clF No.
Savings Bank Account Opening Form (lndian Resldents)
l/vve request you to open my/ourdeposit accountwith your branch/bank
[Link] / Type ofAccount:
Salary tr State Pension tr Staff E CentralPension ! Sr. Citizen E Minor E
Scholarchipc/UvA) I General D Saving E] Other tr
Constitution :
lndividual f] Joint lndividual n Trust ! Associatlon ! HUF tr Other tr
Mode of Op€ration :
Slngle f] Eitherorsuryivor f] Fomer or Survivor fl Anyone orsuruivor E Joinlly by all tr Olher tr
Your Oetails (First Applicani) Your Oetails (Second Applicant)
'lltle: Mr.
Tllle: Ivlr. E Mrs. fl Master fl Miss fl Dr fl Other fl tr Mrs. ! N4aster nMissLDr..Othor-
Middle Name Su Name Filst Name lliddle Name
Father/Spouse Name : Father/Spouse Name :
[,4other's l,laiden Name : [4other's Maiden Name :
Daie of Birth (dd/mm/yyyy) Date of Birth (dd/mm4.t/yy)
Gender iMn /FD : l,larila] Status: Single D Marled E Othern Gender:lV tr /F!: [Link]: Single D Marri€d tr Olher tr
PIace of Birth : Plac€ of Eirth :
Nationahty: lndian/Ohers_ Nationality: Indian/Others
Resideniial Staius : Resident tr Non resident fl Residential Status : Resident E Non rcsident fl
Domicile : lndia/Othe6 Domacile : lndia/Olhers
Contact details: Contac{ dotalls:
[4ob. I
E-mail id :
ld No. ld No.
[Link] : Re6id€ntial Addre$ :
Pemaneit Address (lf different fiom residential): PermanentAddress (lf difierenl from residenlial):
ld No.: Valid uoio : I I ld No.: Valid uoto: I I
PAN No.:_
(f not avaiable, attach form No. 60/61) (ii not available, atiach form No. 60/61)
Name as to be p nted on Cad (lt4ax 19 Chao printed on Card ( Iax 19 Char)
Education:
Occupation
Reliqion : Religion
CASI : SC / ST / NT / OBC / GENERAL Cast:SC / ST/ NT/ OBC / GENERAL
Occupancy of Residence I SelfOwned/ Family rcsdence/ [Link] ol Residence : SelfOwned/ Family residence/
Company Provided/Rented/Occupied on Lease/Purchased on Cornpany Provided/Rented/Occupied on Lease/Putchased on
ntroduction of exisiino Account holder {Only iflD and lnircduction of exlsting Account holder (Only i{ lD and
acldress proof not submitted/Account open€d under addrcss proof not submitted/Account opened uncler
relaxed KYC) relaxed KYC)
Narne :
Other Mahabank Servi
lntemet Banking Personalized cheque book PhoneBanking SMS [Link] Mobile Eanking [Link]
FirstApplicant D L ! n U tr
Second Applicant tr tl n ft l n
! Please send rny net bank ng user id and Passwotd on my mail d al my sk
lnsureyourself (Mahasuraksha Scheme) (Optional)
1€s woud ike to tai{e advantage of Mahaslrksha scheme lo prolect myse f. UnderlheschemeAccounthoders aged beween 18 alrd 59 years aeprovided wilh
a Lf€ rnsurance cover of Rs 100Lakh.('[Link])
I wish to know more about :
BOIV - SBl Credit Card ! L,4ahabank Swasthya Yojana tr Nationa Pension Scheme tr Housing Loan
Llahabank Gold Coin E l,4ahaswama RD Scheme tr Denrat Services ! Onllne Sharc tra
authorisaiion and Underlaklng by applicants
ani ir;deGtood accounl Ruiesand lMe he€byacceptand agleelo be bound
t/We Confrrn thaj we have read by thelerms and condilons, outlined n $ese ru es which
governlheaboveseectedaccount(s)andse&icesandamendrnenlsiheretomadebytheBanktirnetotime
.screli'ondscontinueanyofiheserucecompletelyorpartalyandlorcloselheaccouniwilhoulanynotcelome/usincaseaccouniopeElionsarbnolsalisfaclorywhch
:-.udeirequenldshonourorcheque/dishonourofhighvaluecheques,[Link],insolvencyorwlhd€waofanyormoreofud,themoneslhenand
i.€afierstandtngatthecredltofthesadaccountand/oranysecudliesheldbyyouinouraccoLntbeaithedisposalofthesuryivororsuryvorsofus
. ririr.t anr !/-!are€saen(citndiaandl/Wecediiythailheinfonnalionfumishedabovesirueandcorrecttothebestofmy/[Link]
aaknovJ edged h/I [Link] lk
r;n/asmaircnc-_rs?ry /!i,eq\:- :.nscen omakelheuseotthedata/nfomalionturnlshedbymeformaknganalysisandilsuseforthebafksownpurpose.
apprrcanfssignature:
Branch Code:
Sdr€nre Code
Risk Calegory : Nigh / Medium /Low Dale / Signature
Mode of OpeEtion :
Single tr
Lalest Elther or Suryivor n
Photograph
Photoglaph
2ndApplicanl 3rdAppiicant !
-
Jointly by ali .
Oiher tr
Signalure Siqnature Signature
Form DA 1- Nomination Form
Nomination !nder Sec. 45ZA of the Banking Regulaiion Act, 1949 and Rule 2(1) of the Banking Companles (Nomination) Rules,
1985 in respeci ofBank deposiis.
(Nam€)residinq at
following perconiowhom in theeveniofmy/oul/mino/sdeaihthe amounloldepositin the accouni, particularcwhereofaregiven below,
rnay be retumed by Eank ofMaharashtra
Name &AddGsses oi lhe mminee Daie of b ifi of Nominee
A. rhe rominee s a rrmror th,s date. l/We appoirl (Name)
(Address) (Ase)
(Accouni No of Nomireelfhaving account wilh Bankof l\,laharashlra) to receive the amountofthe deposit in
the account on behalf of the nominee in the event of my/our/ minor's death during the minority of the nominee.
OR
n l,ryVe Do notwish io kesp Norninaljon
Signature(s) lThumb impression of Depositors
- fhunb inprcssion (s) shall be attesled by two witnesses.
clotalls & Signature otwitness:
1)Name: 2)Name:
ssn Sign:
Plac€ & Date
FOR BRANCH USE ONLY
Panlculars of Form DA1 (if received) entered in Nominalion Register Sr. No. Dt.
Ledqer Keeper
Acknowledgment
We have noied lhe nomination in Nominauon Register Sr. No. Dt.
Branch Ilanager ( Blanch) BEnch Seal
FORM NO.60 [Seethird provisoto rule 1148] FORM NO.51 [See prcvisotoclause(a)of rule 114C(1)]
Fom of declaration to be filed by a pe6on who does not have Form oi declaration to be filed by a person who has agriculiutal
either a permanent account numbet or General lndex Register income and is not in rcceipt of any othet income chargable io
Numberandwho makes paymentin cash in respect of tansaction income-lax in respecl of transactions specified in clause (a)to (h)
specified inclauses(a)io (h)of rule 11B of rule 1148
1 Fullnameandaddressof thsdeclarant 1. Fullnameandaddressofthedeclaranl
2. Particulars of transaction 2. Particularc of transaction
3. Amount of iheiransaclion 3- Dotails ofdocuments being prcduced in suppott of address in
4, Areyou assessed totax? Yes/No
I
column(1)Yes/No
hereby declare that my source of incorne is frcm ag culture and I
5. lfyes,
am notrequired to pay income-iaxonanyotherincome itany
(i) Details of Ward/[Link]/Range where lh€ lasl retum of income
Date:
(ii) Reasons for not having permanenl account number/Gene€l
lndex RegisierNumbel?
6. Details of the document being produced in support of address Sidnature of ihe declaranl
incolumn(1) Verification
1......................-...........................................doh€rcbydeclarethat
whatis stated above istruetothe bestofmyknowledge and beliel
Vedflcation Ve fy today,lhe .. --....-...................... day of
1,..........................-.....................-..............doherebydeclarcthai
what is slated above is true to the best of my knowledge and belief Pla@: .. ..-............
Ve fy today. the day of . .. Siqnalure oithe decla?rl
Place:.... ......................
Signaiute of ihe declarant
Anv Other dela;l
