MOST IMPORTANT DOCUMENT

COPY FOR CUSTOMER Barcode:

(Please quote this Barcode for any future reference)
I/We have received, read, understood and agreed to abide to
Ÿ The Schedule of Charges (SoC) & Terms and Conditions at www.indusind.com for the product variant & Account opened by me/us.
Ÿ All rules governing Account operations including the requirement to maintain minimum balance/undertake transactions and charges applicable for various
services.
Ÿ Free limits offered on transactions and services is applicable only if the minimum balance/transaction requirement in the Account is met, else standard
charges shall apply as per the SoC in addition to applicable non-maintenance charges.
I/We understand that the non-adherence to the above would levy charges as applicable.
Product Variant* Minimum Balance/Transaction Requirement* Non-Maintenance/
Please Provide Complete Details, Example Transaction Charges* (`)
1) AMB$ Requirement for Premier variant - `50,000 per month 2) QTP^ Requirement for EXIM Basic - USD20,000 equivalent

*Mandatory Fields, $AMB-Average Monthly Balance, ^QTP-Quarterly Throughput

Initial Deposit Details
IMPORTANT: No Cash to be handed
Source of Funds: Cheque@ Debit my/our Existing Account Number# over to the Sales Executive.

Cheque Details (In case of Cheque Payment)

Cheque No. ________________ Drawn on_______________________________________ Bank
for ` _____________________ Date_________________ Signature with Stamp
@ (To be signed by any one Authorised Signatory)
The Cheque should be crossed A/C Payee only and drawn payable to ‘IndusInd Bank Ltd. A/C (Account Title)’
#Existing Account should be of same person/Firm/Company only, debit to third party Account is not allowed

SOURCING EXECUTIVE DECLARATION

I confirm that I have personally met______________________________________________________________________Proprietor/Partner/Director/Signatory
of____________________________________________________________________________________________________and also confirm that the customer
has completed all Account opening documentation formalities in my presence.

Branch Name:______________________________ Branch Code:____________ Customer Name:______________________________________________

Employee Name:____________________________ ECN:___________________ Designation:__________________________________________________
Mobile No.:_________________________________ Mobile No.:____________________________________________________

Date: D D M M Y Y Y Y
Sales Executive Signature

Note: All Deposits are insured in accordance with the terms prescribed by Deposit Insurance and Credit Guarantee Corporation of India (DICGC), from time to time. For further details
on the Deposit Insurance provided by DICGC, please visit/log on to www.dicgc.org.in. For more information on our Products & Services, please visit our website www.indusind.com
 MOST IMPORTANT DOCUMENT
COPY FOR BANK Barcode:
(Please quote this Barcode for any future reference)
I/We have received, read, understood and agreed to abide to
Ÿ The Schedule of Charges (SoC) & Terms and Conditions at www.indusind.com for the product variant & Account opened by me/us.
Ÿ All rules governing Account operations including the requirement to maintain minimum balance/undertake transactions and charges applicable for various
services.
Ÿ Free limits offered on transactions and services is applicable only if the minimum balance/transaction requirement in the Account is met, else standard
charges shall apply as per the SoC in addition to applicable non-maintenance charges.
I/We understand that the non-adherence to the above would levy charges as applicable.
Product Variant* Minimum Balance/Transaction Requirement* Non-Maintenance/
Please Provide Complete Details, Example Transaction Charges* (`)
1) AMB$ Requirement for Premier variant - `50,000 per month 2) QTP^ Requirement for EXIM Basic - USD20,000 equivalent

*Mandatory Fields, $AMB-Average Monthly Balance, ^QTP-Quarterly Throughput

Initial Deposit Details

IMPORTANT: No Cash to be handed
Source of Funds: Cheque@ Debit my/our Existing Account Number# over to the Sales Executive.

Cheque Details (In case of Cheque Payment)

Cheque No. ________________ Drawn on_______________________________________Bank
for ` _____________________ Date_________________ Signature with Stamp
@ (To be signed by any one Authorised Signatory)
The Cheque should be crossed A/C Payee only and drawn payable to ‘IndusInd Bank Ltd. A/C (Account Title)’
#Existing Account should be of same person/Firm/Company only, debit to third party Account is not allowed

SOURCING EXECUTIVE DECLARATION

I confirm that I have personally met______________________________________________________________________Proprietor/Partner/Director/Signatory
of____________________________________________________________________________________________________and also confirm that the customer
has completed all Account opening documentation formalities in my presence.

Branch Name:______________________________ Branch Code:____________ Customer Name:______________________________________________

Employee Name:____________________________ ECN:___________________ Designation:__________________________________________________
Mobile No.:_________________________________ Mobile No.:____________________________________________________

Date: D D M M Y Y Y Y
Sales Executive Signature

Note: All Deposits are insured in accordance with the terms prescribed by Deposit Insurance and Credit Guarantee Corporation of India (DICGC), from time to time. For further details
on the Deposit Insurance provided by DICGC, please visit/log on to www.dicgc.org.in. For more information on our Products & Services, please visit our website www.indusind.com
ACCOUNT OPENING FORM FOR NON-INDIVIDUAL ENTITIES
CONSUMER BANKING Use BLACK/BLUE ink pen for filling and signing. Please ensure all details are filled in CAPITAL LETTERS. *Fields are mandatory.

Application Date: D D M M Y Y Y Y Branch: Barcode:

Branch Code: Customer ID (For existing customers): CKYC ID:

CHOICE ACCOUNT NUMBER

Choose your Account Number: x x OR Sum of Digits:
(Subject to availability) (Select the last 10 digits of your Account Number) (Mention the sum of digits you want
as Account Number)
ACCOUNT DETAILS
Customer ID: (For existing customers)

Account Title:

GSTN^: Applicable Not Applicable

PAN: or Form60/49A CIN$:
Date of Incorporation/Registration: D D M M Y Y Y Y Registration Number (Any Other):
^For GSTN Invoice GSTN Registration is mandatory. $Applicable for Company/LLP/OPC.

REGISTERED ADDRESS*
Address 1:
Address 2:
Landmark:
City: PIN:
State: Country:
Phone: S T D - Premises: Owned Rented/Leased

BUSINESS ADDRESS* Please tick if same as Registered Address

Address 1:
Address 2:
Landmark:
City: PIN:
State: Country:
Phone: S T D - Premises: Owned Rented/Leased

COMMUNICATION ADDRESS* Please tick if same as Registered Address Please tick if same as Business Address
Address 1:
Address 2:
Landmark:
City: PIN:
State: Country:
Phone: S T D - Premises: Owned Rented/Leased

KEY CONTACT DETAILS*

Key Contact Person:
Mobile No. of Key Contact Person: (SMS alerts will be sent to this mobile number) Tick if alerts are not required
E-mail ID:
(You will receive your e-statements/Trade advices and Fixed Deposit advices on this E-mail ID)

For e-statement preference*: Daily Monthly Tick if e-statement is not required Monthly Physical Statement required: Yes No

CONSTITUTION*
HUF Proprietorship Partnership LLP One Person Company Private Limited
Public Limited Trust Association Society Club Co-operative Banks
PSU Govt Dept Foreign Entity Section 8/Section 25 Co. Others______________
(Please Specify)

TYPE OF BUSINESS*
Manufacturer Wholesaler Retailer Service

PLACE OF BUSINESS
Residential SEZ/EOU Industrial Area / Commercial Premises
Page 1
 EXPORT/ IMPORT
Export/Import (Goods & Services) Yes No

IE Code*
LEI Code Expiry Date: D D M M Y Y Y Y
Import Turnover (in Crs) Export Turnover (In Crs)
*IE Code Mandatory other than type of business selected as "Service”.

INDUSTRY*
Advertising/Marketing Agriculture Airlines Antique/Art/Arms Dealer Automobiles
Banking Bullion/Gems/Jewellery Business Correspondent Call Centre Casinos
Chemical/Dyes/Paint Chit Funds Construction/Infrastructure Courier/Logistics/Transporter Defence
Electronics Electricity Embassies/Consulates Entertainment/Media Govt Bodies (Central)
Govt Bodies (State) Hotel/Restaurant IT/ITes Medical/Health Care MF/Insurance
Money Changer NBFC NGO/NPO Petrol Pump/Gas Station Political Parties
Real Estate/Housing Religious Institutions School/College Shipping
(Broking/Agent)
Retail Chain/FMCG
Stock/Commodity Brokers Telecom Textiles Travel and Tourism Timber/Furniture
Professionals (Please Specify)
Others_______________
(CA/Lawyer/Doctor/Consulting/HR)

*No. of Employees 0 to 20 21 to 50 51 to 100 above 100

*Annual Turnover (in Lacs) <50 50 to 100 100 to 500 500 to 1000 Above 1000
*Expected Monthly Transactions (Debit and Credit)
Total No. of Transactions _________________________________________ Cash (In Lacs)_____________________________________________________
Cheque (In Lacs)________________________________________________ NEFT/RTGS/Fund Transfer (In Lacs)____________________________________

CLIENT RELATIONSHIP & SISTER CONCERNS (IF ANY)

Existing Relationship With IndusInd Bank 1 2
(Mention Name of Firm/Company and Cust ID)

Line of Business of Associate/Sister Concerns

Date of Incorporation/Establishment of
D D M M Y Y Y Y D D M M Y Y Y Y
Associate/Sister Concerns

MODE OF OPERATION
Singly Severally Jointly As per Board Resolution/Mandate Letter

INITIAL DEPOSIT DETAILS IMPORTANT: No Cash to be handed over to the Sales Executive.

Cheque No. ______________________________ Drawn on_______________________________________________ Bank for ` _______________________

(Favouring IndusInd Bank Ltd. A/C - Account Title)
Debit my existing A/C for ` _________________________

FIXED DEPOSIT (FD)/RECURRING DEPOSIT (RD)

FD RD
FD/RD Instruction:
Amount: Rate of Interest: . % Tenure: Years Months Days
^ In Case of FD, Premature Withdrawal Required: In case of RD, Date of Monthly Debit: D D
Sweep In : Yes No Yes No
Option 1 Option 2
Interest Frequency Reinvestment Payout Quarterly Payout Monthly
Maturity Renew Principal and Interest # Renew Principal
Instructions** Renew Principal and Pay Back Interest # Pay Back Principal
Pay Back Principal and Interest

Interest/Maturity Transfer to A/C^ Issue Pay Order Payable at ________________________________(Location)

Payout Mode
RTGS/NEFT @ IFSC Code: Account No.:
^Sweep-In and Interest/Maturity Payouts would be transferred to this Account. ** Not applicable for Recurring Deposit. FDs which are booked as non-withdrawable, on renewal, will
#

get booked as withdrawable. @ Third Party maturity payment not allowed. If TDS is not to be deducted, please submit Income Tax Exemption letter along with this form. Interest
(simple) on Fixed Deposits with tenure less than or equal to 180 days will be only paid on the maturity date of such deposit. In absence of specific request, existing Mode of Operation
set up for your Non-Individual Account stands applicable for all Term Deposit operations.

Page 2
 AUTHORISED SIGNATORY - 1 (*Fields are Mandatory)
Existing Customer: No Yes (CIF ID, if yes) CKYC ID:
DIN/DPIN: (Applicable for Pvt. Ltd./Ltd. Companies/OPC and LLPs) Aadhaar:
*Name:
*Gender: Male Female TG *DOB: D D M M Y Y Y Y
*Nationality: Indian Foreign National NRI Others__________
(Please Specify) Differently Abled: Yes No
*Mother’s Name:
*Mother’s Maiden Name:
Father’s/Spouse’s Name:
*Residential Address:
*PIN:
*Mobile No.: C O D E - *PAN: or Form60/49A
Occupation: Business Self-employed Professional Service Others________________________
(Please Specify)

Marital Status: Married Single Other Qualification: Postgraduate Graduate Undergraduate Other
$
E-mail ID :
$
E-mail ID is mandatory for Connect Online setup

Debit Card^
World/Signature Gold/Titanium
Choose Card Type
Platinum Other______________
(Please Specify)

Name to be embossed Recent

Passport Size
Note: As per RBI guidelines, all New Debit Card issued by default will be enabled on Domestic ATM and
Photograph
Domestic POS only.
to be signed
across the
Internet Banking (IndusNet) View Only (Non-Financial) Transaction (Financial) photograph
Signature with Stamp
Phone Banking Yes No
Note: Customers opting for Debit Card can generate their Net Banking Password on their own through
www.indusind.com. ^Available only if the mode of operation is Singly/Severally

AUTHORISED SIGNATORY - 2 (*Fields are Mandatory)

Existing Customer: No Yes (CIF ID, if yes) CKYC ID:
DIN/DPIN: (Applicable for Pvt. Ltd./Ltd. Companies/OPC and LLPs) Aadhaar:
*Name:
*Gender: Male Female TG *DOB: D D M M Y Y Y Y
*Nationality: Indian Foreign National NRI Others__________
(Please Specify) Differently Abled: Yes No
*Mother’s Name:
*Mother’s Maiden Name:
Father’s/Spouse’s Name:
*Residential Address:
*PIN:
*Mobile No.: C O D E - *PAN: or Form60/49A
Occupation: Business Self-employed Professional Service Others________________________
(Please Specify)

Marital Status: Married Single Other Qualification: Postgraduate Graduate Undergraduate Other
$
E-mail ID :
$
E-mail ID is mandatory for Connect Online setup

Debit Card^
World/Signature Gold/Titanium
Choose Card Type
Platinum Other______________
(Please Specify)

Name to be embossed Recent

Passport Size
Note: As per RBI guidelines, all New Debit Card issued by default will be enabled on Domestic ATM and
Photograph
Domestic POS only.
to be signed
across the
Internet Banking (IndusNet) View Only (Non-Financial) Transaction (Financial) photograph
Signature with Stamp
Phone Banking Yes No
Note: Customers opting for Debit Card can generate their Net Banking Password on their own through
www.indusind.com. ^Available only if the mode of operation is Singly/Severally

Page 3
 AUTHORISED SIGNATORY - 3 (*Fields are Mandatory)
Existing Customer: No Yes (CIF ID, if yes) CKYC ID:
DIN/DPIN: (Applicable for Pvt. Ltd./Ltd. Companies/OPC and LLPs) Aadhaar:
*Name:
*Gender: Male Female TG *DOB: D D M M Y Y Y Y
*Nationality: Indian Foreign National NRI Others__________
(Please Specify) Differently Abled: Yes No
*Mother’s Name:
*Mother’s Maiden Name:
Father’s/Spouse’s Name:
*Residential Address:
*PIN:
*Mobile No.: C O D E - *PAN: or Form60/49A
Occupation: Business Self-employed Professional Service Others________________________
(Please Specify)

Marital Status: Married Single Other Qualification: Postgraduate Graduate Undergraduate Other
$
E-mail ID :
$
E-mail ID is mandatory for Connect Online setup

Debit Card^
World/Signature Gold/Titanium
Choose Card Type
Platinum Other______________
(Please Specify)

Name to be embossed Recent

Passport Size
Note: As per RBI guidelines, all New Debit Card issued by default will be enabled on Domestic ATM and
Photograph
Domestic POS only.
to be signed
across the
Internet Banking (IndusNet) View Only (Non-Financial) Transaction (Financial) photograph
Signature with Stamp
Phone Banking Yes No
Note: Customers opting for Debit Card can generate their Net Banking Password on their own through
www.indusind.com. ^Available only if the mode of operation is Singly/Severally

AUTHORISED SIGNATORY - 4 (*Fields are Mandatory)

Existing Customer: No Yes (CIF ID, if yes) CKYC ID:
DIN/DPIN: (Applicable for Pvt. Ltd./Ltd. Companies/OPC and LLPs) Aadhaar:
*Name:
*Gender: Male Female TG *DOB: D D M M Y Y Y Y
*Nationality: Indian Foreign National NRI Others__________
(Please Specify) Differently Abled: Yes No
*Mother’s Name:
*Mother’s Maiden Name:
Father’s/Spouse’s Name:
*Residential Address:
*PIN:
*Mobile No.: C O D E - *PAN: or Form60/49A
Occupation: Business Self-employed Professional Service Others________________________
(Please Specify)

Marital Status: Married Single Other Qualification: Postgraduate Graduate Undergraduate Other
$
E-mail ID :
$
E-mail ID is mandatory for Connect Online setup

Debit Card^
World/Signature Gold/Titanium
Choose Card Type
Platinum Other______________
(Please Specify)

Name to be embossed Recent

Passport Size
Note: As per RBI guidelines, all New Debit Card issued by default will be enabled on Domestic ATM and
Photograph
Domestic POS only.
to be signed
across the
Internet Banking (IndusNet) View Only (Non-Financial) Transaction (Financial) photograph
Signature with Stamp
Phone Banking Yes No
Note: Customers opting for Debit Card can generate their Net Banking Password on their own through
www.indusind.com. ^Available only if the mode of operation is Singly/Severally

Page 4
 CHOOSE ACCOUNT TYPE (Any one authorised signatory to sign)

AMB - Average Monthly Balance, AQB - Average Quarterly Balance, HAB - Half Yearly Average Balance, HYC - Half Yearly Credits,
CURRENT ACCOUNT
Indus Max (AMB - `10,000) Indus Premier (AMB - `50,000) Indus Select (AQB - `1,00,000 Indus Select Plus (AQB - `3,00,000
Single/Group Balance) Single/Group Balance)
Standard Variants

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp

Indus Exclusive (AQB - `5,00,000 Indus Grandé (AQB - `7,00,000 Aspire (Refer to SoC) Freedom (One ATM/Mobile App/
Single/Group balance) Single/Group balance) Net Banking transaction per month)

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp

Dollar One (AMB - `1,00,000) EXIM Basic (Quarterly throughput -

Industry Specific Variants EXIM Variants

EEFC USD Euro

USD20,000 equivalent) Pound Other____________
Specify Currency

Signature with Stamp Signature with Stamp Signature with Stamp

Infotech (Refer to SoC) Textile (AMB - `60,000) Grain Merchant Flexi Indus Tarakki (Refer to SoC)
(AMB - `1,00,000)

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp

Merchant Plus (Refer to SoC) Green (HAB - `10,000) Green Plus (HYC - `50 Lacs) Govt A/C (AMB - Nil)

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp

FCRA Current Account (AMB-Nil) Sub FCRA Current Account (AMB Nil) Other__________________
Others

Signature with Stamp Signature with Stamp Signature with Stamp

SAVINGS ACCOUNT

SoC - Schedule of Charges

TASC (AMB - `10,000) Prime (AMB - `1,00,000) FCRA Savings Account (AMB - Nil) Sub FCRA Savings Account (AMB - Nil)

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp
Variants

Govt A/C (AMB - Nil) Other______________________

Signature with Stamp Signature with Stamp

CORPORATE INTERNET BANKING (All fields given below are mandatory)

(A). Maker + Checker with authorization rights for Self-Initiated Transactions*
*All Authorized Signatories as per account opening form will get access.
OR
(B). Please fill the below section in case only specific Authorised Signatory require internet banking.
Authorised Signatories User Role (Tick Anyone)
Authorised Signatory 1 Maker & Checker* Checker View only
Authorised Signatory 2 Maker & Checker* Checker View only
Authorised Signatory 3 Maker & Checker* Checker View only
Authorised Signatory 4 Maker & Checker* Checker View only
*Maker & Checker role if ticked will enable the user for authorization rights on self-initiated transaction.
Please fill the below section for additional Maker {Mandatory field if Section (B) is opted as Checker only}.

Name:
Maker 1
Email ID: Mobile Number:
Name:
Maker 2
Email ID: Mobile Number:

( C). Trade Services (All Products without Letter of Credit (LC))

Corporate Internet Banking Setup Guidelines
In case both Section A and B is selected the default setup will get processed as mentioned in Section A. Default User id’s will be created subject to the policies and processes of the Bank. Limits for authorised
transaction/s by users will be set up as per the details updated in the account. ‘Maker’ shall mean person/ s who will be able to only input a transaction and ‘Checker’ shall mean person/ s who will only be able to
authorize a transaction. Maker & Checker will be able to undertake both Input and authorize own/other’s transaction. Daily transaction limits of 2 Crore per transaction and 5 Crore per day will be set up as a
default for all payment modes and IndusInd Bank Ltd (“Bank”) reserves the right to modify default transaction limits and availability of specific products in Corporate Internet Banking. If trade services is opted,
all trade products (Except LC) will be enabled by default for all customers, non-fund based Customers shall be required to execute an indemnity in favour of Bank in order to avail of a Letter of Credit (LC) product
in digital channel from the Bank. New Products and features as and when rolled out will be enabled for all users at the discretion of the Bank.
General Declaration for Corporate Internet Banking Facility (to be signed by all authorized signatories with rubber stamp)
I/We have read the terms and conditions and all such documents in respect of the aforesaid Corporate Internet Banking facility displayed on www.indusind.com. I/We have understood the same and I/We agree to abide
by and be bound by the terms as are in force from time to time and confirm that such terms & conditions shall form as an integral part of this form. I/We understand that in case users are both Maker and Checker rights are
assigned, they can singly initiate and authorise the transaction. I/We understand and accept the risks arising out of granting such access to users. I/We hereby indemnify and keep indemnified the Bank against any costs,
charges, claims, disputes and consequences howsoever and whatsoever arising out of access granted by Bank as per my/our request herein and/or any act/omission/breach on my/ our part whilst availing the Corporate
Internet Banking facility.

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp

Page 5
 MERCHANT SERVICES
(By opting for IndusInd Bank Merchant Services you hereby agree & accept all applicable Terms and Conditions.
POS Terminal Payment Gateway QR Code To avail POS/PG Services, please sign and submit a separate Application/Agreement along with this Account Opening Form.)

Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp

ADDITIONAL PRODUCTS & SERVICES (Please tick service interested in)

PRODUCTS
Insurance Fire (Stock/Property) Vehicle Group Health Marine
Loans Required Working Capital Loan Loan Against Property Loan Against Card Receivables
Standing Instruction/ECS/
Others Commercial Card Corporate Salary Cash Management Services Locker Bill Payment facility (Please fill SI/ECS/
Bill Payment Form and details)
DOORSTEP BANKING (Please submit Indemnity form for On-Call (> 2 Lacs) or Beat service)
Cash Pick-up:_______________________________
Value Cash Delivery:_________________________
Value Beat Service On-Call
Cheque Pick-up Beat Service On-Call
PRODUCTS FOR AUTHORISED SIGNATORY
Product Authorised Signatory 1 Authorised Signatory 2 Authorised Signatory 3 Authorised Signatory 4
Name
Credit Card (Indulge, Pinnacle,
(Please specify the Credit Card Product) (Please specify the Credit Card Product) (Please specify the Credit Card Product) (Please specify the Credit Card Product)
Signature, Iconia, Others)
Personal Loan
Travel Card (Forex)

Locker
Note: Above mentioned products are governed by the applicable Terms and Conditions and would be offered at the sole discretion of the Bank

RETAIL INTERNET BANKING (Declaration)

We hereby request IndusInd Bank to allow us operate the said Account using the Bank’s Internet Banking facility – IndusNet, on the Terms and Conditions detailed hereunder which have been read and
understood by us, including the Terms and Conditions in this application form and displayed on the website www.indusind.com
M/s. ________________________________________________________________________________________ (Entity Name) will be solely entitled to receive the Customer/User ID & IndusNet Login
password to access the Bank’s IndusNet facility. All of these details will remain in safe and confidential custody of the Authorised Signatory using it, as appointed/nominated by the Entity. The above
entity will be solely responsible for all transactions initiated in the said Account using IndusNet facility. IndusInd Bank will not be held responsible neither liable for any actions, claims, demands, proceedings,
losses, damages, costs, charges and expenses arising out of the transactions carried out through IndusNet. I/We agree to inform IndusInd Bank of any changes in the operating instructions for IndusNet by
furnishing necessary documents and writings. I/We will comply with all provisions of the Foreign Exchange Management Act, 1999 and the regulations of the Reserve Bank of India relating to foreign
exchange – those enforced from time to time. Default transaction limits will be applied to all IndusNet users. The Bank reserves the right to reset the default limits of IndusNet at any time.

Date:_________________________________
Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp
Place:__________________________________
Note: The Accounts with Single/Severally Mode of operation will get View & Transaction rights. The Accounts with Joint/Conditional mode of operations will have only Views rights.

DECLARATION FOR SOLE PROPRIETORSHIP (without rubber stamp)

I, the undersigned, am the sole proprietor of the firm, M/S _________________________________________________________________________________________________________________
for which I am submitting this application to open an Account with IndusInd Bank. I declare that I have an existing CA/CC/SB Account No. _____________________with ______________________
__________________________________________________________Bank in the name of _______________________________________________for the last __________years.
I agree that all the information disclosed in this document is factual & correct. I agree to indemnify in writing and inform IndusInd Bank of any changes in the constitution of the firm, including
information provided in this form or in related documents. I agree to hold the Bank harmless in case of any loss suffered by the Bank, its customers or a third party or any claim or action brought by
a third party which in any way is a result of the services I have availed for. I will be liable to IndusInd Bank for any obligation standing in the firm's name in the Bank’s books, until all such obligations
shall have been liquidated. I have furnished to the Bank the Power of Attorney authorising the person(s) as indicated hereinbefore
for operating the Account. I/We are aware and abide by the Terms and Conditions institutionalised by IndusInd Bank Ltd., its
Signature
Citizens' Charter & Deposit Policy to carry out lawful banking through all its registered banking channels and affiliates; details of
which are articulated on www.indusind.com and have been understood & agreed to without any ambiguity.

NOMINATION FORM DA1 (Only for Sole Proprietorship/Please choose any of the below options)
I hereby confirm that I do not require any nomination facility on my Bank Deposit^.
I require nomination under Section 45ZA of the Banking Regulation Act 1949, and rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of Bank Deposits.
I/We _________________________________________________________________________________________________________________ nominate the following person(s) to whom in the event
of my/our minor’s death, the amount of deposit in the Account may be returned by IndusInd Bank Ltd.
I/ We agree/ do not agree for the name of my/ our nominee to be displayed on Fixed Deposit Advice/ Statement of Account and/ or other documents/ letters.
Details of Deposit Nominee
Nature of Deposit & Additional Name Address Relationship with Age If Nominee is a Minor,
Distinguishing No. Details, if any Depositor, if any his/her Date of Birth

**As the Nominee is a minor on this date, I/ We appoint ___________________________________________________________________________ to receive the amount of the deposit in the Account
on behalf of the Nominee in the event of my/our Minor’s death during the minority of Nominee.
*Signature/Thumb impression of the Depositor
Witness(es)

Name: ________________________________________________________________________ Name: ________________________________________________________________________

Signature***: ___________________________________________________________________ Signature***: ___________________________________________________________________

Address: _______________________________________________________________________ Address: _______________________________________________________________________

*Where deposit is made in the name of minor, the nomination must be signed by a person lawfully entitled to act on behalf of the minor. **Strike out if nominee is not a minor.
***Thumb impression(s) shall be attested by two witnesses. ^I have understood the benefits of Nomination and still do not wish to Nominate.

Page 6
 GENERAL DECLARATION
I/We are aware and abide by the Terms and Conditions institutionalised by IndusInd Bank Ltd., its Citizens' Charter & Deposit Policy to carry out lawful banking through all its registered banking channels and
affiliates; details of which are articulated on www.indusind.com and have been understood & agreed to without any ambiguity. I/We have read the terms and conditions in this application form as well as
displayed on the website www.indusind.com pertaining to the current account, mobile banking, Corporate Internet Banking/IndusNet, Debit/ATM card which are in force now. I/We concur to have clearly
understood all information (benefits, charges, channels, clauses & procedures) provided to me/us, pertaining to the banking service, I/We wish to obtain via this Account Opening Form and hereon authorise
IndusInd Bank Ltd. to initiate all proceedings to facilitate me/us with agreed banking services. In case, the Account remains overdrawn on Account of unrecovered charges, if any, for a period of 3 months and
above, the Account will be closed and the Bank will not be responsible for giving any advance intimation thereof. I/We confirm that Authorised Signatories as approved by me/our Board/Partners/Members of
the HUF/Managing Committee are authorised to operate the Account and any changes in regards to the same will be intimated to the Bank in writing by me/us. I/We agree to declare legitimate, factual and
accurate information to IndusInd Bank Ltd. at all times, during the course of obtaining lawful banking services; failing which, support and authorise the Bank to initiate all necessary action to safeguard its
interest and that of its clients. I/We hereby declare that the transactions relating to foreign exchange that may be routed through your Bank would not involve, and would not be designed for the purpose of
any contravention or evasion of the provisions of the aforesaid Act or of any rule, regulation, direction, or order made hereunder. I/We declare that I/We have had no insolvency initiated against me/us nor have
been adjudicated insolvent, nor defaulted under any loan taken by me/us from any other bank/institution. I/ We hereby indemnify and keep indemnified the Bank from and against all and any costs, charges,
claims, disputes and consequences howsoever and whatsoever arising out of issuance and use of the Debit Card/ Mobile Banking/ Corporate Internet Banking/IndusNet to the company. I/We authorise and
give consent to the Bank to register my/our GSTN & Aadhaar Number with Current/Saving Account. I/We concur, abide and support all compliant regulatory proceedings initiated by IndusInd Bank Ltd.
towards its clients in cases of insolvency, defaulting, violation of Statutory Banking Norms & Acts or any other fraudulent activities with/without sufficient intimation. I/We concur and authorise IndusInd Bank
Ltd. and its registered banking affiliates to undertake periodic checks, enquiries and thereby part information about its clients as and when deemed necessary in adherence to Statutory Banking norms and
Data Protection regulations. I/We have understood that as per extant Reserve Bank of India guidelines, my/our Account shall be treated as dormant, in case I/We do not induce transactions in the Account for a
period of two years. Once the Account is classified as dormant, no transaction will be allowed in this Account. I/We certify that all the information furnished by me/us is true. I/We authorise and give consent to
the Bank or its agents to make references/enquiries as may be necessary and to disclose, without notice to me/us, information furnished by me/us in application form(s)/related documents or
exchange/share/part with any/all information including financial details with Credit Bureaus/Statutory Bodies/Regulatory Authority/Law Enforcement Authority, other agencies as may be deemed
necessary or appropriate, at any point of time. I also authorise the Bank to disclose the information relating to Bank Guarantee/Letter of Credit facility if any availed by me/us. I/We acknowledge that, as per
Prevention of Money Laundering Rules, 2005, in case of any update in the documents submitted by me/us after CIF/Account opening, I/We shall submit the updated documents to the Bank within 30 days to
be updated in the Bank records.
I/ We declare that I/We enjoy credit facility Yes No Bank Name _____________________________________________________________________________________________
Branch Address _________________________________________________________________________________________________________________________________________________
Type of Facility _________________________________________________________________________________ Amount of Facility _________________________________________________
Note: In case of CC facility with multiple banks, separate annexure needs to be provided.

Consent to Use, Share and Disclose Registered Communication Contact Details

I/We hereby ACCEPT, AUTHORISE, CONFIRM AND PERMIT IndusInd Bank Limited (“Bank”) to USE, SHARE AND DISCLOSE any/all of my/our registered communication contact addresses/details
(postal, e-mail, mobile number, social media platforms/channels etc.), that I/we have willingly registered/shared with the Bank for the purpose of (A) receiving information, either from the Bank, Central
KYC Registry and/or through any of the Bank’s authorised Service Providers / Agency(ies)/Professional Advisors related to the operations of my/our account(s)/services availed by me /us from the Bank;
and/or (B) API based authentication where my/our details are being auto fetched/ populated to process my banking requests/applications on/throughthe Bank’s Web Applications/Systems; and/or
(C) any kind of promotional/research/feedback based exercise about the Bank’s products/services that I/we must/may be made aware for general consumption or to provide feedback as an existing
customer of the Bank; until such time I request/notify the Bank to stop sending communication to any/all of my/our registered communication addresses/details as per the Bank’s defined process and
knowing that the Bank will ensure security and confidentiality to all my communication contact details provided by me/us. If I am /we are or become a Non Resident Indian (NRI) / foreign national,
I confirm that the following consent is well within my capacity as a Non-Resident Indian and by doing so I do not violate or breach in any manner the regulations or statutes of the country of my residence
as are applicable to me.
Notwithstanding anything contained herein above, in case I/we opt out from the aboveand tick ‘NO’ below, the Bank shall be entitled to use/share/disclose my communication contact addresses/details to
send me/us all communication either through select/mandated communication channels, those that are deemed necessary for the (A) smooth processing of my/our account operations/service request(s)
(B) for general awareness and/or (C) any statutory action required to be undertaken by me/us as per the applicable laws and guidelines/regulations/directions/notifications prescribed by the Reserve Bank of
India, Ministry of Finance India, government/quasi-government authorities and any other authorities governing the financial and banking operations whether in India or outside India.
ü Yes No
DISCLAIMER: This material is for general informational purposes only and is not investment advice nor does it constitute an offer, recommendation or solicitation to buy or sell a particular financial instrument. It does
not have regard to the specific investment objectives, financial situation, risk profile or the particular needs of any specific person who may receive this material. No representation is made that the information contained
herein is accurate in all material respects, complete or up to date. Recipients of this document are to contact the representative in their local jurisdiction or contact details given in this document with regard to any
matters or questions arising from, or in connection with, the document. The information contained herein is not intended for distribution to, or use by, any person in any jurisdiction where such distribution or use would
be contrary to applicable law or regulation or which would subject IndusInd Bank to additional licensing or registration requirements. It may not be copied, reproduced, posted, transmitted or redistributed in any form
without the prior written consent of the Bank. This publication is for general information only, without addressing any particular needs of any individual or entity, and should not be relied upon without obtaining specific
advice in the context of specific circumstances.

FATCA - CRS Declaration Form

Entity Type: Financial Non-Financial
GIIN No. ________________________________________ Country of Incorporation _______________________________ City of Incorporation ________________________________________
1. I/We declare that the Entity is Tax Resident of any country other than India Yes No (If Yes, please fill Part A & B)
2. The Controlling Person/Ultimate Beneficial Owner/Proprietor is Tax Resident of any country other than India Yes No (If Yes, please fill Part C) (Not applicable for active
Non-financial entity)
Part A (To be filled if Yes is declared for the above statements except for Proprietorship Customer)
Customer Identification No. ________________________________________________ Issuing Country______________________________________________________________________________
Address used for Tax Purpose/Reported to Tax Authorities in foreign country: Registered Communication Business Other (if business or other, provide the address)
Address___________________________________________________________________________________________________________________________________________________________
Details of Country(ies) in which the entity is resident for tax purpose and the associated Tax ID number:

Country Tax Identification Number (or equivalent) Identification Type (TIN or Other please specify)

Part B (To be filled by Non-Financial entities)

Entity is: Traded in Stock Exchange Subsidiary of Listed Company Controlled by a Listed Company Not Listed

Name of the Listed Company ___________________________________ Name of the Stock Exchange _________________Type of Non-Financial Entity: Active Passive

PART C (to be filled by Passive Non-Financial Entities for Controlling Person and Proprietor, use additional form for any additional controlling person or beneficial owners)
#
Name*__________________________________________________________Date of Birth ___________________ Country of Tax Residency ______________________________________________
% Beneficial Interest______________________________________________________PAN ___________________ Father’s Name ________________________________________________________
Residence Address___________________________________________________________________________________________________________________________________________________
#
*Name of Controlling Person/Ultimate Beneficial Owner/Proprietor Address reported/updated with Tax Authorities
Details of Country(ies) in which the controlling person is resident for tax purpose and the associated Tax ID Number:

Country Tax Identification Number (or equivalent) Identification Type (TIN or Other please specify)

Country of Birth ____________________________City of Birth______________________________________________________Nationality________________________________________________

Occupation Type: Service Business Other | Identification type : Passport DL PAN Govt. ID Card Other

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FATCA-CRS Terms and Conditions: The Central Board of Direct Taxes has notified on 7 th August, 2015 Rules 114F to 114H, as part of the Income-Tax Rules, 1962, which require Indian financial institutions
such as the Bank to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our Account Holders. In relevant cases, information will have to
be reported to tax authorities/appointed agencies/withholding agents for the purpose of ensuring appropriate withholding from the Account or any proceeds in relation thereto. Should there be any
change in any information provided by you, please ensure you advise us promptly, i.e. within 30 days. If you are a US citizen or resident or green card holder, please include United States in the foreign
country information field along with your US Tax Identification Number. It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN
is yet available or has not yet been issued, please provide an explanation and attach this to the form.
Certification: I have understood the information requirements of this Form and hereby confirm that the information provided by me on this form is True, Correct and complete. I further confirm that I
have read and understood the General Declaration and FATCA-CRS Terms and Conditions with regard to Account opening and hereby accept the same.

Date: D D M M Y Y Y Y
Signature with Stamp Signature with Stamp Signature with Stamp Signature with Stamp
Place:__________________________________

Note: To be signed by Authorised Signatories as per mandate of Account operation with rubber stamp.

DECLARATION FOR PARTNERSHIP FIRMS/LLP (To be signed by Partners without rubber stamp)
We, the undersigned, are carrying on business in Partnership in the name and style of___________________________________.
We declare that we, the undersigned, are the Partners of the firm. The Bank may recover its claims from the estate of any or all the Partners of the firm (Not applicable to LLP).
We hereby undertake that we will not change or vary the constitution of the firm without your prior approval in writing and our individual responsibility to the Bank will continue until we receive from
the Bank an acknowledgment and until all our liabilities with the Bank are discharged. The document and its contents submitted at the time of opening of this Account are true and correct.
We agree to indemnify and hold the Bank harmless in case of any loss suffered by the Bank, its customers or a third party or any claim or action brought by a third party which is in any way the
result of availing of services by us under the above Account title. We agree that all the information disclosed above is correct and agree to inform you of any change in the information provided in
this form or in related documents. We confirm having read the rules of the Bank regarding the conduct of the Account and the rules and regulations pertaining to Phone Banking, ATM/Debit Card,
Doorstep Banking, Anywhere Banking, Utilities Pay Facilities, Net Banking and Mobile Banking. We accept and agree to comply with the Terms and Conditions or any rules of the Bank that may be
in force from time to time. We acknowledge that it is our responsibility to obtain a copy and read the same. In the event of the death, insolvency or withdrawal of any partner, the surviving Partner
or Partners shall have full control over any monies then and thereafter standing to the firm's credit and securities pledged, hypothecated or held in the firm’s Account with you. It is understood that
all monies now or hereafter standing to the credit of the Account of the firm or securities pledged, hypothecated or held in the Account with you shall belong to the surviving Partner in the event
of any of us dying during the currency of the Account. It is further understood that if any one of us forbids operation on the Account (which is not payable to all the Partners jointly), the amount
lying at credit shall not be payable except on the discharge of all the Partners or the surviving Partners as the case may be. We authorise the Partners as mentioned in authorised signatory section
to operate the Account and confirm that each of us will be jointly/severally be bound by the transactions and/any other acts done or authorised by these persons in conduct of the said Account.
We have furnished to the Bank a Power of Attorney in favour of the Authorised Signatory(ies) who is/are not Partners of the firm. We have read the Deposit rules annexed to this Account opening
form and agree to abide by the same.
Please Note: In case of LLP Signature of minimum 2 designated partners are required.

Date: D D M M Y Y Y Y
Signature Signature Signature Signature
Place:__________________________________

DECLARATION FOR TRUSTS/ASSOCIATIONS/SOCIETIES/CLUBS/SECTION 8/SECTION 25 COMPANIES (With rubber stamp)

The account will be operated by ________________________________________________________________________________ who has/have been authorised by the Byelaws/Memorandum of
Association/Articles of Association/Trust Deed/and Resolution No. _____________ dated ________________ of the Trustees/Director/Authorised Signatories. A certified copy of the resolution signed
by all Trustees/Director/Authorised Signatories is attached herewith. A copy of the Byelaws/Trust Deed/Memorandum of Association and Articles of Association dated _______________ duly certified is
sent herewith. In future if any change is required in the name of the operators of the account, it will be effected by a resolution of the Board of Trustees and you will be informed accordingly in writing by
all the Trustees and you will allow such persons to operate upon the Account. We agree to comply with and be bound by Bank’s rules now and from time to time in force for the conduct of such Accounts.
We have received the deposit rules annexed to this account opening form and agree to abide by the same.
For opening ‘Another FCRA Account’, we shall submit approval from Ministry of Home Affairs (MHA) for our ‘FCRA Account’ held with SBI New Delhi Main branch & for opening ‘FCRA Utilization
Account’ we shall submit MHA approval for ‘FCRA Account’ held with SBI New Delhi Main branch and ‘Another FCRA Account’, if opened, in compliance with Foreign Contribution (Regulation)
Act, 2010 and any guidelines, rules and regulations made thereunder.
We certify that this is the only ‘Another FCRA Account’ being opened and we do not hold any other ‘Another FCRA Account’.
No remittance/Foreign Contribution will be credited to the ‘Another FCRA Account’ opened with IndusInd Bank and all credits will come from ‘FCRA Account’ held with SBI New Delhi Main branch.
In case of ‘FCRA Utilization Account’ opened with IndusInd Bank, all credits will be either from ‘FCRA Account’ held with SBI New Delhi Main branch or ‘Another FCRA Account’.

Trustee Name Trustee Name Trustee Name Trustee Name

Signature & Stamp Signature & Stamp Signature & Stamp Signature & Stamp

FOR BANK USE ONLY

Account Number: Existing A/C Number:

Account Sourcing Date: D D M M Y Y Y Y Promo Code:

Segment Code: Lead Generator Code:

Any of the related party# is PEP : Yes No
If yes, name of the PEP _____________________________________________________________
#Proprietor, Partners, Authorised Signatory, Members, Trustees, Beneficial Owners, etc.

Sourcer Name: ____________________________________________________________________ Sourcer Code:

CA/AOF/08-23

Sourcing Executive Deputy Branch Manager Signature, Branch Manager’s Signature,

Name & Signature Employee No. & Branch Round Stamp Employee No. & Branch Manager Stamp

Page 8