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ACCOUNT OPENING MEMORANDUM
sOL
CUstomer Name
sL
Branch D A
AN JAN HVSH AN
ExlstingCllent? Yes N ExlstingClent 1D
ExistingUCIC?
14digitCKYC
A/c OpeningbyNormal
Yes No ExlstingUCICID
Prefered Royal Speedgate Express Welcome kit
InltialPaymentDetalls
Credited toAccountNo
3 7 2 0 0 0 o
Detalls of LabelCodes (In case of OtherLabelcode,Pleasespeclfythenarure
DST
FinacleTranID.
Value Date
|DD MMYYI
Other
PayRoll
STE346694
Other
Other Detalls
Scheme Code DateofDesp.ofAOFtoRPU
D D _ M M Y Y
GLSubHead Code Vertical
KSIC A [GL
wesubmif the Account Opening form (AOF) with the above details and request you to open the account. we Confim
that
The Account Opening Form (AOF) is complete in all respects for opening an account.
A Branch Official had sighted the original of all the documents provided for opening the account.
We have complied with all the requirements of the KYC and AML Policy, KYC & AML Master Circular of the Bank
up dated till now.
We have complied with all requirements circulars / instructions issued by the Bank till date with regard fo thee
proposed Product
We have verified the updated Caution / Black Lists of UN / GOI for the name of the applicant/s and confim
that the name does not exist in any Caution / Black List
We confim that by opening this account, the individual/non individual applicant would not have a second
client ID in the Bank. (OR)
Customer is an existing non individual customer of bank, for account operating convenience; a new
Customer id has to be generated for the customer. The existing Unifom Customer ldentification Code (UCIC) of
the customer number has been captured on AOF for linking new customer id with existing UCIC
All Statutory, Regulatory and Internal guidelines issued up-fo-date have been complied with regard to this AOF
Tele-verification is applicable /not applicable to the said client as per extant KYC guidelines of the Bank. If
applicable, declaration is provided below.
.
iv.
.
.
.
VIll.
Signature of SOM
(EIN and Stamp)
Declaration forTelevertflcatlon,If applicable
hereby confim thatI have conducted Tele
Verification of the said prospective client afMobile have been obtained and verified by me. I confim
Phone Number. The Tele-Verification Was conducted that the documenfs are adeqyate to comply with
on.--41o sLL
Declaration by Branch Head
T hereby certify that all necessary KYC documents
KYC requirements of the Bak. Based on this, the
account may be opened.
HAV
Signature oftheoffiskgwihEIN gndSfaip
Manager fcro/1DBIBANKLTD.
Signature ofrdhepdegdNeNkiaebM
TET
T / Y I Y A /
Branchr
H e a d l g A Q M
T E - 9 9 R O Y / E I N - 1 1 2 7 4 3
a 5 6 9 4
3 7
FTST
ZTET/
Argora
Branch
IDBI BANK
FORM A
See sub-paragraph (1) ofparagraph5
(To be submitted in duplicate)
*'********* * **'****'''"'*****"****|
BI hoAA_Branch,Sol ID|ISL,IDBI Bank Lid.]
Serial No. ,.2...4
* * * * * " * * * * * *
Applicationfor opening an account under the
Capital Gains Accounts Scheme, 1988
To
The Branch Head,
* * * * * * ' ' ' * *
Name and address of the Deposit Office]
AN IAN ID.S.AEIN... aged
*****o*****'********* ********
years....***********'*°°"*****"
Name and address of the *applicant/*depositor]
hereby apply for opening *Accoúnt-A ard/*or Account-B under the Capital Gains Accounts
Scheme, 1988 (in terms of section *54/*54B/*54D /*54F/*54G/*54GB of the Act) *in my
name/*in
of
the name
[Name of the
depositor
of whom I am the *guardian/*karta/*authorised officer, and tender herewith the amount of Rs.
. . n cash/by way of *crossed cheque/*demand draft, towards deposit as per
detailsbelow:
1. (a) Amount deposited
****°**************************************.**.
..infigures
. In words]
Rs.
dated..
in cash/by *crossed cheque/*demand draft No. *************.
ualca.
. . drawn
on
6) Address ofthedepositor 29 2/C, koho wo. I, ASHOK NAG HK, POLANP9,2ANAT,
**2. *I wish to make a nomination in respect of the ámount to my credit in the said account/*I do
not wish to make a nomination in respect of the amount to my credit in the said account, at
present.
3. (a) Applicant's relationship with the depositor
(in case the depositor is minor)
6) Whether applicant is natural guardian/guardian appointed by Court, for the minor depositor
34TEETe1 37T
3! PANKLTD
3 AV
, nager
.
2 4
(c)Date of birth of minor
. Depositor's pemmanent IT Account No./District/Ward/Circle/Range
where
assessed AE. D reXIqI B
5. Previous year From.... to month..
(as applicable in case of the depositor)
6. Assessment year in respect of which deposit is to be 19.
2 0 2 3 - 1 o L y
made
7. (a) Whether deposit is to be made under Account-A or Account-B or under Account-A and
Account-B
(b) In case the deposit is to be made under Account-A and Account-B
() Amount to be deposited under Account-A Rs. e*****************s *' ..infigures]
Rs. ..inwords]
(in Amount to be deposited under Account-B Rs.. ..in figures]
Rs ************°"****°°°"******.
..inwords]
(C) In case of Account-B
(i) Period for which deposiisto be made
(ii) Whether the depot is made as *Cumulative/*Non-cumulative
. R J A . B u s l a m
* * * * * * * * * * * * *
**Signature/*thumb impression
ofthe eligible assesse as referredto
in section 54GB of the Act
d n a
applicable in case ofsection 54GB
lonlyl
T-1
depositor *of the
ANKTD 0
A V
N a n a g e r
. 1 2 5 0 9 4
guardian/*karta/authorised officer
ofthe depositor
Additional specimen
Date..3 1olerL
Place... tT,J YALE I1No
* * * ° * ° ' * * * ° ' ' * * ' * ' * * * * * * ' ' ° ' " ° ° ' * * * * ° ' ' * * * * " * * * ° ' * * * ' "
***************'*********************************
FOR BRANCH USE
1.(a)Account-ANo. . . . has been opened on.....
.. with Rs. ...
in the
name
of
[Namc
* * *
* * * '
' * * * * * * ' * "
of the depositor]
b) Pass Book No. ...has been issued to the appfícant/depositor.
with Rs.
2. (a) Account-B No.
has becn opehcd on......
* * * * * * *
. *
. .
in the name of......
[Name of the depositor] as *Cumulative/
*Non-cumulative deposit.
K
y k
Deposit Receipt No.
for Rs.
(b)
dated..
* ***
* * * * *
has been delivered
to the
on.....
applicant/*depositor.
.... dated....
... for Rs. .......
3. Cheque No.
drawn on ....
* * *
tendered by the *applicant/*depositor, has not been realised, hence,
* * * * * * ' * * *
account has not been opemed.
Pate.
Officer-in-charge
* * * * * * * * * *
Notes:
1. *Delete what is not applicable.
2. Option with respect to type of account/accounts intended to be opened and amount to be
deposited and other details (in case two accounts, i.e., Account-A and Account-B are to be
opened) must be mentioned under the respective columns.
3. **Nomination Form E must be submitted alongwith this application in case of individual
depositor intending to make nomination otherwise the applicant should delete the portion under
column 2 of the form, whichever is not applicable.
4. Column 3 is for deposits made on behalf of a minor.
5. If space provided under the columns is not sufficient to furnish any detail the same may be
furnished by way of using separate enclosure and making reference of the same in respective
columns.
3 T
T T
i o /
1 D 3 T E
ANK
L T
E H T
-
/
-125694
IDBI B4NK
FORM A
See sub-paragraph (1) ofparagraph 5]
(To be submitted in duplicate)
*************************'***°******'*********°***
LABLOA_Branch, Sol ID||SL,IDBI Bank Ltd.]
Serial No. . * * * * * ' ' *
Applicationfor opening an account under the
Capital Gains Accounts Scheme, 19888
To
The Branch Head,
* * * * * * * * * * * * * * * * * * "
[Name and address of the Deposit Office]
I,
aged ..
' * * * * * * * * * * * * * * * * ° * * * * * * * ' * * * "
years...
[Name and address of the *applicant/*depositor]
hereby apply for opening *Account-A and/*or Account-B under the Capital Gains Accounts
Scheme, 1988 (in tems of section *54/*54B/*54D /*54F/*54G/*54GB of the Act) *in my
namein
AN1A
the name of
.. .... e.l .iKs*** ******* ******"*************** Name of the
.. VS..AN.
depositor]
of whom I am the *guardian/*karta/*authorised officer, and tender herewith the amount of Rs.
******************.
.. in cash/by way of *crossed cheque/*demand draft, towards deposit as per
details below:
1. (a) Amount deposited
Rs.************''''**'*"'"***'***************** [in figures]
Rs. .inwords]
*in cash/by *crossed cheque/*demand draft No.... .... dated . . . . . . . .
drawn
on
(6)Addressofthedepositor 21 1, RoD o., As NA% AK, OoNOA
**2.*I wish to make a nominationintespet' ofthé artnountto my creditin the said account/*I do
not wish to make a nomination in respect of the amount to my credit in the said account, at
present.
3. (a) Applicant's relationship with the depositor
in case the depositor is minor)
() Whether applicant is natural guardian/guardian appointed by Court, for the minor depositor
3 T / M A V
i a n a g e r
(c) Date of birth of minor
4. Depositor'spemanent1T AccountNo./District/Ward/Circle/Range where assessed AEDCGI&Ja
5. Previous year From..... to month.
(as applicable in case of the depositor)
0. Assessment year in respect ofwBhich deposit is to be 19. 20
made
7. (a) Whether deposit is to be made under Account-A or Account-B or under Account-A and
Account-B
(b) In case the deposit is to be made under Account-A and Account-B
) Amount to be deposited under Account-A Rs. ...in figures]
Rs.
.inwords]
(i) Amount to be deposited under Account-B Rs. ...
[in figures
*
.
[in words]
(c) In case of Account-B
) Period for which deposit is to be made
(i) Whether the deposit is made as
*Cumulative/*Non-cumulative
*************"*"í *
**Signature/*thumb impression
of the eligible assesse as referred to
A m w e a s
a n section 54GB of the Act
Yapplicable in case of section 54GB
only depositor * the
3HTETi3m
fto/
DB!
PANK
LTD.
guardian/*karta/*authorised officer
of the depositor
Additional specimen
Date. 13J1.91. L
Place.. CHF IHKIMwy
*
******* *
***********************'********
*****'****''***'°****"*****t******* '** **********
FOR BRANCII USE
1. (a) Account-A No0. . .
has been opened on. ..esr.WIhRs. .
' ' * * * * ' * * * *
* ' * * * ' ' * " * '
' * ' ' * * *
the
name
of
.. Name
* * * * * * * * * * ' * * * * * * * * * * * * * * * * * * ' ' * * ' ' ' " " " ' ' ' * * * ' * * * * ' ' ' * ' * ' ' * * * * '
of the depositor]
(b) Pass Book No. * * * * ' ' * * * ' ' * * * * * * * * *
***''**
....has been issued to the applicant/dépositor.
2. (a) Account-B No. ... has bcen opened O l l . . ' ' * ' * * ' * ' * " "
with Rs.
. .
11 the nai1me ol........
' * * *
*********'** ''******
* * * * * ' ' * * * ' ' * * * * * * * * * * * * * * * * * ' * ° ' " ' * * ' * ' * * * |
Name of the depositor) as *Cumulative/
*Non-cumulative deposit.
(b) Deposit Receipt No.
for Rs.
********** . . { A...
been
* * * * * ' ' * * *
* * * * * * * * * * * * * * * * * * * .
dated...
*******
*******'*****
Jelvered
has
to the
O i l * * * * * * * * * * * * * * * * * * *
applicant/*depositor.
3. Cheque No. *******
**********'******Y
... dated.... ...... for RS. . . .
* * * * *
* * * * * *
************
drawn on ......... . tenderéd by the *applicant/*depositor, has not been realised, hence,
account has not been opened.
Date...
***********'******* ****
Officer-in-charge
Notes:
1. *Delete what isnot applicable.
2. Option with respect to type of account/accounts intended to be opened and amount to be
deposited and other details (in case two accounts, i.e., Account-A and Account-B are to be
opened) núist be mentioned under the respective columns.
3. **Nomination Form E must be submitted alongwith this application in case of individual
depositor intending to make nomination otherwise the applicant should delete the portion under
column 2 of the form, whichever is not applicable.
4. Column 3 is for deposits made on behalf of a minor.
5. If space provided under the columns is not sufficient to furnish any detail the same may be
furnished by way of using separate enclosure and making reference of the same in respective
columns.
a
34T Te13T BTEANK
B T T 7 T / A N H A V /
5 6 9 4
TET-4R
IDBI BANK
FORM E
|Seesub-parngraph(1)of paragraphI1
(To be submitted only in case of individual deypositor)
LORCo Branch,Sol ID 11L,IDBI BankLid.
Serial No. ****agarsr*s**ter*'***
Fom ofnomination under the Capital Gains Accounts Scheme, 1988
To
The Branch Head,
'*******"
J1MMIA.1H2..a N..
*******'***'°*****"**** *********************"*****
Name and address of the Deposit Office]
IANJANw. SlM... ..sonof.K NRA S A *******
****°*****"*********"
name of the depositor
***********°***..residing at.21k|C..0A...D..uR. N
***********
0oAN
0g,LANuT ,HARKN 134D [address]
hereby nominate the person(s) mentioned below to whom, to the exclusion of all other persons,
in the event of my death, the amount standing to my credit in Account-A No.
.*******Pass Book No. . Account-B No. .
under the Capital Gains Accounts Scheme, 1988,
Deposit Receipt No.
would be payable
SI. No. Name(s) ofthe Relationship Full Date ofbirth of
Nominee(s) Address(es) Nominee in case of
minoi
ARJUN PRASA) fATHER 292/e, Nor. NA
1.
2. Rand
3.
*As the nominee(s) at Serial No.(s).. **********''******°****°** specified above is/are minor(s), I
appoint
Shri/Smt.Kumari.AIM.AASA. 1 . A..... ******
[Name and full address]
as the person to receive the sum due under the said account(8) in the event of my death during
the minorityof the nominee(s).
Signature of witness uylen
' * * * ' ' * * * * ' ' * ' * * * * ' ' ' * * * ' * ' ' ' ' ' * '
Name and address.,AM,1)A..BH62A
212/, nd Ny-1, ahutk Mgo
mclu-8 >ADop2
Date.1g.22.2.2
Place..H mcka
Signaturethumb impression
ofthe Depositor
****''********'*'''***''****''*****i** **'*"'
*'*"
PAN and Distt./Ward
Circle/Range where assessed
Signatureofwitness.. u * * * * *
Name &address.MAMTUSMA.B+(SHAK
Racd No-1, Aselk Negar. HaEN-2
Date...8.[10/.22.
Place Rauci FOR BRANCH USE
The above nomination has been registered on..
made in the Pass Book No.
.. and entry has been
.Deposit
Receipt No.
. for Account-A No.
.. for Account-B No.
**** ********************* ***°***
Date.. *****************
Officer-in-charge
Note: *Delete whatever is not applicable. If space provided under the columns hereinabove is
not sufficient to furnish the requisite details, the same may be done by way of using separate
enclosure and referring to the same under the respective column.
nageril
O B I E
SOL.1152
3 P T S e
3 r
3 4
i o
I 3 I
E A N K
L T D
Capital Gains Accounts Savings Scheme,
1980-Savings Account (July 01, 2015)
Schedule of facllities
Charges are Exclusive of Service tax. IDBI BANK
AOA Elgibility (Account Opening Amount)
MAB
Requirement (Monthly Average Balance)
Scheme Code RSCAG/RNOCG
Debit Cum ATM Card No Specifie Minimum Ale Opening Amount (AOA)
MAB NII
Cheque Book Not Applicable
Account statements Not Applicable
Passbook
Duplicate Passbook Free
Monthly statement by e-mail
Free
Dupllcate Statement at the branch
Not Applicable
Account closure charges Not Applicable
Nil
Certificates
Balance/Interest/Signature verification certificate/Banker's repo
eport Not Applicable
Standing instructio Not Applicable
Remittances
Oemand Drafts (From Home Branch)/ Payorder Fre
NEFT
(From Home Branch) Free
RTGS Free
Any Branch Bankin9
Any branch cheque deposits and account to account transrers Not Applicable
cash deposits (Home Branch ) Free
Cash deposits (Non Home Branch) Not Applicable
Any Branch Cash withdrawal (By self only) Not Applicable
Demand Drafts (Non Home Branch) Not Applicable
Cheque transaction charges |Not Applicable
AlternateChannel Banking
Internet/ Mobile / Phone/ SMS Alerts Not Applicable
Charges
ECS/ Cheque issued and returned
Not Applicable
Financial reasons
Technical reasons Not Applicable
Cheque deposited and returned
Not Applicable
Local cheque
Not Applicable
Outstation cheque
Not Applicable
Technical reasons(Local or Outstation)
Not Applicable
Unarranged overdraft / Cheque Purchase
1. The Savings Bank Account should be used to route transactions permitted under Capital Gain Account Scheme, 1988 only.It should not be
used as a Current Account. If the Bank at any stage finds that the Savings Bank Account is being used either for the purpose for which it is
not allowed or for the purpose of routing transactions which are dubious or undesirable, the Bank reserves the right to close such Savings
Bank Account.
2. Any change of address should be immediately communicated in writing to the Bank.
3. Opening of the Saving Account tantamount to deemed acceptance of the aforesaid rule & regulations as well as the fact of being informed
about the various service charges being levied by the Bank and the terms and conditions guiding related products and services.
Declaration: 1/ we have read / understood the terms and condition as applicable to Account openin9 and other operational aspect. I7 We
|understand that the terms and condition may be revised by the Bank from time to time.I /we shall also be responsible for regularly
reviewing theseterms,including the amendments that areposted onthe website,
P A N KLTD.
anagen
buu dsn
Signature offirst holder
6 9 4
3Tr
queldenilioalionAutlhorilyofInde
Government of India
E-Aadhaar Letter
T7/Enrolment No. 1088/04005/03959
Anjan Bhushan (9 T)
S/o: Shri Arjun Prasad, 292/c, ROAD NO-1, ASHOK
NAGAR, Doranda, Ranchi,
Jharkhand-834002
3TTSTETT A4T/ Your Aadhaar No INFORMATION
4186 0095 8612 Aadhaar is a proofof identity, not of citizenship.
To establishidentity,
authenticate online.
This is electronicallygenerated letter.
TT-3TH THT FT 3Te5T7 Validitlyunkn
DigitallysignedbyaeepBhardwaj
Dale:2014.11.046256ISTOwa
www
1800 300 1947
helpuida.gov.in www.uidal.gov.in
Aadhaar is valid hroughoutthe county.
You need to enrd only once
far Aadhaar.
Please update your mobile number and e-mail address.This
will help you to avail various services in future.
34T792757T
--
GOVERNMENT OFINDIA
UNIOUE IDENTIFICATIONAUTHORITYOF INDIA
AADHAAR
Address:
T
S/O:trga TT,
292/tt, TTE 7-1, 9T7
TTR, 3KST, zi,
S/0: Shri Arjun Prasad, 292/C,
ROAD NO-1, ASHOK NAGAR,
Doranda, Ranchi,
Anjan Bhushan
74 fatt/ DOB: 28/01/1974
Jharkhand-834002
TET /MALE HTTEUE-834002
4186 00958612 4186 00958612
3TTT-3TH T t Aadhaar-Aam Admi ka Adhikar
a A a g e r
25694
,T T U
INCOMETAXDEPARTMENT GOVL OF INDIA
ANJAN BHUSHAN
ARJUN PRASAD
28/01/1974
Pemanent Account Number
AEDPBB893B
Signature
OS
yenblutan
13//Lo2ArGora
0 L - 1 1 5 2
r d i o m
ss io/ CSI
EANKLTD
AN
3 4 T /N U H A V
HETT
7 7 7 i /
Ás i Manager
E T T - $ 7 E / 15694
Scanned by CamScanner
ARK Acknowledgment
Name of Customer
Anjan Bhushan
Aadhaar Number XXXXXXXX8612
Aadhaar Reference Key no.(ARK) 185538163300
Generated By EIN /Name 125694/Shri Anubhav
Generated Time 19-10-2022 10:28:19
Branch Id / Branch Name 1152/NA
T T T / ANTHAV/
F T S T 4 5
6/
A 3 i t
M a n a g e r
3 H T - 9 7 Y E 1 5 G 9 4
INDIVIDUAL
MR Full Name
ANJAN BHUSHAN
Minor
pateOfBirth28-Jan-1974
NO
C i t i z e n s h i p
C o u n t r y N a m e N D I A Resident
Country Country of
TaxINDIA|isa
Customer
NO
PIO/OCI
INDIA
Residency
PAN Card Name
AEDPB8893B
Number
As Per
PAN
ANJAN BHUSHAN FORM60N
Name Matches with PAN and AOF
YES
Education Profession
Educao GRADUATEType of
Qualification Source of SELF
Income
RETAIL TRADER
Business EMPLOYED||
Annual Income (INR) Expected Transaction
Per Annum (INR)
7,00,000 |20,00,000
Politician
Politically
Exposed
Account Opening Amount (INR)
NO Key Position In Organisation NO
Risk Parameter
Parameter Parameter Key
Parameter Sub Key
COUNTRY
RESIDENTIAL STATUS
NA
FATF
RESIDENTINDIAN
AVAILABLE
NA
PAN NUMBER INA
INCOME SLAB 500000 TO 1000000 NA
NA
NA
FINANCIAL STATUS NON HNI
DELIVERY CHANNEL FACE TO FACE
SELF EMPLOYED
Risk
Code
OCCUPATION TYPE
RETAIL TRADER
RL101-LOW -
INDIVIDUALS OTHER THAN
HIGH/MEDIUME RISK-Low Risk Category
Risk Category LOW
Maker Time Branch Sol Id Maker Signature
Maker
125694-Shri Anubhav. 2022-10-19 12:12:11.04 |1152
Signature Of ASOMM/SOM/Branch Head
A N K L T D .
A V
3 7 S R
f o/IDBI
BANK
LTD
1THET/ANUJSAHAY
I T
H /
Y G T Y A /
B r a n c h
Head/AG
.
i g e r
HTEY-9RO¥3/E!N-112743
RTIST
T R a I /
Argora
B r a n c h
T .
1/1

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form-of-capital-gain-account.pdf

  • 1. ACCOUNT OPENING MEMORANDUM sOL CUstomer Name sL Branch D A AN JAN HVSH AN ExlstingCllent? Yes N ExlstingClent 1D ExistingUCIC? 14digitCKYC A/c OpeningbyNormal Yes No ExlstingUCICID Prefered Royal Speedgate Express Welcome kit InltialPaymentDetalls Credited toAccountNo 3 7 2 0 0 0 o Detalls of LabelCodes (In case of OtherLabelcode,Pleasespeclfythenarure DST FinacleTranID. Value Date |DD MMYYI Other PayRoll STE346694 Other Other Detalls Scheme Code DateofDesp.ofAOFtoRPU D D _ M M Y Y GLSubHead Code Vertical KSIC A [GL wesubmif the Account Opening form (AOF) with the above details and request you to open the account. we Confim that The Account Opening Form (AOF) is complete in all respects for opening an account. A Branch Official had sighted the original of all the documents provided for opening the account. We have complied with all the requirements of the KYC and AML Policy, KYC & AML Master Circular of the Bank up dated till now. We have complied with all requirements circulars / instructions issued by the Bank till date with regard fo thee proposed Product We have verified the updated Caution / Black Lists of UN / GOI for the name of the applicant/s and confim that the name does not exist in any Caution / Black List We confim that by opening this account, the individual/non individual applicant would not have a second client ID in the Bank. (OR) Customer is an existing non individual customer of bank, for account operating convenience; a new Customer id has to be generated for the customer. The existing Unifom Customer ldentification Code (UCIC) of the customer number has been captured on AOF for linking new customer id with existing UCIC All Statutory, Regulatory and Internal guidelines issued up-fo-date have been complied with regard to this AOF Tele-verification is applicable /not applicable to the said client as per extant KYC guidelines of the Bank. If applicable, declaration is provided below. . iv. . . . VIll. Signature of SOM (EIN and Stamp) Declaration forTelevertflcatlon,If applicable hereby confim thatI have conducted Tele Verification of the said prospective client afMobile have been obtained and verified by me. I confim Phone Number. The Tele-Verification Was conducted that the documenfs are adeqyate to comply with on.--41o sLL Declaration by Branch Head T hereby certify that all necessary KYC documents KYC requirements of the Bak. Based on this, the account may be opened. HAV Signature oftheoffiskgwihEIN gndSfaip Manager fcro/1DBIBANKLTD. Signature ofrdhepdegdNeNkiaebM TET T / Y I Y A / Branchr H e a d l g A Q M T E - 9 9 R O Y / E I N - 1 1 2 7 4 3 a 5 6 9 4 3 7 FTST ZTET/ Argora Branch
  • 2. IDBI BANK FORM A See sub-paragraph (1) ofparagraph5 (To be submitted in duplicate) *'********* * **'****'''"'*****"****| BI hoAA_Branch,Sol ID|ISL,IDBI Bank Lid.] Serial No. ,.2...4 * * * * * " * * * * * * Applicationfor opening an account under the Capital Gains Accounts Scheme, 1988 To The Branch Head, * * * * * * ' ' ' * * Name and address of the Deposit Office] AN IAN ID.S.AEIN... aged *****o*****'********* ******** years....***********'*°°"*****" Name and address of the *applicant/*depositor] hereby apply for opening *Accoúnt-A ard/*or Account-B under the Capital Gains Accounts Scheme, 1988 (in terms of section *54/*54B/*54D /*54F/*54G/*54GB of the Act) *in my name/*in of the name [Name of the depositor of whom I am the *guardian/*karta/*authorised officer, and tender herewith the amount of Rs. . . n cash/by way of *crossed cheque/*demand draft, towards deposit as per detailsbelow: 1. (a) Amount deposited ****°**************************************.**. ..infigures . In words] Rs. dated.. in cash/by *crossed cheque/*demand draft No. *************. ualca. . . drawn on 6) Address ofthedepositor 29 2/C, koho wo. I, ASHOK NAG HK, POLANP9,2ANAT, **2. *I wish to make a nomination in respect of the ámount to my credit in the said account/*I do not wish to make a nomination in respect of the amount to my credit in the said account, at present. 3. (a) Applicant's relationship with the depositor (in case the depositor is minor) 6) Whether applicant is natural guardian/guardian appointed by Court, for the minor depositor 34TEETe1 37T 3! PANKLTD 3 AV , nager . 2 4
  • 3. (c)Date of birth of minor . Depositor's pemmanent IT Account No./District/Ward/Circle/Range where assessed AE. D reXIqI B 5. Previous year From.... to month.. (as applicable in case of the depositor) 6. Assessment year in respect of which deposit is to be 19. 2 0 2 3 - 1 o L y made 7. (a) Whether deposit is to be made under Account-A or Account-B or under Account-A and Account-B (b) In case the deposit is to be made under Account-A and Account-B () Amount to be deposited under Account-A Rs. e*****************s *' ..infigures] Rs. ..inwords] (in Amount to be deposited under Account-B Rs.. ..in figures] Rs ************°"****°°°"******. ..inwords] (C) In case of Account-B (i) Period for which deposiisto be made (ii) Whether the depot is made as *Cumulative/*Non-cumulative . R J A . B u s l a m * * * * * * * * * * * * * **Signature/*thumb impression ofthe eligible assesse as referredto in section 54GB of the Act d n a applicable in case ofsection 54GB lonlyl T-1 depositor *of the ANKTD 0 A V N a n a g e r . 1 2 5 0 9 4 guardian/*karta/authorised officer ofthe depositor Additional specimen Date..3 1olerL Place... tT,J YALE I1No * * * ° * ° ' * * * ° ' ' * * ' * ' * * * * * * ' ' ° ' " ° ° ' * * * * ° ' ' * * * * " * * * ° ' * * * ' " ***************'*********************************
  • 4. FOR BRANCH USE 1.(a)Account-ANo. . . . has been opened on..... .. with Rs. ... in the name of [Namc * * * * * * ' ' * * * * * * ' * " of the depositor] b) Pass Book No. ...has been issued to the appfícant/depositor. with Rs. 2. (a) Account-B No. has becn opehcd on...... * * * * * * * . * . . in the name of...... [Name of the depositor] as *Cumulative/ *Non-cumulative deposit. K y k Deposit Receipt No. for Rs. (b) dated.. * *** * * * * * has been delivered to the on..... applicant/*depositor. .... dated.... ... for Rs. ....... 3. Cheque No. drawn on .... * * * tendered by the *applicant/*depositor, has not been realised, hence, * * * * * * ' * * * account has not been opemed. Pate. Officer-in-charge * * * * * * * * * * Notes: 1. *Delete what is not applicable. 2. Option with respect to type of account/accounts intended to be opened and amount to be deposited and other details (in case two accounts, i.e., Account-A and Account-B are to be opened) must be mentioned under the respective columns. 3. **Nomination Form E must be submitted alongwith this application in case of individual depositor intending to make nomination otherwise the applicant should delete the portion under column 2 of the form, whichever is not applicable. 4. Column 3 is for deposits made on behalf of a minor. 5. If space provided under the columns is not sufficient to furnish any detail the same may be furnished by way of using separate enclosure and making reference of the same in respective columns. 3 T T T i o / 1 D 3 T E ANK L T E H T - / -125694
  • 5. IDBI B4NK FORM A See sub-paragraph (1) ofparagraph 5] (To be submitted in duplicate) *************************'***°******'*********°*** LABLOA_Branch, Sol ID||SL,IDBI Bank Ltd.] Serial No. . * * * * * ' ' * Applicationfor opening an account under the Capital Gains Accounts Scheme, 19888 To The Branch Head, * * * * * * * * * * * * * * * * * * " [Name and address of the Deposit Office] I, aged .. ' * * * * * * * * * * * * * * * * ° * * * * * * * ' * * * " years... [Name and address of the *applicant/*depositor] hereby apply for opening *Account-A and/*or Account-B under the Capital Gains Accounts Scheme, 1988 (in tems of section *54/*54B/*54D /*54F/*54G/*54GB of the Act) *in my namein AN1A the name of .. .... e.l .iKs*** ******* ******"*************** Name of the .. VS..AN. depositor] of whom I am the *guardian/*karta/*authorised officer, and tender herewith the amount of Rs. ******************. .. in cash/by way of *crossed cheque/*demand draft, towards deposit as per details below: 1. (a) Amount deposited Rs.************''''**'*"'"***'***************** [in figures] Rs. .inwords] *in cash/by *crossed cheque/*demand draft No.... .... dated . . . . . . . . drawn on (6)Addressofthedepositor 21 1, RoD o., As NA% AK, OoNOA **2.*I wish to make a nominationintespet' ofthé artnountto my creditin the said account/*I do not wish to make a nomination in respect of the amount to my credit in the said account, at present. 3. (a) Applicant's relationship with the depositor in case the depositor is minor) () Whether applicant is natural guardian/guardian appointed by Court, for the minor depositor 3 T / M A V i a n a g e r
  • 6. (c) Date of birth of minor 4. Depositor'spemanent1T AccountNo./District/Ward/Circle/Range where assessed AEDCGI&Ja 5. Previous year From..... to month. (as applicable in case of the depositor) 0. Assessment year in respect ofwBhich deposit is to be 19. 20 made 7. (a) Whether deposit is to be made under Account-A or Account-B or under Account-A and Account-B (b) In case the deposit is to be made under Account-A and Account-B ) Amount to be deposited under Account-A Rs. ...in figures] Rs. .inwords] (i) Amount to be deposited under Account-B Rs. ... [in figures * . [in words] (c) In case of Account-B ) Period for which deposit is to be made (i) Whether the deposit is made as *Cumulative/*Non-cumulative *************"*"í * **Signature/*thumb impression of the eligible assesse as referred to A m w e a s a n section 54GB of the Act Yapplicable in case of section 54GB only depositor * the 3HTETi3m fto/ DB! PANK LTD. guardian/*karta/*authorised officer of the depositor Additional specimen Date. 13J1.91. L Place.. CHF IHKIMwy * ******* * ***********************'******** *****'****''***'°****"*****t******* '** **********
  • 7. FOR BRANCII USE 1. (a) Account-A No0. . . has been opened on. ..esr.WIhRs. . ' ' * * * * ' * * * * * ' * * * ' ' * " * ' ' * ' ' * * * the name of .. Name * * * * * * * * * * ' * * * * * * * * * * * * * * * * * * ' ' * * ' ' ' " " " ' ' ' * * * ' * * * * ' ' ' * ' * ' ' * * * * ' of the depositor] (b) Pass Book No. * * * * ' ' * * * ' ' * * * * * * * * * ***''** ....has been issued to the applicant/dépositor. 2. (a) Account-B No. ... has bcen opened O l l . . ' ' * ' * * ' * ' * " " with Rs. . . 11 the nai1me ol........ ' * * * *********'** ''****** * * * * * ' ' * * * ' ' * * * * * * * * * * * * * * * * * ' * ° ' " ' * * ' * ' * * * | Name of the depositor) as *Cumulative/ *Non-cumulative deposit. (b) Deposit Receipt No. for Rs. ********** . . { A... been * * * * * ' ' * * * * * * * * * * * * * * * * * * * * * * . dated... ******* *******'***** Jelvered has to the O i l * * * * * * * * * * * * * * * * * * * applicant/*depositor. 3. Cheque No. ******* **********'******Y ... dated.... ...... for RS. . . . * * * * * * * * * * * ************ drawn on ......... . tenderéd by the *applicant/*depositor, has not been realised, hence, account has not been opened. Date... ***********'******* **** Officer-in-charge Notes: 1. *Delete what isnot applicable. 2. Option with respect to type of account/accounts intended to be opened and amount to be deposited and other details (in case two accounts, i.e., Account-A and Account-B are to be opened) núist be mentioned under the respective columns. 3. **Nomination Form E must be submitted alongwith this application in case of individual depositor intending to make nomination otherwise the applicant should delete the portion under column 2 of the form, whichever is not applicable. 4. Column 3 is for deposits made on behalf of a minor. 5. If space provided under the columns is not sufficient to furnish any detail the same may be furnished by way of using separate enclosure and making reference of the same in respective columns. a 34T Te13T BTEANK B T T 7 T / A N H A V / 5 6 9 4 TET-4R
  • 8. IDBI BANK FORM E |Seesub-parngraph(1)of paragraphI1 (To be submitted only in case of individual deypositor) LORCo Branch,Sol ID 11L,IDBI BankLid. Serial No. ****agarsr*s**ter*'*** Fom ofnomination under the Capital Gains Accounts Scheme, 1988 To The Branch Head, '*******" J1MMIA.1H2..a N.. *******'***'°*****"**** *********************"***** Name and address of the Deposit Office] IANJANw. SlM... ..sonof.K NRA S A ******* ****°*****"*********" name of the depositor ***********°***..residing at.21k|C..0A...D..uR. N *********** 0oAN 0g,LANuT ,HARKN 134D [address] hereby nominate the person(s) mentioned below to whom, to the exclusion of all other persons, in the event of my death, the amount standing to my credit in Account-A No. .*******Pass Book No. . Account-B No. . under the Capital Gains Accounts Scheme, 1988, Deposit Receipt No. would be payable SI. No. Name(s) ofthe Relationship Full Date ofbirth of Nominee(s) Address(es) Nominee in case of minoi ARJUN PRASA) fATHER 292/e, Nor. NA 1. 2. Rand 3. *As the nominee(s) at Serial No.(s).. **********''******°****°** specified above is/are minor(s), I appoint Shri/Smt.Kumari.AIM.AASA. 1 . A..... ****** [Name and full address]
  • 9. as the person to receive the sum due under the said account(8) in the event of my death during the minorityof the nominee(s). Signature of witness uylen ' * * * ' ' * * * * ' ' * ' * * * * ' ' ' * * * ' * ' ' ' ' ' * ' Name and address.,AM,1)A..BH62A 212/, nd Ny-1, ahutk Mgo mclu-8 >ADop2 Date.1g.22.2.2 Place..H mcka Signaturethumb impression ofthe Depositor ****''********'*'''***''****''*****i** **'*"' *'*" PAN and Distt./Ward Circle/Range where assessed Signatureofwitness.. u * * * * * Name &address.MAMTUSMA.B+(SHAK Racd No-1, Aselk Negar. HaEN-2 Date...8.[10/.22. Place Rauci FOR BRANCH USE The above nomination has been registered on.. made in the Pass Book No. .. and entry has been .Deposit Receipt No. . for Account-A No. .. for Account-B No. **** ********************* ***°*** Date.. ***************** Officer-in-charge Note: *Delete whatever is not applicable. If space provided under the columns hereinabove is not sufficient to furnish the requisite details, the same may be done by way of using separate enclosure and referring to the same under the respective column. nageril O B I E SOL.1152 3 P T S e 3 r 3 4 i o I 3 I E A N K L T D
  • 10. Capital Gains Accounts Savings Scheme, 1980-Savings Account (July 01, 2015) Schedule of facllities Charges are Exclusive of Service tax. IDBI BANK AOA Elgibility (Account Opening Amount) MAB Requirement (Monthly Average Balance) Scheme Code RSCAG/RNOCG Debit Cum ATM Card No Specifie Minimum Ale Opening Amount (AOA) MAB NII Cheque Book Not Applicable Account statements Not Applicable Passbook Duplicate Passbook Free Monthly statement by e-mail Free Dupllcate Statement at the branch Not Applicable Account closure charges Not Applicable Nil Certificates Balance/Interest/Signature verification certificate/Banker's repo eport Not Applicable Standing instructio Not Applicable Remittances Oemand Drafts (From Home Branch)/ Payorder Fre NEFT (From Home Branch) Free RTGS Free Any Branch Bankin9 Any branch cheque deposits and account to account transrers Not Applicable cash deposits (Home Branch ) Free Cash deposits (Non Home Branch) Not Applicable Any Branch Cash withdrawal (By self only) Not Applicable Demand Drafts (Non Home Branch) Not Applicable Cheque transaction charges |Not Applicable AlternateChannel Banking Internet/ Mobile / Phone/ SMS Alerts Not Applicable Charges ECS/ Cheque issued and returned Not Applicable Financial reasons Technical reasons Not Applicable Cheque deposited and returned Not Applicable Local cheque Not Applicable Outstation cheque Not Applicable Technical reasons(Local or Outstation) Not Applicable Unarranged overdraft / Cheque Purchase 1. The Savings Bank Account should be used to route transactions permitted under Capital Gain Account Scheme, 1988 only.It should not be used as a Current Account. If the Bank at any stage finds that the Savings Bank Account is being used either for the purpose for which it is not allowed or for the purpose of routing transactions which are dubious or undesirable, the Bank reserves the right to close such Savings Bank Account. 2. Any change of address should be immediately communicated in writing to the Bank. 3. Opening of the Saving Account tantamount to deemed acceptance of the aforesaid rule & regulations as well as the fact of being informed about the various service charges being levied by the Bank and the terms and conditions guiding related products and services. Declaration: 1/ we have read / understood the terms and condition as applicable to Account openin9 and other operational aspect. I7 We |understand that the terms and condition may be revised by the Bank from time to time.I /we shall also be responsible for regularly reviewing theseterms,including the amendments that areposted onthe website, P A N KLTD. anagen buu dsn Signature offirst holder 6 9 4
  • 11. 3Tr queldenilioalionAutlhorilyofInde Government of India E-Aadhaar Letter T7/Enrolment No. 1088/04005/03959 Anjan Bhushan (9 T) S/o: Shri Arjun Prasad, 292/c, ROAD NO-1, ASHOK NAGAR, Doranda, Ranchi, Jharkhand-834002 3TTSTETT A4T/ Your Aadhaar No INFORMATION 4186 0095 8612 Aadhaar is a proofof identity, not of citizenship. To establishidentity, authenticate online. This is electronicallygenerated letter. TT-3TH THT FT 3Te5T7 Validitlyunkn DigitallysignedbyaeepBhardwaj Dale:2014.11.046256ISTOwa www 1800 300 1947 helpuida.gov.in www.uidal.gov.in Aadhaar is valid hroughoutthe county. You need to enrd only once far Aadhaar. Please update your mobile number and e-mail address.This will help you to avail various services in future. 34T792757T -- GOVERNMENT OFINDIA UNIOUE IDENTIFICATIONAUTHORITYOF INDIA AADHAAR Address: T S/O:trga TT, 292/tt, TTE 7-1, 9T7 TTR, 3KST, zi, S/0: Shri Arjun Prasad, 292/C, ROAD NO-1, ASHOK NAGAR, Doranda, Ranchi, Anjan Bhushan 74 fatt/ DOB: 28/01/1974 Jharkhand-834002 TET /MALE HTTEUE-834002 4186 00958612 4186 00958612 3TTT-3TH T t Aadhaar-Aam Admi ka Adhikar a A a g e r 25694 ,T T U
  • 12. INCOMETAXDEPARTMENT GOVL OF INDIA ANJAN BHUSHAN ARJUN PRASAD 28/01/1974 Pemanent Account Number AEDPBB893B Signature OS yenblutan 13//Lo2ArGora 0 L - 1 1 5 2 r d i o m ss io/ CSI EANKLTD AN 3 4 T /N U H A V HETT 7 7 7 i / Ás i Manager E T T - $ 7 E / 15694 Scanned by CamScanner
  • 13. ARK Acknowledgment Name of Customer Anjan Bhushan Aadhaar Number XXXXXXXX8612 Aadhaar Reference Key no.(ARK) 185538163300 Generated By EIN /Name 125694/Shri Anubhav Generated Time 19-10-2022 10:28:19 Branch Id / Branch Name 1152/NA T T T / ANTHAV/ F T S T 4 5 6/ A 3 i t M a n a g e r 3 H T - 9 7 Y E 1 5 G 9 4
  • 14. INDIVIDUAL MR Full Name ANJAN BHUSHAN Minor pateOfBirth28-Jan-1974 NO C i t i z e n s h i p C o u n t r y N a m e N D I A Resident Country Country of TaxINDIA|isa Customer NO PIO/OCI INDIA Residency PAN Card Name AEDPB8893B Number As Per PAN ANJAN BHUSHAN FORM60N Name Matches with PAN and AOF YES Education Profession Educao GRADUATEType of Qualification Source of SELF Income RETAIL TRADER Business EMPLOYED|| Annual Income (INR) Expected Transaction Per Annum (INR) 7,00,000 |20,00,000 Politician Politically Exposed Account Opening Amount (INR) NO Key Position In Organisation NO Risk Parameter Parameter Parameter Key Parameter Sub Key COUNTRY RESIDENTIAL STATUS NA FATF RESIDENTINDIAN AVAILABLE NA PAN NUMBER INA INCOME SLAB 500000 TO 1000000 NA NA NA FINANCIAL STATUS NON HNI DELIVERY CHANNEL FACE TO FACE SELF EMPLOYED Risk Code OCCUPATION TYPE RETAIL TRADER RL101-LOW - INDIVIDUALS OTHER THAN HIGH/MEDIUME RISK-Low Risk Category Risk Category LOW Maker Time Branch Sol Id Maker Signature Maker 125694-Shri Anubhav. 2022-10-19 12:12:11.04 |1152 Signature Of ASOMM/SOM/Branch Head A N K L T D . A V 3 7 S R f o/IDBI BANK LTD 1THET/ANUJSAHAY I T H / Y G T Y A / B r a n c h Head/AG . i g e r HTEY-9RO¥3/E!N-112743 RTIST T R a I / Argora B r a n c h T . 1/1