Jamia Cooperative Bank
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Account Opening Form For Firms/Corporates/Trusts/Societies/HUF/Others

Please enter a valid name (alphabets only).

Type of Account

Account Category

Constitution

Mode Of Operation

Documents Attached

Existing Bank Accounts

Personal Details of Authorized Signatories

1. Authorized Signatory

Please Affix Passport size photograph

2. Authorized Signatory

Please Affix Passport size photograph

3. Authorized Signatory

Please Affix Passport size photograph

Details of Authorized Signatories

Details of Authorized Signatories 1

Details of Authorized Signatories 2

Details of Authorized Signatories 3

KYC Documents

Identity Proof(Any of the following)

KYC Documents For 1st Applicant

Address Proof (Any of the following)

Bank account statement or passbook

Latest Copy of LIC Insurance Premium receipt

Letter from employer certifying the current mailing address (only from private limited/ limited companies)

Existing valid registered lease agreement on stamp paper (in case of rented/ leased accommodation or shifting/transfer of residence)

KYC Documents For 2nd Applicant

Address Proof (Any of the following)

Bank account statement or passbook

Latest Copy of LIC Insurance Premium receipt

Letter from employer certifying the current mailing address (only from private limited/ limited companies)

Existing valid registered lease agreement on stamp paper (in case of rented/ leased accommodation or shifting/transfer of residence)

KYC Documents For 3rd Applicant

Address Proof (Any of the following)

Bank account statement or passbook

Latest Copy of LIC Insurance Premium receipt

Letter from employer certifying the current mailing address (only from private limited/ limited companies)

Existing valid registered lease agreement on stamp paper (in case of rented/ leased accommodation or shifting/transfer of residence)

Facilities

FOR PROPRIETORSHIP CONCERNS

I, the undersigned, inform you that I am the Sole Proprietor of the firm named M/s

and I am solely responsible for liabilities thereof. I shall promptly advice you in writing of any change that may take place in the constitution of the firm and I will be liable to you for any obligation which may be standing in the firm’s name in your books on the date of receipt of such notice and until all such obligations shall have been cleared.

For Partnership Concern

Whenever any changes take place in our partnership, we undertake to promptly inform the Bank of the same in writing and our individual responsibility to the Bank will continue until all our liabilities with the Bank are discharged.

Yours Faithfully

Letter from employer certifying the current mailing address (only from private limited/ limited companies)

Name of Partner

NOMINATION (DA1Form)

Nomination :

I have been explained about the benefits of the Nomination facility; however, I do not wish to provide Nomination for this Account

*Nomination under Section 45ZA of the Banking Regulation Act 1949, and rule 2(1) of the Co-operative Banks (Nomination) Rules, 1985, in respect of the Bank deposits. Whether nominator(s) agree(s) to have name of the nominee on pass book/Statement of Account

I/We, hereby nominate the following person to whom in the event of my/our/minor’s death, the amount of the deposit particulars of which are given below, may be paid by Jamia Co-operative Bank Ltd

to receive the amount of the deposit in the Account on behalf of the Nominee in the event of my/our/minor's death, during the minority of the Nominee. Witness detail (Two Witnesses in case of thumb Impression)

Witness No. 1
Witness No. 2

@ Please Put Tick in appropriate box wherever applicable.

# Where Deposit is made by minor, the Nomination should be signed by a person lawfully entitled to act on behalf of the minor

# Thumb Impression to be attested by two witnesses.

Declaration

I/We,hereby irrevocably agree and undertake to abide by KYC norms and furnish following Information along with documentary attedence to the bank:

  • Copies of documents for KYC updation with original for verification
  • Immediately inform the Bank in writing of change in my/our residential/business address, Service/occupation/nature of business.
  • Any additional information as with reference to my/our Account and transaction.
  • The Bank rules & regulations relating to accounts have been read & understood by me/us and I/we agree to abide by the said rules & regulations and any amendments made thereto from time, to time as displayed on bank’s Website/Notice Board and those relating to various services including but not limited to ATM Card, SMS Banking, Mobile Banking, Internet Banking etc.
  • I/We understand that the Bank may at its discretion discontinue any of the service completely or partially. I/We agree that the Bank may debit my/our account with service charges, as applicable, from time to time
  • I/We confirm that I/we am/are resident of India.
  • I/we am/are not availing any credit facility from any other bank OR I/we am/are availing following credit outstanding facilities as specified
  • I/we am/are not related to any of the directors of your bank    OR

(Relationship).

  • I/We hereby declare that the information furnished above is true & correct to the best of my/our knowledge.
  • I/We have read, understood and agree to abide by the Bank’s rules and agree to comply with and be bound by them as they are in force now and from time to time be in force for such accounts. I/We undertake to inform the Bank promptly in writing of any change in my/our constitution/partners/directors/constitution documents and any other material change.
  • I/We have read the terms and conditions for providing the aforesaid facilities and I/We agree to abide by and be bound by them as they are in force now and from time to time be in force for such facilities. I/We request you to provide me/us the card, the initial Password/PIN (Personal Identification Numbers) which I/We shall change periodically for maintaining secrecy of my/our account level information. I/We undertake to keep my password / PIN with myself/ourselves without giving any room for disclosure of the same to any third party. Further, I/We shall be responsible for any disclosure of my/our Password/PIN or Account Level Information to any third party and the Bank shall not be held responsible for any loss/damage caused to me/us on account of such disclosures. I/We shall be availing this facility at my/our request without any liability, either expressed or implied, to the Bank. The service charges, as applicable may be debited to my/our account.
  • All the points in declaration have been well explained to me by the bank.

Yours Faithfully

Introducer Details

Other Information
Applicatnt 1

Residence

Religion

Caste

Marital Status

If married, date of Marriage

No. of Dependent

Annual Income

Profession/Occupation

Educational Qualification

Asset Ownership Details

Flat/House

Commercial Property

Car

Two Wheeler

Applicatnt 2

Residence

Religion

Caste

Marital Status

If married, date of Marriage

No. of Dependent

Annual Income

Profession/Occupation

Educational Qualification

Asset Ownership Details

Flat/House

Commercial Property

Car

Two Wheeler

Applicatnt 3

Residence

Religion

Caste

Marital Status

If married, date of Marriage

No. of Dependent

Annual Income

Profession/Occupation

Educational Qualification

Asset Ownership Details

Flat/House

Commercial Property

Car

Two Wheeler

Form No. 60

[See second proviso rule 114B]

Form of declaration to be filled by a person who does not have a permanent account number and who enters into any transaction specified in rule 114B

Are you assessed to Tax?

Form No. 61

[See second proviso to clause (a) of rule 114C (1)]

Form of declaration to be filled by a person who has agricultural income and is not in receipt of any other income chargeable to income-tax in respect of transactions specified in rule 144B

Are you assessed to Tax?