Welcome to Kotak Mahindra Bank Dear Customer, ‘We thank you for choosing Kotak Mahindra Bank. At Kotak Mahindra Bank it is our constant endeavour to enrich our customers banking experience and to fulfill the emerging and changing banking & investment needs of our customers. ‘Our account goes beyond the traditional role of savings, to provide a range of services from funds transfer options to attractive returns eamed through a comprehensive suite of investment options that can be booked through internet or phone banking services. This form has been designed for ease of completion, with simple instructions at relevant places to guide you along. Should you face any difficulty in understanding the requirements, please do not hesitate to contact our staff who will be willing to assist / quide you. Itshallbe our endeavour as always to provide you a truly satisfying service. Phone Banking Ferndale i: oc Rates Ap C0266 Intemational: C031 22 66006022 [AUSTRALIA Tol ee Not tx0044990000, HONG KONG fol Free wa 09140044990000, U.K Tol Fe Ne 0080014890000, CANADA Tl Free Na B55 76840205 kotak SINGAPORE Tol Fee No. 6001013054 Kotak Mahindra Bank )isltage ects ———Femeae [essuteneg ha Us Tol Free as 1035365 - 6267; om erst cor Gj ise i ei eet str ae fel oaks Compete heuer SSeomman be ete Ste Sed comms heatoie enc Introduction Documents (For Non-Resident nanan Persons of Indlan Orig) Section kA - Compulsory Doe | Employed withthe Merchant Navy Tce of vad Passpon a C oT = 1 merchant ney Detain Ferm [Cieraeanan rnc esetont (CD Calin pe yt oo |) vaca yon Phat lia epee pepe ‘rman anne Ot opal: tea praeeer deca daseaik cay Croat aig ees te dee CI Pocsnion Name alte Cope Te Ct pin Een bel tipo estes ap ee a 3S stented ewe : a FH —_ Sin noagy cite Poe. [Ti on pd | oats citi ie tro pipe aon Tinta anor eth aceon o dpe lect ye beet rier SK Rs a ao ‘apy of ai part ays spa pancho dl nei i oie gape a ne ett d o AeOpei o w cp eno A ects ae pasate aan alan ty Weer fag ia an ete el | SCHON Vou have ot tor Mc Sta apertnw sng ofa paring demented eet he fled Mette coma nc Sek Cepeda mang se au ashy hyenas gen ra ea a il Conds Oh en to, cs Ge id, Ge Da Sa ra. ane eh, utr Mae al ay Ro so ea re pon Sioa ayo ns ene Sal eo yok 2 hy la ne eat 2 eta. eae Sana cae tela a bt ct as ih nd ECA 8 eset ne nn oo Wes aa a i A 1) megan com set ot me fe one OF 1 uislen stave an ebuet ote ee eo ete 2 ob OF ‘en hp toed neta on meta Pain aOR 5} Bets pae ao nr oat ene tng vcs ilar eg at iy eg e-em ag se ab as hata MaiegAddase soe son dn nr a ausneneeibcadeafoeNten Weinman ecea le nei abe besnenineente sont ey en Boca ‘Overaat | adlan cepyofPasgor : : 1 | op ota stent piston ite dota, ae than mont od Ove: as ai bok ong oes ad baka tet poe fan aed ea theta sad 0 1 Rt asl be cel by Ahebat on hesateent (gna Boh Statement eqs cane Sl att (hebank statement shoud be fr a month roe ad shoud at bere than 3s od Showing ot snc usa ode Wann) | ep ois ene ring ere eb the Go Haha ¥ ply Cite nai aes tone gata, spect th psp ofl rea AceutOpning on anand) | ¥ (apy a et adanthar i egealin cael Se ates) ¥ Copa oar cad aig he dies. y (eka alan Dp isan ling Wi coin aie \ py oom Dea SH Geen ads Mea OC cand ‘ (pra appantnent easel te oes on ed GR ig ¥ ag of iy il lec ped gs ane lean water Pot aid Mob aban wae ha 3 ens (ial case : tet atta op olan lei shai il on cane ¥ opp ol aged Panda Sl aed use mn op ol sed by Goto ta ry "ioe tyrant int seep yt ond i wen Akt epitome aon ‘eta activ pean iene ober etoretorrseg hence tests ain fre pal antec Chege lau eatery ‘cm sae et a es sl ai Clee mes aedeagal sn sc sing eap se teoa a mete Tenn cnan vente cyan ls acon iether ate aye Gana onstopesnteeeacdotoreee ‘Suan ane nee scam houhSus tombe ed was ae woah ited paces Aan grep ie bee et oben isnt syste oon eon heaton arco neatly tention ney ncler boys T CUSTOMER COPY iynsuinsamsuiine vs to kotak orrioccrion (att (rest Nomination for Receed Yes No ate: ube abit re ptt unethe anetagan {Foun stmssin Bok one (Eisomer Signature) andthe apbleAvooge Qantas 7 ae i 031710329196 see ft ego ce FOR BANK USE ONLY Signature of Bank Ofc H ot dhe Bm ec Lato rH? Theiler ete vance lp de | ood ote: 27 0, C276 rahe Cong aE, mt ODL nnkotak Romer ‘CHECKLIST FOR NON RESIDENT INDIVIDUAL ACCOUNT Sourcing Branch Code (Wolersane [AOE Ce ene odes — Tea Titi Coster (Yes) conga Doane eDiets Acie pent [a peat] Sepp —[— aT RR: Non Resident an PP [indian Passport. o Oo oO a W [aides ia o a on 0 eno en a E 7 fms Pe 5 o 0 “ao Te) PI_[Bocument Showing indian Citizenship ial o 1 | 7 [POAT o o Becerra [ierchant Navy - hippy. = z Tea aint) a “9 ao op [eve soa o 4 ia SS Dears o — Eee na Company Fale = TR [Letter of Appointment / Deputation Hee oo I Oo I a «| Wilt of iE (1, SIGNATURE) ADDRESS TA] DOCU [cade [Dearest Tapant [anlage | —SriReaicant | — ange isa [rasp ee a isa} 0 | ov Gee a a PepScees ee «isa Mi [ Mariage Gets =n ether o a a a AL Us [Uiiy a =o a a a TARA [Regt Purchase Sa Deed o Agreement a a a a. ‘A [8 | Bank pesbookststment sre & stamped or wh ogo ped by Bank oO a a o $ [ok Lome a a a “a—|3 Completed front Ed) Dv, Funding 8 Name Designation: Name ‘Funds Parked in 5 Employee No: franc signa 8 Employ Wo: Volue Date Sopot ae a Inward = AOF att Branch Date ‘Tine Tein Csi coped xt wad - ADF a CPC ae vine signin Signe « Signature; cst User Sign. Auth Sign. To CREAT Opening & Wain 1 CaN Geation C1 casa account 1 Account Levet Memo] TD Account Arte by. ne tora by. C1 operating Instructions [Account tress 7 operating ins ae [ Channels & Alert, CO Cheque Book D7 Mandate Addition Or [Cl Prone Srking CD Netwankng — Coebitcard 1 Pier catewey |) co 1 stnemeneueneyC] Sweepin ype. atte by Nomination 1 along cont CJ TD Pan CD Mobile Banking = C] Alert 1 sweep out 7 Unblocking Account =) OD Limit CD A08 Waiver C1 Standing Instruction [J TD Lien Inge. thea 7 Customer Relationship —([]_ Funds transfer Cl others Facet denny eputed y ver nnn htae ynnn Input By. ‘Auth By 1 Input By. uth By."WSFOMAWILAASSTHROUGHASCAER PLASERRLNVBLOCKLETERSEG AWE TA) KUMAR py ee meee wa oi AVATAR VL S “employe code pete tne 031710329196 Pelee Hore ach rach Code | crv SOWAL DETALS-APPLICANTY seannenaior Q sewer Easing—No Change bxng- Ute Chae | yon AYER Change teat | ial CHICA lags fet AB ousaaasidipalgodbistnosbfomn bisingcaN | Yes em nonsntlsnipde a Nomoto sated ‘tame ‘ we || deel jE LLL bead (ee oman om drt ea al) inor *Status | NRUPIO/OC! | Fareger Related to Staff | ys Employee 0 indian otters Mole || Ferale Tarsgender *Maitalstatus [singe Maries otters ‘mother's Maidentame ' ' tr tt Pete) io i it Father! | Spouse Name I I I Me i ts Natt Visa Details Tectia Ontecle Plcf tise Daeofy i Edcation HonGradute ——Gahate =| PontGrante | Poleionayeatfed [Othe occupationType sence || PateSeor || PableSecor [| Govnment Sear Profesional Self Employed | | Retied || Housewife {| Student [| Business [| Not Categorised & Profession finaes an Las Teaching gicsst Mada i topee | Minette otha 5 annual income | Uso noo i i FacboaD twieero 5 Residence Adressin na 3 -ciy -rincode “site caniy or fala Hebe es *oversessResdence Address sstinstancgtey sci -pincode “ste ceunty fence a ete fa “Motil i pret Pormanont Address - | Same asincian Aderess_|Same as Overseas Adress, pte Comet Address _IndlanddivessOverseasResidenederess dsenseimmbyGertgnbtesid (eatcat hayden bpd ates spat eat Sam egal pterednlig ante ehs aNGt) Preferred Mobile No, 111 L411 ioonethe | Do notwanttdidose Atemtemobieta| | |_| | ‘Alternate ContatDetalis Relations Teleptone Ho. Motil No. Email Address hope ite i si ima omen iis chee mangeATCA / CRS Declaration ~Part- A Yes No |a,Are you Citizenof =| | Oo any country otherthan| | India (dual / muttiple) | Tincluding Green card} | b. Is your Country of birth is any country ‘ther than India . Are you Tax resident ‘of ANY country / ies other than India| | a Do you have POA ‘or amandate holder ‘who has an address outside India @.|Is your Address or telephone number ‘outside India oo {your answer to any ofthe above questions is 9 "YES; please fil Part B Part B * Address for Tax Residence *City |) “Country of Birth Place within the Country of Birth {case Country o this USA, however Nationality an County ofa Rese other han USA, plese provide iKD 1200N0 is Facebook titer 4 HBB residencenddress in india a “ Fs & os cy ‘Pinca || “sate county I tte Facto Pate “overscasesidenceAddest atten) \ vy spincote * sate county i ‘Td. No: FaxNo, “Mable No. Permanent Address - Sar as nian Across Sere os Overeos Adress “email aross *Proferred allingAddress || IndlanAdiess overseas tesdenceAdcess (Adeenpednoby tematic) oaivcndrrnoindnstosabc med sina set Soest ised ain test diapelh Proterred mobileNo.! }.) | fi i | i Alternate Contact Details tame: Felationshi: Telephon Ho. Email Address : ovat have [Ponot wantte dsdse Anat Maile Na | “oie No. J LahdeFATCA / CRS Declaration Part A a, Are you Citizen of any country other than [7] ‘India (dual / multiple) | |lincluding Green card) f | b. ts your Country of [births any county | other than India | Are you Tax resident | oFANY country / | ies other than India| hi Do you have POA ora mandate holder who has an address | outside India ieee els yourAddress or =| | telephone number outside India ee i your answer to any of the above question is YES, please fil part © Part B “Address for Tax Residence 3 2 Country of Birth dlcumeraryeidence) Source of Wealth Country of ‘Taxesidency ‘tis mandy to supply ao fenconal equivalent lees tno 1 ne rowdear exanaen below ‘sing the bn ant ol ho acount pee be opened wit Kola abn Sok Lint gd cece th dere at ees tobe tu cone and upd edhe sted acumen pci ay eae I edge ak Bunknayterqadto seh ain persona tkand enefeo cnat onan can ety once aco opening ray tesibsequty incr ean ‘loan ethos Sele be an hance ty ematon po berated oceisoraton oan etarech evaoing eget the ay ‘hme oases gusto txauares te barn seate cones wi resident sues suc) hefner asad cr yer tl tise Bo eof eng appt (1) C1 | Place within the Country of Birth {cos Coat eth USA, ever Natty and out fox ese is tar fan SK plese pve Nationality izenship andAlL Tax dentition Numbers. i Tax identificgtion Number repre onorectbafoesaAICa/ CRs tener sya be acon Le pinay | Please list below the deals confirming ALL counties of tax residency’ permanent residency | ‘Tax identification Document {ltl furcional equivalent) incase TIN rt availabe the county inwhich you are tax gules et avaable ar has not yeas sue please ove niin rion sebmited ena camplance th axinfermaten stn lv chan FATA the ran fone acon Suh slsrionsybseagethrat oe ne ain one Ie ak uy beeted ashe iumtlon ony ses th iy ey hin 20a var capes wails he bray 30 fing th scour aye ln ara ry beequrey Endpaper may acount deseo sspendy aun) aod at ena : Documents Section (BANK USE) 1D Address Document Name Document Hane (fee Indian porter | it | Simptitie Document wo | |) | | PaspetBpiyDate | |||) | Cleniy card with anpant’s potoaph sued by Gout. Dept na ‘Overseas Passport urbe | | | [|| | | Clete issued by a Garetted officer Paspat iy Dae | [iv] | Shed camer (dies Prof Woteciocad [ j | | i | Dusty em | ay Ter {C1 Pepe 1 mnt a cpt | - (ak cau sateen Pstook uw rg ter | vi CCE | | io td Perse oral person payment ores Ps) | Diving Lense BD || > | Beevers | terol alate’ of acemadaton tom erpoye: i Aathar CETL | siedby Sate Coal Goverment dares | | | Others (ary document notified by the Central Governed} L] Documents issved by Govt, Dept. of Foreign Jurisdiction / | Document Name: Foreign Embassy / Mission in India winter: Ed |_|) ive Wericatin rie ony Ss] f DOCUMENTS COLLECTED fp tae | | | | [Jew-cenr [] Fomeo [-Jeev [Jac [ ] ss [Jue | eeocmaie i ery FE manage (| omens eweee | EP EY ewe ET] | ‘account ype || wonmal | Smal [| Simple ou [njoluselrlutele - | PRET oer osirveranis: aspasientniidin’ sana meitwoit enn htinalstng espn) i epost He! tx nth Act pt Aupee epost. OWE; NRO ACE Dp Osi apt Soninhnnsheanreoa nee etoad FONR 1) | RFC Currency: \uSD EURO Ger! | JPY AUD CAD DTAA" | RAP™ “Period ‘month(s) days) Maturity Date) hi ki YY hy ous Cowes) Nomination | No _|Yes(Heasefiespaate oman nT] aa, opto : Gotan Sgn eae rey, Treinvestment | LiPayout quareny |[JPayout Monthy |) aaraiy [L] Renew Principal and interest ee kcoutio Renew Pngl ‘ou epabe tort Instructions [Lene ila Pay ack terest a - esa [ay tack rincpa and invest CP ck Prnoat Ed iccancnspaicatapaientat at int‘ilo be ht Ma pet ‘Si tc ga tl i rd oy yest apn ht span adapt tose ee mah at Ae ame, ae et eter Pape es crane ae he bs fang an aa eae ete at ‘Account Number Tatoos PaveTeN TT] Cred to KOMDL Bank Account Number By [rnvnett clon (=| Banda te sent tein Ba aaa B ‘SWEEP-IN FACILITY REQUIRED Unkrg of Fixed Deposit to Savings / Curent Account) x Jide i No _ActivMoney (aiTo SWc:F OUT STEP W TACKIT)Setwaiibeiadacsumse oe oneal tae Pca fay Reged ves | No ‘es esse weap Oat tests sweep esha. Loeb Activoney op) ‘se On Teil: Minima Teashold fr Savings & arent Account Ts bul ene her culo twice he Berge Merl ancl 29 oe Que alte) tenet ote cz nan re SED fr Care Arana Rs 2000 fr Sys cons cheers oh os Hae Pde Css 8 ‘Sap ros fT por rot tein a ge Open Soros cunt te Meehald Fs 2 Sweep: MinimuTresold for Savings ecount This hl been an rel othe ME Avan Mot alan eae Gute aoc) regener ‘he eet eno e100 fe St: cus wie higher Fr sia Opi Sov, cei he Holset Ss. ‘Mnimar Threshold fr Coron cout Thr sd be eter a re oi a A age Que ae equemert ole zn hse ek S000 Can ecu who he fae oe Cs tat aes te Pon sp see. ‘uo Spout nds hove a respect teshl fom Savg Cire cat fd Dp i 100 es fer ME acest er 1 Ys ails of 10,00 ‘heroin ested br Coston eco ila Te Fs ceed hah Ate caer pt enya car stad ed Deets aot aed tetor scent ‘SWISBANKINGWALERT FACILITY ico oranioeak groruntzapate) & ‘nay este ever nl Mahe ey 2c anno mas sy bl ei ‘wy saat oa Inshore ovmtaiaatottOe tak baseline S.anabiehseneNer a Momtoelmesigh Pet ectin/nnmkcssevcstiesel | tales test covnign eho era ae rec Ars “alert Type ____ Balaneé update frequency Rare : ‘Ms aly Weetly Looe Ema | Dally Weetly v * thts tat yer nace spe Flap cpa soe sates salesmen tal oe we a i tga steamer cat ad Sekai eaupudoustatancanstomssn/ ae ucngeyanlrioolCaar eta seetsenck GHANINIEL ACCESS REQUEST Isha ap faces fon Chae eee : [ ‘APPCANT nT) * ean mrar mw *0C aw 0c + tr iain ete Se Detect) 1 + tec tevestmentAccountsi vy League cats wit get the dete chip debit card emote fr \nsrance i + atone tated ohare, FA - a [stb cane | tain Tec eo | fae i ike ott ) Got ty 3 ISSR age code anette ten | image Code [) eee 2 i == - “| g eMENTOPTIONS! @ =e an ewan befall ey eee onl nce al lbs pled ppl eet qe ta wale 5 ctor 8 «CLICKAREMIT REGISTRATION. ‘ 7 oy est oo eter ne fr cre rte nice “inquests tyre emul COUNITUAL PAYMENTDETAS coms Org oe et cone nat om Annet tetas eqn ectomrmte anon ita pgeheltainsgh A anaes” wanes a 1 om ct i Tae ReCaONTTIPE apes Aceon) Sane tape Svgs cont NRE putes tap Cae ' HO cea eto Code |e Rupee CunentAccount NRE ose ml) eo cote i pererd Auge Sots PRGA | NRE PDS uth Cie | IO PNSpesinimarsdond Cole Sse Platina Savings Account NRE Code i NRO Code { park ofa seh Brn oetmst Aco) Repaiable | Non Reie Move of Operation Sngy | ite ors my || Anneorsuvier | femerersvbor | Jota ATES: ih sn eo maa a saree aie ee rene cach nae Lpkan Speke é Beene Cacti feeecraa erat meee atm aE gee es a agg ntact intent teeeeol Bs aapegreesege erin eae rn tegen ery tr rear a a epee ere er ora a (eet imusents re "FOR Gavi USE OnLy es Pam case ead or ee swcade nae inte Cade ep ca Cede ‘oe aw: Onin tdng ron nated | Yes rec ce or Sn Da Mente Costomer Sub-Clasefeaion ey Aves | COA: ‘stage 2d ela edt “od Agptant Re KC ATCA Received |_| YES FATCAReporabi [se created irons ya. earn meena saeco aes speueitcy Riitiya es eelaemspesc ones ioe ame me ag eon ete ta er oot eee een ssSrada peat anaes RE Sn Se Cvs [Ne ‘Seneertig bel pe ke ‘net ge ye ey eo fort xsi eas ae labtop cha aaah eee he Sp vote a pti enrages teaeraectcecutoumt te Soe at ie a atc enc aT rat aera arr Ti afte name nae ace STSUGNATURE PHOFOGRAPHS ic ich sa nou ier id ad Mondale Hoes | crn Scum tat wt ete Metin ow mG | oer ae Ee sermmoressfcieli eG ‘Putivee vs We | 7 | fete eee a fw LALIT | 1 tn hen | mane ae JOH ELLE Th werantwcied |) 8 | We | raosa \ | . fem Ltd Ld Ld | snes | 5,1 | frontman tne vache lh ies 3 a eee ieee Lito : : ' ae As "RPC USE APPLICANT 1 cls CEEithe poem Nominvation (Form Dat) ~~~ Yili ANN TANIA For NRE (030001NMFORM oan vl st 2A ey pon ties bg ope cnn i Snap dips ve aes) ert esona pono bon te eetl yasmin exh amet the eet pala eee ghee pb dy Kotak Mahinda Ean ned fal Ptaeat oes Detesig tira dot ty mieten omineeAdévs:; Samearetppbane Mogi the ates eld aes: soy tin coe state I asthe) ae Ione isnt ser de oath ete omien sae is ag Pe apie Sin a? 1 Ranh rar eine ats: I | ey ‘in Cose state oo. ‘ore aint hepatoma oft ons Bee et dt ding ei ofthe aie Hannes Name to be pean Sma aces |S rs Satin) Mh mpesiens** ome Deo ei Sten a Win Sitar feo ines** es ent ag te tags este cota dtd eee g nahi eater eeseaey amas anaceacl Soto | ture saaus etme apse ica nhc 8 Seoecleimueeyenmmnntn daring | = For NRO Nomination (Form DA1) =| eee nnn en sce hed) ag Copan mn pe TET ve sates ‘Peon oie thong psn ninth to erin ea tae the pst aks hose enn be ume Koa Manda Bak United ue of ep sing ial dt ony IsieeAdess: —Someor tigen, |, ola gi te aes) Ades: ty ice stat alan ih stein ae Minas neg hier oi) te mesa mine hd Ie spe SS Aoshi oie abs: cy ‘in Code pi sate I aye termi ham ch poston beste eat oars et ug he ony oe ee ‘nig ne be ptedon ta Semone chins | es we Sapte) ab Ins“ apoder ster rasta oa ace Spates fae Wines* Signet Scrvine** ‘Siesta ut niccon ease one ans ayranys pt iyieanakeh et bert, ‘ce, eros provi Sgt | omamcascomr | Tita Heep pena ord eo nay | Idee nt ae ea ine nan Netbeans metry nl ehecates te nsod | mutta suka mane qe arse ees ardcecedewntina iti itinn/ouvmntasthe | ticesKotak Mahindra Bank a Mandate Form - NRE a U1. Customer Relationship Farm to be submited foreach Mandate Haldar 2 Separate Mandate Form rele er mute ecco Savings AccomtNo: [TT TTTTTTITTTITT)} Branch Account HowiersName [TTT TTT TTTTTIT Itt rr itr trr tt rrr terre rr) {MWe toler to my / our above mentioned account wth your bank We hereby authorise you to henourinstuctons gWven forthe above account by Name: Meas. Address: ‘Contact Nos: (0) ®). mali Me hereby authorise the mandateholder 4) Todrawchequescn the sald account 2) _Todeposit and/or discount cheques anc olher instruments inthe sald account anafr this purpose to endorse on my /ourbehall cheques, drafts, payorders and othe instrumentspayable tome/ us. 9) Tomate deposts rom balances available nthe aocountin my/our names and to renew such deposts for such periods as maybe givenin wring by thomandateholdor 4) Tocertty balance confirmation statement and statemont of accounts seuedty the Benk nrespectofhe said account 5) Togive instructions inwriting inating obits to the esd account, transfers there frome. | Weer doctrethates pr ®change Conlgutnes suey RI 4 Themandate llr cn exact att conferred by sar o whavae fr oa payments cy ano makenvstnens in Inda vt! W hl eral pein othe aba spate perce er 2) Themandato dos not parrot hanes otro reat land out anor thanta ty /ourovreas ecru or main payne by We” vapatattoeroscontnsonarmescsutcerey a {We eb re daar rate atevereteton hn fe pron tho scanthve been ade rane rans eb es 1 We arth manda ater are goverody te preset chang Cato guises ad oy chngee eager eae ee ‘reunti Wo expen ovat noteeinwieg delved nyo endo shal berespenibe eatatsywleral ecclesia Yours fatuly, Account Holder He ‘isi Holders Signature ‘nd Holders Signature ‘1d Holders Signature Mandate Holger ‘Signature of Mandate Holder ‘Atosted By 161 Helders Signature 2nd Holder's Signature ‘ra Hokdor'sSignaiure Date: Ee Bank use on HY s Branch Input by Authorised by ‘Account No. (CustomerID No. ‘Customer ID Ne. Bonk CIF ID________ ui preduct code. ‘Mandate No. Kotak Mahindra Bank Ltd, CIN: Les 1OMHISB5PLCOSBIa7 Registered Ofice: 27 BKC, C 27, G Block, Bandra Kurla Complex, Sendra (E), Mumbai - 400 O54, wawukotak.comKotak Mahindra Bank a Mandate Form - NRO g {1 ustmerRlaionstp Form be sub fo each Mandate Hater 2 Sepurle Manat For routed fr mpl sooo) savings Accoutno, = [TTT TTTTTTTTITIIT Bane: AccountHolders Name (TT TT TTT TTTTTET TT tr rrr ttt ttt rrttiriirn {ie rofer to my Four above mentioned account with your bank. Wie hereby authorise you to honour instructions given forthe above account by Name: Mus. Adcross: Contact Nos: (0) ®). Emal i wenoreby authorise the mandateholder 1) Todran chequeson the ssid account 2) Tedepesitand for discount cheques and other instruments nthe sald account and for ths purpose to endorse on my our behalf cheques, rats, payorders and otnerinstumants payable me/us » 3) Tomake deposits from balances available the account In my/our names and fo renew such deposi for such perlods as may be given nweting by the mandate holder 4) Tocerity balance confimation slatement and statement of accounts issued bythe Bank inrespectofthe said account, '5) Togive instructions wing involving debits the ssid account, ransfrsthor from et. \1Waoroby declare haaspor xchange Conte! qutinas sued 4) The mandate can execs he auerty conered by isso wavs or os payonts ony ano make weston ine wore oe gone pamieonorhove tared specs parm fam 2) Tremere dons pate mandi ir ropa un cud nda ethan ny fur oveeass account ormatngpayrent by Wh” syctetooresontonbonatotneaccourttlder) a re notte dace abveresteter nthe operton fh scant have been mae kncnt tears rye, 1 ato thant beers gored be pose Exchange Cowolgucsnar ander chrgon not nom iat t. Ts uote seetah uc reayrootetoyanoteeh rts doverostoyocand Mo sholte espa /isbe toyota xo otoimnaas har 031710329196 Yours fitful, ‘Account Holder: 7 ‘et Holdars Signature 2nd Holders Signature ‘3rd Holder's Signature Mandate Holder: ‘Signature of Mandate Holder Allested By {si Holders Signature 2nd Holder's Signature ‘rd Holdr's Signature Date: Bank use ont Branch — oy _ Input by : ‘Authorised by Account No, Customer 10 No. customer 1b No. Bank CIF ID GUSL Product Code. Mandate Ne. Kotak Mahindra Bank Lid, CIN: LaB11OMH19B5PLCO38137 Registered Office: 27 BKC, C27, G Block, Bandra Kutia Complex, Bandra (E), Mumba - 400 054. www kolak.comkotak ae Merchant Navy Declaration Form | ee | a The Manages, ota Manda dane, Subject: Deceraton ‘eat Sr? Madam, 1 hereby confirm that | want to open @ NRE / NRO / FCNR deposits with your bank as in Non Resident Indian status, {also declare that will inform the bank immediately on my ceasing tobe a Non-Resident, fo the purpose of the indian Exchange Control regulations, ‘onmy returning to, or staying in nia, a) Fororon taking up employmentin india 1b) Forcanryingon in nia a business or vocation inna ©) Forany other purpose, n uch circumstances as would ndicatemy intention to stayin India for an uncertain period. ) _Asatdate confit that! continue tobe a Non-Resident Indian [-] Part A {applicable to existing seatarer / mariner) {have recently returned after the completion of my contract with (Wame of Principal Company) registered in tas oF Principal Company). lam ona break fr. days /months and willbe joining ona new contracton by {date/time frame). Bh |__| Pare eppticabie or 1"tinesior) g ‘hereby confirm that have joined as a Mariner on a Foreign Registered Merchant Vessel and this beingmy first voyage as a Mariner on Ship. Hence, my Continuous Discharge Certificate booklet doesn’thavestamping of latest discharge /ast date of ativalin India. bequest the bank to kindly open a bank deposits in my name onthe basis of documents submitted and obliged. Signature ofAccount Holder Serv Temporary Entry Work / Re: ‘The Manager, Kotak Mahindra Bank Li, WWe____(Wameof Account Holders), the undersigned, aredesious of opening @ NRENROIFCNR A/c with Kotak Mahindra Bank |/ We have submitted to the Bank myfour Entry Workmesdence Visas dated (visa ineuance date) expiring on (isa expiry dates) for this purpose, I/We hereby agree to furnish the Bank with the copylies of my/ our regula visa/s immediately on issuance and confirm that I/we have no objection ifthe Bank freezes transactions nthe said accounts or loses the sald accounts in cae of my four non-submission of ‘regular visa copyiies within 3 months from the date of expiry of visa. I/ Wo also confirm that this procedure wil also apply in éase I/we are joint holdarsofthe accounts Signature of Account Holder ga EgMutual Fund Standing Instructions Form - ACE Deposit HALAL) 0300018PFORM |e sey autotest Bark t purchase nmr unstheml asco myrnestnen Nando debi yuri ora Maint keen) as [etedou onto stdnoisctorsfr esters ne mauathnd scenes ane aonetineestmetasstedbo nvesenntAcout Banco: ‘Scheme ame: Kotak opportunites Fund- Growth Purchase and systomatc investment Request (liestctorsl hs am temandatey) {oconayeee ase isco nthe Slate soedlo oreo une hse eq Aone ‘he tne niet snant SN SSO males on orlokocesin as) Siena nstaceramaot ie ingen se cosa tae BillPay Request Form seni aceedbeyeb ye panko cd espe oreo bey wwe ere east yout eg flanger ude Kotak lay Snes, (ines of ile fcation bing trent estes the catlon along wth Name Bie) “titer short tame (Upto scaracters) ee Loeation entiter 1 Identier2 deniers ‘AutoPoy uke TA] a_i | Te 31710829196 ~ Bilr hor rine Hose nines Fer ent ile and odd tbe nove han Cera for Aaya son pr mode operation Fortank Use Onlya 7 “FORM.NO. 60" {ee second proviso tule 1148) {omm for declaration tobe ted bya inlvidal 99 person (not being 9 conipany ar fk) who doesnot have a permanent account numer and who enters inte any ansaetion speded nrule 1148 a 1 | first Name ‘| 7 Incorporation of ‘wide Fe rrp Name i Sumame dectarant bp PoTm[ My] vpyyy | Father's] Fest Name Nome incase of | Ragan Inaiveuall | ame | Surname © | Fat 7Room No. © Wome of premises B | Road sireot /tane rH i: WW | Town / Cay [BT] ~ TF | Fin Code sepivone Marsber (with S10 coda) [8 | Wiener 7] 16 | Amount of ~ PAW i te Gt ramsaetion ijt suraat | tuansaction (ts) es, numberof pesens 7 | Date of transaction FI roo nthe transaction 19 | Mode of wansaction, Cheque [Cand Dratt ‘onine |_| Other [2 (@tease tick appropriate box) Banker's Tranter 2, ae | |_| cheave —_| EEE a WH | Aaabaar Waraber ited by VIDA H avalabie) TLE 2 | Wapplied for PAN and knot yel geverated RdleGaedgment Mumber iS ener date of application and acknowledgement number Pee EB IPAM vt eppled i estimated total income (i hiding ncome of ~pouse, mn chil ee as per secion 64 of come tax Aa, ‘nancial year tn which the above transaction fel A ‘Acutara income (.) [3 [ether tanagrcaatincome | FF | Gata of document being produce ‘spport of Klentify in Colurs 1 {eter Instrvction overeat) 24 | Detale of document betng produced in support af Adress in Columns 4 to 13 (Weer instruction overeat) ‘Document identification ame and address of the ‘oursber | _authonty issuing the do “ransaction ode tute of Transaction el 2 | (neler tstruetion overeat) Wetertnstruction overeat) Verification eat what i stated above struc tothe best of my knowledge and bei \Tarther declare that ido nol have a Petmanant Account Number and wf ou estenated total Iacame (Including Income Bt spouse, minor eit ete as per sectlon G4 of Income tax Act, 1961) computed in acordonce withthe provisions of lacome-tax Act, 196% forthe Tinandal year in whieh the above tuansection is hed wl be fxs than maxienum ansount not chargeable Lo \eiled today, the dayot Pace: sees ote {Signature of dedarani) 1. fore signing the declaration, the declarant should sats huself that the information furnished i tis form Is rue, correct and compete inallrespects. Any person making false statement i the decoration shal be Kable to prosecutlon andor eectlon 277 of thn tacome-tax Act 1961 and on conviction be punishable, (Ina case whore tax sought 10 be evaded exceeds wwenty-sive fakh rupees, with tlgorous mpslsonment which shall not be less than six months but which may extend to seven years and with fe; i) Inany ether cas, sith rigorous imprtsonment ori shall note less than three months but which may extend to wo years ‘and wath ine, 2. The person accepting the dectaration shal net accept the declaration where the amount of income of the nature referred to in Wem 22 exceeds the masimum amount which ft chargeable to tax, unless PAN is apple for and colur 21 is duly fied. Kotak Mahindra Bank Ltd, GIN: LBB 10Mett9BSPt Cosi Raglstered Office: 27 BKC. G27, G Block, Bandra Kurla Complex, Banca (E), Mumba - 400 04 \ygow kot comFAX-EMAIL INDEMNITY. INDIVIDUAL CUSTOMERS LUNDERTAKING-CUN-INDEMNITY g {To be executed on Stamp Paper of appropriate Value} This UNDERTAKING-CUM-NDEMIITY is signed and execute o this __dayof by Muti egies rate eed tas “he Custer, Hes eeson al uss Tbe repogant To he crestor mening she Uv deemed To mean an cae Wier els, ereto aed seuanenees on W Mus —_ a individ vesting at Individual eng at it Salvin cp — hat jy and several rte to “the Cte ‘be deemed iomean and incade to respectiue hs executors and anita 1m FavoUR oF: ota Mahinda Bank init, a Banking campy in Banda East, Mumbai = A000. (erie ated is succesos in ie and cigs) WHEREAS: A MheCasone mina, eos he sad ca) ne chit, in dye day lsines, the aman tse ee pu sso dts a he Bak en tine tne ops vd aca nage a le he iar ing the att ol eshte ts rebecca ca, a wh pao Coons vate eae a eter cons con caren lh sry ade oss fa yn Mal a fac shsegsey eens Rake ee He tine by tx ma sadhana owed tose, (aka aed acpi at ase 1” “util testo execu ths Uaeatng Cm heya eet fh Bak ‘AND IN CONSIDERATION OFTHE ABOVE, he Cision he! fey jl a ray ecards th the Baad ee utes wins alo: 1 Cou heey ue a ants he Bak oy up 0 ont aya ce, ace th any states wh ay eine nee geo te ried malar unit sg an’ aan foe acannon ah ee anno Me si Aca Cater aa ake Whe Cath ‘he Kostnetie Coste oman ete sir he Cot) 2. We Cte! aso bt 2s drmotan by Fax Eales le rman 22te Cane aun thes to tis aye dey se ite ae oe be wh ef cpt mayb rar bs laa a atone eon wich ae anh salle epie Fm) see worn be atesiebece teow 3s Cae deco: cons i te sae Se toscana i ay ae havin yond eft ed ah sk shal bere 2) Mats an = an inal ating at Which expression sha wiles be repugnant othe content mean theeah, porated rs he Coy Act, 1966 aig regbtved ole at 27K, Mo Ho C27 G black Banda Ka Compe, he ak", which exten sha ani be iepugnant to he context or caning thee be deemed o mea ad ine 4 etn ny ot othe teh a he att Ane Rained Psa egy acer ot he sete eymmcn ay ea sane by abd ns ont Csire etn sl apn eco by bal onthe hase ee Hinton: wanted te tun ry Aoi Rn ant mat thd Watt eons nse a a eae Te ae tdci ea hcl who ab cay eta lh it ay eben owe aoa a ee ea aru oon al oth Con he Asta Pte aye se aot ad sey nore nena eee son gon hl er, tenant e pa ees sn 5 Howat athe onsen wh he Bick sl te ae al atc he oF ay a ol the ests nay aisle ecto and exe rial. nd tit bang eae oy to aig non de tn tat oy tn el acinar ena he a beatthe tones ath nk sal nat Iafrate conn ate deen ao le enone eee arene the Bak wens abl yl en any wah shasta Ceo ote ast tee sol asics faa ed tr ay en wate cg bt ot ene inte eve it BF varnsn ny pat went gable encanto ha ee eee matin he ak sing dtr age pant ate tations. esis ry mea endnote lay eds tc an oles (nha “nde oy) ad sp adele a a a es oe ves ad keen and eae ato ok eng ee errs oes a ais hss agin consequence onan Fat ht aed aie one neces a a Insucten arte sn of wting 7 De cost hy wine ben eee ie a peda esi sc hh hss ano ake gal oy cn ped bythe atin eft Pech he sa a eds “OMIA TSMC NEDRTED.- "yaaa apd ea sa oa ele fogs it forge jooance oth ncn he Coton, RNIDE HA te Bask ag. lr bese tat cp ol ae ct ra aig act comin wh any ns owoeDFURTEH HAT he an al acon tho stn, sd the Castner hab bol ye Waa ated fod ee de te eee te pions 5 waste aml byte eso at ebay ae Ba be acon neo naa smd onsactns tl perl OWED FURIE a ALY HAT he asec oes eesti sey lta. rer ose aan eh KC We Oy ‘he Cs lor he Aud Paso ad shat ay moe pee hasan a wg, bral aint gg 2 aon a tot ae itt ois. Hone yuh nt sla anphg ae any ike rt acer inca pri the esr an te ee eas an Ly ho eB Heme Saree ee went oa dcepsy ning te parca ihe Casamance gg btu y aE pon bet hae heli he Con rd te ak pe itn ket 7G {apt beta Suh oie dct hang sa i Cet ft gun the mee beh any be Caton leet choca teal te eee waiee e feces he an rt ho Bako aso wate Caste ty ah oa ch ee PROUOED hash Sonne nea aea ac Pe ‘me sal i wa ean oy ante ete eae by hr ik ante heaton cnaned Nay Wace ead ie ir en adnovledgenet ye Bk 12 he pc aso he Br cis ing sal bi in oy ten vt te kde oven ay x ene ih Bak maybe att weer he a's bigs pte en an nn an i ark ma Seay eng gi we slay lac sag de ean et he ak hewn alte oy a dha a to Sai te svar ol nya cls sovc nh eee 11h aah cal ayes cab hat. ate str evans hl be ely acd xen ech an ep aa dsl abject the pc ae a ef Mb ‘Sine and Oetvered by the Customer Whtinamedby the hand of is ‘Authesiedsgnatoy Me