1. Date:
1. Please fill up in BLOCK letters only and use black ink for signature. Please leave one box blank Between two words. tick () The appropriate
boxes.
2. Fields marked Asterix (*) are not mandatory.
3. Please affix a passport size photograph in the box provided. Also enclose another photograph for affixing in the passbook.
4. For opening account of minors, where proof of identity/address is not available, the same will be provided by
mother/father and natural guardian.
5. In case of illiterate customers, left thumb impression (LIT) to be affixed and verified.
Customer Type: Teacher Student Minor:
Name: Mr. Ms. Mrs.
Name of Father /Husband /Guardian: Mr. Ms. Mrs.
DOB: SEX: Male Female Transgender
Nationality: _______________________________
Mother’s Maiden Name:
Marital Status: Married Unmarried Other
Aadhar No./ V. No.:
PAN CARD No.:
Mobile No.:
Email Address: _______________________________________________________________________________
Signature of Applicant
Passport Size Photo (350*350) Signature of Guardian
*Mobile no. is used for sending messages or calls about your transaction.
Sangam
Bank
Branch Name & Code No.
Sole/ First Applicant:
Personal Details:
Of india
DD / MM / YYYY
2. Correspondence Address: (Current Residential / Office)
Land Mark / Street:
City: Pin code:
State:
FAX No.:
Same as Correspondence
Land Mark / Street:
City: Pin code:
State:
FAX No.:
Signature of Applicant Signature of Guardian
I read all details very carefully if any kind of mistake in this address I am responsible for it.
Address Details
Permanent Address :
3. Name of Nominee:
Relation with Nominee:
Nominee Mobile No.:
Email of Nominee: ____________________________________________________________
Permanent Address of Nominee:
Pin Code & City:
Passport Size Photo Signature of Nominee
Nominee Details
4. Other Facility:
Passbook Debit Card
Credit Card Net Banking
Mobile Banking
Signature of Applicant
Signature of Bank Manager
Applicant Photo
Bank Seal & Manager Sign.
Instructions:
1. Add a copy of Your Identity Card (Aadhar)
2. Add a copy of your PAN card
3. Add a Copy of Your Residential identity (Electricity, water bill, Mool Nivas)
4. Read all Instruction very carefully.
5. Also Add Copy of all identity of Nominee.
6. Select Branch Carefully.
7. Please make sure that your mobile no. attached with Aadhar otherwise KYC Not done Successfully.