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Edd New Form | PDF | Personal Identification Number | Authentication
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Edd New Form

The document outlines the Enhanced Due Diligence form for individuals, requiring personal information, address, contact details, occupation, income, and expected annual turnover. It includes an undertaking by the customer confirming the accuracy of the information provided and a recommendation section for bank staff to verify and approve the removal of account restrictions. Additionally, it lists the necessary documents to be collected for verification purposes.

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kinglakshmi618
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0% found this document useful (0 votes)
196 views2 pages

Edd New Form

The document outlines the Enhanced Due Diligence form for individuals, requiring personal information, address, contact details, occupation, income, and expected annual turnover. It includes an undertaking by the customer confirming the accuracy of the information provided and a recommendation section for bank staff to verify and approve the removal of account restrictions. Additionally, it lists the necessary documents to be collected for verification purposes.

Uploaded by

kinglakshmi618
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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Corporate Office, 2nd Floor, Speed Post Center

Bhai Vir Singh Marg, Gole Market, New Delhi – 110001

Enhanced Due Diligence form for Individuals


Verified
by DOP EU or
Bank Staff

A. Personal Information
Customer ID Account No
Customer Name
Date of Birth
Pan
ID Proof (Obtain self-attested copy)

B. Address and Contact Details


Present Address*(Obtain self-attested Proof/Declaration)

Pin Code

Permanent Address

Pin Code

Mobile No (Own/Relatives/third party mobile no)

E Mail ID

C. Occupation and Income

If salaried – Obtain ITR/Salary slips, Organization


Name

If Self Employed – ITR/Income Declaration, Nature of


Business

If Agri and Allied- Income Declaration

If Professional – ITR/Income Declaration, Profession Name

Others – (Income Document/Income Declaration)

Gross Annual
Income

Source of funds: Pension/Funds from Family members/Salary/Rent/Business Income/Agri


Income/Others

1
Corporate Office, 2nd Floor, Speed Post Center
Bhai Vir Singh Marg, Gole Market, New Delhi – 110001

D. Expected Annual turnover in account

< 2 Lakhs 2 lakhs to 5 lakhs >5 lakhs

Undertaking by Customer

I confirm that the information provided by me is correct and the mobile number mentioned in the
form also belongs to me and used by me. All the transactions in the account are done myself. If in
future, any fraudulent transactions are found in the account, I shall be responsible for the same.

Customer’s Name:

Customer’s Signature:

Branch Recommendations:

Customer identification and address verification has been conducted by bank staff, by verifying given
information with original documents. Copy of records are attached with the application.

Basis the request given by the customer and due diligence conducted, I recommend/approve for
removal of freeze/lien/restrictions from the customer’s account

Branch in Charge Signature with office seal: End User Signature:


Name: EU Name:
Employee ID: EU Emp. ID.:

Date: Access Point Name:

Documents Collected

1. ID Proof
2. Address Proof
3. Income Proof/Declaration
4. Any other document

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