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    Fatca Form

    Uploaded by

    Garv Bhayana
    This document contains an addendum for a credit card application for non-resident Indians, foreign nationals, persons of Indian origin, or applicants with tax liability outside of India. It requests information about citizenship status, residential status, country of residence, tax identification number, city and country of birth, and address in their country of residence outside India for tax purposes. It also provides instructions on FATCA and CRS tax information sharing laws and the need to provide additional personal, tax, and beneficial owner information along with certain certifications and documentation. The declaration at the end confirms the applicant has understood the information requirements and the information provided is true, correct, and complete.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Fatca Form

    Uploaded by

    Garv Bhayana
    105 views1 page
    This document contains an addendum for a credit card application for non-resident Indians, foreign nationals, persons of Indian origin, or applicants with tax liability outside of India. It requests information about citizenship status, residential status, country of residence, tax identification number, city and country of birth, and address in their country of residence outside India for tax purposes. It also provides instructions on FATCA and CRS tax information sharing laws and the need to provide additional personal, tax, and beneficial owner information along with certain certifications and documentation. The declaration at the end confirms the applicant has understood the information requirements and the information provided is true, correct, and complete.

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    Fatca Form

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    This document contains an addendum for a credit card application for non-resident Indians, foreign nationals, persons of Indian origin, or applicants with tax liability outside of India. It requests information about citizenship status, residential status, country of residence, tax identification number, city and country of birth, and address in their country of residence outside India for tax purposes. It also provides instructions on FATCA and CRS tax information sharing laws and the need to provide additional personal, tax, and beneficial owner information along with certain certifications and documentation. The declaration at the end confirms the applicant has understood the information requirements and the information provided is true, correct, and complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    105 views1 page

    Fatca Form

    Uploaded by

    Garv Bhayana
    This document contains an addendum for a credit card application for non-resident Indians, foreign nationals, persons of Indian origin, or applicants with tax liability outside of India. It requests information about citizenship status, residential status, country of residence, tax identification number, city and country of birth, and address in their country of residence outside India for tax purposes. It also provides instructions on FATCA and CRS tax information sharing laws and the need to provide additional personal, tax, and beneficial owner information along with certain certifications and documentation. The declaration at the end confirms the applicant has understood the information requirements and the information provided is true, correct, and complete.

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    © All Rights Reserved
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    Addendum for RBL Bank Credit Card Application

    Additional declaration for Non-Resident Indians, Foreign National, Person of Indian Origin or Applicants having Tax liability outside India

    Your Citizenship Status

    Indian Others, Please specify

    Your Current Residential Status

    Resident Individual Non Resident Indian Foreign National Person of Indian Origin

    FATCA Declaration | Mandatory if there is a Tax liability outside India

    Your Country of Residence


    Your Tax Identification Number equivalent (If issued)

    Your City of Birth

    Your Country of Birth

    Address in the Country of Residence outside India for Tax purposes


    Address Line -1
    Address Line -2
    Address Line -3
    City
    State Pin Code
    Country

    FATCA-CRS Instructions
    Details under FATCA-CRS/Foreign Tax Laws: Towards compliance with tax information sharing laws, such as FATCA and CRS, we would be
    required to seek additional personal, tax and beneficial owner information and certain certifications and documentation from our account
    holders. Such information may be sought either at the time of account opening or any time subsequently. In certain circumstances (including
    if we do not receive a valid self-certification from you) we may be obliged to share information on your account with relevant tax authorities.
    If you have any questions about your tax residency, please contact your tax advisor. Should there be any change in any information provided
    by you, please ensure you advise us promptly, i.e., within 30 days. Towards compliance with such laws, we may also be required to provide
    information to any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any pro-
    ceeds in relation thereto. As may be required by domestic or overseas regulators/ tax authorities, we may also be constrained to withhold and
    pay out any sums from your account or close or suspend your account(s).
    If you are a US citizen or resident or greencard holder, please include United States in the foreign country information field along with your
    US Tax Identification Number. Foreign Account Tax Compliance provisions (commonly known as FATCA) are contained in the US Hire Act 2010.
    $
    It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is yet
    available or has not yet been issued, please provide an explanation and attach this to the form.
    Please note that you may receive more than one request for information if you have multiple relationships with ABC or its group entities.
    Therefore, it is important that you respond to our request, even if you believe you have already supplied any previously requested information.

    Declaration
    I have understood the information requirements of this Form (read along with the FATCA-CRS Instructions) and hereby confirm that the infor-
    mation provided by me on this Form is true, correct, and complete. I also confirm that I have read and understood the FATCA-CRS Terms and
    Conditions and hereby accept the same.

    Signature

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