Foreign Currency Account Opening Form
Account Opening Form should be accompanied by :-
For Individuals :-
; Passport Copy
; Work Permit/Employment Visa/ Social Security No./Resident Permit
; Recent Passport-size Photograph
; Specimen Signature Forms duly signed.
; Passport copies of Authorised Signatories
; Company Resolution for opening and operating the account.
; Certified copy of the latest Memorandum & Articles of Association of the Company.
; List of Present Directors.
; Certificate of Incorporation.
; Certificate of the Banker of the Corporate certifying the names of Directors/Authorised
; Any other certificate/document as per laws/rules/authorities of the country of
incorporation of the Corporate.
; In case of operations of the account be a local attorney: - Resolution for grant of P.A.
- Covering letter for grant of P.A.
- Passport-size photograph of Attorney
- Signature of P.A. holder duly attested.
UNION BANK OF INDIA
Off-shore Banking Unit
Good People to Bank with
I Applicant II Applicant III Applicant PHOTO PHOTO PHOTO Please sign across Please sign across Please sign across
FOREIGN CURRENCY ACCOUNT OPENING FORM
The Branch Manager Union Bank of India SEEPZ++ I/We request you to open an account with you for which I/We furnish the following information Title of A/c. Mr/Mrs/Ms/Messers _________________________________________________________ Occupation/Activity of Business ___________________________________________________________ Name of Joint Holders/Partners/Proprietor /Director____________________________________________
ndrd 1st APPLICANT 2 APPLICANT 3 APPLICANT First name Middle Name Surname Short Name Date of Birth (DD/MM/YYYY) -----/-----/----------- -----/-----/----------- -----/-----/----------- Status of Origin
; ; ; ； Indian National ; ; ; ； PIO ; ; ; ； Foreign National Passport /Other Resident Permit No.
Date & Place of Issue Validity Nationality Present Occupation
Tel. (O) Tel ? Fax Mobile E-mail
Tel.(O) Tel? Fax Mobile Signature
; Local Address ; Overseas Address Please send mails to
Please send account statement by e-mail monthly/quarterly ; Yes ; No
PAYMENT ; Cash/USD/GBP/EUR _____________________ DETAILS ; Cheque/Draft/TC No.______________, drawn on __________________ Bank ___________________________Branch for Rs.____________Dated _________ ; Transfer from Savings/Current Account No.__________________ CHOICE OF Type of Account Account No. Amount/ Tenure ACCOUNT (Bank use only) Currency
; Foreign Currency – SB/CD
; Foreign Currency – FIXED/DRC
; Foreign Currency –Floating Deposits
; Others DATE OF ESTABLISHMENT (in case of Corporate) : DD/MM/YYYY
IN CASE ANY APPLICANT IS MINOR, PLEASE FURNISH DETAILS BELOW:
Name:______________________________________ Name of parent/natural guardian _____________________________ Address of the guardian __________________________________________________________________ Relationship with minor ; Father ; Mother ; By Court Order stOf 1 Accountholder ; Others (please specify) ; ; MANDATE FOR ACCOUNT OPERATION
; Single ; Either or anyone or survivor ; Former or survivor ; Jointly by all ; Others (Specify)
SWEEP IN INSTRUCTIONS :- AMOUNT : PERIOD:
CHEQUE BOOK REQUIRED ; Yes ; No
INTEREST & Interest Payment Instructions (Fill in only if the interest is not to be renewed with the principal) REPAYMENT ; Please remit by Draft/Mail Transfer/TT at mailing address fvg.me/ ____________________ INSTRUCTIONS __________________________________________________________________ ; Credit to my SB/CD Account No.______________ with _____________ (branch) ; Others (Please specify)
FACILITIES REQUIRED? ; Internet Banking ; Tele-Banking Facility NOMINATION REQUIRED? ; Yes* ; No
； Please complete the nomination form attached herewith. ; I/We declare that I/We do not enjoy credit facilities with other bank/s.
; I/We enjoy credit facility/have Current Accounts with other bank/s. (Please attach details of such facilities seperately)
Name of bank & branch Account No. Facility Amount
DECLARATION ； I/We hereby declare that I am/we are Non resident/non-resident Indian (s) of Indian nationality/ origin. UNDERTAKING ； I/we are Resident but authorised to maintain foreign currency account as per rules and guidelines of RBI and FEMA. I/We understand that the above account (s) will be opened on the basis of the statements/declarations made by me/us and I/we also agree that if any of the statements/declaration made herein are found to be incorrect in material particulars, you are not bound to pay any interest on the deposit made by me/us. I/We agree that no claim will be made by me/us for any interest on the deposit/s for any period after the date/s of maturity of the deposits. I/We agree to abide by the provision of the Foreign Currency Account. I/We agree that pre-mature closure of deposit is not permitted. I/We hereby undertake to intimate you about my/our return to India for permanent residence immediately on arrival. I/We agree that if premature withdrawal is permitted at my/our request, the payment of interest on the deposit may be allowed in accordance with the prevailing stipulations laid down by the Bank in this regard. I/We agree for refixing interest rate as per the deposit scheme at intervals determined by Banks. All interest rates will be at relevant London Inter Bank offer rate prevailing on the previous day. I/We confirm having received, read and understood the Account Rules and hereby agree to be bound by the terms and oonditions, outlines in these rules which govern the account(s) which I/We am/are opening with Union Bank of India and amendments there to make from time to time and those relating to various services including but not limited to Telebanking/Internet Banking. I/We agree that banks can change the rules at any time and Publication of change of rules in their webiste or branch premises is sufficient notice to me / us. 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 agree that the bank may debit my account for service charges as applicable from time to time. I/We understand that the deposits accepted by OBU ae not covered by deposit insurance. I/We hereby declare that the information furnished above is true and correct to the best of my knowledge.
I /We authorize the Bank to automatically renew the deposit with accrued interest for the identical period as that of original deposit on the maturity date at the prevailing rate on interest unless otherwise informed by me. I/We are authorised to maintain foreign currency account as per rules and guidelines of RBI and FEMA/ We are bound by the changes brought by RBI/Foreign Exchange Management Act from time to time. I/We understand that the deposits accepted by OBU are not covered by deposit insurance. Signature Signature Signature
INTRODUCTION /VERIFICATION OF SIGNATURE
I/We hereby authenticate signature/s of the abovenamed account holder/s Name ____________________________________________Account No._________________________________________ (If applicable) Address:_____________________________________________________________________________________________ __________________________________________________________________Pin _______________________________ Signature Note: Authentication of signature to be made by a Bank/Indian Embassy/ High Commission/Consulate/Notary Public/Person known to the Bank.
DECLARATION IN CASE OF A MINOR ACCOUNT
I hereby declare that the date of birth is ___/___/___ of the minor who is my _______________________ and I am his/her natural guardian/lawful guardian appointed by the 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 of Guardian
For Bank Use
FOR BRANCH USE
Letters of thanks sent to Account opened by Authorized by introducer/customer on Name: Name: Signature Signature
Please tell us about yourself to serve you better
PERSONAL INFORMATION (To be filled in by each authorized signatory)
; Do you have any relatives in Union Bank of India ; Yes ; No ; Do you have any relations with Directors of Union Bank of India ; Yes ; No
Marital Status ; Married ; Single
Dependents ; Spouse ; Parents ; No.of Children
; Undergraduate ; Graduate ; Post Graduate ; Doctorate ; Professional EMPLOYMENT DETAILS :
Occupation ; Salaried ; Self empl. ; Business ; Retired ; Student
; Others Prof. Profession ; Doctor ; C.A. ; Engineer ; Architect ; Software/IT
; Lawyer ; Journalist ; Consultant ; Others
Employed ; Public Ltd.Co. ; Pvt.Ltd.Co. ; Govt.Sector ; Multinational ; Others (Salaried) ; Worker ; Supervisor ; Junior Mgmt. ; Middle Mgmt. ; Senior Mgmt. with Grade
Employer’s Name No.of years in service
ESTIMATED INCOME Rs.
DETAILS OF OTHER SOURCES OF INCOME IF ANY?
ANNUAL HOUSEHOLD INCOME
; < 200,000 ; 200,000-500,000 ; 500,000-10,00,000 ; 10,00,000-25 lacs ; 25 lacs & above DETAILS OF FOREIGN COUNTRIES VISITED DURING THE LAST THREE YEARS
Assets ; Computer ; Cellular Phone ; House ; Commercial Property ; Land
Vehicles ; Car ; Two wheeler ; Both (Car & Two ; None Car ; Make Wheeler ; Year of Purchase Residence ; Self owned ; Family Residence ; Company ; Rented ; Purchased Provided on loan ESTIMATED VALUE OF ASSETS: Rs.
Other banks ; Nationalized ; Pvt.Sector ; Co-operative ; Foreign Main Banker Name: Branch:
Preferred investments ; Mutual Funds ; Shares ; Bank Deposits ; Property
; Gold ; Others LOANS
Loans availed in the ; Car ; Business ; Loans against ; Others last three years ; Housing ; Durables shares
UNION BANK PRODUCTS/SERVICES AVAILED OF
; Union Comforts ; Union Homes ; Union Miles ; Union Rent ; Union Shares ; Union Gold ; Union Cash ; Union Health ; Union Shiksha ; Union Smile ; Cash Management Services ; DEMAT Services ; Insurance
INTERNET ACCESS If yes ; At Home ; At Office PREFERRED REMITTANCE ROUTE TO INDIA
; Exchange House ; Bank ; On-line Money Transfer ; Private Money Transfer ; Cheque
SPOUSE DETAILS CREDIT CARD DETAILS
Name E-mail ID Name of issuer Occupations Card Details Credit Limit: DO YOU HAVE MEDICAL INSURANCE? ; Yes ; No