CASA Account Opening Form A205 Non Individual

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A205_2024 (AOF-Legal Entities)

Current Account/Savings Bank Account Opening Form For Legal Entities


(Non-Individuals/Corporate Applicants viz. Proprietary Concerns, Partnerships, Companies, Trust, Associations, HUFs, LLPs etc.)
(Office Use Only)
Name of the branch Date D D M M Y Y Y Y
Account No Branch Code Apex Client ID Product Code/No. Ref No.

Instructions: 1. Please fill in BLOCK letters only. Leave one box blank between words/names 2. Tick() the appropriate boxes 3. Fields marked with asterix (*) are mandatory
I/We Request you to open an Account as per the details furnished herewith

Account Type* Scheme* AMB - Average Monthly Balance

Blue CA Silver CA Gold CA Platinum CA Platinum MAX CA


(AMB `10,000) (AMB `25,000) (AMB `50,000) (AMB `1 Lakh) (AMB Rs. 10 Lakhs)
Current A/C
Smart Trade Forex CA PRO Trade Forex CA Govt.CA TASC CA

RERA....................... Escrow Account....................... Collection Account............... Others


Blue SA Silver Plus SA Gold SA Platinum SA
(AMB `2,500 for Rural/Semi Urban Branches (AMB `10,000) (AMB `25,000) (AMB `1 Lakh)
Savings A/C AMB `5,000 for Urban/Metro branches)

Govt. SA TASC SA Others

Applicant Firm/Company/Entity Name* (In Capital Letters)

M/s

Mode of Operation*
Single Severally Jointly As per Resolution (Give Details)

As per (A-63) Letter of Authority Other mode (Specify)

Purpose of the Account


Business Election Expenditure Fee Collection Escrow Arrangement Payment Account
VASP Account Collection Account Specific Account*................................. Others*.....................................................
* Mention the type
Mailing Address* (Please tick any one of the following)

Deliverables to be sent to: Correspondence/Local Address of Legal entity (or) Registered Office Address of Legal entity

Initial Deposit Details*

Amount Amount (words)

Cash

Cheque No. Date D D M M Y Y Y Y MICR enclosed.

CSB Cheque Bank Name (if Other Bank Cheque)

Digital Banking-Value Added Services (#ATM/Debit Card facility is available for Proprietorship and HUF Accounts)

Account of the applicant entity will be enabled with digital channel services including Debit card, Retail Net Banking, Corporate Net Banking, Mobile
Banking, SMS alerts, E-mail alerts/statements.
If you want to avail any of the said services, please tick () the appropriate boxes
ATM/Debit Card# Retail Corporate Mobile SMS Alerts E-mail Alerts E-mail Statements
Net Banking* Net Banking** Banking (nominal charges apply) (Monthly)
* Retail Net Banking is allowed only for Proprietorship, One person companies and Individuals
** Corporate Net Banking is allowed only for corporate Entities. If Corporate Net Banking is selected, the Annexure for Corporate Net Banking also to be attached with AOF.

ATM/Debit Card Usage:


ATM Domestic International Bharat QR POS Domestic International Payment ECOMM Domestic International
Gateway
Preference if any, for higher variant debit card Rupay Platinum Visa Platinum Others
(Annual charges as per card variant shall be applicable)
Note: Mobile Number and E-mail ID registered for Legal Entity will be linked for Alerts
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Merchant Acquiring Product

Apply for-BQR BQR KIT Serial Number


 One time registration fees – Rs.399/- (Incl. GST).

I/We authorise Bank to use my/our credentials including KYC documents also and personal data available with the Bank and to share the same with Bank’s authorised vendors/service providers,
for provision/activation of the above products/services. Also authorise Bank and its registered vendor to contact us.

Signature(s) of Applicant(s) Signature/Thumb Impression of 1st Applicant with seal Signature/Thumb Impression of 2nd Applicant with seal Signature/Thumb Impression of 3rd Applicant with seal

Resolution/Letter of Mandate for CSB Internet Banking/Mobile Banking/Debit Card Facility for Corporate Accounts
Resolved that the CSB Internet Banking/Mobile Banking/Debit Card facility being offered by CSB BANK LIMITED be availed in my/our account. Further
resolved that Sri./Smt.

(name of an authorized person/mandate holder/POA holder)


(designation) be issued ID/Password/PIN by the Bank for the purpose of Internet Banking/Mobile banking/Debit card facility and be permitted to access/operate the account using the
ID/Password/PIN and is authorised to execute necessary documents/undertakings on behalf of the entity in connection with the CSB Internet Banking/Mobile Banking/Debit card facility offered by
the bank. I/We also agree and undertake that all acts, deeds including the execution of necessary documents/undertakings on my/our behalf in connection with the CSB internet banking/mobile
banking/debit card etc., done or omitted to be done by him/her shall be binding on me/us and shall not question the same.

Nomination*
1. Applicable/Available only to Proprietory Concerns 2. Nominee has to be a Natural Person 3. To be signed by proprietor even if nomination is not required.

Nomination Required Not required CKYC Number of Nominee


(if already registered)

Name of Nominee

Relationship with Depositor Age Date of Birth D D M M Y Y Y Y


(if minor)

Address of Nominee

#As the nominee is a minor on this date, I appoint


(Name, Address & Age) to receive the amount of the deposit on behalf of the minor nominee in the event of my death during the minority of the nominee.

Signature of Proprietor

#Strike out if nominee is not a minor. In case of thumb impression of account holder, the same shall be attested by Branch Official under seal.

Terms & Conditions/Declaration*


I/We have read, understood & unconditionally agree to comply with the Bank's Most Important Terms & Conditions in force from time to time, governing the conduct of the account & other services,
including value added services, as applied for ie; ATM/Debit Card/CSB Internet Banking/Mobile Banking (details available on the Bank's website www.csb.co.in).
“I/ We here by provide consent for capturing/ collecting necessary details pertaining to me/ us, upto the satisfaction of the Bank, for the purpose of onboarding”
The User ID, Password, PIN Number or any other security systems provided for the operation of Internet Banking, Mobile Banking, ATM operations shall be kept by me/us as confidential information.
I/We should not divulge the same due to my/our carelessness or otherwise and if any loss or damage is occurred to Bank due to the access got to it by any other person. I will be truly responsible and
the Bank is fully indemnified to the loss that may occur due to such unauthorized access.
I/We accept and agree to be bound by the said Bank's Conditions including those limiting the Bank's liability. I/We understood that bank may at its absolute discretion, discontinue any of the service/s
completely or partially without any notice to me/us. I/We agree to maintain the minimum balance as applicable from time to time in the account & that the Bank shall be at liberty to deduct service
charges as per rules in force for non-maintenance of requisite minimum balance. I/We also agree that we have no objection to the Bank debiting my/our account for any other service charges
applicable from time to time. I/We authorize the Bank to keep providing me/us the information of the Bank's new products and offers through my/our preferred mode of contact or through a phone
call as convenient.
I/We hereby irrevocably authorize the Bank to disclose from time to time any information on or relating to my/our account(s) with the Bank to any other branch of CSB BANK LIMITED/other
Banks/Financial Institution/Agencies/Statutory Bodies/Persons as the Bank may deem necessary. We undertake to inform the Bank any change in my address and to provide any further
information/updated KYC document that the CSB BANK LIMITED may require from time to time. I/We also agree that the original account opening form and photocopy of KYC documents shall be
retained by the Bank, for record purposes.
I/We certify that I/we have the capacity to sign for the entity as per the CBDT rules/RBI guidelines.
I/We also agree that my/our failure to disclose any material fact/information known to me/us now or in future or my/our failure to remedy any deficiency in documents/information/other details within
the stipulated period, may invalidate me/us from transacting in the account and the Bank would be within its right to put restrictions in the operations of my account or to close it or to report to any
regulator and/or any authority designated by the Government of India (GoI)/RBI for the said purpose or take any other action as may be deemed appropriate by the Bank under the guidelines issued
by CBDT/RBI/FEMA/GoI from time to time. I/We also authorise the Bank and agree to close/discontinue my account without any notice to me in case of any violation of laws/rules/regulations or terms
and conditions of maintaining the account.
I/We undertake and unconditionally agree that in respect of this account, the amount invested & the transactions in this account will be strict as per FEMA regulations, and also the entity does/will not
involve in any Restricted business activity as per FEMA & RBI regulations.
Initial Payment Funding Declaration: that I/we am/are depositing/deposited funds from my/our own/entities’ bank account and not from Third Party Bank account. I/We understand and accept that
Bank can refuse to open the account at its discretion if any discrepancy is found. The Bank will return the IP funds/IP funding cheque to me/us if the account opening could not be processed on account
of non-submission of KYC documents by me/us. I/We also hereby agree to, pay the Bank/the Bank deducting from my/our funds lying with the Bank, the processing fee as notified by the Bank from
time to time on its website www.csb.co.in along with tax if the account is closed/is not activated due to non-submission of KYC documents by me/us as per the extant guidelines of the Bank.
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BQR Terms & Conditions


1. By on boarding to CSB Bank Merchant services, the Merchant hereby agrees to the below Terms and Conditions, which form the contract between the Merchant and the Bank.
2. CSB Bank Static QR of the Bank shall be either managed by Bank/third party service providers and governed by such terms and conditions as amended and notified by the Bank/third party service provider
from time to time. These terms and conditions shall be in addition to and not in derogation of other terms and conditions relating to any account of the Merchant and/or the respective product or the services
provided by the Bank unless otherwise specifically stated.
3. The facility will be available to merchants having a satisfactory running Current account with the Bank.
4. Settlement time will be as per timelines as notified by the Bank and agreed by you from time to time, excluding Bank / Settlement Centre holidays
5. The Bank may also terminate or suspend the facility without prior notice if the merchant has violated the terms and conditions laid down by the Bank or on the death of the Merchant when brought to the
notice of the Bank.
6. Liability: The Bank shall not be liable if a transaction through CSB Bank does not materialize or is delayed or is incomplete due to any reason whatsoever.
7. Responsibility: Except as otherwise provided by Applicable Law or Terms and Conditions applicable to the Account, merchants understand that they are financially responsible and liable to the Bank for all
uses of the CSB Bank Collect Merchant Services by them and those authorized by them during the registration and payment.
8. The merchant agrees that the transactions originated using mobile phones are non-retractable as these are instantaneous/real time.
9. The merchant understands and explicitly agrees that Bank has the absolute and unfettered right to revise the prescribed ceilings from time to time which will be binding upon him/her.
10. The merchant agrees to receive/accept payments via Static/Dynamic QR as the case may be as per Bank’s Guidelines. As such, it is the merchant’s sole responsibility to ensure the safety of the merchant
application, QR standee and Stickers provided by the bank and secure it from any unauthorized usage and Bank shall have no liability in this respect.
11. The merchant understands and accepts the current MDR structure and bank polices pertaining to the service provided and that they are subject to change from time to time on account of various factors
12. Indemnity: In consideration of the Bank providing these facilities, the Merchant agrees to indemnify and hold the Bank harmless against all actions, claims, demands proceedings, loss, damages, costs,
charges and expenses which the Bank may at any time incur, sustain, suffer or be put to as a consequence of or arising out of or in collection with any service provided to the Merchant pursuant hereto. The
Merchant shall indemnify the Bank for unauthorized access by any third party to any information/instructions/triggers given by the Merchant or breach of confidentiality.
13. Complaints/Charge Backs: Merchant can raise the complaint/query to respective CSB Bank branches/ email to bharatqr@csb.co.in or call to 1800 266 9090. However, the instances of Chargeback will be
lesser, as the transaction will be originated by the Customer himself instead of merchant, I/We authorize CSB Bank to debit my account maintained with CSB Bank pertaining to this facility on instances
relating to chargebacks, wrong credits or any disputes.
14. MDR charges for Bharat QR- UPI Transactions & Debit Card – RuPay – NIL and Credit card – 2.10%
Information pursuant to Anti-Money Laundering (Applicable for all Current/Savings Accounts)
1. I/We confirm that the account will not be used for any money laundering purposes.
2. I/We am/are the beneficial owner of all assets run through my/our own account.
3. The beneficial owner of some/all assets run through the account is/are (name and address of the person for whom the account(s)are maintained): ..............................................
....................................................................................................................................................................................................................................................................................................................
The ............................................................................ Branch of CSB Bank Limited where my/our account is maintained will be the base branch accountable for repayments / settlements. I request
and authorize you to honour all cheques, Bill of Exchange, Promissory Notes and others, drawn, accepted or made on the said account by me whether the account is in credit/overdrawn.

Change In Rules
The bank reserves the right to alter, delete or add to any of the Rules and/or service charges for which the customer will be duly notified. The detailed rules are available on the Banks website
www.csb.co.in and/or branch notice board.

I/We hereby also affirm and declare that my/our mailing address is as indicated overleaf. I/We understand that the positive confirmation letter sent by the bank to that address, if
returned undelivered, may result in the bank stopping all operations of my/our account, without further notice.

Signature & Seal of Authorised Signatory Signature & Seal of Authorised Signatory Signature & Seal of Authorised Signatory

For Office Use Only


Account Sourcing Channel
Walk in Customer Staff/Marketing Team Lead Generated by Emp. Code Lead Closed by Emp. Code
Customer Referral Individual Client ID Lead Closed by Emp. Code BC/DSA BC/DSA Code
Others Channels Campaign Code

Name of Section Officer/


Marketing executive Signature and Seal
Designation Emp. Code Date D D M M Y Y Y Y of Section Officer/
Marketing executive
Applicant(s) signed in my presence

Name of Branch Operations Manager


(BOM)/Branch Manager (BM)
Designation Emp. Code Date D D M M Y Y Y Y Signature and Seal
of BOM/BM
Risk profile categorization of applicant(s) confirmed & account opened.

Tear here

ACKNOWLEDGEMENT

CSB Bank Ltd., ..................................................................................... branch


To,
...................................................................................................................................................................................................................................................................( Name of the Account)
Nomination acknowledgement (if applicable)
We acknowledge receipt of nomination made by you in favour of ............................................................................................................................................................... (name of nominee),
(age …………… years), with respect to yourAccount No (s) ...................................................................................................
Account Opening Form Acknowledgement
Sub: Application for opening savings/Current Account with us
Ref: Your Application Ref. No. ...............................................................................................Dated....................................................with intial remittance of .....................................................
CSB_01_22_01_24

We acknowledge with thanks the receipt of your application for opening a Savings/Current Account as referred to above
Yours faithfully,

Date:
Signature of Bank official with seal
CSB Bank Limited - Regd. Office: CSB Bhavan, Post Box No.: 502, St. Mary’s College Road, Thrissur, Kerala 680 020
24x7 Toll-free: 1800 266 9090 | E-mail: customercare@csb.co.in | www.csb.co.in | CIN: L65191KL1920PLC000175

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