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||
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|
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+ n|| = ~l|+ z n|| -+
+c n|| = ~l|+
rfrr rt (fz fa nt-a+rrnt rr - trfrr r=r =. ni
r fzrrr n rs frt fra/rtrrtt =r r
|n lz|i
i t| -ti. l t| -| l|
+ +|||!l|i =|| +| (!v+| -|| z|| +| l| :=l-|-- l|`
i t| -ti. l t| -| l|
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z|||| v||i.
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nt|!nt||.
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(1)
Oriental Bank of Commerce
CUSTOMER IDENTIFICATION FORM FOR RESIDENT INDIVIDUALS
(For New Customers only. Separate form to be filled up by each Person/Joint Holder)
For Office Use : Branch Code :
Custid :
D M M Y Y Y Y D Date :
The Branch Manager,
Branch : _________________
Sir/Madam,
I hereunder submit my details for the purpose of opening of account(s) with you:
Paste Latest Photograph
and Sign it across the
Form
(To be attested by
Branch Official under
seal of the bank)
Employer/Business address
CUSTOMER DETAILS :
PREFIX (Please fill the form in BLOCK LETTERS and leave one space between words)
NAME :
FATHER/HUSBAND NAME :
MOTHER'S NAME :
COMMUNICATION
ADDRESS :
STATE : PIN :
E mail ID :
PERMANENT
ADDRESS :
TEL : MOBILE :
PAN NUMBER FORM 60/61 MARRIED NATIONALITY RELIGION
or
DATE OF BIRTH# MINOR**
# Senior Citizen, Minor provide proof of Date of Birth ** If Minor, please fill up minor declaration section below Please Specify
(Please tick the appropriate box) Please specify
Please specify
EDUCATION
QUALIFICATION
Upto Primary
Upto Higher Sec.
(Please tick the appropriate box)
OCCUPATION &
INCOME DETAIL
Agri/Allied activity Pensioner
Business/Trade Student Housewife
Self-employed
Other Source
STATE : PIN :
(Please tick the appropriate box)
Y N
D D M M Y Y Y Y
GENDER
M F Y N
CATEGORY
OBC OTHERS Gen SC ST
Salaried
Professional Graduate
Post-graduate
A
N
N
U
A
L

I
N
C
O
M
E
Upto Rs.50,000/- Rs.50,001/- to Rs.1 lac
Above Rs.2 lac to Rs.5 lac Above Rs.5 lac to Rs.10 lac
Above Rs.1 lac Upto Rs.2 lac
Above Rs.10 lac
> Annual Turnover (in case of Non-Salaried persons - Rs. Lacs) in
> Any Financial Interest in Foreign Countries/business relations abroad
Domestic Foreign
Yes No, If yes, give details :
a. Nature/Type of business/financial relations and countries (Brief details)
Yes No, If yes, give details :
b. Do you expect remittances/funds from abroad in this account
O.F. 1A
(2)
rr ftr
(|=(| |:l n|:=-= | ~|:i +| =z| =-| ~|:i +| |z|- +|*
l+=i |i n|- =|| +| ~|:i +| # ( - +|
- r/frt =trr/rt=t t rrr=rrr =rr z. fz rs rr . :l ~(l-|- t . ~n z|i =n-` :n|| n`
@|t+ +| -|n (-| =lt- llni ln ~||- lni + ln. ni+|- ln :+n n n|:-`. n(ii +- +z|- =i. (|-i + ln. | l(n -i-
n|t +| t|-| -|lt+ l =| llni ln ~|| +|: ~- -| l= + (- + vn|| t- i+| l+| t l l+=i l-+ =|i ~||-. (-i. (z.
(zi. n|-|l(-| ~|l + -|n t | ~(- (l-. l(-|!n|-| -|| (z!(zi + =|| t- t . =| |i n|nn| t|. := |i (- + vn|| + ln i+| l+| || z|-
:=+ =|| -= l+- r|| ||||| +i : t|. l=+ =|| t t-| t !t-i t l+ + n ||-| |n|- + ln :-+ l+- -=+ =|| t-| t +
# (- + vn|| + ln ~- + -|i =|- l=+ =ti t|- +i (l + +i =-l + ~-=| +i | l=n l+=i n|--| v|-- - v|l|+|i ~|| ~(-
l-|+-| +| (z |i z||lnn t||+
* n +| ||+ l=+i +|| |z|- +| n t . + -|n ||n ||- + ln | t +
# l+=i n|--| v|-- =|| r|| |i +|| (t-|- (z l=+ =|| n|--| v|-- =+|i v|l|+|i ~|| - =+ +| (z t| l=n |t+ +i (t-|-
-|| |t+ +| (-| =|l(- l+| | t|. l== + +i =-l + ln (t-|-!~||= +| vn|| v|-- t| =++
llni ln@
|z|- +|
|(| n|:=-=
~- -|#
l+=i l|i =|| + +|| +- +l!
l +|
=|l(- l|t vn|| (z
=|l(- -n vn|| (z
(i- ni i
+l +| l|i :l(n .c l- +i`
+ l|i :l(n .c l- +i`
+|n +e. ii= vn|| (z
+|||+ =lt- |=|l+ n|:=-=
|i.
:~|+ + t-|-|!~a|l-z||-`
:(| |~l- ~| i |~l-`
|t :l ~a|l-z||- t|`
r nrr rtarrt
-|n
z=t nrr rtarrt
-|n
(-| (-|
(l-|-| + t-|-|
||-| =| |t+ ~|: i
n t vn|l|- +-| t!+-i t l+ n ~|l-n + ~|+ +|n= +| t nti- = ~l|+ ||-| ||+ t+ n t vn|l|- +-| t!+-i t l+ n ~|+| +|
l(n ||!n|t = l-i -| ( |--|!|--i t -|| -=+ ~|- (z n l --+ (t-|- -|| (- +i (l +-|!+-i t+
(| |i+-| + + -|n + =|| +l +|!l +| l| . l +|: t| : +l-(+`
||-| ||n- +| -z
-- =t| |-v|| +||| ~- +|:. (| --n| +
t

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rrt f=n r tra r r rn n rr tnr rf=t (=ti - frr - rs rftar


:i` |ln :i` +| :i` +cc n|| -+ :i` +cc n|| -+
:ii` l+| +| :ii` (lt| :ii` zcc n|| -+ :ii` zcc n|| -+
:iii` l-|+-| +| :iii` ~- :iii` :cc n|| -+ :iii` :cc n|| -+
:iv` ( -+ :iv` +|: -ti :iv` :cc n|| = ~l|+ :iv` :cc n|| = ~l|+
~|l-n + ~|+ +|n= |t+ :(l-|-|` +| -|n ft
t-|-| =|l(- : + v| t-`
~-i ~l|+| -
n
=


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+ +!l|i =||! +|+n|( =l|| +| +n i- il- +|| |lz| +!l|i =||!z|||| n


= ~|i=i +i z|||| +| -|n ( =in| l-l| :+ ~-=|` ~|l- i+|
+
z
n -r|| ||l|- +-| t l+ -(+- |-+|i ni =||n |-+|i + ~-=| =ti t -|| :=n l+=i |i - +| (|| -ti |+
:+ n ~| + | | -| =n- +` (| =|(- + ln nn -| +
(3)
IDENTIFICATION
DETAILS
(Rs. In lac)
I hereby declare that the information furnished above is true and correct to the best of my knowledge and nothing has been concealed therein.
(Attach self attested copies of one primary and one secondary document). Please produce original for verification.
P
R
I
M
A
R
Y

D
O
C
U
M
E
N
T
S
Passport Driving Licence Voter ID Card Armed Forces ID Card Ration Card*
ID Card of any Accredited Institution # PAN Card
S
E
C
O
N
D
A
R
Y

D
O
C
U
M
E
N
T
S
DEALINGS WITH OTHER BANKS/FI/BRANCHES OF OBC, IF ANY : (Attach separate sheet, if required)
@Utility Bills viz, Electricity Bill, Telephone Bill (landline only), LPG connection receipt, Water Bill with name and address of the
customer and pertaining to last three calendar months.. In case the utility bill or any other document accepted by the Bank as address proof
is in the name of some close relative, i.e., wife, son, daughter, parents, etc. who live with their husband, father/ mother and son/daughter as
the case may be, is also acceptable as the address proof if it is accompanied by a declaration from the person with whom he/she is living
that the person desirous of opening his/her account with the bank, is living with him/her.
# Other Documentary evidence in support of residential address, correctness of which can be ascertained include a letter from any
recognized Public authority or employer, to the satisfaction of Bank.
* Valid only if the account is being opened in the name of Primary Card Holder whose photo is in the Ration Card.
# ID Card with Photo of an Accredit Institution including a letter from a recognized Public Authority or Public Servant verifying the
identity & residence of the customer which can establish identity/residence proof, to the satisfaction of the Bank.
Utility Bills@
Ration Card
Trade Licence
Other Doc.#
Photo Credit/Debit Card of any FI
Certified Marriage Certificate
Certified Birth Certificate
Regd. Lease Deed
Credit Card Statement (within last 30 days)
Bank statement (within last 30 days)
Form 16, TDS Certificate
Professional Licence with photograph
1.
2.
S.
No
Name of Bank/ FI/
Branch of OBC
Activity Nature of
Facility
Aggregate
Sanc. Limit
Date of
Sanction
Balance
outstanding (As on
Asset Classification with
Bank/FI/Branch
Yours faithfully,
(Signature/ Thumb Impression
of theApplicant) (Male-LTI
and Female-RTI)
Witness (In case of Thumb Impression)
1st witness signature
Name :
2nd witness signature
Name :
Address : Address :
Signature of Introducer Signature verified(for bank use)
PA No. :
INTRODUCTION Oriental Bank of Commerce Customer (Introducer's) Name
ACCOUNT NO. CUSTOMER ID
I confirm that I am an account holder with Oriental Bank of Commerce for over six months. I confirm that I personally
know the applicant/s detailed herein for _______ years/months and confirm his/her identity and address.
A
S
S
E
T
S

O
W
N
E
D

*
O
p
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i
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a
l
Please give Credit Card/Debit Card details, if any, alongwith name of issuing bank (*Optional) :
House you live in
i. Owned i. Car i. Upto Rs.1 lac i. Upto Rs.1 lac
ii. Rented ii. Two Wheeler ii. Upto Rs.2 lac ii. Upto Rs.2 lac
iii. Employer's iii. Other iii. Upto Rs.5 lac iii. Upto Rs.5 lac
iv. Ancestral iv. None iv. Above Rs.5 lac iv. Above Rs.5 lac
Vehicle(s) owned Life Policy (SV) Other Investment Any other Assets
> Purpose of opening the account
Salary Collection Remittance Business Any other. Please specify
(4)
rr rn ra
+ ~|+:+|` = (-| +i : ||-| ||n- + -z +| (-| n|| | :l|`
z + (l-|-| +| z|||| n n|| | ~| (-| +i : i t| -ti ||-| ||n- +| v|-
| (l-|-| z|||| n -ti ~|| i t| -ti
(l-|-| +| |-| (z || | i t| -ti
| |t+ +| |-| (z || | i t| -ti
. (t-|- +| l| v|-- l+| | nn vl-| = |- +i :
+
| |
: ||-| ||n- |n ~l|+|i +i l-(l||
||- +| i+| +n |l|n :=i+` t- ~l|+ |l|n :=i:`
=rrar =rr z
ttrt t (rtr zi
~l|+ |l|n :=i.` nn |l|n :=iz`
v|l|+ =in|
rn eo/e| (r fn ||+-t r aat ta z=ri
:t ||||| (z -= l+- r|| || | l=+ (|= ( - =| -ti t ~| | l-n ++: | + | :+` = :` n ll-l n-- n -+ n| +-| -|t- t `
+ ||||+-| +| (| -|n (-|
:(|=(|!|z|- +|!+n-|i ~|:i!|:l n|:=-= r|| =nl|-`
z +|nn + n l (- + =n|- n v-- -| +| l|
. n-- | | ||- +| |n-|
: n-- |lz|
: +| ~|( + l-||l-i t t|!-ti e l t|. ~|+ |!=+n!- +| l|
|+ t|- (!~| ( ~| + v|| -ti t + ( - - -ti t|- +| +||
frr r rta t r fa zrtr rrrrrrr f=t - =-r . n -r|| ||l|- +-| t l+ -(+-
rs r rt r. f= t rt +rr rr+ +|- ni =||n |-+|i lz|= + ~-=| =ti t +
n -r|| ||l|- +-| t l+ ni ~| +| |- l| t ~| n l+=i l-|+|+| =|l(-
~- ~| :l +|: t|` ( ~|+ -ti -| t +
rr rtarrt rrrrrrrar rtarrt
l+=- =|l(-!i+| l+|
rrr=rr +rrtt rtarrt
~-i ~l|+| =|
rfra frrtt/rr s-r rtarrt
~-i ~l|+| =|
l-|+
||-
(5)
FORM NO. 60/61 (PLEASE SEE THIRD PROVISO TO RULE 114-B)
Declaration to be filled by a person not having either a PAN and who intends to make cash deposit in respect of transaction specified in clauses (a) to (h) of Rule 114(B)
Signature of the Authorized Official/Hall-In Charge
PA No.:
Signature of Branch Incumbent
PA No.:
FOR OFFICE USE ONLY
1. Applicant interviewed and purpose of opening of account ascertained (description)
2 a. Introducer called at the branch & interviewed. Yes No (Purpose of Opening of Account)
b. Introducer did not visit the branch. Yes No
c. Letter of Thanks sent to Introducer Yes No
d. Letter of Thanks sent to Customer Yes No
3. Particulars of Identification obtained and verified from original:
a. c.
b. d.
4. Observations of the Official opening the account
Classification of Account as
Open the Account(s) Reject (Give Reasons)
Low risk (C-1) Very High Risk (C-4) High Risk (C-3) Medium Risk (C-2)
Threshold Limit Rs. How verified/Accepted
1. Full name & address of the declarant
(To be supported by Passport/Ration Card/
Employee ID/Driving Licence, etc.)
2. Details of the Document produced in support of
address in column 1:
3 Transaction Particulars Opening of _________________________ A/C
4. Amount of Transaction
5. Are you Assessed to tax? : Yes/No* 6. If Yes, details of Income Tax Ward/Circle/Range : _______________________
Being Agriculturist/Income being not chargeable to IT Reason for not having PAN Number : ___________________________________
Declaration by a person having agricultural Income only and Verification : I ___________________________________________ do hereby
no other income chargeable to Income Tax declare that what is stated above is true to the best of my knowledge and belief.
I hereby declare that my source of income is from agriculture Verified, today, the _______________________ day of _____________ 20____.
and I am not required to pay IT on any other income (if any)
Signature of Agriculturist Signature of Declarant
:
Date : __________________
Place : __________________
(6)

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