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Supplementary Know Your Client (KYC) Form For Individuals: A. Additional KYC Information | PDF | Economies | Business
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Supplementary Know Your Client (KYC) Form For Individuals: A. Additional KYC Information

This document is a supplementary know your client (KYC) form for individuals. It collects additional KYC information such as PAN, name, occupation details, annual income, source of wealth, and net worth. It also asks whether the individual is a politically exposed person or related to one. The applicant must declare that the information provided is true and correct, and authorizes HSBC to share it with relevant authorities. The applicant also acknowledges that the details will be reconciled with HSBC's existing records.

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317 views1 page

Supplementary Know Your Client (KYC) Form For Individuals: A. Additional KYC Information

This document is a supplementary know your client (KYC) form for individuals. It collects additional KYC information such as PAN, name, occupation details, annual income, source of wealth, and net worth. It also asks whether the individual is a politically exposed person or related to one. The applicant must declare that the information provided is true and correct, and authorizes HSBC to share it with relevant authorities. The applicant also acknowledges that the details will be reconciled with HSBC's existing records.

Uploaded by

Master Babu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Supplementary Know Your Client (KYC) Form For Individuals

A. Additional KYC Information

PAN
Name
Occupation Details (Please tick [])  Service  Private Sector  Public Sector  Forex Dealer
 Government Service  Student  Professional  Housewife  Business
 Retired  Agriculture  Proprietorship  Doctor
 Others ____________________ (please specify)

Gross Annual Income (`)  Below 1 Lakh  1 - 5 Lakh  5 - 10 Lakh  10 - 25 Lakh


(Please tick [])
 >25 Lakh - 1 Crore  >1 Crore
Source of Wealth  Salary  Business Income  Gift  Ancestral Property  Rental Income
 Prize Money  Royalty  Others ________________________

Net-worth (Mandatory for


Non-Individuals) ` _______________________________________ as on ________________
DD / MM / YYYY (Not older than 1 year)

Politically Exposed Person (PEP) Status*  I am PEP  I am related to PEP  Not Applicable

*PEP are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of
Governments, senior politicians, senior Government/judicial/military officers, senior executives of state owned corporations, important political party
officials, etc. or senior political figures and their immediate family members and close associates.

B. Declaration
I have read and understood the information requirements in this Form and hereby confirm that the information provided by me on this
Form is true, correct and complete. I hereby agree and confirm to inform The Hongkong and Shanghai Banking Corporation Limited,
India (HSBC India) for any modification to this information promptly.

I also authorise you to share the given information provided by me with the Fund House or other relevant SEBI Registered
Intermediaries or statutory/regulatory authorities, as appropriate or HSBC Group entities.

I understand that the details provided in the Form will be reconciled with your existing records and any discrepancy thereof will be duly
highlighted to me for further rectification/updation of records.

Date: D D M M Y Y Y Y

Place:
First Applicant/Guardian
WEM_SUP_KYC_11/15

Issued by The Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability.

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