last name) leaving a space between words
1
2
3
First Applicant SecondApplicant Third Applicant
Customer ID(If
any existing)
Please paste recent passport Please paste recent passport Please paste recent passport size Please paste recent passport size
size photograph with size photograph with signature photograph with signature across the photograph with signature across the
signature across the photo across the photo photo photo
Please choose from the following :(If Staff/Ex-Staff, mention EMP No.):
Sr. Citizen Staff(EMP No. ) Ex-Staff (EMP No. ) Pensioner NRI Minor Other/ General
Name of the Guardian(In case of Minor): Relationship with minor/ pl. tick.
(Attach proof for minor's DOB) F & NG M & NG Legal* Others
* In case of legal guardian(Guardian appointed by court), enclose copy of the court order:
Name and address of Employer( In case of salaried Person)
First Applicant 2nd Applicant 3rd Applicant
Instruction for premature payment, premature extension, and allowing loans to one or more of the account holder(s)or the survivor(s).
The bank on receipt of written application from Sri/Smt. ……………………………………the former/the latter/the first name/the second name etc. of
us Either or Survivor of us / Any one or Survivors or Survivor of us in its absolute discretion and subject to such terms and conditions as the
Bank may stipulate, grant a loan advance against the security of the term deposit receipt to be issued in our joint names, or make premature
payment of the proceeds of the deposits to the former/the first named of us/ either or survivor of us, etc./the second name of us/ any one of
us or survivors of us close/transfer his account on instruction from any of us.
(Full Signature)
1st Applicant……………………………………... 2nd applicant……………………………………………….. 3rd applicant……………………………………………
x-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------x
IN CASE OF CURRENT ACCOUNT OPENED BY A SINGLE INDIVIDUAL:- The account will be operated upon by me and I authorize you to honour
all cheques or other orders which may be drawn by me on this account and to debit, such cheques or orders or bills or notes to my account
with you whether such account be for the time being in credit or overdrawn.
Signature
x-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------x
IN CASE OF JOINT ACCOUNT:
We request and authorize you until any of us shall give you notice in writing to the contrary to honour all cheques or other orders which may
be drawn on our this joint account kept by us with you or bills accepted or notes made on our behalf signed by any one of us and to debit
such cheques or orders or bills or notes to our account with you whether such account be for the time being in credit or overdrawn. In the
event of death, insolvency or withdrawal of any of us, the survivor or survivors of us shall have full control of any moneys then and there
standing to our credit in our this account with you and it is understood that all moneys now or hereafter standing to our credit in our account
with you shall belong to the survivor/survivors in the event of any of us dying during the currency of the account. It is further understood that
if anyone of us forbids payment of an account (which is not payable to all of us jointly) the account if in credit shall thereupon cease to carry
interest and shall not be payable except on the discharge of all of us or survivor/survivors. We also request you to accept the endorsement by
any of one of us to cheques or other Orders, Bills or notes payable to us.
We jointly and severally agree if our account or accounts at any time be overdrawn to be jointly and severally liable to you for any moneys for
the time being owing to you thereon including commission and interest.
We also jointly and severally agree that all moneys, securities or other movable property (whether jointly or that of any of either of us either
jointly or severally) in or coming into your possession shall be and remain as security and shall stand charged for the due payment of our joint
indebtedness and liabilities to you from time to time.
LEFT/RIGHT thumb impression/Signature of the depositor (Signature of person explaining the above details)
Signature of Applicant………………………………
We also request you to please issue ADD ON CARD in the subject account to the joint account holder Mr./Mrs……………………..
* Access through UCO e-Banking services in respect of bank account will be permitted only where the mode of operation of the account is
single/either or survivor/anyone or survivor.
** In case of joint accounts the applicant needs to obtain mandate from the joint a/c holder(s) in the column mentioned above.
Declaration: I have read the " Terms and conditions" and " Disclaimer" applicable to UCO e-Banking Services and I accept the same which are
displayed on https://www.ucobank.com the site maintained by UCO Bank. Further, I also agree that the transactions and requests executed
in the above mentioned account through UCO e-banking under my user id and password will be legally binding on me.
I do hereby idemnify and forever keep idemnified the Bank and its successors and assigns you from and against any or all claims, actions,
penalties, that may be made, suffered or incurred by the bank by reason of non-compliance by me of any of the terms and conditions made
therein.
Date……………………….
Place……………………… Signature of Account Holder…………………………………
Signature of a/c holder
(FOR BRANCH USE ONLY)
Application SL No.
We confirm having verified the signatures and mandates for the accounts including those of joint account holders. We also confirm that KYC
norms have been complied with by the account holder(s). Recommended for extending UCO e-Banking facilities.
* Access through UCO m-Banking services in respect of bank account will be permitted only where the mode of operation of
account is single/either or survivor/anyone or survivor.
** In case of joint accounts the applicant needs to obtain mandate from the joint a/c holder(s) in the column mentioned above.
Declaration: I have read the " Terms and conditions" and " Disclaimer" applicable to UCO m-Banking Services and I accept the same which are
displayed on https://www.ucobank.com the site maintained by UCO Bank. Further, I also agree that the tansactions and requests executed in
the above mentioned account through UCO m-banking under my user id and password will be legally binding on me.
I do hereby idemnify and forever keep idemnified the Bank and its successors and assigns you from and against any or all claims, actions,
penalties, that may be made, suffered or incurred by the Bank by reason of non-compliance by me of any of the term and conditions made
therein.
Date……………………….
Place……………………… Signature of a/c holder
(FOR BRANCH USE ONLY)
Application SL No.
We confirm having verified the signatures and mandates for the accounts including those of joint account holders. We also
confirm that KYC norms have been complied with by the account holder(s). Recommended for extending UCO m-Banking
facilities.
Date: Signature of Manager/Senior Manager…………………………………………………………
EMP No……………………………………………………………………..
x----------------------------------------------------------------------------------------------------------------------------------------------------------x
Nomination Form Form DA 1
Nomination under section 45ZA of the Banking Regulation Act 1949 and 2(1) of the Banking Companies (Nomination) Rules 1985 in respect
of bank deposits.
I/We (name(s)…………………………………………………………………………. and ………………………………………………….. nominate the following persons to
whom in the event of my/our/minor’s death, the amount of the deposit held in the account, particulars whereof are given below may be
returned by UCO Bank …………………………Branch.
Deposit Nominee
Nature of Account No. Additional Details Name of Nominee Adress of Relationship Age If nominee is minor
Deposit (If any) Nominee his/her DOB #
# As the nominee is a minor on this date, I/We appoint Mr. / Mrs. / Miss ………………………………………………………………………………...
…………………………………………………….(Name, Address, and Age) to receive the amount of deposit in the account on behalf of the
nominee in the event of my/our/minors death during the minority of the nominee.
Place :
Date : # strike out if nominee is not minor
*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.
Thumb impression(s) of depositors should be witnessed by two person(s),
----------------------------------------------------------------------------------------------------------------------------------------------------------X
Emp No……………………….
Date……………………………
Date:
We acknowledge receipt of nomination made by you in favour of Shri/Smt/Ms-----------------------------aged ------years in respect of your
………………….A/c Type………………….. A/c No.……………………………………..on Form DA1.
Branch Manager
Annexure - A Know Your Customer (KYC) Application Form - Application Form | Individual
1. PERSONAL DETAILS (Please refer instruction A at the end.)
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D M M Y Y Y Y Gender M- Male F- Female T- Transgender
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
2. TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instructions B at the end)
Related Person Type* Guardian of Minor Nominee Assignee Authorised Representative Beneficial Owner
Authorised Signatory Court Appointed Official Beneficiary
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
PROOF OF IDENTITY (Pol)* (Please refer instruction HI at the end )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
B- Voter ID Card
C- PAN Crad
E- UID (Aadhaar)
8 . APPLICATION DECLARATION
* I hereby declare that the details furnished above are true and correct to the best of my 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 am aware that Imay be held liable for it.
Employee Signature
Annexure -A1 In case of multiple correspondence/local addresses, please fill 'Annexure A1'
UCO BANK: Know Your Customer (KYC) Application Form (Individual: Correspondence/ Local Address)
1 . PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of Identity (Pol) ends to be submitted) (Please see instruction E at the end)
1.1 CORRESPONDENCE / LOCAL ADDRESS DETAILS*
Same as Current / Permanent / Overseas Address details
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
2. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email -ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mob
FAX Email-id
3 . APPLICATION DECLARATION
* I hereby declare that the details furnished above are true and correct to the best of my 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 am aware that I may be held liable for it.
Employee Signature
X--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------X
Annexure A2 Know Your Customer (KYC) Application Form / Individual / Related Person
1. DETAILS OF RELATED PERSON* (In case of additional related persons, (Please refer instruction G at the end)
Addition of Related Person Deletion of Related Person Related Person details
KYC Number of Related Person (If available*)
If KYC number and Name are provided, below details of section 1 are optional
Related Person Type* Guardian of Minor Nominee Assignee Authorised Representative Beneficial Owner Beneficiciary
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
PROOF OF IDENTITY (Pol)* (Please refer instruction H at the end )
( Proof of Identity (Pol) of Related Person (Please See instruction (H) )
A- Passport Number Passport Expiry Date d d m m y y y y
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date- d d m m y y y y
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
2. APPLICATION DECLARATION
* I hereby declare that the details furnished above are true and correct to the best of my 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 am aware that I may be held liable for it.
* I hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered number/email address.
Date: d d m m y y y y Place: Signature /Thumb Impression of Applicant
Employee Signature
General Instructions:
1 Fields marked with * are madatory
2 Tick whereever applicable.
3 Self -Certification of documents is mandatory.
4 Please fill the form in English and in Block letters
5 Please fill all dates in DD-MM-YYYY format
6 whereever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country code respectively list of which is
available at the end.
7 KYC number of applicant is mandatory for updation of KYC details.
8 For particular section update, please tick " " in the available before the section number and strike off the sections not required to be updated.
9 In case of Small Account type only personal details in section 1 and 2 photograph , signature and self-certifiaction of documents is required.
A Clarification/Guidelines for filling 'Account Holder' type section.
1- Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the application is
liable to be rejected.
2- Either father's name or spouse's name is to be mandatorily furnished. In case PAN is not available father's name is mandatory.
B Clarification/Guidelines for filling details if applicant residence for tax purposes in jurisdiction(s) outside India.
1- Jurisdiction(s) of Residence: Since US taxes the global income of its citizen, every US citizen of whatever nationality, is also a resident for tax purpose in USA.
2- Tax Identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued a high integrity number with an
equivalent level of identification (a " Functional equivalent"), the same may be reported. Examples of that type of number for individual include, a social security/insurance number,
citizen/personal identification/services code/number and resident registration number.
c Clarification /Guidelines on filling 'Proof of Identity (Pol)' section
1- If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
2- Mention identification/reference number if Z - Others (any document notified by the central government) is ticked.
D Clarification /Guidelines for filling 'Proof of identity (PoA) - Current / Permanent / Overseas Address details - section
1. PoA to be submitted only if the submitted Pol does not have address or address as per Pol is invalid or not in force.
2. State / U.T Code and Pin /Post Code will not be mandatory for Overseas addresses.
E Clarification /Guidelines for filling 'Proof of identity (PoA) - Correspondence/Local Address details' section
1 To be filled only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted.
2 In case of multiple correspondence/Local addresses, please fill 'Annexure A1'.
F Clarification / Guidelines for filling ' Contact Details' section
1 Please mention two-digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999)
2 Do not add '0' in the beginning of Mobile number.
G Clarification / Guidelines for filling ' Details of Related Person ' section
1 Provide KYC number of related person if available.
H Clarification / Guidelines for filling 'Related Person Details -- Proof of Identity (PoI) of Related Person' section
1 In case of nominees, proof of identity is not required.
2 Mention identification /reference number if 'Z - Others (any document notified by the central government)' is ticked.
List of two- digit state / U.T codes as per Indian Motor Vehicle Act, 1938
State/U.T Code State/U.T Code Code State/U.T Code
Andaman & Nicobar AN Himachal Pradesh HP Pondicherry PV
Andhra Pradesh AP Jammu & Kashmir JK Punjab PB
Arunachal Pradesh AR Jharkhand JH Rajasthan RJ
Assam AS Karnataka KA Sikkim SK
Bihar BR Kerala KL Tamil Nadu TN
Chandigarh CH Lakshadweep LD Telangana TS
Chattisgarh CG Madhya Pradesh MP Tripura TR
Dadra and Nagar Haveli DN Maharashtra MH Uttar Pradesh UP
Daman & Diu DO Manipur MN Uttarakhand UA
Delhi DL Meghalaya ML West Bengal WB
Goa GA Mizoram MZ Other XX
Gujarat GJ Nagaland NL
Haryana HR Orissa OR
1 2 3
Signature of the applicant Signature of the applicant Signature of the applicant
1) I/We have read (a) the Account rules and hereby agree to be bound by the terms and conditions
outlined to these rules which govern the account(s) which I/We am/are opening/will open with
UCO Bank and (b) amendments to the rules made from time to time and those relating to various
services availed by me. I/We understand that the bank may at its absolute discretion discontinue
any of the services completely or partially without any notice to me/us. I/We have also been made
aware of the charges applicable on various services provided by the bank. I/We authorize the
bank to debit my/our account for recovery of service charges/incidental charges as applicable
from time to time. I/We hereby declare that the information furnished above is true and correct to
the best of my/our knowledge.
2) I/We give our consent to receive information by usual means of communication, including phone
banking about UCO’s products and /or services or promotions offers introduced by the bank from
time to time and also authorize the bank to use/our personal information available with the Bank
for marketing purposes.
3) I/We do not enjoy/ enjoy credit facility with any other bank/branch. I/We undertake to inform you
to any credit facility availed from another bank/ another branch of your bank.
4) In case in future, if any change is required in the operation of account, you will be informed
accordingly in writing and such persons shall be allowed to operate the account(s)
5) We undertake to update information provided to the Bank in case of any change {including
photograph (s)}after opening accounts, which may in any manner affect the existing stipulations
governing the operation of our account, as per Bank's guidelines
6) We hereby declare that the information furnished above is true and correct to the best of my/our
knowledge
Date………………………………… Place………………………………………
We hereby agree to and authorize your forwarding to your agents or to the drawee bank, Cheques, Drafts
or Bills of Exchange (with or without documents attached) deposited with you by us for collection or
negotiation.
We shall keep/ hold you harmless, free from responsibility and indemnified for any loss suffered by you
in handling this business due to any cause whatsoever including delay in transit/ presentation, payment or
default by your agent.
In addition to your ordinary rights as holders of such cheques, Drafts or Bills of Exchange, you or your
agent will be at liberty to accept in payment thereof and to deliver documents of title that may be
deliverable against payment of the said instrument, against a cheque or banker's cheque or any other
instrument for payment in lieu of cash and payable in your station or at any other place and in the event of
such instrument being dishonoured, to debit the amount to our account with all charges incurred thereon.
We conform that you can present Bills and receive the amount in respect thereof in accordance with the
usage of the place where the Bills are made payable. It is understood that the transactions are in all
respects at our entire risk and responsibility.
Signature of Proprietor
In terms of the certified copy of the Resolution of the Executive Committee/Governing Body of
..................………………………………………dated ……………………............handed over to you
separately. Kindly authorize the operation on the accounts by Mr
…………………………………………………… ..................(Designation) and /or by
Mr........................................................................................................................(designation) and or
countersigned by its Secretary or
Mr...................................................................................................................(Designation) and debit the
amount hereof to the account.
We, the undersigned, inform you that we are the only partners in the firm
....................................................................................... and are jointly and severally responsible for the
liabilities thereof. Whenever any change occurs in our partnership, we undertake to inform you of the
same in writing and we shall continue to be liable to you jointly and severally on any obligation which
may be standing in the firm's name in your books on the date of the receipt of such notice and until all
such obligations shall have been liquidated. We confirm that our partnership is registered/not registered
with the Registrar of Firms and is written/ verbal. We hereby jointly and severally free you from any
liability for the funds or the security charged in the account that may be withdrawn by the remaining
partners after the death, bankruptcy or retirement of any partner or partners before receipt of our notice
thereof and we hereby indemnify you against all claims, actions and demands arising from such
withdrawal of the funds and/or the securities by the remaining partners, d we hereby further agree and
declare that this agreement shall be binding upon ourselves and our respective legal representatives and
you will not be liable in any way for the operation on the account in the name of the firm or for
withdrawal of the funds and/or securities by any one or more of us as per mode of operation on the
account as authorized by us and recorded with you.
1) ---------- ------
2) ---------- ------
Our said karta, or any of our other adult coparcener is authorized to represent and sign on behalf of the
said joint family business in a manner as appears below and has full unrestricted authority to bind all
members of the joint family however constituted from time to time.
In view of the fact that ours is not a firm governed by the Indian Partnership Act of 1932, we have not got
our said firm registered under the said Act.
(e) And that the bank be furnished with a copy of its Memorandum and Articles of Association and a list
of the names and specimen signatures of the Directors and other officer(s) of the company authorized to
sign on behalf of the company and be informed from time to time by a notice in writing under the band of
the Chairman of any changes which may take place therein and be entitled to act upon such notice until
the receipt of further notice under the hand of Chairman.
(f) And that a copy of any resolution of the Board if purporting to be certified as correct by the Chairman
of the meeting or by the Secretary of the company shall, and between the bank and the company, be
conclusive evidence of the passing of the resolution so certified.
(g) And this resolution be communicated to the bank and shall remain in force until notice in writing of its
withdrawal or cancellation is given to the bank by the Chairman of the Company.
Certified that the above is a correct copy of the resolution passed on ---- by the Board of
Directors of..........................................................................................and that it has been entered in the
usual course of business in the minutes book of the company and signed therein by the Chairman of the
meeting/company and is in accordance with the Memorandum and Articles of Association of the
Company.
7. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
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/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered
number/email address.
Date: Place: Signature /Thumb Impression of Applicant
8. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp
Employee Signature
Instructions/Checklist/ Guidelines for filling Legal Entity KYC Application Form
General Instructions:
1 Fields marked with * are madatory.
2 Tick whereever applicable.
3 Please fill the form in English and in Block letters
4 Please fill all dates in DD-MM-YYYY format.
5 Whereever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle,
1988 and ISO 3166 country code respectively list of which is available at the end.
6 KYC number of applicant is mandatory for update application.
7 For particular section update, please tick "7" in the available before the section number and strike off the sections not
required to be updated
A Clarification/Guidelines for filling 'Account Holder' type section.
US Reportable Other Reportable
F1 - Owner - Documented FI with specified US owner(S) CI- Passive Non-Financial Entity with one or more controlling
F2 - Passive Non- Financial Entity with substantial US owner(s) person that is Reportable
F3- Non- Participating FFI C2- Other Reportable Person
F4- Specifided US person C3- Passive Non- Financial Entity that is a CRS Reportable
F5- Direct Reporting NFFE XX- Not Appicable
XX- Not Appicable
B Clarification/Guidelines for filling 'Nature of Business / Entity Constitution' type section.
Entity Constitution Type:
A- Sole Proprietorship H- Trust
B- Partnership Firm I- Liquidator
C- HUF J- Limited Liability Partnership
D- Private Limited Company K- Artificial Juridicical Person
E- Public Limited Company Z- Others
F- Society X- Not Categorized
G- Association of Persons (AOP)/ Body of Individuals (BOI)
C Clarification /Guidelines for filling 'Nature of Business / Entity Constitution' type section
Identification Type:
T- TIN
C- Company Identification Number
G- US GIIN
E- Global Entity Identification Number (EIN)
O- Other
D Clarification /Guidelines for filling 'Proof of Identity (Pol)' section
1- One certified copy of any one of the mentioned Proof of Identity (Pol) needs to be submitted.
E Clarification /Guidelines for filling 'Proof of identity (Pol)' section
1 State /U.T Code and Pin /Post Code will not be mandatory for Overseas addresses.
2 In case of multiple correspondence/local addresses, please fill 'Annexure B1'
F Clarification / Guidelines for filling ' Contact Details' section
1 Please mention two-digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999)
2 Do not add '0' in the beginning of Mobile number.
G Clarification / Guidelines for filling ' Related Person Details' section
I Personal Details
1- Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.) The name should match the name as mentioned in the Proof
of Identity submitted failing which the application is liable to be rejected.
2- Either father's name or spouse's name is to be mandatorily furnished. In case PAN is not available father's name is mandatory.
II Resident outside India for tax purposes
1- Jurisdiction(s) of Residence: It may be mentioned that since US taxes the global income of its citizen, every US citizen of whatever nationality ,
is also a resident for Tax purpose in USA.
2- Tax Identification Number (TIN): TIN need not be reported if it ahs not been issued by the jurisdiction. However, if the said
jurisdiction has issued a high integrity number with an equivalent level of identification (" Functional equivalent"), the
same may be reported. Examples of that type of number for individual include, a social security / Insurance number, citizen/
personal identification/ services code/ number, and resident registration number)
III Proof of Identity (Pol)
1. If driving license number or passport is provided as Pol then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if "Z- Others (any document notifided by the central government)' is ticked.
IV Proof of Address (PoA)
1. PoA to be submitted only if the submitted Pol does not have address or address as per Pol is invalid or not in force.
2. State / U.T Code and Pin /Post Code will not be mandatory for Overseas addresses.
H Clarification / Guidelines for filling 'Details of Controlling Person' section
I Personal Details
1. Name: Please state the name with Prefix (Mr. Mrs./Ms/Dr/etc.). The name should match the name as mentioned in the
Pol submitted failing which the application is liable to be rejected.
2. Either father's name or spouse's name is to be mandatorily furnished. In case PAN is not available father's name is mandatory
II Proof of Identity (Pol)
1. If driving licence number or passport is provided as Pol then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if "Z- others (any document notifided by the central government) is ticked.
III Proof of address (PoA)
1. PoA to be submitted only if the submitted Pol does not have an address or address as per Pol is invalid or not in force.
2. State/U.T and Pin /Post Code will not be mandatory for Overseas addresses.
Annexure -B1 In case of multiple correspondence/local addresses, please fill 'Annexure B1'
UCO BANK: Know Your Customer (KYC) Application Form (Individual: Correspondence/ Local Address)
1. PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of Identity (Pol) ends to be submitted) (Please see instruction E at the end)
1.1 CORRESPONDENCE / LOCAL ADDRESS DETAILS*
Same as Current / Permanent / Overseas Address details ( In case of multiple correspondence / local addresses, please fill 'Annexure A2')
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Certificate of Incorporation / Formation Registration Certificate
Line 1*
Line 2
Line 3 City /Town / Village *
State/ U.T Code* Pin / Post Code* ISO 3166 Country Code*
2. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email -ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mob
FAX Email-id
3. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
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/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered
number/email address. Signature /Thumb Impression of Applicant
Date: Place:
4. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp
Employee Signature
Application Type* New Update
KYC Number (Mandatory for KYC update request)
Annexure B2
UCO BANK : Know Your Customer (KYC) Application Form | Legal Entity |Related Person
1. DETAILS OF RELATED PERSON* (In case of additional related persons, please fill 'Annexure B2)(Please refer instruction G )
Addition of Related Person Deletion of Related Person Update Related Person details
KYC Number of Related Person (If available*)
If KYC number is available, only 'Related Person Type' and 'Name' is mandatory.
Related Person Type* Director Promoter Karta Trustee Partner
Authorised Signatory Court Appointed Official Beneficiary
1.1 PERSONAL DETAILS (Please refer instruction G. I at the end.)
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D MM Y Y Y Y Gender M-Male F Female T- Transgender
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
1.2 TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instructions G.II )
ADDITIONAL DETAILS REQUIRED* (If applicant is resident outside India for tax purposes)
ISO 3166 Country Code of jurisdiction of Residence*
Tax Identification Number or equivalent (if issued by jurisdiction)*
Place/ City of Birth* ISO 3166 Country Code of Birth
1.3 PROOF OF IDENTITY (Pol)* (Please refer instruction G. III )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
A- Passport Number Passport Expiry Date
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date-
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
1.4 PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of address (PoA) needs to be submitted)
1.4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction G. IV)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of address* Passport Driving Licence UID (Aadhaar) Voter Identity Card
NREGA Job Card Others
Address: Line1*
Line 2
Line 3 City/Town/Village
State /U.T Code* Pin / Post Code* ISO 3166 Country Code*
2. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
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/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered
number/email address. Signature /Thumb Impression of Applicant
Date: d d m m y y y y Place:
3. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp
Employee Signature
Annexure B3
UCO BANK : Know Your Customer (KYC) Application Form | Legal Entity |Controlling Person
1. DETAILS OF CONTROLLING PERSON* (Please refer instruction H )
Addition of Controlling Person Deletion of Controlling Person Update Controlling Person details
KYC Number of Controlling Person (If available*)
If KYC number is available, only 'Related Person Type' and 'Name' is mandatory.
Type of Control*
In Case of Legal Person Ownership Other Means Senior Managing Officials
In Case of Trust Settlor Trustee Protector Beneficiary Other
In Case of Other Legal arrangement Settlor - Equivalent Trusteee - Equivalent Protector- Equivalent
Other - Equivalent Beneficiary- Equivalent
1.1 PERSONAL DETAILS (Please refer instruction H. I )
Prifix First Name Middle Name Last Name
Name* (Same as ID PROOF)
Maiden Name (If Any*)
Father / Spouse Name*
Mother Name*
Date of Birth D D M, M Y Y Y Y Gender M-Male F Female T- Transgender
Marital Status* Married Unmarried Others Nationality* IN- Indian Others Country Code
Residential Status* Resident Individual Non Resident Indian Foreign National Person of indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O- Others ( Professional Self Employed Retired House wife Student
B-Business X- Not categorised
ISO 3166 Country Code of jurisdiction of Residence* Tax Identification Number or equivalent (if issued by jurisdiction)*
Place/ City of Birth* ISO 3166 Country Code of Birth*
1.2 PROOF OF IDENTITY (Pol)* (Please refer instruction H.II )
( Certifided copy of any one of the following Proof of Identity (Pol) needs to be submitted)
A- Passport Number Passport Expiry Date
B- Voter ID Card
C- PAN Crad
D- Driving Licence Driving Licence Expiry Date-
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notifided by the central government) Identification No.
1.3 PROOF OF ADDRESS (PoA)* (Certified copy of any one of the following Proof of address (PoA) needs to be submitted)
1.3.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction H.III)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of address* Passport Driving Licence UID (Aadhaar) Voter Identity Card
NREGA Job Card Others
Address: Line1*
Line 2
Line 3 City/Town/Village
State /U.T Code* Pin / Post Code* ISO 3166 Country Code*
2 CONTACT DETAILS (All communications will be sent on provided Mobile No./E-mail id)(Please refer instruction F)
Tel. (Off) Tel. (Res) M
FAX E-mail ID
3. APPLICATION DECLARATION
* I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I /we
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/ Our personal KYC details may be shared with Central KYC Registry.
* I/We hereby consent to receiveing information from Central KYC Registry through SMS/Email on the above registered
number/email address.
Date: Place: Signature /Thumb Impression of Applicant
4. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Self- Certifided True Copies Notary
Risk Category High Medium Low
IN PERSON VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Identity Verification Done Date Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch. Institutional Stamp
Employee Signature
-B
- Others
Applicant
Applicant