application form of any bank

1. Date:
1. Please fill upinBLOCKletters onlyanduse black ink for signature. Please leave one box blank Betweentwo words. tick () The appropriate
boxes.
2. Fields markedAsterix (*) are not mandatory.
3. Please affix a passport size photograph inthe box provided. Also enclose another photographfor affixing in the passbook.
4. For openingaccount of minors, where proof ofidentity/address is not available, the same will be providedby
mother/father and natural guardian.
5. In case ofilliterate customers, left thumbimpression(LIT) to be affixedandverified.
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
PassportSize 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 detailsvery carefully if anykindof mistake inthisaddressIamresponsibleforit.
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
CreditCard Net Banking
Mobile Banking
Signature of Applicant
Signature of Bank Manager
Applicant Photo
Bank Seal & Manager Sign.
Instructions:
1. Add a copy of YourIdentity Card (Aadhar)
2. Add a copy of your PANcard
3. Add a Copyof Your Residential identity(Electricity,waterbill,Mool Nivas)
4. Read all Instruction verycarefully.
5. Also Add Copy of all identityofNominee.
6. SelectBranch Carefully.
7. Please make sure that your mobile no. attached with Aadhar otherwise KYC Not done Successfully.