bsbda- basic form-trilanguage ~ 19.09 - hindi - tamil imvmymah$ ({g\©$ {zdm{g`m|ho$ {be)/...

$: BSBDA- Basic form-Trilanguage ~ 19.09 - Hindi - Tamil ImVmYmaH$ ({g\©$ {Zdm{g`m|Ho$ {bE)/ {Q>ßnUr/ Basic Savings Bank Deposit Account Opening Form$
ZdrZ ImVmYmaH$ ({g\©$ {Zdm{gm| Ho$ {bE)/

{Q>ßnUr/

Basic Savings Bank DepositAccount Opening Form/

New Accountholders (Residents only)/

Note/

1. Please produce the original document for each photocopy submitted./

2. If the address on the document submitted as Proof of Identity is the same as that declared in the account opening form, the document may be accepted as a valid proof of both identity and address./

3. If the address indicated on the document submitted for Proof of Identity differs from the address mentioned in the account opening form, a separate Proof of Address should be submitted./

4. Please fill the form in CAPITAL letters./

5. Please countersign any overwriting./

6. Please avail of the nomination facility./

7. In case you do not have any of the documents from Proof of Identity and Proof of Address list, please visit the nearest branch. Our customer service executive will assist you./

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H$mQ>m\$m§gr H$s OJh na AnZo XñVIV H$a|./

Zm_m§H$Z gw{dYm H$m bm bo§ /

{X AmnHo$ nmg nhMmZ nÌ Am¡a Amdmg Ho$ à_mU H$s gyMr _| go H$moB© XñVmdoO Z hmo Vmo ZOXrH$s emIm _| nYma|. h_mao J«mhH$ godm A{YH$mar AmnH$s ghmVm H$a|Jo.

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thof;ifahsu; nrit mjpfhupfs; c';fSf;F cjt[thu;fs;/

_w» ~mV| Omo AmnH$mo nVm hmoZr Mm{hE /}[PÒ öu›¢xöPõÒÍ ÷Ási •UQ©õÚ Âå[PÒKey things you should know/

• and without maintaining any minimum balance in the account/godmE± àmá H$aZm gab ~ZmVm h¡, {~Zm {H$gr r ewëH$ Ho$ Am¡a {~Zm ImVo _| ÝyZV_ eof am{e ~ZmE aIVo hþE./÷£]U ÷\Â[Uì ÷£[U öh£õ]m AUPÄsm(¤Gì¤iH) ‰»® }[PÒ Ai£øh Á[Qa ÷\øÁPøÍ G¢u J Pmhn•® CÀ»õ©¾®, PnUQÀ SøÓ¢u£m\ £õ»ßì öuõøP øÁUS® AÁ]® CÀ»õ©¾® ö£Ó»õ®.

• Services offered under this account include:/Bg ImVo Ho$ A§VJ©V {_bZo dmbr godmAm| _| em{_b h¢ :/ C¢uU PnUQß RÌ ÁÇ[P£k® ÷\øÁPÒ– Debit cards with no annual charges, having a daily cash withdrawal limit of `25,000 and a daily purchase limit of `10,000/S>o{~Q> H$mS>© {~Zm {H$gr dm{f©H$ ewëH$ Ho$, {Og_| à{V{XZ ZH$X AmhaU gr_m h¡ 25,000 Am¡a à{V{XZ IarXr gr_m h¡ 10,000./ BskU PmhnªÀ»õu öh¤m PõºkPÒ, CvÀ vÚ\› £n® Gk£uØPõÚ Áµ®¦ ¹.25000, ö£õmPÒ Áõ[SÁuØPõÚ Áµ®¦ ¹.10000

– Simple and convenient banking from the comfort of your home through free access to Internet Banking and PhoneBanking/B§Q>aZoQ> ~¢qH$J Am¡aµ\$moZ ~¢qH$J H$s _wµâV CnbãYVm go Ka ~¡R>o AmgmZ Am¡a gw{dYmOZH$ ~¢qH$J/Ãmi¼¢u£i÷ ö\ÍP›©õP Cßhºö|m ÷£[Q[ ©ØÖ® L÷£õß ÷£[Q[ ‰»® E[PÒ PnUøP {ºÁQUP»õ®.

– Cheque books on the account/ImVo na MoH$~wH$ H$s CnbãYVm/PnUQØPõÚ Põ÷\õø» ¦zuP®.– Unlimited free deposits in the account/ImVo _| {~Zm {H$gr ewëH$, Agr{_V ~ma O_m H$aZo H$s gw{dYm/PnUQÀ Áµ®¤À»õ©À C»Á\ öh£õ]m ö\»õ®.– 4 free withdrawals per month across demand drafts, pay orders, cheque issuances, electronic transfers (including RTGS and NEFT), ATM

withdrawals and cash withdrawal requests placed through any of our branches/4 _wµâV AmhaU à{V_mh _| {S>_m§S> S>mµâQ²>g, no-Am°S>©a, MoH$ Omar H$aZm, BboŠQ>m°{ZH$ hñVm§VaU (AmaQ>rOrEg Am¡a EZB©E\$Q>r em{_b), EQ>rE_ Ûmam AmhaU Am¡a ZH$X AmhaU H$m {ZdoXZ h_mar {H$gr r emIm Ûmam {H$m Om gH$Vm h¡./©õuzvØS C»Á\©õP |õßS •øÓ Áøµ÷Áõø», £n BønU Põ÷\õø», ªßÚq\õº £›©õØÓ® (BºiâGì ©ØÖ® GßCGLi Em£h), HiG® ÂzmµõÁÀ ©ØÖ® G[PÒ QøÍPÎÀ ÷Põ›UøP øÁ£uß ‰»® £n® GkzuÀ

– Monthly bank statements/_m{gH$ ~¢H$ ImVm {ddaU/©õuõ¢vµU PnUS AÔUøP• As a BSBDA holder, you are not eligible to have or open any other savings bank account with HSBC in India. If you have any other existing

savings account with HSBC in India, you are required to close the same within 30 days from the date of opening the Basic Savings Bank Deposit Account, or else we will be constrained to close such other savings account that you hold with HSBC India/~rEg~rS>rE ImVm YmaH$ hmoZo na, Amn maV _| EMEg~rgr _| AÝ H$moB© ~MV ImVm Zht Imob nmE±Jo, Z hr Omar aI nmE±Jo. {X AmnH$m maV _| EMEg~rgr _| H$moB© AÝ ~MV ImVm h¡, Vmo AmnH$mo ~o{gH$ goqd½g ~¢H$ {S>nm°{µOQ> AH$mC§Q> ImobZo H$s {V{W Ho$ 30 {XZm| Ho$ rVa Cgo ~§X H$aZm hmoJm, m {\$a h_ EMEg~rgr B§{S>m _| AmnHo$ AÝ ~MV ImVo H$mo ~§X H$aZo Ho$ {bE ~mÜ hm|Jo./¤Gì¤iH PnUSuõµµõÚ E[PÐUS C¢võÂÀ GaGì¤]°ß ÷ÁÖ J ÷\ª¦U PnUS öuõh[P AÝ©v CÀø».÷£]U ÷\Â[Uì ÷£[U AUPÄsm öuõh[Q 30 |õmPÐUSÒ ©ØÓ PnUSPøÍ ‰iÂh ÷Ásk®. CÀø»ößÓõÀ C¢võÂÀ GaGì¤]°À CUS® A¢uU PnUSPøÍ |õ[PÒ ‰iÂk÷Áõ®.

• HSBC will notify you of any changes in the terms and conditions of this account with a prior notice of one month/Bg ImVo go Ow‹S>o {Z_m| d eVm] _| ~Xbmd hmoZo na EMEg~rgr AmnH$mo EH$ _mh H$s nyd© gyMZm àXmZ H$aoJm./C¢uU PnUQß Pmhn[PÒ, Âv•øÓPÒ AÀ»x {£¢uøÚPÎÀ ©õØÓ® C¢uõÀ Ax £ØÔ J ©õuzvØS •ß¦ •ßÚÔÂ¦ u÷Áõ®.

Basic Savings Bank Deposit Account (BSBDA) makes it convenient for you to avail of basic banking services without any fees or charges, ~o{gH$ goqd½g ~¢H$ {S>nm°{µOQ> AH$mC§Q> (~rEg~rS>rE) m gm_mÝ ~MV ~¢H$ O_m ImVm AmnHo$ {bE gm_mÝ ~¢qH$J

Account Opening Requirements/

Completed account opening form/

Passport size photograph for each accountholder signed on the front/

Any ONE document to evidence Proof of Identity and Proof of Address from sole and all joint accountholders/

PAN card (This is mandatory. If PAN card not available, please submit form 60/61)/

Proof of Address

Passport/

Election/Voter’s ID/

Permanent driving licence/*Ration card

Society outgoing bill (only from registered societies)/

Electricity/Water/Telephone bill/

Gas bill (pipeline connection only)/

Property tax bill/

Domicile certificate with address issued by Municipal Corporation/

Registered rent/lease agreement (registered with State Government or similar registration authority)/

*Ration card is not accepted as a proof of residential/permanent address in the states of Gujarat and Maharashtra or in those states where the ration card specifically states that it has been issued only for ‘ration purposes’./

Account Opening Information/

A. Types of accounts:/

• Savings account – It is the most common operating account mainly for individuals. A savings account helps people to put through day-to-day banking transactions besides earning interest on the balances maintained in the account./

You may open such accounts in the following styles:/

Singly – this refers to sole accounts/

Joint – an authorisation from all the joint accountholders is requiredfor every transaction/

Joint (either or survivor) – any one of the joint accountholders can authorise the transaction in his individual capacity/

Joint (former or survivor) – the joint accountholder can operate the account after the lifetime of the 'former'/

Joint (latter or survivor) – the joint accountholder can operate the account after the lifetime of the 'latter'/

Any other style – please specify in case of any other signing instruction/

B. Confirmation of account opening:/

Welcome pack contains your personalised cheque book (if requested), debit card (if requested), a leaflet for Internet Banking and PhoneBanking and the Code of Bank’s Commitment to Customers will be dispatched to your correspondence address once your account has been opened./

You can access your account with ease and convenience through:/

C. Access to your account:/

• Internet Banking at www.hsbc.co.in/

• PhoneBanking numbers/• HSBC ATMs and branches in India/

The 'Code of Bank's Commitment to Customers’ was released by the Banking Codes and Standards Board of India (BCSBI) in July 2006. HSBC is a member of the BCSBI. To obtain your copy of the code, please visit www.hsbc.co.in or one of our branches./

For the complete list of tariff, visit the section of service charges and fees onwww.hsbc.co.in/

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Proof of Identity/

Passport/


Permanent driving licence/

Permanent Account Number (PAN) card/

Aadhaar Card/

NREGA job card (National Rural Employment Guarantee Act)/

nmgnmoQ>© /_VXmVm H$mS>© /


nju;jy;-thf;fhsu; milahsk;

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ImVo Ho$ àH$ma/

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H$mo AmgmZr go BZHo$ Ûmam XoI$ gH$Vo h¢:/jh';fs; j';fSila கணககினை trjpahft[k; Rygkhft[k;www.hsbc.co.in na BÝQ>aZoQ> ~¢qH$J Ûmam/

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H$moS> Am°\$ ~¢Šg H${_Q>_|Q> Qy> H$ñQ>_g© H$mo ~¢qH$J H$moS²>g Am¡a ñQ>¢S>S²>©g ~moS>© Am°\$ B§{S>m (~rgrEg~rAmB©) Ûmam OwbmB© 2006 _| ar{bO {H$m Jm. Bg_| AJñV 2009 _| g§emoYZ {H$m Jm Wm. EMEg~rgr ~rgrEg~rAmB© H$m EH$ gXñ h¡. H$moS> H$s à{V àmá H$aZo Ho$ {bE H¥$nm www.hsbc.co.in XoI| m h_mar {H$gr emIm _| nYma|./

Xam| H$s nyar gyMr Ho$ {bE h_mar do~gmBQ> www.hsbc.co.in Ho$ godm ewëH$

t';fpr; nritf;fhd thof;ifahsu;fSf;F thf;Ff; bfhLj;jYf;fhd bjhFg;g[ ,e;jpa t';fpj; bjhFg;g[ kw;Wk; juf; FGthy; $%iy 2006y; btspaplg;gl;lJ/ me;jf; FGtpd; xU cWg;gpdu; Mthu;/ c';fSila bjhhFg;gpd; efypidg;

bgw www.hsbc.co.in vd;w ,iza jsj;jpidnah my;yJ v';fspd; fpisfspy; xd;wpidnah

KGikahd tpiyg;gl;oaiyg; bgw nritr; bryt[fs; kw;Wk;

fl;lzk; vd;w gpuptpid www.hsbc.co.in vd;w ,izajsj;jpid mqft[k;

eha :/

Please open an account at your branch as per the details below:/

Personal Details (Sole/First Accountholder/Minor)/

Mr./Mrs./Ms./

Mr./Mrs./Ms./

Former/Other name (if any) - Mr./Mrs./Ms./


Date of birth/

Date of birth/

Nationality/

Nationality/

Residential address/


Flat no. and building name:/



Road no./name:/

Road no./name:/

Area and landmark:/

Area and landmark:/

City:/

City:/

Pin code:/

Telephone: (Res)/ (Off)/

(Fax)/(STD Code) /

(STD Code) /

(STD Code) /

(STD Code) /

Permanent address (if different from the residential address)/

Telephone: (Res)/

Pin code:/

Mobile no:/

E-mailID/

Existing HSBC Account no. (if any):/In case of a minor please provide details:/

(Name of parent and natural guardian)/Name of father/spouse:/

Personal Details (Joint Accountholder 1/Guardian)/

Non-resident joint Accountholders should be relatives as defined in Section 6 of the Companies Act, 1956./

Relationship with first accountholder:/


(Supporting documents are required for former/other name)/

Non-Resident/


eha :/

H¥$nm (emIm H$m Zm_) _| {ZåZ OmZH$mar Ho$ AZwgma EH$ ImVm Imob|:

ì{º$JV OmZH$mar (EH$_mÌ/nhbm ImVmYmaH$/AdñH$)/

lr/lr_Vr/Hw$_mar :./

nyd© /AÝ Zm_ ({X hmo Vmo) lr/lr_Vr/Hw$_mar :/

(nyd© /AÝ Zm_ Ho$ {bE ghmH$ XñVmdoO AmdíH$ h¢)/

ZmJ[aH$Vm /OÝ_ {V{W/ gpwe;j njjp

Amdmgr nVm/âb¡Q> Z§ Am¡a {~pëS>J H$m Zm_ /

c';fSila fpisapy; fPH;fz;l tptug;go fzf;Fj; bjhl';ft[k;

jdpg;gl;l tpguk; (jdp-Tl;L fzf;F itj;jpUg;gth; - ,sth;)

jpU/-jpUkjp/-bry;tp/

Kd;dhs;-ntW bgah; (VnjDk; ,Ug;gpd;) jpU/-jpUkjp/-bry;tp/

(Kd;dhs;-ntW bgaUf fhd Mjhu Mtz';fs; njit)

,Ug;gpl KfthpFoapUg;g[ vz; ©ØÖ® fl;olg; bgah;

ehl;odk;

Amdmgr nVm : /âb¡Q> Z§ Am¡a {~pëS>J H$m Zm_ :/

nhbo ImVmYmaH$ Ho$ gmW g§~§Y : /Kjy; fzf;F itj;jpUg;gtUld; cs;s cwt[Kiw

,Ug;gpl Kfthp

FoapUg;g[ vz; ©ØÖ® fl;olg; bgah;

A{Zdmgr /Zm°Z-ao{OS>|Q g§ wº$ ImVmYm[am| H$mo H§$nZrO A{Y{Z_,

1956, H$s Ymam 6 _| ~VmE AZwgma [aíVoXma hmoZm Mm{hE. /,e;jpahtpy; trpf;fhj Tl;Lf; fzf;F itj;jpUg;gtu; epWtdr; rl;lk;. 1956 d; 6tJ gpuptpd; go cwtpduhf ,Uf;fntz;Lk;/

jha;ehl;oy; trpf;fhjtu;

(A{mdH$ Am¡a àmH¥${VH$ A{mdH$ H$m Zm_)/{nVm/OrdZgmWr H$m Zm_ :/

ì{º$JV OmZH$mar (g§ wº$ ImVmYmaH$ 1/A{mdH$)/

lr/lr_Vr/Hw$_mar :/



ZmJ[aH$Vm :/OÝ_ {V{W : /Amdmgr nVm : /

jfg;gdhh;-thH;ifj;Jizapd; bgah;jfg;gdhh; kw;Wk; ghJfhtshpd; bgah;

jdpg;gl;l tpguk; (Tl;Lf; fzf;F itj;jpUg;gth; 1 - ghJfhtsh;)



(Kd;dhs;-ntW bgaUf;fhd Mjhu Mtz';fs; njit)

ehl;odk;gpwe;j njjp

trpg;gplj; jFjp

{nZ H$moS> :/

Q>obr\$moZ : (Amdmgr)/

_mo~mBb Z§~a /

B©-_ob :/

EMEg~rgr B§{S>m H$m dV©_mZ ImVm Z§~a ({X hmo Vmo):/

{X AmdoXH$ AdñH$ hmo Vmo {ZåZ {ddaU X| :/,stuhf ,Ug;gpd; mjd; tpguj;ij tH';ft[k;

vr;v!;gprp fzf;F vz; ,Ug;gpd ;(VnjDk;)

மினனஞசல

ifngrp vz;

bjhiyngrp (tPL)

m”;ry; FwpaPLefuk;

(EgQ>rS>r H$moS>)/(btspa{h; FwpaPL)

amoS> Z§/Zm_ :/

E[am Am¡a b¢S>_mH©$ :/

{nZ H$moS> :/

Q>obr\$moZ: (Amdmgr)/

ñWmr nVm ({X Amdmg Ho$ nVo go {Þ hmo)/

âb¡Q> Z§ Am¡a {~pëS>J H$m Zm_ :/

amoS> Z§/Zm_ :/




rhiy vz;-bgah;

gFjp kw;Wk; milahsk;

efuk;

bjhiyngrp (tPL)

m”;ry; FwpaPL

epue;ju Kfth p(,Ug;gpl Kfthpapy; ,Ue;J khWgl;L ,Ug;gpd;)

(mY)

(ெதாலைநகல)


rhiy vz;-bgah;



(H$mm©)

(\¡$Šg)

Amdmgr/Resident/ jha;ehl;oy; trpg;gtu;

I/We confirm, in the event of change in address due to relocation or any other reason, would intimate the new address to Bank within two weeks of such a change./_¢/h_ h {ZpíMV H$aVo h¢ {H$ ñWmZm§VaU, nwZdm©g m AÝ {H$gr r H$maU go nVo _| ~Xbmd hmoZo H$s pñW{V _|, ZE nVo Ho$ ~mao _| ~¢H$ H$mo 2 gámh Ho$ rVa gy{MV H$a|Jo./

Signature of customer/J«mhH$ Ho$ hñVmja / __________________

©õØÓ® AÀ»x öÁÖ Põµn[PÍõÀ •PÁ› ©õØÓ® C¢uõÀ AÁØøÓ |õß/|õ[PÒ Cµsk Áõµ[PÐUSÒ Á[QUSz öu›Â÷£ß/÷£õ®.

ÁõiUøPõÍ›ß øPöõ£®

Amdmgr/


(Fax)/(STD Code) /

(STD Code) /

(STD Code) /

(STD Code) /


Road no./name:/

Area and landmark:/

City:/ Pin code:/

Telephone: (Res)/

Mobile no:/

E-mailID/

Existing HSBC Account no. (if any):/

Name of father/spouse:/

Personal Details (Joint Accountholder 2)/

Mr./Mrs./Ms./


Date of birth/


Nationality/


Resident/ Non-Resident/Non-resident joint Accountholders should be relatives as defined in Section 6 of the Companies Act, 1956./

Relationship with first accountholder:/


Road no./name:/

Area and landmark:/

City:/ Pin code:/




(Fax)/



Road no./name:/

Area and landmark:/

City:/ Pin code:/

amoS> Z§/Zm_ :/


eha :/ {nZ H$moS> :/m”;ry; FwpaPL

rhiy vz;-bgah;


efuk;

eha : / {nZ H$moS> :/

Amdmgr nVm : /



amoS> Z§/Zm_ : /

A{Zdmgr /Zm°Z-ao{OS>|Q g§ wº$ ImVmYm[am| H$mo H§$nZrO A{Y{Z_,

1956, H$s Ymam 6 _| ~VmE AZwgma [aíVoXma hmoZm Mm{hE./

nhbo ImVmYmaH$ Ho$ gmW g§~§Y : /

,e;jpahtpy; trpf;fhj Tl;Lf; fzf;F itj;jpUg;gtu; epWtdr; rl;lk;. 1956 d; 6tJ gpuptpd; go cwtpduhf ,Uf;fntz;Lk;/

jha;ehl;oy; trpf;fhjtu;

Kjy; fzf;F itj;jpUg;gtUld; cs;s cwt[Kiw

,Ug;gpl Kfthp


rhiy vz;-bgah;


efuk; m”;ry; FwpaPL






bjhiyngrp (tPL)


(mY)



d¡ pŠVH$ Vnerb (EH${ÌV ImVoYmaH$ 2)/

lr/lr_Vr/Hw$_mar :/



ZmJ[aH$Vm :/OÝ_ {V{W : /Amdmgr nVm : /



(Kd;dhs;-ntW bgaUf fhd Mjhu Mtz';fs; njit)

ehl;odk;gpwe;j njjp

trpg;gplj; jFjp jha;ehl;oy; trpg;gtu;

jdpg;gl;l tpguk; (Tl;Lf; fzf;F itj;jpUg;gth; 2)

{nVm/OrdZgmWr H$m Zm_ :/




amoS> Z§/Zm_ :/


eha :/ {nZ H$moS> :/


_mo~mBb Z§~a /

B©-_ob :/




bjhiyngrp (tPL)

jfg;gdhh;-thH;ifj;Jizapd; bgah;



ifngrp vz;

bjhiyngrp (tPL)

m”;ry; FwpaPL


(mY)

(ெதாைலநகல)


rhiy vz;-bgah;


efuk;



(H$mm©)

(\¡$Šg)

(H$mm©)

(\¡$Šg)(ெதாலைநகல)

Road no./name:/

Area and landmark:/

City:/ Pin code:/eha : / {nZ H$moS> :/


amoS> Z§/Zm_ : /rhiy vz;-bgah;


efuk; m”;ry; FwpaPL

eha : /

(\¡$Šg)/

(H$mm©)/

Mailing Address (If different from the First Accountholder's address)/

Company name and department:/Flat no. and building name:/

Road no./name:/

Area and landmark:/

City:/ Pin code:/

Telephone: (Res)/(STD Code) /

(STD Code) /

(Off)/

(Fax)/

Mobile no:/

E-mailID/

PAN Declaration/

Permanent Account Number (PAN)/(Please strike off whichever is not applicable)/

Sole/First Accountholder/ Joint Accountholder (1)/ Joint Accountholder (2)/

My PAN number/

I have applied for a PAN, which is not yet allotted. I undertake to advise you the PANon receiving advice of its allotment.(Copy of application attached)/

I hereby declare that I am not assessed toIncome Tax, as my income is below the maximum amount which is not chargeable to Income Tax and accordingly the provisions pertaining to PAN are not applicable in my case. (Form 60/61 attached)

Account Details/

Choice of account:/ Savings/

Mode of funding:/ Cash/

Amount

nÌmMma H$m nVm ({X nhbo ImVmYmaH$ Ho$ nVo go {Þ hmo Vmo)

H§$nZr H$m Zm_ Am¡a {dmJ/âb¡Q> Z§ Am¡a {~pëS>J H$m Zm_ :/

amoS> Z§/Zm_ : /


eha : / {nZ H$moS> : /

_mo~mBb Z§~a : /

B©-_ob : /

bkapypd; Kfthp (Kjy; fzf;fhshpd; Kfthpf;F khWgl;L ,Ug;gpd;)

epWtdg; bgah; kw;wk; gphpt[-FoapUg;g[ vz; kw;Wk; fl;olg; bgah; FoapUg;g[ vz; fl;ol bgah;©ØÖ®g;

rhiy vz;-bgah;


m”;ry; FwpaPL

ifngrp vz;


efuk;

Q>obr\$moZ: (Amdmgr)/ (EgQ>rS>r H$moS>)/(btspa{h; FwpaPL)


bjhiyngrp (tPL) (mY)

ghf;!;


ImVo H$m {ddaU /

n¡Z KmofUm /n_m©Z|Q> EH$mC§Q> Z§~a (n¡Z) /

(Omo bmJy Z hmo, H$mQ> X|)/

EH$b/nhbm ImVmYmaH$ g§ wº$ ImVmYmaH$ (1) g§ wº$ ImVmYmaH$ (2)

_oam n¡Z h¡ /

_¢Zo n¡Z H$mS>© Ho$ {bE AmdoXZ {H$m h¡, Omo A~ VH$ Am~§{Q>V Zht hþAm h¡. _¢ AmnH$mo dMZ XoVm hÿ§ {H$ n¡Z ES>dmBg Ho$ {_bZo na AmnH$mo gy{MV H$ê§$Jm/Jr. (AmdoXZ H$s à{V OmoS>r JB© h¡)

_¢ KmofUm H$aVm/Vr hÿ§ {H$ _¢ AmH$a XmVm Zht hÿ§, Šm|{H$ AmH$a A{Y{Z_ H$s$A{YH$V_ am{e go _oar Am H$_ h¡ VWm VXZwgma n¡Z Ho$ àmdYmZ _oao _m_bo _| bmJy Zht h¢. (\$m°_© 60/61 OmoS>m Jm h¡)

ZH$Xr /

aµŠH$_>: /

ImVo H$s ng§XJr : / goqd½g /

\§$qS>J H$m _moS> : /

ep f vz; cWjpbkhHp

epue;ju fzf;F vz; (PAN)

(bghUj;jkpy;yhjij moj;J tplt[k;)

vd; ghd; vz

ehd; epue;ju fzf;F vz;zpw;fhf

tpz;zg;gpj;Js;nsd;/ ,Jtiu vz;

tH';fg;gltpy;iy/ ghd ; vz;/ tug;bgw;wt[ld;

j';fSf;F mjidj ; bjuptpf;f cWjp mspf;fpnwd;

(tpz;zg;gj;jpd; efy; ,izf;fg;gl;Ls;sJ

f;

ehd; cWjp mspg;gJ vd;dbtd;why; ehd;

tUkhd tupf ; fzf;F brYj;Jgtu; my;y

vd;Dila tUkhdk; mjpfgl;lrj ; bjhifia

tplf ; Fiwthf ,Ug;gjhy; tUkhd tupapd; fPH;

ehd; tutpy;iy vdnt mjw;nfw;whu;nghy; ghd ;

tiuaiwfs; vd; epfH;t[f;Fg ; bghUe;jhJ/

eK:dh 60-61 ,izf;fg; gl;Ls;sJ/

fzf;F tptu';fs;

fzf;Ff;fhd tpUg;gk;

epjp mspf;Fk; Kiw gzkhf

bjhif

nrkpg;g[

jdp-Kjy;

fzf;F itj;jpUg;gth;

Tl;Lf;

fzf;F itj;jpUg;gth;(1)Tl;L

fzf;F itj;jpUg;gth;(2)

f;

Telephone: (Res)/(STD Code) /

Mobile no:/

E-mailID/

Existing HSBC Account no. (if any):/

Name of father/spouse:/

_mo~mBb Z§~a /

{nVm/OrdZgmWr H$m Zm_ :/


B©-_ob :/


jfg;gdhh;-thH;ifj;Jizapd; bgah;



ifngrp vz;

bjhiyngrp (tPL)


Additional debit cards for joint accountholder(s)/

(Name to fit)/

(Name to fit)/

A{V[aº$ S>o{~Q> H$mS>©g, g§ wº$ ImVmYmaH$(H$m|) Ho$ {bE /

(Zm_ {\$Q> hmoZm Mm{hE) /

Tl;Lf; fzf;F itj;jpUg;gtu;fSf;F TLjy; £ØÖ Amøh tH';Fjy;

(bgau; ,jw;Fs; ml';fntz;Lk;)

(Zm_ {\$Q> hmoZm Mm{hE) /(bgau; ,jw;Fs; ml';fntz;Lk;)

2ATM facility on credit card /

Required on my HSBC Credit Card number/

Not required/

Not required/

3Nomination /

Required (Please complete the nomination form)/

PhoneBanking/

Required/

Required/

Required/

Internet Banking/

Cheque book/

Not required (Annual charges of `99)/

Not required (Annual charges of `99)/

Not required (`50 for a cheque book of 25 leaves)/

1ATM facility is available only for accounts operated 'singly' or by 'anyone of survivor'. The facility is not available for minors./

2While the nomination facility is optional, we recommend that you avail of the same./

Mobile Alerts Registration/

Mobile Alerts/ Required/ Not required/

Alerts will be sent to your mobile number registered in the Bank’s records for transactions in your savings account in India, which results into a debit of `5,000 or a credit of `10,000 and above. In case you wish to modify the standard threshold alerts and/or the existing alerts, you will have to provide written instructions to the Bank. However, you will receive alerts on all transactions done using HSBC Debit and/or Credit Card. To know more about the list of mobile alerts available and the procedure of registering for the same, please visit www.hsbc.co.in.

2Zm_m§H$Z gw{dYm EopÀN>H$ h¡, {\$a r h_mar gbmh h¡ {H$ Amn BgH$m BñVo_mb H$a|./

Mm{hE /Zht Mm{hE (é.50 25 n¥ð>m| H$s MoH$ ~wH$ Ho$ {bE)

1EQ>rE_ gw{dYm H$m CnmoJ CÝht ImVm| Ho$ {bE _mÝ h¡ Omo qgJbr m AmBXa Am°a gdm©Bda AmYma na g§Mm{bV hm|. h gw{dYm AdñH$m| Ho$ {bE Zht h¡./

~¢H$ Ho$ [aH$m°S²>©g _| n§OrH¥V AmnHo$ _mo~mBb Z§~a na ~MV ImVo _| é.5,000 VWm D$na Ho$ S>o{~Q> Am¡a é.10,000 VWm A{YH$ Ho$ O_m na AbQ²>©g oOo OmE§Jo. >{X Amn Bg am{e Ho$ BZ AbQ>©g _| Am¡a/m _m¡OyXm {ZV AbQ²>©g _| ~Xbmd MmhVo h¢ Vmo AmnH$mo ~¢H$ H$mo {b{IV AmXoe XoZo hm|Jo. {\$a r, EMEg~rgr S>o{~Q> H$mS>© Am¡a/m H«o${S>Q> H$mS>© go {H$E JE gr ìdhmam| na AmnH$mo AbQ²>©g [_b|Jo. CnbãY _mo~mBb AbQ²>©g na A{YH$ OmZH$mar VWm BgHo$ n§OrH$aU Ho$ VarHo$ H$mo OmZZo Ho$ {bE H¥$nm www.hsbc.co.in na nYma|.

_mo~mBb EbQ²>©g a{OñQ>oeZ/

Mm{hE/_mo~mBb EbQ²>©g/ Zht Mm{hE /

njitg;gltpy;iy (25 jhs;fisf; bfhz;l xU fhnrhiyg;g[j;jfk; U:/50)

njitg;gLfpwJ

Põ÷\õø» ¦zuP®

H«o${S>Q> H$mS>© na EQ>rE_ gw{dYm /

2 _oao EMEg~rgr H«o${S>Q> H$mS>© EQ>rE_ \o$go{bQ>r/

3 Zm_m§H$Z/

Mm{hE (H¥$nm Zm_m§H$Z \$m°_© nyam H$a|)

Zht Mm{hE/

Zht Mm{hE/

\$moZ~¢qH$J /

Mm{hE /

B§Q>aZoQ> ~¢qH$J /

Zht Mm{hE (é.99 H$m dm{f©H$ ewëH)

Zht Mm{hE (é.99 H$m dm{f©H$ ewëH)Mm{hE /

MoH$ ~wH$/

Phß Amø°À HiG® Á\v 2

GÚx GaGì¤] Qöµim Põºk GsoÀ ÷uøÁ

epakdk;3

njitg;gltpy;iy

njitg;gltpy;iy

njitg;gltpy;iy (tUlhe;jpu bryt[ U:/99) r;

njitg;gltpy;iy (tUlhe;jpur; bryt[ U:/99)

,izajs t';fpr; nrit

bjhiyngrp t';fpr; nrit

njitg;gLfpwJ (epakd eK:dhit g{u;j;jp bra;at[k;)

njitg;gLfpwJ

njitg;gLfpwJ

1Vl;o vk; trjp jdpahfnth my;yJ VnjDk; xU gpd;dhy; capUld; ,Ug;gtuhnyh ,af;fg;gLk; fzf;FfSf;F kl;Lnk tH';fg;gLk;/ ,e;j trjp ,stu;fSf;F fpilahJ

2epakdk; bra;a[k; trjp tpUg;gj;nju;thf ,Ue;jhYk; Tl eh';fs; j';fis me;j trjpia cgnahfg;gLj;jpf;bfhs;s nfl;Lf;bfhs;fpnwhk;/

ifg;ngrp vr;rupf;iffis gjpt[ bra;a

vr;rupf;iffs; jh';fs; t';fpapd; Mtz';fspy; ,e;jpahtpw;Fs; nrkpg;g[f; fzf;fpw;fhf ve;j ifg;ngrp vz;iz gjpt[ bra;Js;sPu;fnsh me;j vz;zpw;F mDg;gg;l;L mJ U:/5000-

? tiu gw;Wk; kw;Wk; U:/10.000-? mjw;F nkYk; tut[ bfhz;oUf;Fk;/ xU ntiy j';fSf;Fj; bjhlf;f epiyapy; ,Uf;Fk; vr;rupf;iffis khw;wp my;yJ-kw;Wk; Vw;fdnt

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bra;a[k; bray;Kiwia mwpa v';fsJ ,izajskhd www.hsbc.co.in I mqft[k;/

njitg;gLfpwJifg;ngrp vr;rupf;iffs; njitg;gltpy;iy

Ho$db Xoe _| CnmoJ - {g\©$ maV _| S>o{~Q> H$mS>© H$m CnmoJ H$aZo _| gj_ ~ZmVm h¡. A§Vam©ï>r do~gmBQ²>g na Am°ZbmBZ ìdhmam| g{hV H$moB© r {dXoer ìdhma {Z{fÕ h¡. /EÒ|õmiÀ £ß£kzxÁuØS ©mk÷© & öh¤mPõºkPÒ EÒ|õmiÀ £ß£kzxÁuØS ©mk÷© E›zuõS®. \ºÁ÷u\ CønuÍ[PÎÀ £ß£kzxÁx Em£h öÁÎ |õmk£›©õØÓ[PÒ uøh ö\£mkÒÍÚ

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A§Vam©ï>r Am¡a Xoer CnmoJ - maV Am¡a {dXoe _| XmoZm| OJh H$mS>© H$m CnmoJ H$aZo _| gj_ ~ZmVm h¡ (EZAmaAmo AH$mC§Q²>g Am¡a nrAmoE Ho$ {bE bmJy Zht) /öÁÎ|õk ©ØÖ® EÒ|õmk £ß£õk & C¢võÂ¾® öÁÎ|õmi¾® £ß£kzu •i²® ( Gß Bº K PnUSPÒ ©ØÖ® ¤ J H PnUSPÐUS E›zuõPõx)

£ß£kzx® ÷uºÄ CÀ»õÂmhõÀ, AøÚzx PõºkPÐ® EÒ |õmk £ß£õmiØS ©mk÷© ÁÇ[P£k®.

3Ama~rAmB© Ho$ {Xem{Z{X}em| Ho$ AZwgma 1 {Xg§~a, 2013 go àmdr Vm¡a na J«mhH$m| H$mo AmdoXZ Ho$ g_ Xoer Am¡a A§Vam©ï>r CnmoJ Ho$ ~mao _| AnZr ng§X XO© H$aZr hmoJr/3›\ºÆ Á[Q°ß ÁÈ•øÓ£i i\®£º 1, 2013 •uÀ ÁõiUøPõÍºPÒ PõºiØS Âsn¤US®÷£õ÷u u©x ÷uºøÁ Âsn£zvÀ SÔ¤h ÷Ásk®.

H¥$nm ÜmZ X| {H$ CnmoJ H$s àmW{_H$Vm Zht {XE OmZo na ~¢H$ {g\©$ Xoer CnmoJ Ho$ {bE S>o{~Q> H$mS>© Omar H$aoJm /

3 Debit Card Usage 3/ S>o{~Q> H$mS>© H$m CnmoJ /

Domestic usage only - enables usage of debit card in India only. Any overseas transaction including online transactions on international websites are prohibited/

International and Domestic usage - enables usage of card both in India and overseas (Not applicable for NRO accounts and POA /

Please note in absence of usage preference, the Bank shall issue a debit card with domestic usage only./

3In line with RBI guidelines, w.e.f. 1 December 2013, customers need to indicate their preference regarding domestic and international usage at the time of application./

Other Instructions/1Debit card(s) Debit card (Only one debit card is provided with a waiver on charges)/

Name to be printed on debit card (Name to fit)/

(Zm_ {\$Q> hmoZm Mm{hE)

S>o{~Q> H$mS>© (ewëH$ Z bJo, Bg{bE {g\©$ EH$ S>o{~Q> H$mS>© {Xm OmVm h¡)

S>o{~Q> H$mS>© na Zm_ _w{ÐV {H$m OmE

£ØÖ Amøh (xU £ØÖ Amøh kl;Lnk bryt[fspd; kPjhd cupik tpl;Lf;bfhLj;jy; K:yk; tH';fg;gLk;)

(bgau; ,jw;Fs; ml';fntz;Lk;)£ØÖ Amøh°ß kPJ mr;rof;fg;glntz;oa bgau;

AÝ {ZX}e /

S>o{~Q> H$mS>© (S²>©g) 1

kw;w mwpt[Wj;jy;fs;

blgpl; fhu;Lfs;1

Applicant 1/

Applicant 2/

Applicant 3/

Company name/Job title/

Department/

Nature of business/

Department/

Nature of business/

Department/

Nature of business/

Other existing bank accounts, if any:/

Name of the Bank/branch:/

Reason for Account Opening/

Please specify/

Others/

Less than `10,000/

Code/ Monthly income/

Zero income/

dV©_mZ ImVm ImobZo H$m H$maU/H¥ nm ~VmE /

ìdgm H$m àH$ma /tpahghuj;jpd; jd;ik

AÝ dV©_mZ ~¢H$ ImVo, hm| Vmo :

~¡§H$/emIm H$m Zm_:


{dmJ /Jiw

t';fp-fpisapd; bgau;

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AXg© (AÝ)

H$moS> _m{gH$ Am

eyÝ Am

`10,000 go H$_

` `10,000 go 25000/

nVr m nËZr H$m Zm_ /

AmdoXH$ 1/

AmdoXH$ 2 /

AmdoXH$ 3 /

H§$nZr H$m Zm_/

{dmJ /

nX /

thHf;ifj;Jiz bgau;

Âsn£uõµº 1

Âsn£uõµº 2

Âsn£uõµº 3

epWtdj;jpd; bgau;

Jiw

gjtpapd; bgau;

kw;wit

khj tUkhdk;FwpaPL

tUkhdkpy;iy

U:/10.000f;F Fiwt[

U:/10.000-?ypUe;J U:/25.000-

uÄö\x SÔ¤hÄ®

PnUS vÓ£uØPõÚ Põµn®

Personal Details/

Please tick the boxes and fill the requested information under applicant 1, 2 or 3./

Code/ Occupation/ Code/ Occupation/ Code/ Marital status/

Non-executive/

Housewife/

Student/

Other/

Retired/ Unemployed/

Married/

Single/

Code/ Education/

Under graduate/

Graduate/

H$moS /

H¥$nm C{MV ImZm| _| ghr H$m {ZemZ bJmE§ VWm AmdoXZ 1, 2 Am¡a 3 _| nyN>r JB© OmZH$mar a|. þ

A§S>a J«oOwEQ>/gy;fiyf;fHf

gl;lk; bgw;w khztu;

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kzkhdtu;

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H$moS / >ìdgm />ìdgm / H$moS /

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hmCgdmB\$ (J¥{hUr)

[aQ>mS>© (godm-{Zd¥V)

ñQy>S>|Q> (N>mÌ)

AXa (AÝ)

AZEåßbm°S> (~oamoOJma)

d¡dm{hH$ pñWVrH$moS /

jdpg;gl;l tptu';fs;

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mYtyfg;gzp apy; ,y;yhjtu;

tPl;oypUf;Fk; bgz;kzp ntiyaw;wtu;

Xa;t[ bgw;wtu;

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khztu;

kw;wtu;

ntiyaw;wtu;

FwpaPL jpUkz epiy

tpz;zg;gjhuu; 1. 2 my;yJ 3 f;F fl;lj;jpy; Fwpapl;L nfhug;gl;l jftiy mspf;ft[k; þ

I/We agree and accept that the Bank may need to share or transfer data or information about me/us to any third party service provider, whether located overseas orin India, who provides outsourced services to the Bank in connection with the operation of the Bank's business, in accordance with the applicable guidelines of the Reserve Bank of India. Any such sharing or transfer of information will be done strictly on a confidential basis and the Bank will endeavour to maintain strict confidentiality of such information. However, the Bank or such third party service providers, whether located in India or overseas, may disclose information if required or permitted by any law, rule or regulation or at the request of any public or regulatory authority or if such disclosure is required for the purposes of preventing fraud./

I/We will also be liable to comply with the relevant rules of the Foreign Exchange Management Act, (1999), and the rules and regulations made thereunder and any amendments thereto./

For debit Cardholders: I/We confirm having read and understood the terms and conditions of usage of the debit card and agree to be bound by the same. I/We undertake to intimate the Bank and surrender my/our card before proceeding overseas on permanent employment and/or emigrating and/or changing my/our nationality. I/ We confirm that the debit card to the minor (issued to minors above 16 years only), be issued with my/our consent./

For ATM funds transfer: I/We authorise the Bank to transfer funds from my/our account through the ATM, subject to the Bank's policies, to third party beneficiaries as specified during operation of the ATM./

For mobile alert subscribers: I/We wish to avail of the mobile alert services and receive SMS alerts on my mobile phone number registered with the Bank./

I/We have read and understood the terms and conditions related to the service (a copy of which is available as part of the account rules on www.hsbc.co.in)./

I/We understand that the Bank may, at its absolute discretion, discontinue the service completely or partially with intimation to that effect. I/We agree that the Bank may debit my/our account for service charges as per the prevailing tariff from time to time. I/We accept and agree to be bound by the abovementioned terms and conditions and to any changes made therein from time to time in the future. I/We undertake to intimate the Bank immediately in the event of any change in my/our mobile phone number. I/We also understand that the SMS alerts under this service may contain certain personal and/or account information. I/We also understand and acknowledge that while the Bank will make all reasonable efforts to ensure that my/our personal/account information is kept confidential, the SMS alerts cannot be guaranteed to be completely secure and the Bank shall have no liability in this regard./

S>o{~Q> H$mS>©hmoëS>g© Ho$ {bE:

_¢/h_ ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¡§ {H$ _oao/h_mao Ûmam Xr JB© OmZH$mar H$mo ~¢H$ Mmho Vmo {H$gr Vrgao nj godm àXmVm, Omo Amodagrg m maV _| pñWV h¢ VWm OwQ>mB© hþB© h OmZH$mar maVr [aOd© ~¢H$ Ho$ bmJy {Xem{ZX}em| Ho$ AZwgma ~¢H$ Ho$ ìdgm Ho$ g§MmbZ Ho$ {bE ~¢H$ H$mo CnbãY H$amVm h¡, H$mo Xo gHo$Jm. Bg Vah H$s OmZH$mar nyar Vah JwáVm Ho$ AmYma na Xr OmEJr. ~hahmb, ~¢H$ m Vrgam nj godm àXmVm H$mo, Omo maV m AmodagrO _| pñWV hmo, {X Oê$aV hþB© Vmo h OmZH$mar {H$gr Am¡a H$mo m {H$gr H$mZyZ, {Z_ m {Zm_H$ Ho$ VhV m {H$gr Am_ AWdm {Zm_H$ àm{YH$aU Ho$ AZwamoY na Xo gH$Vm h¡, m {H$gr R>Jr H$mo amoH$Zo Ho$ {bE Oê$ar hmo, ~Vm gH$Vm h¡. /

_¢/h_ \$m°aoZ EŠgM|O _¡ZoO_|Q> EŠQ>, 1999, Ho$ {ZYm©[aV {Z_m| Am¡a eVm] d BgHo$ g§emoYZm| H$mo _mÝ H$ê§$Jm/H$ê§$Jr/H$a|Jo.

_¢/h_ h _mZVm/_mZVr/_mZVo hÿ§/h¡§ {H$ _¢Zo/h_Zo S>o{~Q> H$mS>© na {ZYm©[aV {Z_m| Am¡a eVm] H$mo nT>-g_P {bm h¡ VWm _¢/h_ BÝh| _mZZo _| H$mo ~mÜ hÿ§/h¢. _¢/h_ h _mZVm/_mZVr/_mZVo hÿ§/h¡§ {H$ {X _wPo/h_| ñWmr Zm¡H$ar Ho$ {gb{gbo _| H$ht {dXoe OmZm hþAm Am¡a/m {dXoe _| ~gZm hþAm Am¡a/m _wPo/h_| AnZr ZmJ[aH$Vm ~XbZr nS>r Vmo OmZo go nhbo _¢/h_ ~¢H$ H$mo gy{MV H$a§Jm/H$ê§$Jr/H$a|Jo Am¡a AnZm H$mS>© bm¡Q>m Xÿ§Jm/Xÿ§Jr/X|Jo. _¢/h_ h r _mZVm/_mZVr/_mZVo hÿ§/h¡§ {H$ AdñH$ (16 df© go A{YH$ Ho$ AdñH$m|) H$mo S>o{~Q> H$mS>© _oar/h_mar gå_{V na Omar {H$m OmEJm./£ØÖ Amøh itj;jpUg;gtu;fSf;F ehd;-eh';fs; cWjp mspg;gJ vd;dbtd;why; £ØÖ Amøhø cgnahfg;gLj;Jtjw;fhd &uj;Jf;fs; kw;Wk; epge;jidfis eh';fs; ed;whf goj;J g[upe;Jnbfhz;nlhk; nkYk; mitfshy; eh';fs; fl;Lg;gLj;jg;gLnthk; vd;gij mwpe;J bfhz;nlhk;/ ehd;-eh';fs; nkYk; cWjp mspg;gJ vd;dbtd;why;. ehd;-eh';fs; btspehl;Lf;F epue;ju ntiyapd; epkpj;jk; brd;why; mjidg;gw;wpa[k; kw;Wk;-my;yJ gpw ehl;oy; Fonawpdhy; mijg;gw;wpa[k; kw;Wk; gpwehl;Lf; Foa[upik fpilj;jhy; mijg;gw;wpa[k; t';fpf;F bjupag;gLj;j rk;kjpf;fpnwd;/ ehd;-eh';fs; cWjpg;gLj;Jtx vd;dbtd;why; £ØÖ Amøh ,stu;fSf;F bfhLf;fg;gLtjpy;iy (16 taJf;F nkw;gl;l ,stu;fSf;F kl;Lk;) vd;-v';fSila rk;kjj;Jld; tH';fg;gLk;/

EQ>rE_ \§$S²>g Q>m§g\$a Ho$ {bE: _¢/h_ ~¢H$ H$mo, ~¢H$ H$s Zr{V AZwgma d EQ>rE_ Ho$ g§MmbZ Ho$ Xm¡amZ Ho$ AZwgma [H$gr Vrgao nj H$mo _oao/AnZo EQ>rE_ go n¡gm hñVmV§aU Ho$ {bE A{YH¥$V H$aVm/H$aVr/H$aVo hÿ§/h¡§. / Vl;ovk; epjp khw;Wtjw;fhf ehd;-eh';fs; v';fSila fzf;fpypUe;J Vl;ovk;

K:ykhf. t';fpapd; nfhl;ghLfspd;go ‰ßÓõ® egu; gadPl;lhspfSf;F ,af;fj;jpd; K:ykhf Fwpg;gpl;Ls;sgo tH';fg;gl ntz;Lk;/ Vl;ovk;

_mo~mBb EbQ© gãgH«$mB~g© Ho$ {bE: _¢/h_ _mo~mBb EbQ© godmAm| H$m bm boZm VWm ~¢H$ _| n§OrH¥$V _oao.h_mao _mo~mBb \$moZ Z§~a na EgE_Eg EbQ²>©g àmá H$aZm MmhVm/MmhVr/MmhVo hÿ§/hÿ§.

_¢Zo/h_Zo Bg godm go OwS>o {Z_ Am¡a eVm] H$mo nT> VWm g_P {bm h¡. ({OgH$s EH$ à{V www.hsbc.co.in na ImVo Ho$ {Z_ Ho$ [hñgo Ho$ ê$n _| CnbãY h¡).

ifg;ngrp vr;rupf;iffs; thof;ifahsu;fs;: ehd;-eh';fs; ifg;ngrp vr;rupf;if nrit kw;Wk; FW”;bra;jp vr;rupf;iffs; Mfatw;iw ehd; t';fpapy; gjpt[ bra;Js;s ifg;ngrp vz;zpw;F mDg;g tpUg;gg;gLfpnwd;/

ehd;-eh';fs; nritf;fhd &uj;Jf;fs; kw;Wk; epge;jidfis goj;Jg; g[upe;Jbfhz;nlhk;/ (,jd; efy; fzf;F tpjpfspd; xU gFjpahf www.hsbc.co.in.CÀ öPõkUP£mkÒÍx)

ehd;-eh';fs; me;epa bryhtzp rl;lk; 1999d; go kw;Wk; mjd;fPH; mikf;fg;gl;Ls;s tpjpfs; kw;Wk; tpjpKiwfs; kw;Wk; mjpy; Vw;gLk; khw;w';fs;

Mfpatw;iwa[k; ehd;-eh';fs; epiwntw;w flikg;gl;ltu;fs;/

ehd;-eh';fs; xg;g[f;bfhs;tJ vd;dbtd;why; vd;id-v';fisg; gw;wpa jfty;fis t';fp ve;j xU jdp eguplnkhmy;yJ 3k; egu; nrit mspg;gtUf;nfh. btspehl;onyh

my;yJ ,e;jpahtpnyh ahu; t';fpf;F t';fp ,af;fk; rk;ge;jkhf btspapUe;J nrit mspg;gtu;fSf;F upru;t; t';fpapd; tHpfhl;Ljy;fspd;go bfhLf;f ehd;-eh';fs;

rk;kjpf;fpnwhk;mt;thwhd jfty;fis gfpu;e;Jbfhs;Sjy; my;yJ jftiy khw;wpf;bfhs;Sjy; Mfpait ufrpakhd Kiwapy; bra;ag;gLk;/ t';fp mt;thwhd

jfty;fis kpft[k; ufrpakhf itj;Jf;bfhs;Sk;/ ,Ug;gpDk;. t';fp my;yJ mt;thwhd 3k; egu; nrit mspg;gtu;fs;. ,e;jpahtpnyh my;yJ btspehl;onyh

rl;lg;gonah. my;yJ tpjpg;gonah my;yJ Kiwikf;fhfnth. AÀ»x VnjDk; bghJthd my;yJ Kiwikg;gLj;Jk; mjpfhup my;yJ mt;thwhd btspaPL

Vkhw;Wjiyj; jtpu;f;f njitg;gl;lhy; mDkjpf;fg;gl;oUe;jhy; njitg;gLk;nghJ btspaplyhk;/

Customer Declaration/

I/We confirm having read and understood the account rules of The Hongkong and Shanghai Banking Corporation Limited, India (the Bank), and hereby agree to be bound by the terms and conditions and amendments governing the account(s) issued by the Bank from time-to-time. Copy of account rules is available on www.hsbc.co.in./

I/We confirm having read and understood the tariff applicable to my/our choice of account. Please visit www.hsbc.co.in for further details about service charges and fees applicable to the account./

I/We agree that the Bank shall have the right to modify the account rules and the terms and conditions at its sole discretion, which shall be put up on the website www.hsbc.co.in from time to time./

I undertake to verify the Bank’s website for modifications to the account rules from time to time./

I/We declare that the information given herein by me/us is true and correct, which the Bank is entitled to verify directly or through any third party agent. I/We also agree that, if any such declarations made by me/us are found to be incorrect, the Bank is not bound to pay any interest on the account(s) opened by me/us and is entitled to terminate the account relationship./

_¢/h_ ImVo _| {Z_m| Ho$ g§emoYZ Ho$ {bE ~¢H$ H$s do~gmBQ> H$mo g_-g_ na Om§MVo ahZo H$m dMZ XoVm/Vr/Vo hÿ§/h¢. /

_¢/h_ r ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¡§ {H$ _oao/h_mao Ûmam Xr JB© OmZH$mar ghr h¡ d gƒmB© na AmYm[aV h¡, VWm ~¢H$ H$mo A{YH$ma hmoJm {H$ do BgH$m gËmnZ grYo m {H$gr Vrgao nj godm àXmVm Ûmam H$amE. _¢/h_ h r ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¡§ {H$ {X h KmofUm JbV {ZH$bVr h¡ Vmo ~¢H$ _oao Ûmam Imobo JE BZ ImVm| na {H$gr Vah H$m ãmO XoZo H$mo ~mÜ Zht hmoJm, VWm BZ ImVm| H$mo ~§X H$a gH$oJm. /ehd;-eh';fs; cWjp bra;tJ vd;dbtd;why; ,';F bfhLf;fg;gl;Ls;s jfty;fs; cz;ikahdJk; rupahdJk; MFk;/ ,jid t';fpf;F neuoahfnth

my;yJ K:d;whk; egu; Kftu; K:ykhf rupghu;j;Jf;bfhs;s cupik cz;L/ nkYk; ehd;-eh';fs; cWjp bra;tJ vd;dbtd;why; mt;thW ehd; bfhLj;j

jfty;fs; jtbwd;W mwpag;gl;lhy; ehd;-eh';fs; ,af;Fk; fzf;FfSf;F t';fpf;F tl;o VJk; bfhLf;fhky; fzf;F itj;jpUf;Fk; cwt[Kiwia

Kot[f;F bfhz;LtUk; cupik cz;L/

AÆÁ÷£õx PnUS ÂvPÎÀ ö\£k® ©õØÓ[PøÍ Á[Q°ß CønzvÀ \›£õºUP |õß ö£õÖ÷£ØQ÷Óß.

_¢Zo/h_Zo _oar/h_mar ng§X Ho$ ImVo na àM{bV Xam| H$mo nT> Am¡a g_P {bm h¡. ImVo na bJZo dmbo godm ewëH$m| Am¡a \$sg na OmZH$mar Ho$ {bE www.hsbc.co.in na nYma|./

_¢/h_ ñdrH¥$V H$aVm/Vr/Vo hy§/h¢ {H$ ~¢H$ H$mo AnZo EH$_mÌ {ddoH$ na ImVo Ho$ {Z_ Am¡a eVm] H$mo g§emo{YV H$aZo H$m A{YH$ma hmoJm {Ogo g_-g_ na do~gmBQ www.hsbc.co.in na {XImm OmEJm./

J«mhH$ Ûmam KmofUm /

VWm EVXÛmam ~¢H$ Ûmam Omar Ed§ {ZYm©[aV {Z_m| Am¡a eVm] d g_-g_ na BZ ImVm| H$mo MbmZo dmbo g§emoYZm| go ~§Yo/Yr/Yo hmoZo H$mo V¡ ma hÿ§/h¢. ImVo Ho$ {Z_m| H$s à{V www.hsbc.co.in na CnbãY h¡._¢Zo/h_Zo {X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°nm}aoeZ {b{_Q>oS>, B§{S>m (~¢H$) ImVo Ho$ {Z_m| H$mo nT> Am¡a g_P {bm h¡,

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ehd;-eh';fs; xg;g[f;bfhs;tJ vd;dbtd;why; t';fpf;F fzf;F tpjpfs; kw;Wk; &uj;Jf;fs; kw;Wk; epge;jidfis t';fp mjDila jdpg;gl;l

tpUg;gj;jpd;go khw;Wtjw;F cupik cilaJ/ mit ,izajsk; www.hsbc.co.in y; fhyj;jpw;F fhyk; khWgLk; nghJ btspaplg;gLk;/

xt;bthU fhyfl;lj;jpy; Á[Q°ß ,izajskhd www.hsbc.co.in I ehd; ghu;j;J khWjy;fisg; gw;wp

bjupe;J bfhs;s rk;kjpf;fpnwd;/

PnUS ÂvPÒ ©ØÖ® Âv•øÓPÒ ©ØÖ® {£¢uøÚPøÍ uß uÛz wº©õÚzvß£i ©õØÔø©US® E›ø©

Á[QUS EÒÍx, Ax AÆÁ÷£õx www.hsbc.co.in Á[Q°ß CønuÍzvÀ öÁÎ°h£k® Gß£uØS |õß/ |õ[PÒ J¦UöPõÒQ÷Óõ®.

h_mam AZwamoY h¡ {H$ \$m°aoZ EŠgM|O _¡ZoO_|Q> EŠQ> (1999) (\o$_m) Ho$ AZwgma Amn Amdmgr nVo _| {H$gr àH$ma Ho$ ~Xbmd H$s gyMZm ~¢H$ H$mo X|. ñWmr ê$n go Zm¡H$ar Ho$ {bE {dXoe OmZo/~gZo go nhbo m AnZr ZmJ[aH$Vm ~XbZo na AnZm S>o{~Q> H$mS>© H¥$nm bm¡Q>m X|. h r Vg„r H$a b|§ {H$ AmnHo$ S>o{~Q> H$mS>© H$m CnmoJ Omar {H$E JE g§~§§{YV EŠgM|O H$ÝQ>mob aoJwboeZg§ d maVr [aOd© ~¢H Ûmam g_-g_ na g§emo{YV {H$E JE àmdYmZm| Ho$ AZwgma {H$m Jm h¡ VWm h \$m°aoZ EŠgM|O _¡ZoO_|Q> EŠQ>, 1999 (\o$_m) Ho$ àmdYmZm| Ho$ AZwgma h¡. {H$gr àH$ma Ho$ C„§KZ _| A{Y{Z_ Ho$ {Xem{ZX}em| Ho$ VhV H$m©dmhr H$s OmEJr. eh';fs; j';fsplk; nfhUtJ vd;dbtd;why;. c';fSila trpg;gpl epiy khWk;nghJ t';fpf;F me;epa bryhtzp nkyhz;ik rl;lk; 1999d;go jfty; bfhLf;fg;gl

ntz;Lk;/ jh';fs; epue;ju ntiy fhuzkhfnth kw;Wk;-my;yJ btspehl;oy; Fonawpdhy; my;yJ btspehl;L Foa[upik tH';fg;gl;lhy; mjw;F Kd;dhy; j';fsJ £ØÖ

Amøh t';fpaplk; rku;g;gpf;fg;gl ntz;Lk;/ jh';fs; rupghuf;f ntz;oaJ vd;dbtd;why;. c';fs; £ØÖ Amøh me;epar ; bryhtzp fl;Lg;ghl;L Kiwikfs; ghuj upru;t;

t';fpapdhy; tH';fg;gl;L fhyj;jpw;F fhyk; khWgLtjw;nfw;g me;epar; bryhtzp nkyhz;ik rl;lk;. 1999 go ,Uf;f ntz;Lk;/ mjpy; VnjDk; kPWjy;fs; ,Ue;jhy;

mjw;Fj ; jh';fs; me;jr; rl;lj;jpd; tHpfhl;Ljy;fspd; go eltof;if vLf;fg;gLtjw;F bghWg;ghtPu;fs;/

Accordingly, I/we, hereby agree and give consent for the disclosure by the Bank of all or any such:/

(a) information and data relating to me/us;/

(b) the information or data relating to any credit facility availed of/to be availed, by me/us, and/

(c) default, if any, committed by me/us, in discharge of my/our such obligation as the Bank may deem appropriate and necessary, to disclose and furnish to Credit Information Bureau (India) Ltd. (CIBIL) and/or any other agency authorised in this behalf by RBI./

I/We, declare that the information and data furnished by me/us to the Bank are true and correct./

I/We, undertake that:/(a) CIBIL and/or any other agency so authorised may use, process the said information and data disclosed by the Bank; and/

(b) CIBIL and/or any other agency so authorised may furnish for consideration, the processed information and data of products thereof prepared by them, to banks/credit grantors, as may be specified by the Reserve Bank in this behalf./

VX²Zwgma, _¢/h_ h _mZVm/_mZVr/_mZVo hÿ§/h¢ VWm gå_{V XoVm/XoVr/XoVo hÿ§/h¡§ {H$ ~¢H$ gr m {H$gr H$mo h OmZH$mar m Am§H$S>o Xo gH$Vm h¡: /mjw;nfw;wthW. -eh';fs; ,';F v';fSila rk;kjj;jpid btspapLjYf;F t';fpfSf;F fPH;f;fz;litfs; KGikf;fhft[k; my;yJ VnjDk; xd;Wf;fhft[k;

ehd;

_oao/h_go g§~§{YV OmZH$mar Am¡a Am§H$S>o /

_¢/h_ h ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¡§ {H$ : /grAmB©~rAmB©Eb Am¡a/AWdm AÝ EO|gr,

{OÝho§ Bg g§~§Y _| A{YH¥$V {H$m Jm hmo, Mmho§, Vmo ~¢H$ Ûmam Xr JB© Bg OmZH$mar Am¡a Am§H$S>m| H$m BñVo_mb d BÝh| àmogog H$a gH$Vo h¢. /

grAmB©~rAmB©Eb Am¡a/AWdm AÝ EO|{gm§, {OÝho§ Bg g§~§Y _| A{YH¥$V {H$m Jm hmo, Mmho§ Vmo àmogog H$s hþB© Bg OmZH$mar Am¡a Am§H$S>m| Am¡a CZHo$ Ûmam ~ZmE JE CËnmXm| H$mo, Bg g§~§Y _| maVr [aOd© ~¢H$ Ûmam ~VmE JE ~¢Šg/CYmar XoZo dmbm| H$mo H§$ÝgrS>aoeZ Ho$ {bE Xo gH$Vo h¢.

vd;Dila-v';fSila jfty; kw;Wk; jfty; bjhFg;g[

_oao/h_mao Ûmam br JB©/br OmZo dmbr F$U gw{dYmehd;-eh';fs; bgw;w-bgwg;nghFk; fld; trjp gw;wpa jfty; my;yJ jfty; bjhFg;g[ kw;Wk;

{Ogo ~¢H$ Zo {ZYm©[aV {H$m hmo, OmZH$mar H$mo {H$gr H«o${S>Q> BÝ\$m°_}eZ ãyamo (B§{S>m) {b{_Q>oS> (grAmB©~rAmB©Eb), Am¡a/AWdm Bg g§~§Y _| maVr [aOd© ~¢H$ Ûmam A{YH¥$V {H$gr AÝ EO|gr H$mo.{S>\$m°ëQ> (Aj_Vm), {X hmo Vmo, VWm _oao/h_mao Ûmam Cnamoº$ _|,

ehd;-eh';fs; Vw;gLj;jpa jtWif VnjDk; v';fs; flg;ghl;oid epiwntw;Wtjpy; Vw;gl;oUe;jhy; mijg;gw;wpa[k;

t';fp mtrpak; kw;Wk; cupaJ vd;W fUJk; gl;rj;jpy; v';fSila jfty;fis fld; jfty; ,yhfh (,e;jpah) ypkpbll; (CIBIL) kw;Wk;-my;yJ ghuj upru;t;

t';fpapd; mDkjp bgw;w ntbwe;j KifikfSf;Fk; mspf;fyhk;/

_¢/h_ h KmofUm H$aVm/H$aVr/H$aVo hÿ§/h¡§ {H$ _oao/h_mao Ûmam ~¢H$ H$mo Xr JB© OmZH$mar d Am§H$S>o gÀMoo d gË h¢./ehd;-eh';fs; cWjp bra;tJ vd;dbtd;why; v';fshy; t';fpf;F bfhLf;fg;gl;l jfty; kw;Wk; jfty; bjhFg;g[ cz;ik kw;Wk; rupahdit/

ehd;-eh';fs; cWjp mspg;gJ vd;dbtd;why;

CIBIL kw;Wk;-my;yJ ntnwJk; mDkjpf;fg;gl;l Kifik t';fpahy; tH';fg;gl;l ,e;jj; jftiy cgnahfg;gLj;jp. bray;gLj;jpf;bfhs;syhk;/

CIBIL kw;Wk;-my;yJ ntbwe;j mDkjpf;fg;gl;l Kifik Ma;tpw;fhf bray;Kiwg;gLj;jg;gl;l jfty; kw;Wk; bghUl;fspd; bjhFg;g[ mtu;fshy; jahupf;fg;gl;L

t';fpfs;-fld;fis tH';Fgtu;fs; Mfpnahu;fSf;F upru;t; t';fpahy; Fwpg;gpl;Ls;sthW bfhLf;fg;glntz;Lk;/

I/We understand and acknowledge that:/_¢/h_ h g_PVo h¢ d ñdrH$ma H$aVo h¢ {H$ :/|õß/|õ[PÒ ¤ßÁÁÚÁØøÓ HØQ÷Óß/÷Óõ®:• HSBC does not provide any tax advice to its customer(s)/EMEg~rgr AnZo J«mhH$ (J«mhH$m|) H$mo {H$gr r àH$ma H$s H$a gbmh Zht XoVm./ GaGì¤] uÚx ÁõiUøPõÍºPÐUS Á› B÷»õ\øÚ uÁx CÀø»

• I/We understand it is my/our responsibility to comply with tax laws and accordingly I/we would comply with the worldwide tax reporting and filing obligation as applicable/_¢/h_ h g_PVo h¢ {H$ H$a {Z_m| H$m nmbZ H$aZm _oar/h_mar {Oå_oXmar h¡ Am¡a Bgr AZwgma _¢/h_ dëS>©dmBS> Q>¡Šg [anmo{Q>ªJ Am¡a bmJy \$mqbJ ~mÜVmAm| H$m nmbZ H$a|Jo./|õß/|õ[PÒ Á› \mh[PÎß £i GÚx/G[PÍx ö£õÖ¦PøÍ ¦›¢x öPõskÒ÷Íß/÷Íõ®. ÷©¾® Auß £i |õß/|õ[PÒ EÖvõP E»PÍõÂ Á› AÔUøP ©ØÖ® {µ¦® ö£õÖ¦PøÍ ö\À£kzx÷Áß/÷Áõ®.

• I/We am/are obliged to provide any information requested by HSBC, that is required by law/ _¢/h_ EMEg~rgr Ûmam Mmhr JB© Eogr H$moB© r OmZH$mar XoZo Ho$ {bE ~mÜ h¢, Omo H$mZyZZ AmdíH$ hm|./\mhzvß£i GaGì¤] ÷PmS® G¢u J uPÁø»²® |õß/|õ[PÒ AÎ÷£ß/÷£õ®

• I/We understand that where a referral by HSBC is made to an external organisation for specific tax advice for me/us, the contract for such tax advice is between me/us and the third party, and any advice provided is the responsibility of such third party, and not HSBC/_¢/h_ g_PVo h¢ {H$ _wPo/h_| {d{eï> H$a gbmh Ho$ {bE EH$ ~mhar g§ñWm H$mo EMEg~rgr Ûmam ao\$a {H$m OmVm h¡ Vmo Bg àH$ma H$s H$a gbmh H$m AZw~§Y _oao/h_mao Am¡a AÝ nj Ho$ _Ü ahoJm, Am¡a àXmZ H$s JB© H$moB© r gbmh Cg AÝ nj H$s {Oå_oXmar ahoJr, EMEg~rgr H$s Zht./GÚUS/G[PÐUS GaGì¤] ÷ÁÖ SÔ¤mh Á› B÷»õ\øÚUPõP GÚUS/G[PÐUS ÷ÁÖ J B÷»õ\Pøµ £›¢xøµzuõÀ, AÆÁõÓõÚ Á› B÷»õ\øÚUPõÚ J£¢u® GÚUS®/G[PÐUS® A¢u ‰ßÓÁx |£US® Cøh°À ©mk÷© CUS®. AÆÁõÓõÚ B÷»õ\øÚUS A¢u ‰ßÓõÁx |£÷µ ö£õÖ£õÁõº. GaGì¤] GÆÂuzv¾® ö£õÖ£õPõx.

We request you to intimate the Bank in case of change of residency status as per Foreign Exchange Management Act (1999) (FEMA). Please surrender your debit card before proceeding overseas on permanent employment and/or emigrating and/or changing your nationality. Please ensure that use of your debit card is in accordance with the relevant Exchange Control Regulations issued and amended by Reserve Bank of India from time to time and adheres with the provisions under the Foreign Exchange Management Act, 1999 (FEMA). Any violation may hold you liable for action as per the guidelines of the Act./

Consent clause:/I/We, understand that as a pre-condition, relating to grant of loan/advances/other non-fund-based credit facilities to me/us, the Bank, requires my/our consent for disclosure by the Bank of, information and data relating to me/us, of the credit facility availed of/to be availed, by me/us, obligations assumed, by me/us, in relation thereto and default, if any, committed by me/us, in discharge thereof./ _¢/h_ _mZVm/_mZVr/_mZVo hÿ§/h¡§ {H$ _wPo/h_| {XE OmZo dmbo VWm gr Vah Ho$

gå_{V eV©: /

_¢/h_ h g_PVo h¢ {H$ _wPo/h_| nyd© gyMZm {XE {~Zm, ~¢H$ AnZo {ddoH$ na Bg godm H$mo H$r r nyar Vah m Am§{eH$ ê$n go I§{S>V H$a gH$Vm h¡. _¢/h_ ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¢ {H$ g_-g_ na g§emoYZmo½ dV©_mZ Xa na ~¢H$ _oao/h_mao ImVo go godm ewëH$ bo$gH$Vm h¡. _¢/h_ h _mZVm/_mZVr/_mZVo hÿ§/h¢ d BZ {Z_m| Am¡a eVm], VWm {dî _| g_-g_ na BZ_| {H$gr àH$ma Ho$ ~Xbmd H$mo ñdrH$ma H$aVm/H$aVr/H$aVo hy§/h¢. AnZo/h_mao _mo~mBb \$moZ Z§~a _| {H$gr àH$ma Ho$ ~Xbmd hmoZo na _¢/h_ ~¢H$ H$mo \$m¡aZ hr gy{MV H$a§Jm/H$ê§$Jr/H$a|Jo. _¢/h_ ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¢ {H$ Bg godm Ho$ A§VJ©V EgE_Eg EbQ>© _| Hw$N> ì{º$JV Am¡a/m ImVo H$s OmZH$mar {_b gH$Vr h¡. _¢/h_ ñdrH$ma H$aVm/H$aVr/H$aVo hÿ§/h¢ {H$ hmbm§{H$ _oar/h_mar ì{ŠVJV/ImVo go OwS>r OmZH$mar H$mo Jwá aIZo _| ~¢H$ gr C{MV H$m©dmhr H$aoJm, {\$a r EgE_Eg EbQ²>©g H$s nyar gwa{jVVm H$s Jma§Q>r Zht Xr Om gH$Vr VWm Bg g§~§Y _| ~¢H$ H$s {H$gr àH$ma H$s XoVm Zht _mZr OmEJr./ ehd;-eh';fs; g[upe;J bfhz;Ls;sJ vd;dbtd;why;. ';fp. mjDila brhe;j tpUg;gj;jpd; ngupy;. nritia bkhj;jkhfnth. my;yJ gFjpahfnth mjw;fhd jftiy mspj;jgpd; epWj;jptpl cupik bfhz;Ls;sJ/ ehd;-eh';fs; xg;g[f;bfhs;tJ vd;dbtd;why;. fhyj;jpw;F fhyk; khWgLk; tpiygl;oaypd; go me;je;j fhyj;jpy; nrit bryt[fs; fzf;fpypUe;J vLf;fg;glyhk;/ ehd;-eh';fs; xg;g[f;bfhs;tJ vd;dbtd;why;. eh';fs; nkw;fz;l &uj;Jf;fs; kw;Wk; epge;jidfspd;go fl;Lg;gLj;jg;gLnthk; vd;gjhFk;/ nkYk; mtw;wpy; tU';fhyj;jpy; Vw;gLk; khw;w';fSk; v';fisf; fl;Lg;gLj;Jk;/ ehd;-eh';fs; cWjp TWtJ vd;dbtd;why;. vd;-v';fspd; ifg;ngrp vz;fspy; VnjDk; khWjy; ,Ue;jhy; mitfis cldoahf t';fpf;F bjupagLj;Jnthk;/ ehd;-eh';fs; g[upe;Jbfhs;tJ vd;dbtd;why; ,e;j nritapd; fPH; cs;s FW”;bra;jp vr;rupf;iffspy; rpy jdpg;gl;l kw;Wk;-my;yJ fzf;F jfty;fs; ,Uf;Fk; vd;gjhFk;/ ehd;-eh';fs; nkYk; g[upe;J bfhz;L xg;g[f; bfhs;tJ vd;dbtd;why;. vd;Dila-v';fSila jdpg;gl;l-fzf;F jfty;fis ufrpakhf itf;f midj;J Kaw;rpfisa[k; t';fp vLf;Fk;nghJ FW”;bra;jp vr;rupf;iffs; Kw;wpYk; ghJfhg;ghdJ vd;W TwKoahJ kw;Wk; t';fpf;F ,J gw;wp ve;jf ; flLgg; hLk; ,Uf;f KoahJ/

t

H$O©/A{J«_|/AÝ Zm°Z-\§$S>-~oñS> H«o${S>Q> \o$go{bQ>rO d BZgo OwS>r OmZH$mar Am¡a Am§H$S>m| H$mo, ~¢H$ Ûmam ~VmZo Ho$ {bE _oar/h_mar gå_{V h¡ VWm _wPo/h_| Xr OmZo dmbr H«o${S>Q> \o$go{bQ>r d AnZr XoZXmar MwH$m Z nmZo H$s {ñW{V _| h_ BZH$s anmr H$m AmídmgZ XoVo h¢. ~¢H$ H$mo _wPo/h_| {XE OmZo dmbo bmoZ/ES>dmÝgog/AÝ Zm°Z-\§$S>-~oñS> H«o${S>Q> \o$go{bQ>rO Ho$ {bE ~Vm¡a nyd©-eV©, OmZH$mar m Am§H$S>m| H$mo ~VmZo Ho$ {bE _oar/h_mar gå_{V ~¢H$ H$o {bE AbJ go AmdíH$ Zht hmoJr.

rk;kjk; gw;wpa &uj;J

ehd;-eh';fs;g g[upe;J bfhz;lJ vd;dbtd;why;. fld;-Kd;gzk;-kw;w epjprhu;gw;w fld; trjpfSf;F vdf;F-v';fSf;F t';fp xU Kd;

epge;jidahf. vd;Dila-v';fSila jfty;fs; kw;Wk; eh';fs; vLj;Jf;bfhz;l fld; trjp gw;wpa[k; kw;Wk; eh';;fs; vLj;Jf; bfhz;l

flg;ghLfisa[k;. mjd; rk;ge;jkhd jtWif VnjDk; eh';fs; fld; brYj;Jtjpy; Vw;gLj;jpapUe;jhy;. mitfisg; gw;wpa[k; btspg;gLj;j

v';fSila rk;kjk; njitg;gLfpwJ/

Signing instruction/

Singly/Jointly by/ or by survivor(s)/

Joint (former or survivor)^/

Joint (latter or survivor)/

Any other/

Any one or survivor/hñVmja {ZX}e:/

qgJbr / EZrdZ Am°a gadmBda/g§ wº$ ê$n go _________________________ Ûmam m CÎmaOrdr(m|) Ûmam

g§ wº$ (\$m°_©a Am°a gadmBda)

g§§ wº$ (b°Q>a Am°a gadmBda)/

EZr AXa/

ifbahg;gj;jpw;fhd mwpt[iu

xUtuhf vtnuDk; xUtu; my;yJ bjhlu;e;jpUg;gtu;

Tl;lhf xUtuhy; my;yJ bjhlu;e;jpUg;gtu;-fs; _________________________

Tl;lhf (Ke;ijatu; my;yJ bjhlu;e;jpUg;gtu;)

Tl;lhf (gpe;ijatu; my;yJ bjhlu;e;jpUg;gtu;)

ntW vtnuDk;

I/We acknowledge that the Bank remains entitled to assign any activities to any third party agencies/service providers at its sole discretion. I/We further acknowledge the right of the Bank to provide details of my/our account and sharing or transfer of information which will be on a confidential basis to HSBC Group offices or other third party agencies/service providers, whether located in India or overseas for the purpose of availing support services of any nature by the Bank and also may disclose information if required or permitted by any law, rule or regulation or at the request of any public or regulatory authority or if such disclosure is required for the purposes of preventing fraud, without any further specific consent or authorisation from me/us./_¢/h_ _mZVo h¢ {H$ ~¢H$ AnZo EH$_mÌ {ddoH$ na BZ J{V{d{Ym| H$mo {H$gr Vrgao nj EO|{gm|/godm àXmVmAm| H$mo Xo gH|$Jo. _¢/h_ ~¢H$ Ho$ A{YH$ma H$mo r g_PVo h¢ {H$ do _oao/h_mao ImVo go g§~§{YV OmZH$mar/Am§H$S>m| H$mo, _oar/h_mar {deof gå_{V m A{YH$¥V nÌ Ho$ {~Zm, EMEg~rgr g_yh H$mm©bm| m {H$gr Vrgao nj H$s EO|{gm|/godm àXmVmAm| H$mo, Omo m Vmo maV _| pñWV h¢, m {\$a ~¢H$ Ûmam Xr OmZo dmbr {H$gr àH$ma H$s ghmH$ godm H$o bm Ho$ {bE {dXoe _| pñWV h¢, Xo gH|$Jo. BgrHo$ gmW, {X AmdíH$ hþAm Vmo do Bg OmZH$mar H$mo H$mZyZ, {Z_ m {Zm_H$ m {H$gr gmd©O{ZH$ m {Zm_H$ àm{YH$aU Ho$ AZwamoY na m {H$gr YmoImYS>r H$mo amoH$Zo Ho$ {bE OmZH$mar _m§Jr OmE, Xo gH|$Jo./ehd;-eh';fs; xg;g[f;bfhs;tJ vd;dbtd;why; t';fpf;F ve;j xU eltof;ifiaa[k; K:d;whk; egu; KifikfSf;F -nrit mspg;gtu;fSf;F mjd; tpUg;gg;go tH';f cupik cz;L/ vd;dplkpUe;J-v';fsplkpUe;J ve;j xU kW rk;kjKkpd;wp vd;Dila-v';fSila fzf;F kw;Wk; jffy;fis gfpu;e;J bfhs;tJ my;yJ jfty;fis khw;WtJ midj;Jk; vr;v!;gprp FG mYtyf';fs; my;yJ kw;w K:d;whk; egu; Kifikfs;-nrit mspg;nghu;. ,e;jpah my;yJ btspehl;oy; ,Ug;gtu;fSila ve;j xU tifahd nritiag; bgwt[k; t';fpahy; cgnahfg;gLj;jg;gLk; nkYk; njitg;gl;lhy;. rl;lg;go tpjp kw;Wk; tpjpKiwfspd;goa[k; my;yJ VnjDk; xU bghJ my;yJ KiwikgLj;Jk; mjpfhup nfhupf;ifapd;goa[k; Vkhw;Wjy; eltof;ifapidj; jtpu;f;f vd;Dila-v';fSila jfty;fs; bfhLf;fg;glyhk;/

I/We confirm, in the event of change in address due to relocation or any other reason, would intimate the new address to Bank within two weeks of such a change./_¢/h_ h {ZpíMV H$aVo h¢ {H$ ñWmZm§VaU, nwZdm©g m AÝ {H$gr r H$maU go nVo _| ~Xbmd hmoZo H$s pñW{V _|, ZE nVo Ho$ ~mao _| ~¢H$ H$mo 2 gámh Ho$ rVa gy{MV H$a|Jo./©õØÓ® AÀ»x ÷ÁÖ Põµn[PÍõÀ •PÁ› ©õØÓ® C¢uõÀ AÁØøÓ |õß/|õ[PÒ Cµsk Áõµ[PÐUSÒ Á[QUSz öu›Â÷£ß/÷£õ®.

10

{X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°anmoaoeZ {b{_Q>oS>, B§{S>m, (EMEg~rgr) Ûmam Omar. hm°ÝJH$m°ÝJ EgEAma Ûmam gr{_V XoZXmar Ho$ {bE {ZhrV. Issued by The Hongkong and Shanghai Banking Corporation Limited, India (HSBC). Incorporated in Hong Kong SAR with limited liability./

v íõ[Põ[ Asm åõ[Põ ÷£[Q[ Põº£÷µåß ¼ªm, C¢võ (GaGì¤]). Áµ®¦USm£mh vÓÝhß íõ[Põ[ GìHBº CønUP£mhx.

BS

BD

A A

OF

TAM

01/

14

I/We understand that (BSBDA) allows me/us to bank with HSBC in India with a zero minimumbalance requirement/

Basic Savings Bank Deposit Account

I/We also understand that I/we am/are not eligible for opening any other savings bank account with HSBC in India and any another existing savings bank account will be required to be closed within 30 days from the date of opening the BSBDA, else HSBC would be constrained to close the account after giving due notice/

Customer signatures/

st1 applicant/ nd2 applicant/ rd3 applicant/

Date/

Photographs/ ‘Please sign across

your photograph and the

account opening form

after it has been pasted

on the form.’

stSole/ 1 applicant

‘Please sign across




on the form.’

ndSole/ 2 applicant

‘Please sign across




on the form.’

rdSole/ 3 applicant

_¢/h_ _mZVm/Vr/Vo hÿ§/h¢ {H$ ~o{gH$ goqd½g ~¢H$ {S>nm°{OQ> EH$mC§Q (~rEg~rS>rE) _wPo/h_| EH$ eyÝ eof am{e H$s AmdíH$Vm Ho$ gmW EMEg~rgr Ho$ gmW ~¢qH$J H$s gw{dYm XoVm h¡.

ehd;-eh';fs; nkYk; g[upe;Jbfhs;tJ vd;dbtd;why; ehd;-eh';fs;-vr;v!;gprp ,e;jpahtpy; ntbw';Fk; fzf;Fitf;ff;TlhJ vd;gjid ed;F czu;e;J bfhz;L nkYk; VnjDk; fzf;F Vw;fdnt ,Ue;jhy; mJ ,e;jf; fzf;F bjhl';fp30 ehl;fSf;Fs; Kof;fg;gl ntz;Lk; vd;Wk; mt;thW bra;ag;gltpy;iy vd;why; me;jf; fzf;Ffis Kof;f ntz;oaf fl;lhaj;jpw;Fj; js;sg;gLthu;fs;/ mt;thW bra;tjw;F cupa mwptpg;g[f; bfhLff;g;gLk;/

ehd;-eh';fs; g[upe;J bfhz;Ls;sJ vd;dbtd;why; fzf;F vd;id-v';fis

vr;v!;gprpa[ld; 0% ifapUg;g[ld; t';fp nrit bfhs;s cjt[fpwJ/

÷£]U ÷\Â[Uì ÷£[U öh£õ]m AUPÄsm (¤Gì¤iH)

J«mhH$ Ho$ hñVmja /

VmarI:/

\$moQ>moJ«mâg

AnZo \$moQ>moJ«m\$ H$mo {MnH$mZo Ho$ ~mX ImVm ImobZo Ho$ \$m°_© Ho$ hñVmja H$a|.nhbm AmdoXH$

AnZo \$moQ>moJ«m\$ H$mo {MnH$mZo Ho$ ~mX ImVm ImobZo Ho$ \$m°_© Ho$ hñVmja H$a|.Xÿgam AmdoXH$

AnZo \$moQ>moJ«m\$ H$mo {MnH$mZo Ho$ ~mX ImVm ImobZo Ho$ \$m°_© Ho$ hñVmja H$a|.Vrgam AmdoXH$

thof;ifahsupd; ifbahg;g';fs;

nhbm AmdoXH$/1tJ tpz;zg;gjhuu; Xÿgam AmdoXH$/2tJ tpz;zg;gjhuu; Vrgam AmdoXH$/3tJ tpz;zg;gjhuu;

njjp

epHw;gl';fs;

c';fs; epHw;glj;jpd;

FWf;fhf fzf;F

bjhl';Fk; gotj;jpy;

xl;oat[ld;

ifbahg;gkplg;glntz;Lk;


FWf;fhf fzf;F

bjhl';Fk; gotj;jpy;

xl;oat[ld;



FWf;fhf fzf;F bjhl';Fk;

gotj;jpy; xl;oat[ld;


I certify that the signature(s) and photograph(s) of the Accountholders shown in this form are genuine and correct./

Signed in my presence (by Bank staff)/

Employee name/

Employee number/

_¢/h_ KmofUm H$aVm/H$aVr/H$aVo hÿ§/h¢ {H$ Bg \$m°_© na ImVmYmaH$ Ho$ hñVmja Am¡a \$mQ>moJ«m\$ gƒo Am¡a ghr h¢. /

_oar CnpñW{V _| hñVmj[aV {H$m Jm (~¢H$ ñQ>m\$ Ûmam)/vd; Kd;dpiyapy; ifbahg;gkplg;gl;lJ (t';fp CHpau;)

H$_©Mmar H$m Zm_/

H$_©Mmar H$m Z§~a/

ehd; nkw;fz;l fzf;F itj;jpUg;gtu;fspd; ifbahg;gk;(';fs;) kw;Wk; epHw;glk;-';fs; Mfpait cz;ik kw;Wk; rupahdit vd;W rhd;wspf;fpnwd;/

CHpaupd; bgau;

CHpau; vz;/

Bgr Ho$ gmW _¢/h_ r _mZVm/Vr/Vo hÿ§/h¢ {H$ _¢/h_ maV _| EMEg~rgr _| H$moB© AÝ ~MV ImVm ImobZo H$m/H$s/Ho$ nmÌ Zht hÿ§/h¢. AJa dV©_mZ _| maV _| _oam/h_mam H$moB© AÝ ~MV ImVm h¡, Vmo _¢/h_ Bg ImVo H$mo ~rEg~rS>rE ImVm ImobZo H$s VmarI go 30 {XZm| Ho$ rVa ~§X H$a Xÿ§Jm/Jr/Jo, AÝWm AmnH$mo C{MV Zmo{Q>g XoH$a EMEg~rgr Bg ImVo H$mo ~§X H$aZo H$mo _O~ya hmo OmE§Jo.

Zm°{_ZoeZ \$m°_© (\$m°_© S>rE-1)

(hmbm§{H$ Zm_m§H$Z gw{dYm Eo{ÀN>H$ h¡, {\$a r h_mam gwPmd h¡ {H$ Amn BgH$m bm b|.)

(~¢qH$J aoJwboeZ EoŠQ>, 1949, H$s Ymam 45 OoS>E VWm ~¢H$ {S>nm°{OQ²>g Ho$ g§~§Y _| ~¢qH$J H§$nZrO (Zm°{_ZoeZ) ê$ëg, 1985, Ho$ ê$b 2(1) Ho$ A§VJ©V Zm_m§H$Z)

_¢/h_ ((hm§ ImVmYmaH$(H$m|) H$m/Ho$ Zm_ Am¡a nVm(Vo) {bI|): /

{ZåZ ì{º$ H$mo Zm_m§{H$V H$aVm/H$aVr/H$aVo hÿ§/h¢ {OÝh| _oar/h_mar/AdñH$ H$s _¥Ëw hmo OmZo H$s Xem _|, {OZHo$ ~mao _| {ZåZ {ddaU {Xm Jm h¡, H$mo {X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°anmoaoeZ {b{_Q>oS> (Cg emIm H$m Zm_ d nVm {bI|, Ohm§ {S>nm°{OQ> aIm Jm h¡)/

{S>nm°{OQ>/ Zm_m§{H$V ì{º$ /

{S>nm°{OQ> H$màH$ma{S>[ñQ>§JwqeJ Z§.# $

A[V[aº$ OmZH$mar, {X hmo Vmo

nVm /{X Zm_m§{H$V ì{º$ AdñH$ h¡ Vmo OÝ_ VmarI

{S>nm°{OQ>a Ho$ gmW g§~§Y, {X hmo Vmo

Amw(df©)Zm_ /

+ My§{H$ Bg VmarI Zm_m§{H$V ì{º$ AdñH$ h¡, AV: _¢/h_ lr/lr_Vr/Hw$_mar (Zm_ Am¡a nVm)

Amw/

AmdoXH$(H$m|) Ho$ hñVmja/A§JyR>m {ZemZr* /

{XZm§H$/ ñWmZ /

Jdmh/@

Nomination Form (Form DA-1)/

(While the nomination facility is optional, we recommend that you avail of it.)/

(Nomination under Section 45 ZA of the Banking Regulation Act, 1949, and Rule 2(I) of the Banking Companies (Nomination) Rules, 1985, in respect of the bank deposits)/

I/We [enter name(s) and address(es) of accountholder(s)]/

nominate the following person to whom in the event of my/our/minor's death(s), the amount of the deposit, particulars whereof are given below, may be returned by The Hongkong and Shanghai Banking Corporation Limited [enter name and address of branch/office in which deposit is held]/

Deposit/ Nominee/

Nature of#deposit ,

distinguishing$no. /

Additionaldetails, if any/

Name/ Address/

Relationshipwith depositor, if

any/

Age(Years)/

If nomineeis a minor,

date of birth/

+As the nominee is a minor on this date, I/we appoint Shri/Smt./Kum. (name and address)/

to receive the amount of the deposit on behalf of the nominee in the event

of my/our/minor’s death(s) during the minority of the nominee./age/

*Signature/ Thumb impression of applicant(s)

Date/ Place/@Witness /

nhbm AmdoXH$ /st1 applicant/ Kjy; tpz;zg;gjhuu; Xÿgam AmdoXH$ /nd2 applicant/ 2MtJ tpz;zg;gjhuu; Vrgam AmdoXH$ /rd3 applicant/ 3MtJ tpz;zg;gjhuu;

njjp ,lk;

rhl;rp

tpz;zg;gjhuu;-tpz;zg;gjhuu;fs; ifbahg;gk;-ifnuifg;gjpt[*

H$mo {Zwº$ H$aVm/H$aVr/H$aVo hÿ§/h¢. Amw Vm{H$ _oar/h_mar/AdñH$ H$s AdñH$Vm Ho$ Xm¡amZ _¥Ëw hmoZo H$s Xem _| Zm_m§{H$V ì{º$ H$mo

{S>nm°{OQ> H$s am{e Xr OmE./taJilatiu epakdk; bra;ag;gl;ltu; rhu;gpy; itg;g[j;bjhifapid vd;Dila-v';fSila-,stUila ,wg;g[ neUk; rkak; epakdk;

bra;ag;gl;ltupd; rhu;gpy; ,stu; fhyj;jpnyna bgw mDkjpf;fpnwhk;/

epakdk; bra;ag;gl;ltu; ,e;j njjpapy; ,stuhf ,Ug;gjhy; ehd;-eh'fs; _-_kjp-Fkhup (bgau; kw;Wk; Kftup)

Mfpatiu

itg;gPL

itg;gPl;od;

jd;ik

jdpj;jd;ik

tha;e;j vz;/

(t';fp itg;gf; fzf;Ffisg; bghWj;J t';fpfis Kiwikg;gLj;Jk; rl;lk; 1949 d; 45 ZA vd;w gpuptpd;goa[k; kw;Wk; t';fp epWtd';fspd; (epakdk;) tpjpfs;

1985 tpjp 2(1) d;goa[k; epakdk;/)

ehd;-eh';fs; (fzf;F itj;jpUg;gtu;-fspd;

bgau;fs; kw;Wk; tpyhr';fs; bfhLf;f glntz;L ;) g; k

G[PÐøh AÀ»x G[PÎß CÍÁºU÷Põ CÓ¦ ÷|º¢uõÀ QÌUPsh, {©Ú® ö\£mh |£US, øÁ¥k ö\£mh bjhifia jp \h';fh';

&';fha; ng';fp'; fhu;g;bghnu&d; ypkpbll; (v¤U öPõkUP ÷Ásk® itg;gPL bra;ag;gl;Ls;s fpis-mYtyfj;jpd; bgau; kw;Wk; tpyhrj;jpid vGjt[k;)

epakdk; bra;ag;gl;ltu;

TLjy;

tptu';fs;

VnjDk;

,Ug;gpd;

bgau; tpyhrk;

epakdk; bra;ag;

gLgtu; ,stuhf

,Ue;jhy;

mtUila

gpwe;j njjp

itg;gPL

bra;jpUg;gtUld;

cwt[Kiw ,Ue;jhy;.

me;j cwt[Kiw

taJ

(tUl';fs;)

epakd eK:dh (Form DA-1)

(,e;j trjp tpUg;gj;nju;thf ,Ug;gpDk; ,jid thof;ifahsu;fs; cgnahfg;gLj;jpf;bfhs;s nfl;Lf;bfhs;sg;gLfpwhu;fs;/)

Bank Copy/~¢H à{V/t';fpapd; efy;

11

Zm_/

nVm /

Zm_/

hñVmja/

nVm /

ImVm H«$_m§H$ m agrX H«$_m§H$, Omo bmJy hmo, {bI| /

"Mmby EH$mC§Q', "goqd½g EH$mC§Q', "{\$ŠñS> {S>nm°{OQ> EH$mC§Q', "[aH$[aJ {S>nm°{OQ> EH$mC§Q'> m Omo bmJy hmo, {bI|./

H$mQ> X|, {X Zm_m§{H$V ì{º$ AdñH$ Zht h¡ /

{X {S>nm°{OQ> AdñH$ Ho$ Zm_ h¡ Vmo AdñH$ Ho$ {bE H$mZyZr ê$n go H$m_ H$aZo dmbo ì{º$ H$mo Zm_m§H$Z na hñVmja H$aZo Mm{hE§.

A§JyR>m {ZemZr({Zm|) H$m gËmnZ Xmo Jdmhm| Ûmam {H$m OmZm Mm{hE /

Zm_m§H$Z _| {H$gr Vah H$m ~Xbmd m aÔrH$aU, {ZYm©[aV \$m°_© VWm {S>nm°{OQ>a Am¡a {X do EH$ go A{YH$ hm|, Vmo gr {S>nm°{OQ>g© Am¡a/m CZ_| go Omo CÎmaOrdr hm|, Ho$ g§ wº$ hñVmjam| _| hmoZm Mm{hE.

~¢H$ H$s gbmh h¡ {H$ gr {S>nm°{OQ>g© H$mo Zm_m§H$Z gw{dYm H$m bm boZm Mm{hE. {S>nm°{OQ>a H$s _¥Ëw hmo OmZo na Zm_m§{H$V ì{º$ H$mo, ~Vm¡a H$mZyZr H$m_H$mO H$m Q>ñQ>r ImVo H$s eof am{e H$m wJVmZ {H$m OmEJm,Vm{H$ wJVmZ Ëd[aV Am¡a AmgmZr go hmoZo _| ghmH$ hmo./

Name/

Signature/

Address/

Name/

Signature/

Address/

State account number or receipt number as may be applicable./

State ‘current account’, ‘savings account’, ‘fixed deposit account; recurring deposit account’ or as the case may be./

Strike out if nominee is not minor./

Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor./

Thumb impression(s) shall be attested by two witnesses./

Any variation in or cancellation of the nomination shall be in the prescribed form under the signatures of the depositor and if more than one,then under the joint signatures of all the depositors and/or the survivors of them as the case may be./

The Bank recommends that all depositors avail the nomination facility. The nominee, in the event of death of the depositor(s), would receive the balance outstanding in the account as a trustee of legal affairs, thus helping in a quick and easy settlement./

hñVmja/

fzf;F vz;nzh my;yJ urPJ vz;nzh re;ju;g;gj;jpw;F Vw;wthW bfhLf;fg;glntz;Lk;/

elg;g[f ; fzf;F. nrkpg;g[f ; fzf;F. epue;ju itg;g[f ; fzf;F. bufup'; itg;g[ fzf;F. Mfpatw;wpy; bghUe;Jtijf ; Tw ntz;Lk;/

epakdk; bra;ag;gl;ltu; ,stu; ,y;iy vd;why; mjid mof;f ntz;Lk;/

itg;g[j; bjhif ,stu; bgaupy; bra;ag;gl;oUe;jhy;. epakdk; ,stupd; rhu;ghf rl;lg;go jFjp cs;s eguhy; ifbahg;gkplg;glntz;Lk;/

,lJ bgUtpuy; FwpaPL (fs;) ,uz;L rhl;rpfshy; rhd;wspf;fg; ntz;Lk;/

epakdj;jpy; VnjDk; khWjy; my;yJ epakdk; uj;J bra;ag;gl ntz;Lk; vd;why; mit Fwpg;gpl;l eK:dhtpy; itg;gPL bra;jtu;fs;

ifbahg;gKld; ,Uf;f ntz;Lk;/ xd;Wf;F nkw;gl;ltuhf ,Ue;jhy;. Tl;L itg;gPLjhuu;fspd; midj;Jf; ifbahg;g';fSk; kw;Wk;-

my;yJ mtu;fis bjhlu;e;J tUgtu;fs;. re;ju;g;gj;jpw;F jf;fthW/

t';fp midj;J thof;ifahsu;fSf;Fk; epakd trjpia cgnahfg;gLj;j rpghupR bra;fpwJ/ epakdk; bra;ag;gLgtu; itg;gPL

bra;gtu;(fs;) ghf;fpj; bjhifia rl;l epfH;t[fspd; uº©Pºzuõ/ö£õÖ£õÎ Mfg; bgwyhk;/ ,jd; K:yk; tpiuthd kw;Wk; Rygkhd

igrYf;F tHp tFf;Fk;/

bgau;

ifbahg;gk;

tpyhrk;

bgau;

ifbahg;gk;

tpyhrk;

12

h I§S> {g\©$ ~¢H$ Ho$ CnmoJ Ho$ {bE h¡/

EH$mC§Q> [aH$m°S>©

grdr/

EZEg/ ~rEb/ grAma/ nrAmB© EZE/

S>ãëy/Q>r. yEZAmoE_

H$ñQ>_a Z§~a: /

EgnrEb AmB©EZEgQ>r/

emIm à~§YH$ Ho$ hñVmja/

{g\$m[aeH$Vm©/

ñdrH$maH$Vm©/

ImobZo H$s VmarI: /

Zm ImVm Z§~a (Z§~g©): /

Ho$dmB©gr am Jm h¡ Am¡a ImVm ImobZo H$s Amkm Xr JB© h¡:

This Section is for Bank Use Only/

Account record/

SV/

NS/

W/T.you/

CV/

BL/

NOM/

SCC/

CR/PI/

LOA/

HBAP CRP/

NA/

SPL INST/

Customer no./

New A/c no(s)./

KYC completed and account opening authorised/

Date opened/

Branch Manager's signature/

Recommended by/

Approved by/

thof;ifahsu; vz;

g[jpa fzf;F vz;/(fs;)

KYC •i¢ux ©ØÖ® PnUS öuõh[P A[RP›UP£mhx

bjhl';fpa njjp

My; rpghupR bra;ag;gl;lJ/

My; mDkjpf;fg;gl;lJ/

PnUSz vÓUS® AvPõ›°ß øPöõ£®

Egdr /v!;tp Eggrgr/v!;rprp

rpMu;-g;gpI

EZE/vd;V

EbAmoEE/vy;XVEgnrEb AmB©EZEgQ>r/v!;g;gpvy;Ivd;v!;

EM~rEnr grAmanr/vr;gpVg;gp rpMu;gp

vd;v!; gpvy;

lgps;a[-l;oa[vd;Xvk;

,e;jg;gpupt[ t';fp cgnahfj;jpw;F kl;Lk;

fzf;Fg; gjpt[

rptp

13

THIS PA

GE HAS B

EEN INTENTIO

NALLY LE

FT B

LANK

14



BS

BD

A A

OF

TAM

01/

14

J«mhH$ à{Vthof;ifahsupd; efy; Customer Copy/

Zm°{_ZoeZ \$m°_© (\$m°_© S>rE-1)

(hmbm§{H$ Zm_m§H$Z gw{dYm Eo{ÀN>H$ h¡, {\$a r h_mam gwPmd h¡ {H$ Amn BgH$m bm b|.)

(~¢qH$J aoJwboeZ EoŠQ>, 1949, H$s Ymam 45 OoS>E VWm ~¢H$ {S>nm°{OQ²>g Ho$ g§~§Y _| ~¢qH$J H§$nZrO (Zm°{_ZoeZ) ê$ëg, 1985, Ho$ ê$b 2(1) Ho$ A§VJ©V Zm_m§H$Z)

_¢/h_ ((hm§ ImVmYmaH$(H$m|) H$m/Ho$ Zm_ Am¡a nVm(Vo) {bI|): /

{ZåZ ì{º$ H$mo Zm_m§{H$V H$aVm/H$aVr/H$aVo hÿ§/h¢ {OÝh| _oar/h_mar/AdñH$ H$s _¥Ëw hmo OmZo H$s Xem _|, {OZHo$ ~mao _| {ZåZ {ddaU {Xm Jm h¡, H$mo {X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°anmoaoeZ {b{_Q>oS> (Cg emIm H$m Zm_ d nVm {bI|, Ohm§ {S>nm°{OQ> aIm Jm h¡)/

{S>nm°{OQ>/ Zm_m§{H$V ì{º$ /

{S>nm°{OQ> H$màH$ma{S>[ñQ>§JwqeJ Z§.# $

A[V[aº$ OmZH$mar, {X hmo Vmo

nVm /{X Zm_m§{H$V ì{º$ AdñH$ h¡ Vmo OÝ_ VmarI

{S>nm°{OQ>a Ho$ gmW g§~§Y, {X hmo Vmo

Amw(df©)Zm_ /

+ My§{H$ Bg VmarI Zm_m§{H$V ì{º$ AdñH$ h¡, AV: _¢/h_ lr/lr_Vr/Hw$_mar (Zm_ Am¡a nVm)

Amw/

AmdoXH$(H$m|) Ho$ hñVmja/A§JyR>m {ZemZr* /

{XZm§H$/ ñWmZ /

Jdmh/@

Nomination Form (Form DA-1)/

(While the nomination facility is optional, we recommend that you avail of it.)/

(Nomination under Section 45 ZA of the Banking Regulation Act, 1949, and Rule 2(I) of the Banking Companies (Nomination) Rules, 1985, in respect of the bank deposits)/

I/We [enter name(s) and address(es) of accountholder(s)]/

nominate the following person to whom in the event of my/our/minor's death(s), the amount of the deposit, particulars whereof are given below, may be returned by The Hongkong and Shanghai Banking Corporation Limited [enter name and address of branch/office in which deposit is held]/

Deposit/ Nominee/

Nature of#deposit ,

distinguishing$no. /

Additionaldetails, if any/

Name/ Address/

Relationshipwith depositor, if

any/

Age(Years)/

If nomineeis a minor,

date of birth/

+As the nominee is a minor on this date, I/we appoint Shri/Smt./Kum. (name and address)/

to receive the amount of the deposit on behalf of the nominee in the event

of my/our/minor’s death(s) during the minority of the nominee./age/

*Signature/ Thumb impression of applicant(s)

Date/ Place/@Witness /

nhbm AmdoXH$ /st1 applicant/ Kjy; tpz;zg;gjhuu; Xÿgam AmdoXH$ /nd2 applicant/ 2MtJ tpz;zg;gjhuu; Vrgam AmdoXH$ /rd3 applicant/ 3MtJ tpz;zg;gjhuu;

njjp ,lk;

rhl;rp

tpz;zg;gjhuu;-tpz;zg;gjhuu;fs; ifbahg;gk;-ifnuifg;gjpt[*

H$mo {Zwº$ H$aVm/H$aVr/H$aVo hÿ§/h¢. Amw Vm{H$ _oar/h_mar/AdñH$ H$s AdñH$Vm Ho$ Xm¡amZ _¥Ëw hmoZo H$s Xem _| Zm_m§{H$V ì{º$ H$mo

{S>nm°{OQ> H$s am{e Xr OmE./taJilatiu epakdk; bra;ag;gl;ltu; rhu;gpy; itg;g[j;bjhifapid vd;Dila-v';fSila-,stUila ,wg;g[ neUk; rkak; epakdk;

bra;ag;gl;ltupd; rhu;gpy; ,stu; fhyj;jpnyna bgw mDkjpf;fpnwhk;/

epakdk; bra;ag;gl;ltu; ,e;j njjpapy; ,stuhf ,Ug;gjhy; ehd;-eh'fs; _-_kjp-Fkhup (bgau; kw;Wk; Kftup)

Mfpatiu

itg;gPL

itg;gPl;od;

jd;ik

jdpj;jd;ik

tha;e;j vz;/

ehd;-eh';fs; (fzf;F itj;jpUg;gtu;-fspd;

epakdk; bra;ag;gl;ltu;

TLjy;

tptu';fs;

VnjDk;

,Ug;gpd;

bgau; tpyhrk;

epakdk; bra;ag;

gLgtu; ,stuhf

,Ue;jhy;

mtUila

gpwe;j njjp

itg;gPL

bra;jpUg;gtUld;

cwt[Kiw ,Ue;jhy;.

me;j cwt[Kiw

taJ

(tUl';fs;)

epakd eK:dh (Form DA-1)

(,e;j trjp tpUg;gj;nju;thf ,Ug;gpDk; ,jid thof;ifahsu;fs; cgnahfg;gLj;jpf;bfhs;s nfl;Lf;bfhs;sg;gLfpwhu;fs;/)

Zm_/

nVm /

Name/

Signature/

Address/

hñVmja/

bgau;

ifbahg;gk;

tpyhrk;

15

(t';fp itg;gf; fzf;Ffisg; bghWj;J t';fpfis Kiwikg;gLj;Jk; rl;lk; 1949 d; 45 ZA vd;w gpuptpd;goa[k; kw;Wk; t';fp epWtd';fspd; (epakdk;) tpjpfs;

1985 tpjp 2(1) d;goa[k; epakdk;/)

bgau;fs; kw;Wk; tpyhr';fs; bfhLf;f glntz;L ;) g; k

G[PÐøh AÀ»x G[PÎß CÍÁºU÷Põ CÓ¦ ÷|º¢uõÀ QÌUPsh, {©Ú® ö\£mh |£US, øÁ¥k ö\£mh bjhifia jp \h';fh';

&';fha; ng';fp'; fhu;g;bghnu&d; ypkpbll; (v¤U öPõkUP ÷Ásk® itg;gPL bra;ag;gl;Ls;s fpis-mYtyfj;jpd; bgau; kw;Wk; tpyhrj;jpid vGjt[k;)

Zm_m§H$Z àmá {H$m VWm ~¢H$ H$s nwñVH$ _| MT>mm Jm. Zm_m§H$Z Ho$ g§X© _| {ZYm©[aV ànÌ na Zm_m§{H$V ì[º$ Ûmam Xmdm H$aZo na wJVmZ {H$m OmEJm. ~¢H$,

H¥$Vo X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°anmoaoeZ {b{_Q>oS>

AnZo {ddoH$ na Bg àH$ma Ho$ Xmdo H$mo m Vmo ñdrH¥$V H$aoJm m wJVmZ go nyd© A{V[aº$ à{H«$m nyar H$aZo H$mo H$hoJm.

emIm : /

Zm_/

hñVmja/

nVm /

Name/

Signature/

Address/

Received the nomination and registered in the Bank’s books. Payment in terms of the nomination will be effected on the nominee furnishing proof of his/her claim in the prescribed form. The Bank may at its discretion accept such claim or prescribe compliance of additional formalities before effecting payment./

For The Hongkong and Shanghai Banking Corporation Limited/

Branch/

ImVm H«$_m§H$ m agrX H«$_m§H$, Omo bmJy hmo, {bI| /

"Mmby EH$mC§Q', "goqd½g EH$mC§Q', "{\$ŠñS> {S>nm°{OQ> EH$mC§Q', "[aH$[aJ {S>nm°{OQ> EH$mC§Q'> m Omo bmJy hmo, {bI|./

H$mQ> X|, {X Zm_m§{H$V ì{º$ AdñH$ Zht h¡ /

{X {S>nm°{OQ> AdñH$ Ho$ Zm_ h¡ Vmo AdñH$ Ho$ {bE H$mZyZr ê$n go H$m_ H$aZo dmbo ì{º$ H$mo Zm_m§H$Z na hñVmja H$aZo Mm{hE§.

A§JyR>m {ZemZr({Zm|) H$m gËmnZ Xmo Jdmhm| Ûmam {H$m OmZm Mm{hE /

Zm_m§H$Z _| {H$gr Vah H$m ~Xbmd m aÔrH$aU, {ZYm©[aV \$m°_© VWm {S>nm°{OQ>a Am¡a {X do EH$ go A{YH$ hm|, Vmo gr {S>nm°{OQ>g© Am¡a/m CZ_| go Omo CÎmaOrdr hm|, Ho$ g§ wº$ hñVmjam| _| hmoZm Mm{hE.

~¢H$ H$s gbmh h¡ {H$ gr {S>nm°{OQ>g© H$mo Zm_m§H$Z gw{dYm H$m bm boZm Mm{hE. {S>nm°{OQ>a H$s _¥Ëw hmo OmZo na Zm_m§{H$V ì{º$ H$mo, ~Vm¡a H$mZyZr H$m_H$mO H$m Q>ñQ>r ImVo H$s eof am{e H$m wJVmZ {H$m OmEJm,Vm{H$ wJVmZ Ëd[aV Am¡a AmgmZr go hmoZo _| ghmH$ hmo./

State account number or receipt number as may be applicable./

State ‘current account’, ‘savings account’, ‘fixed deposit account; recurring deposit account’ or as the case may be./

Strike out if nominee is not minor./

Where deposit is made in the name of a minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor./

Thumb impression(s) shall be attested by two witnesses./

Any variation in or cancellation of the nomination shall be in the prescribed form under the signatures of the depositor and if more than one,then under the joint signatures of all the depositors and/or the survivors of them as the case may be./

The Bank recommends that all depositors avail the nomination facility. The nominee, in the event of death of the depositor(s), would receive the balance outstanding in the account as a trustee of legal affairs, thus helping in a quick and easy settlement./

VmarI :/ A{YH¥$V hñVmjaH$Vm© /Date/ Authorised signature/ A[RP›UP£mh øPöõ£®

QøÍ:

÷uv:

Áõ›_ {©Úzøu ö£ØÖUöPõsk Á[Q ¦zuP[PÎÀ £vÄ ö\£mhx. Áõ›ø\ ö£õÖzuÁøµ ÂÁ›UP£mh •øÓ°À AÁµx E›ø© ÷Põu¾UPõÚ Buõµ[PøÍ AÎUS®÷£õx £n® öPõkUP£k®. £n® öPõk£uØS •ßÚuõP Á[Q uÚx Â÷ÁPzvß£i Ax ÷£õßÓ E›ø© ÷Põuø» HØÖU öPõÒÍ»õ® AÀ»x TkuÀ |øh•øÓPÐUPõÚ CnUP[PøÍ £›¢xøµUP»õ®.

v íõ[Põ[ Asm åõ[Põ ÷£[Q[ Põº£÷µåß ¼ªöhm&UPõP

bgau;

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tpyhrk;

epakdk; bra;ag;gl;ltu; ,stu; ,y;iy vd;why; mjid mof;f ntz;Lk;/

16



BS

BD

A A

OF

TAM

01/

14

fzf;F vz;nzh my;yJ urPJ vz;nzh re;ju;g;gj;jpw;F Vw;wthW bfhLf;fg;glntz;Lk;/

elg;g[f ; fzf;F. nrkpg;g[f ; fzf;F. epue;ju itg;g[f ; fzf;F. bufup'; itg;g[ fzf;F. Mfpatw;wpy; bghUe;Jtijf ; Tw ntz;Lk;/

itg;g[j; bjhif ,stu; bgaupy; bra;ag;gl;oUe;jhy;. epakdk; ,stupd; rhu;ghf rl;lg;go jFjp cs;s eguhy; ifbahg;gkplg;glntz;Lk;/

,lJ bgUtpuy; FwpaPL (fs;) ,uz;L rhl;rpfshy; rhd;wspf;fg; ntz;Lk;/

epakdj;jpy; VnjDk; khWjy; my;yJ epakdk; uj;J bra;ag;gl ntz;Lk; vd;why; mit Fwpg;gpl;l eK:dhtpy; itg;gPL bra;jtu;fs;

ifbahg;gKld; ,Uf;f ntz;Lk;/ xd;Wf;F nkw;gl;ltuhf ,Ue;jhy;. Tl;L itg;gPLjhuu;fspd; midj;Jf; ifbahg;g';fSk; kw;Wk;-

my;yJ mtu;fis bjhlu;e;J tUgtu;fs;. re;ju;g;gj;jpw;F jf;fthW/

t';fp midj;J thof;ifahsu;fSf;Fk; epakd trjpia cgnahfg;gLj;j rpghupR bra;fpwJ/ epakdk; bra;ag;gLgtu; itg;gPL

bra;gtu;(fs;) ghf;fpj; bjhifia rl;l epfH;t[fspd; uº©Pºzuõ/ö£õÖ£õÎ Mfg; bgwyhk;/ ,jd; K:yk; tpiuthd kw;Wk; Rygkhd

igrYf;F tHp tFf;Fk;/

nhbm/EH$_mÌ AmdoXH$

hñVmja/

Xÿgam AmdoXH$ / Vrgam AmdoXH$/

nm© r {dmJ /Optional Section/

1. Marketing offer:/From time to time, HSBC communicates various features/products/promotional offers which provide significant benefits to its customers and may use the services of third party agencies to do so. Do you wish to be informed about such benefits?/

I/We expressly authorise HSBC to use information or data relating to me/us, for communicating marketing offers as outlined above./

No, I/we do not wish to receive offers as outlined above./

For customers who wish to receive such marketing offers but do not wish to be communicated the same by way of telephone calls/SMSes from HSBC, we offer a ‘Do not call’ service. To register for this, please visit our website www.hsbc.co.in./

I/We expressly authorise HSBC to give or make available to any member of the HSBC Group, information or data relating to me/us, whether provided by me/us or otherwise, in connection with the offer, sale or distribution of products and services offered by such entities, in which I/we have expressed interest. I/We understand that my/our information will be protected by a strict code of secrecy and security to which all members of the HSBC Group and their staff are subject to./

2. Assignment of activities to third party agencies:/I/We acknowledge that the Bank remains entitled to assign any activities to any third party agencies/service providers at its sole discretion. I/We further acknowledge the right of the Bank to provide details of my/our account and sharing or transfer of information which will be on a confidential basis to HSBC Group offices or other third party agencies/service providers, whether located in India or overseas for the purpose of availing support services of any nature by the Bank and also may disclose information if required or permitted by any law, rule or regulation or at the request of any public or regulatory authority or if such disclosure is required for the purposes of preventing fraud, without any further specific consent or authorisation from me/us./

Signatures/

First/Sole applicant/ Second applicant/ Third applicant/

J{V{d{Ym| H$mo {H$gr Vrgao nj EO|{gm| H$mo XoZm:/

_¢/h_ _mZVo h¢ {H$ ~¢H$ AnZo EH$_mÌ {ddoH$ na BZ J{V{d{Ym| H$mo {H$gr Vrgao nj EO|{gm|/godm àXmVmAm| H$mo Xo gH|$Jo. _¢/h_ ~¢H$ Ho$ A{YH$ma H$mo r g_PVo h¢ {H$ do _oao/h_mao ImVo go g§~§{YV OmZH$mar/Am§H$S>m| H$mo, _oar/h_mar {deof gå_{V m A{YH$¥V nÌ Ho$ {~Zm, EMEg~rgr g_yh H$mm©bm| m {H$gr Vrgao nj H$s EO|{gm|/godm àXmVmAm| H$mo, Omo m Vmo maV _| pñWV h¢, m {\$a ~¢H$ Ûmam Xr OmZo dmbr {H$gr àH$ma H$s ghmH$ godm H$o bm Ho$ {bE {dXoe _| pñWV h¢, Xo gH|$Jo. BgrHo$ gmW, {X AmdíH$ hþAm Vmo do Bg OmZH$mar H$mo H$mZyZ, {Z_ m {Zm_H$ m {H$gr gmd©O{ZH$ m {Zm_H$ àm{YH$aU Ho$ AZwamoY na m {H$gr YmoImYS>r H$mo amoH$Zo Ho$ {bE OmZH$mar _m§Jr OmE, Xo gH|$Jo.

ifbahg;g';fs;

3tJ tpz;zg;gjhuu;

ehd;-eh';fs; xg;g[f;bfhs;tJ vd;dbtd;why; t';fpf;F ve;j xU eltof;ifiaa[k; K:d;whk; egu; KifikfSf;F -nrit mspg;gtu;fSf;F mjd;

tpUg;gg;go tH';f cupik cz;L/ vd;dplkpUe;J-v';fsplkpUe;J ve;j xU kW rk;kjKkpd;wp vd;Dila-v';fSila fzf;F kw;Wk; jffy;fisg; gfpu;e;J

bfhs;tJ my;yJ jfty;fis khw;WtJ midj;Jk; vr;v!;gprp FG mYtyf';fs; my;yJ kw;w K:d;whk; egu; Kifikfs;-nrit mspg;nghu;. ,e;jpah

my;yJ btspehl;oy; ,Ug;gtu;fSila ve;j xU tifahd nritiag; bgwt[k; t';fpahy; cgnahfg;gLj;jg;gLk; nkYk; njitg;gl;lhy;. rl;lg;go tpjp kw;Wk;

tpjpKiwfspd;goa[k; my;yJ VnjDk; xU bghJ my;yJ KiwikgLj;Jk; mjpfhup nfhupf;ifapd;goa[k; Hkhw;Wjy; eltof;ifapid jtpu;f;f vd;Dila-

v';fSila jfty;fs; bfhLf;fg;glyhk;/

eltof;iffis K:d;whk; egu;fSf;F mspj;jy;

1 tJ-xnu tpz;zg;gjhuu; 2tJ tpz;zg;gjhuu;

_mH}$qQ>J Am°\$g©: /

Ho$ ~mao _| g_-g_ na ~VmVo ahVo h¢. J«mhH$ BZ Vrgao nj H$s godmAm| H$m bm bo gH$Vo h¢. Šm Amn r BZ Am°\$g© Ho$ ~mao _| OmZZm MmhVo h¢?/xt;bthU fhyfl;lj;jpYk; vr;v!;gprp jd;Dila thof;ifahsu;fSf;F gy;ntW rpwe;j mk;r';fs;-bghUl;fs;-nkk;gLj;jg;gl;l nfhupf;iffs; kw;Wk; mjd; K:yk; thof;ifahsu;fs; mila[k; ed;ikfs; Mfpatw;iwg; gw;wp mtu;fSf;Ff; Tw xU K:d;whk; egupd; Kifikfspd; nritapid nkw;bfhs;Sk;/ j';fSf;F mt;thwhd gad;fs; gw;wpa jfty;fs; jug;gl ntz;Lk; vd;W tpUk;g[fpwPu;fsh>

_¢/h_ ~¢H$ H$mo {deof ê$n go Cnamoº$ _mH}$qQ>J Am°\$g© ~VmZo Ho$ {bE _oao/h_mao go g§~§{YV OmZH$mar m Am§H$S>o Ho$ BñVo_mb Ho$ {bE A{YH¥$V H$aVo h¢./ehd;-eh';fs; btspag;gilahf vr;v!;gprpid

vd;Dila-v';fSila jfty;fis mt;thwhd re;ij nfhupf;iffis nkw;brhd;dthW v';fSf;F tH';f mDkjpf;fpnwhk;.

Or Zht, _¢/h_ Cnamoº$ noeH$e| àmá Zht H$aZm MmhVm/MmhVr hÿ§. /

bo{H$Z do BÝh| ~¢H$ Ûmam {H$E JE Q>obr\$moZ H$m°ëg/EgE_Eg Ho$ _mÜ_ go Zht MmhVo, h_ Sy> Zm°Q> H$m°b godm CnbãY H$amVo h¢. Bg godm na n§OrH$aU Ho$ {bE H¥$nm h_mar do~gmBQ> www.hsbc.co.in na nYma|.$ Eogo Cnmoº$m Omo Eogo _mH}$qQ>J Am°\$g© àmá Vmo H$aZm MmhVo h¢,

Am¡a Omo AbJ ep»gVm| Ûmam {XE OmVo h¢, VWm {OZ_| _oar/h_mar {deof A{é{M h¡, Am°\$g©, gob m {S>ñQ>rãweZ Ho$ g§~§Y _|, _wP/h_ go g§~§{YV OmZH$mar m Am§H$S>o, Omo _oao/h_mao Ûmam [XE JE m {H$gr AÝ òmoV go CnbãY hþE hm|, {XE OmZo m CnbãY H$amZo Ho$ {bE ~¢H$ H$mo A{YH¥$V H$aVo h¢. _¢ g_PVm/g_PVr hy§ {H$ _wPgo /h_go g§~§{YV OmZH$mar/Am§H$S>m| H$mo JwáVm Ho$ H$moS> Ho$ VhV nyar Vah gwa{jV {H$m OmEJm, VWm EMEg~rgr g_yh Ho$ gr gXñ Am¡a CZHo$ H$_©Mmar BZgo ~§Yo ah|Jo. /

_¢/h_ {deof ê$n go EMEg~rgr g_yh Ho$ {H$gr gXñ H$mo, Omo BZ CËnmXm| Am¡a godmAm| go OwS>o h¢,

tpUg;gj;jpw;nju;t[g; gFjp

re;ijf;fhd nfhupf;if

|õß/ |õ[PÒ BºÁ® öu›Âzu, C¢ua \¾øP, ÂØ£øÚ AÀ»x uõ›¦PÒ ©ØÖ® GaGì¤] SÊÂÚº ÁÇ[S® ÷\øÁPøÍ ÂÛ÷õQ£x öuõhº£õP |õß/ |õ[PÒ öPõkzu AÀ»x ©ØÓÁøP°»õÚ, Gß/ G[PÒ öuõhº£õÚ uPÁÀPÒ AÀ»x uµÄPøÍ GaGì¤] SÊÂß HuõÁx EÖ¤ÚUSU öPõkUP AÀ»x QøhUPa ö\ GaGì¤]US |õß/ |õ[PÒ öÁÎ£øhõP A[RPõµ® AÎUQ÷Óõ®. GÚx/ G[PÒ uPÁÀPÒ Pkø©õÚ µP] \[÷Pu Gs öPõsk £õxPõUP£k® ©ØÖ® AuØS £õxPõ£Î£uØS GaGì¤] SÊ©zvß AøÚzx EÖ¤ÚºPÒ ©ØÖ® AÁØÔß FÈºPÒ Pmk£mhÁºPÒ Gß£øu |õß/ |õ[PÒ ¦›¢xöPõÒQ÷Óõ®.

nkwf; zl; tptu'f; isg ; bgw ntzL; k ; vdW; tpUkg; g[ tuf; s ; Mdhy ; mit bjhiyngrp-FW”b;: raj; p-Mfpatww; pd ; Ky: k ; bgw tpUgg; k ;

,yy; hjtuf; s ; @miHff; ntzl; hk@; vdw; nritiag ; bgwyhk/; ,jwF; g ; gjpt [ braa; v'f; Sila ,izajsk ; www.hsbc.co.in I ghuf; f; tk[ ;

nkw;fz;lthW jfty;fs; tH';fg;gLtij eh';fs; tpUk;gtpy;iy/

~¢H$, AnZr Iy{~mo§/CËnmXm|/à_moeZb Am°\$g©, Omo AnZo J«mhH$m| H$mo T>oam| \$mXo XoVo h¢,

17

{X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°anmoaoeZ {b{_Q>oS>, B§{S>m, (EMEg~rgr)

H¥$nm ~m°Šg na ghr H$m {ZemZ bJmE§ Am¡a AmdoXH$ 1, 2 Am¡a 3 Ho$ A§VJ©V _m§Jr JB© OmZH$mar X|.þ

AmnH$mo OmZZo _| h_| ghmH$ hm| (Eo{ÀN>H$)

H$ñQ>_a AmB©S>r Z§./({g\©$ H$mm©brZ CnmoJ Ho$ {bE) /

H¥$nm ~ƒm| H$s g§»m Ho$ ~mao _| ~VmE§

~ÀMm| H$s g§»m /

AmnHo$ {Zdmg H$m àH$ma Šm h¡?

H§$nZr {Zdmg /

IarXm hþAm nyar Vah {ZOr Ka/

{Jadr aIr JB© g§n{Îm /

{H$amE H$m Ka /

_m§-~mn/[aíVoXma Ho$ gmW ah aho h¢ /

AÝ /

nrOr/hmoñQ>b /

Zht /

H$ma Ho$ ñdm{_Ëd Ho$ ~mao _|/

Or hm§ /

EQ>rEåg H$s gw{dYmOZH$ pñW{V/AÝ H$maU

EMEg~rgr à{V{Z{Y/Q>obr_mH}$qQ>J y{ZQ> Ûmam g§nH©$ H$aZoo na

g¡bar no_|Q> Ho$ {bE Eånbm°a H$m ~¢H$

emIm H$r gw{dYmOZH$ pñW{V /

EMEg~rgr _| ImVm ImobZo H$m {ZU© AmnZo Am¡a H¡$go Šm| {bm?

n[adma/XmoñVm| Ho$ H$hZo na

{dkmnZ Ho$ Odm~ _| /

n[adma Zo h_oem hr EMEg~rgr Ho$ gmW ImVo Imobo h¢

S>maoŠQ> _oba Ho$ Odm~ _| /

nyd© ~¢H$ go Ag§Vw{ï>

Help Us to Know You Better (Optional)/

The Hongkong and Shanghai Banking Corporation Limited, India (HSBC)/

Customer ID no.:/(For Bank use only)/Please tick the boxes and fill in the requested information under applicant 1, 2 or 3.

Number of children/

Please specify the number of children/

What is the nature of your residence?/

1. Company residence/

2. Fully owned private house/

3. Mortgaged property/

4. Rented house/

5. Living with parents/relatives/

6. Others/

7. PG/hostel/

Car ownership/

Yes/

No/

How did you decide to open an account with HSBC?/

1. Recommendation by family/friends/

2. Family has always banked with HSBC/

3. Response to an advertisement/

4. Response to direct mailer/

5. Dissatisfaction with previous Bank/

6. Convenient branch location/

7. Employer’s Bank for salary payment/

8. Approached by HSBC representative/telemarketing unit/

9. Convenient ATM locations/other reasons/

\h';fh'; kw;Wk; &h';fha; gh';fp'; fhh;gnu&d; ypkpbll;. ,e;jpah (vr;v!;gprp)

j';fisg; gw;wp mwpe;J bfhs;s v';fSf;F cjt[';fs; (Optional)

thof;ifahsh; milahs vz;

(t';fp cgnahfj;jpw;F kl;Lk;)

tpz;zg;gjhuh; 1.2. my;yJ 3 nfl;fg;gl;l jfty;fisg; bgl;oapy; Fwpg;gpl;Ls;s FwpaPl;il cgnahfg;gLj;jp g{h;j;jp bra;at[k;/þ

FHe;ijfspd; vz;zpf;if

FHe;ijfspd; vz;zpf;ifiaf; Fwpg;gplt[k;

c';fs; FoapUg;gpd; jd;ik vd;d?

bkhj;jkhf brhe;jkhd jdpg;gl;l tPL

mlkhdr; brhj;J

thlif tPL

bgw;nwhh;-cwtpdUld; trpf;fpwPh;fsh

kw;wit

g;gp$p-tpLjp

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fhh; brhe;jkhdjh

Mk;

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vr;v!;gprpapy; fzf;Fj; bjhl';f vt;thW Kot[ bra;jPh;fs;?

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tpsk;guj;jpd; tpilahf

neuoahf te;j jghYf;F tpilahf

Kd;dh; ,Ue;j t';fpapd; jpUg;jpaw;w epiy

t';fpf; fpis mike;Js;s ,lk; trjpahdJ

rk;gsk; bgw ntiy jUgthpd; t';fp

vr;v!;gprp bjhiyngrp tzpfk; - gpujpepjp K:ykhf

trjpahd Vl;ovk; mikg;g[fs; - kw;w fhuz';fs;

18

Šm Amn {H$gr OmZ-nhMmZ dmbo H$mo h_mam Zm_ XoZm Mmh|Jo/Jr?

_¢ Eogm _mZVm hÿ§ {H$ Cnamoº$ bmoJm| go CZHo$ gnH©$ {ddaU XoZo Ho$ {bE gå_{V nÌ àmá hþE h¢, VWm BZH$m CnmoJ EMEg~rgr B§{S>m Ho$ CËnmX Ed§ AÝ godmAm| H$mo ~VmZo Ho$ {bE {H$m OmEJm. /

nhbm/EH$_mÌ AmdoXH$

hñVmja/

Xÿgam AmdoXH$ / Vrgam AmdoXH$

ao\$ab - 2 /

Zm_ /

_mo~mBb Z§. /

amï> /

Xoe /

Q>obr\$moZ Z§. /

nmoñQ>b/{On H$moS> /

nhbm Zm_

Z§~a /E[am H$moS> /H§$Q>r H$moS> /

_Ü Zm_ A§{V_ Zm_

Z§~a /H§$Q>r H$moS> / E[am H$moS> /

ao\$ab - 1 /

Zm_ /

_mo~mBb Z§. /

eha / amï> /

Xoe /

Q>obr\$moZ Z§. /

nmoñQ>b/{On H$moS> /

nhbm Zm_

Z§~a /E[am H$moS> /H§$Q>r H$moS> /

_Ü Zm_ A§{V_ Zm_

Z§~a /H§$Q>r H$moS> / E[am H$moS> /

Would you like to provide any referrals to us?/

Referral - 1/First name/ Middle name/ Last name/

Name/

City/ State/

Country/

Postal/Zip code/

Telephone no./

Mobile no./

Country code/ Area code/ Number/


Referral - 2/First name/ Middle name/ Last name/

Name/

City/ State/

Country/

Postal/Zip code/

Telephone no./

Mobile no./



I confirm having obtained consent from the above referred persons to provide their contact details, which may be used to communicate details of the products and services of the Bank./

Signatures/

First/Sole applicant/ Second applicant/ Third applicant/K:d;whtJ tpz;zg;gjhuh;

ehd; Fwpg;gpl tpUk;g[tJ vd;dbtd;why; ehd; nkw;fz;l egu;fsplkpUe;J mtu;fSila bjhlu;g[ tptu';fisf; bfhLf;f rk;kjk; bgw;Ws;sjhy;

mitfis t';fpapd; bghUl;fs; kw;Wk; nritfisj; bjupag;gLj;j cgnahfpj;Jf; bfhs;syhk;/

ifbahg;gk;

Kjy;-jdp tpz;zg;gjhuh; ,uz;lhtJ tpz;zg;gjhuh;

eha /efuk;

Kjy; bgah;

bgah;

eL bgah; filrp bgah;

khepyk;

ehL

m”;ry;FwpaPL

bjhiyngrpvz;

ehL FwpaPL gFjp vz;

ifg;ngrp vz;

ehL FwpaPL gFjp vz;

rpghhpR – 1

eha /efuk;

Kjy; bgah;

bgah;

eL bgah; filrp bgah;

khepyk;

ehL

m”;ry;FwpaPL

bjhiyngrpvz;

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ifg;ngrp vz;

ehL FwpaPL gFjp vz;

VnjDk; rpghhpRjhuiu v';fSf;F Fwpg;gpl tpUk;g[fpwPh;fsh?

rpghhpR – 2

19

20

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nyar Vah am hþAm AmdoXZ nÌ (EßbrHo$eZ \$m°_©)

ñWmr S>mBqdJ bmBg|g/

_VXmVm H$mS>© /

nmgnmoQ>©/

gyMr ~r (nVo H$m à_mU) H$moB© EH$

ZaoJm Om°~ H$mS>©/

AmYma H$mS>© /

n¡Z H$mS>© (ñWmr ImVm H«$. (n¡Z) H$mS>©)

ñWmr S>mBqdJ bmBg|g/

_VXmVm H$mS>©/

nmgnmoQ>©/

gyMr E (nhMmZ H$m à_mU)

H$moB© EH$/

n¡Z H$mS>© (Oê$ar h¡. {X n¡Z H$mS>© Z hmo Vmo H¥$nm \$m°_© 60/61 O_m H$a|)

ha AmdoXH$ H$m nmgnmoQ>© AmH$ma H$m \$moQ>moJ«m\$, Omo gm_Zo H$s Va\$ hñVmj[aV hmo/

EH$mC§Q> AmonqZJ S>m°Šw_|Q>oeZ MoH${bñQ>

(EH$mC§Q> AmonqZJ \$m°_© Ho$ gmW O_m {H$m OmE)

{X hm°ÝJH$m°ÝJ EÝS> e§KmB© ~¢qH$J H$m°anmoaoeZ {b{_Q>oS>, B§{S>m (EMEg~rgr)

{g\©$ ao{gS>|Q> EH$mC§Q²>g na bmJy

EH$mC§Q> AmonqZJ AmdíH$VmE§EH$_mÌ/nhbm ImVm YmaH$

g§ wº$ ImVm YmaH$ 1

g§ wº$ ImVm YmaH$ 2

Account Opening Documentation Checklist/

(To be submitted along with Account Opening Form)/

The Hongkong and Shanghai Banking Corporation Limited, India (HSBC)/

APPLICABLE ONLY FOR RESIDENT ACCOUNTS/

Account Opening Requirements/ Sole/First A/cholder/

Joint A/cholder 1/

Joint A/cholder 2/

Completed account opening form/

Passport size photograph for each accountholder signed on the front/

PAN card (This is mandatory. If PAN card is not available, pleasesubmit form 60/61)/

What is the List A (Proof of Identity) any one/

Passport/



Permanent Account Number (PAN) card/

Aadhaar card/

NREGA job card/

List B (Proof of Address) any one/

Passport/



xt;bthU fzf;F

itg;gtUf;Fk; flt[r;rPl;L mst[s;s epHw;glj;jpd; Kd; ifbahg;gj;Jld;

fzf;F bjhl';Ftjw;F tH';fg;gl ntz;oa Mtz';fspd; gl;oay;j;

(fzf;F bjhl';Fk; eK:dht[ld; rku;g;gpf;fg;gl ntz;Lk;)j;

jp \h';fh'; mz;L &';fha; ng';fp'; fhu;g;bghnu&d; ypkpbll;.

,e;jpah (vr;v!;gprp)

,e;jpahtpy; thGk; egu;fSf;F kl;Lk;

fzf;F bjhl';f njitahditfs; j;

xnu-Kjy;

fzf;F itg;gtu

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itg;gtu; 1Tl;Lf; fzf;F

itg;gtu; 2

g{u;j;jp bra;ag;gl;l fzf;F bjhl';Fk; eK:dh j;

jdpg;gl;l fzf;F vz;/ (,J fl;lhak; bfhLf;fg;gl ntz;Lk;/ jdp

fzf;F vz; ,y;iy vd;why;. eK:dh 60-61 Mfpatw;iw rku;g;gpf;ft[k;/

V gl;oay; (milahsj;jpw;fhd Mjhuk;) VjhtJ xd;W

flt[r;rPl;L



jdpg;gl;l fzf;F vz;/ ml;il

Mjhu; ml;il

njrpa Cuf ntiy tha;g;g[ cWjp ml;il

gp gl;oay; (Kftupf;fhd Mjhuk;)

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21

J«mhH$ H$o hñVmja*

*g§ wº$ ImVm hmo Vmo, XñVmdoOm| Ho$ O_m hmo OmZo na H$moB© r EH$ ImVmYmaH$ gr ImVmYmaH$m| Ho$ dmñVo hñVmja H$a gH$Vm h¡./

gr XñVmdoOm| H$mo O_m H$aZo H$s VmarI ({XZ/_hrZm/df©)

J«mhH$ H$m Zm_*

EMEg~rgr H$_©Mmar H$m Zm_*

EMEg~rgr H$_©Mmar H$o hñVmja*

a|Q>/brO EJ«r_|Q> H$s n§OrH$¥V à{V (amÁ gaH$ma m g_H$j n§OrH$aU àm{YH$aU)

åw{Z{gnb H$m°nm}aoeZ Ûmam Omar {H$m hþAm nVo Ho$ gmW H$m S>mo{_gmBb g{Q>©{\$Ho$Q> /

g§n{Îm H$a {~b/

J¡g {~b ({g\©$ nmBnbmBZ H$ZoŠeZ Ho$ {bE)

{~Obr/nmZr/Q>obr\$moZ {~b

gmogmBQ>r AmCQ>JmoB§J {~b ({g\©$ n§OrH¥$V gmogmBQ>rO go)

ameZ H$mS>©*/Ration card*/

Society outgoing bill (only from registered societies)/

Electricity/water/telephone bill/

Gas bill (pipeline connection only)/

Property tax bill/

Domicile certificate with address issued by Municipal Corporation/

Registered rent/lease agreement (registered with State Governmentor similar registration authority)/

*Ration card is not accepted as a proof of residential/permanent address in the states of Gujarat and Maharashtra or in those states where the ration cardspecifically states that it has been issued only for ‘ration purposes’./

Date of submission of all documents (DD/MM/YY)/

(To be filled by the customer)/

*Customer name /

*Customer signature /

In case of joint account, any one of the accountholder can sign after all the documents for all the accountholder(s) have been submitted./

HSBC Staff name/

HSBC Staff signature/

(J«mhH$ Ûmam am OmE)/(thof;ifahsuhy;

g{u;j;jp bra;ag;gl ntz;oaJ)

midj;J Mtz';fSk; rku;g;gpf;fg;gl;l njjp

thof;ifahsupd; bgau;*

ÁõiUøPõÍº øPöõ£®*

vr;v!;gprp CHpaupd; bgau;*

vr;v!;gprp CHpaupd; ifbahg;gk;*

*JwOamV Am¡a _hmamï> Ho$ amÁm| _| m CZ amÁm| _| Ohm§ {deof Vm¡a na ameZ H$mS>© na {bIm hmoVm h¡ {H$ Bgo {g\©$ ameZ CÔoí Ho$ {bE Omar {H$m Jm h¡, ameZ H$mS>© H$mo Amdmgr/ñWmr nVo Ho$ {bE _mZm Zht OmVm h¡./~FLk;g ml;il F$uhj; kw;Wk; k\huh&;l;uh ©õ{»[PÎ¾® my;yJ ve;j xU khepyj;jpy; FLk;g ml;ilapy; Fwpg;ghf czt[g;bghUl;fSf;fhf kl;;Lk; vd;W Fwpg;gplg;gl;Ls;snjh mt;thwhd FLk;g ml;ilfs; Vw;Wf; bfhs;sg;glkhl;lhJ/

/r';fj;jpd; btspr;bry;Yk; gl;oay;

(gjpt[ bra;ag;gl;l r';fj;jpw;F kl;Lk;)

gjpt[ bra;ag;gl;l thlif-Fj;jif xg;ge;jk; (khepy muR- my;yJ

mijbahj;j gjpt[j;Jiw mjpfhup)

ciwtplj;jpw;fhd Kftupa[ld; Toa efuhl;rp kd;wk; tH';fpa rhd;wpjH;

brhj;Jtup gpy;

vuptha[ gpy; (FHha; tHp ,izg;g[fSf;F kl;Lk;)

kpd;rhuk;-jz;zPu;-bjhiyngrp gpy;fs;

FLk;g ml;il~

*Tl;Lf; fzf;fhf ,Ue;jhy;. ahuhtJ xU fzf;F itj;jpUg;gtu; midj;J fzf;F itj;jpUg;gtUf;Fkhd rku;g;gpf;fg;gl;l Mtz';fspd; gpd;dhy; ifbahg;gkplg;gl ntz;Lk;/

22



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bsbda- basic form-trilanguage ~ 19.09 - hindi - tamil imvmymah$ ({g\©$ {zdm{g`m|ho$ {be)/...

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