APPLICANT DECLARATION
1. 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 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.
2. I/We certify that I/we have the capacity to sign for the entity as per the CBDT rules/RBI
guidelines.
3. I/We certify and declare that The Company does belong to the class of companies specified
in sub-rule (2) of the Companies Rules 2017 (Restrictions on number of Layers) and it
(Company) does not have more than two layers of subsidiaries.(As per the details given in
Ministry of Corporate Affairs, Gazette notification No. 793 dated 21st Sept 2017.
4. I/We affirm and declare that I/We have read over and understood the rules and regulations
of the State Bank of India (“Bank”) and those relating to various services offered by the Bank
including but not limiting to debit card/internet banking/SMS banking/Tele-
ba nk in g/ Mob i l e Ba nk in g/ Vi rt ua l B an ki n g a nd any ot he r f ac il it ie s. I / W e
agree to abide by the same as amended/modified from time to time by the Bank/ Regulator/
Government published through circulars, notifications, notice board/ websites/
newspaper publications, etc. I/We waive the rights, if any, to have personal notice in respect
of such amendments/ modifications. I/We agree that the transactions and requests
executed in my/our account(s) by me/authorized person through internet, mobile, tele-
banking or virtual banking under my/our User ID and password/PIN/OTP
will be legally binding on me/us & I/We am/are responsible for the maintenance of
secrecy and confidentiality of the authentication credentials and any other information/
details/OTP/PIN, etc., in such matters. I/We agree that Bank has got all the rights to debit
my/our account for any service charge, expenses or other dues which the Bank is entitled/
liable to recover from me. I/We also authorise the Bank and agree to close/ discontinue my
account without any notice to me in case of any violation of laws/rules/ regulations or terms
and conditions of maintaining the account . I/We hereby undertake to inform the Bank on
any change in my communication address or constitution, and I/We shall submit the
address proof in case of transfer of my account from one branch to another branch.
5. In respect of accounts opened on the basis of Aadhaar details, I hereby declare that I have
submitted the Aadhaar Card issued by UIDAI for identification and / or address proof
towards the compliance of KYC norms under the PMLA , 2002 and I hereby agree that the
Bank may verify the same with UIDAI and authorise the UIDAI expressly to release the
identity and address through biometric authentication to the Bank.
6. I/We confirm and declare that I/We am/are not prevented/prohibited/restricted by any
applicable legal/regulatory/contractual or other provisions from opening and/or
maintaining the accounts or to transact with the Bank in any other way.
7. I/We agree that my/our personal KYC details may be shared with Central KYC registry or any
other competent authority. I/We hereby consent to receive information from the
Bank/Central KYC Registry/GoI/RBI or any other authority through SMS/e-mail on my
registered mobile number/ e-mail address. I/We also agree that the non-receipt of
any such SMS/e-mail shall not make the Bank liable for any loss or damage
whatsoever in nature.
8. I/We hereby certify that I/We have declared my status as per the rules applicable under
section 285BA of the Income Tax Act, 1961 as notified by Central Board of Direct Taxes
(CBDT) vide Notification No. S.O. 2155(E) dated 7 August 2015 and RBI Circular Ref No.
DBR.AML.BC.No.36/ 14.01.001/2015-16 dated 28 August 2015 in the matter including any
subsequent modification/amendment thereof.
9. I/We understand, acknowledge and authorize that as per the provisions of Income Tax Act,
Rules made thereunder and the guidelines issued by the Government/RBI in the matter,
depending upon the residential status and/or other criteria stipulated therein, the Bank may
have to report the details in respect of my/our account(s) as per the prescribed format to
the Central Board of Direct Taxes (CBDT) or other Government Agencies to comply with the
obligations as per the Inter- Governmental Agreements (IGA) in respect of Foreign
Accounts Tax Compliance Act (FATCA) and Common Reporting Standards (CRS) and / or any
other similar arrangements.
10. I/We certify & declare that the information provided by me/us for opening account and
availing other services herein or through website/electronically as applicable to me/us and
signed/authenticated by me/us as well as in the documentary evidence provided by me/us
for opening account and availing other services are, to the best of my/our knowledge and
belief, true, correct and complete and that I/We have not withheld any material information
that may affect the assessment/categorization of my/our account as a U.S. Reportable
Account or Other Reportable Account or otherwise. In case any of the information or details
provided by me/us 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.
11. I/We undertake the responsibility to declare and disclose immediately and in no case
beyond 30 days from the date of change, any changes that may take place in the
information provided herein/or otherwise, as well as in the documentary evidence provided
by me or if any certification becomes incorrect or undergoes a change. I further undertake
to provide fresh and valid self–certification along with documentary evidence as and when
so required; nevertheless all declaration and undertaking given herein will also be applicable
to all such modified/amended documents/information provided by me unless revised self-
certification as above is provided to the Bank.
12. I/We also agree that my/our failure to disclose any material fact/information known to
me/us now or in future or my/our failure to remedy any deficiency in documents/
information/other details within the stipulated period, may invalidate me/us from
transacting in the account and the Bank would be within its right to put restrictions in the
operations of my account or to close it or to report to any regulator and/or any authority
designated by the Government of India (GoI)/RBI for the said purpose or take any other
action as may be deemed appropriate by the Bank under the guidelines issued by
CBDT/RBI/GoI from time to time.
13. I/We also agree to furnish and intimate to the Bank any other particulars that are called upon
me/us to provide on account of any change in law either in India or abroad in relating to the
operation or maintenance of the account.
14. I/We shall indemnify the Bank from any loss/damage that may be caused to the Bank on
account of any defect/mistake in the details provided herein or on account of providing
incorrect or incomplete information by me/us.
15. I/We undertake to submit data/information together with fresh KYC documents for
updation of KYC details at periodical intervals as may be required by the Bank.
16. I/We understand that the account will be activated and debits will be allowed only after
completion of Customer Due Diligence relating to KYC by the Bank.
17. I/We have been advised of Monthly average/minimum balance requirement for the account
to be opened and given to understand that these requirements are subject to
revision/change and such revision/changes will be uploaded in the Bank’s site which will be
acceptable to me as a notice to that effect.
18. I /We Undertake to submit Aadhaar and / or PAN within 6 months from the date of opening of
account , failing to which I understand my account will cease to be operational as per GOI
guidelines, amending Prevention of Money laundering (Maintenance of Records ) Rules
2005.(In case the account is opened without Aadhaar / PAN )
19. In case, deemed OVDs are submitted for current address at the time of Account opening, I
undertake to submit Aadhaar or any of the OVD having Current Address within 3 months
from the date of account opening , failing to which I understand that my account may cease
to be operational as per GOI guidelines at the material time.
20. I confirm and undertake that I will not deal in Virtual Currencies and will not use my account
for any services related Virtual Currencies or facilitate any person or entity, in dealing with
or settling virtual currencies.
21. I / We undertake to keep MAB ( Monthly Average Balance) in the account as prescribed under
the respective account scheme and agree to pay the penalty if MAB is not maintained.
Please paste
photograph
here
Please paste
photograph
here
Please paste
photograph
here
Signature of Authorized Signatory 1 (Do not overlap) Signature of Authorized Signatory 2 (Do not overlap) Signature of Authorized Signatory 3 (Do not overlap)
Name, Signature, Seal and
S.S No. of the Verifying Official
Name:
Designation:
Date:
Name, Signature, Seal and
S.S No. of the Verifying Official
Name:
Designation:
Date:
Name, Signature, Seal and
S.S No. of the Verifying Official
Name:
Designation:
Date:
5