CURRENT ACCOUNT OPENING FORM: NON INDIVIDUAL

(To be filled by applicant only. Please fill the form in CAPITAL LETTERS & BLACK ink only)

Date D D M M Y Y Y Y Account No. AOF ID._______________________________________

*Entity Name

TERMS & CONDITIONS

I/We declare that all the details provided on the above form are correct and I/We undertake to inform the Bank of any subsequent changes in the above information including documents provided or KYC details within 30
days of such updates.

Most Important Terms & Conditions AU QR

FATCA/CRS Declaration
I/we declare that the entity is tax resident of any country other than India. Yes No (If yes please fill separate FATCA/CRS Form)
The controlling person / ultimate beneficial owner/ proprietor is tax resident of any country other than India Yes No
1. Under penalty of perjury, I certify that: a. The number shown on the form is the correct identification number of the applicant, and b. The applicant is (i) an applicant taxable as a US person under the laws of
the United States of America (“U.S.”) or any state or political subdivision thereof or therein, including the District of Columbia or any other states of the U.S., (ii) an estate the income of which is subject to U.S.
federal income tax regardless of the source thereof. (This clause is applicable only if the A/c holder is
identified as a US person) OR c. The applicant is taxable as a tax resident under the aws of country outside
India. (This clause is applicable only if the account holder is a tax resident outside of India)
2. I/ We understand that the Bank is relying on this information for the purpose of determining my status in
compliance with FATCA/CRS. The Bank is not able to offer any tax advice on FATCA/CRS or its impact.
I shall seek advice from professional tax advisor for any tax questions.
3. I/ We agree to submit a new form within 30 days if any information or certification on this form gets changed.
4. I/ We agree that as may be required by regulatory authorities, Bank shall be required to report, reportable
details to CBDT or close or suspend my account.
5. I / We certify that I/ We provide the information on this form and to the best of my knowledge and belief the
certification is true, correct, and complete including the taxpayer identification number / functional equivalent
number of the applicant.
Certification
I have understood the information requirements of this Form (read along with the FATCA/CRS Instructions) and
hereby confirm that the information provided by me on this Form is true, correct, and complete. I also confirm Signature of Signature of Signature of
that I have read and understood the FATCA / CRS Declaration, Terms and Conditions and hereby accept the Authorized Signatory Authorized Signatory Authorized Signatory
same.

CKYC Declaration : I/We confirm that the Bank can seek my/our records from CKYC registry for account opening & periodic updation.
To be filled by the sourcing staff
I confirm that I have personally met Partner/Director/Signatory of the entity at Business/Registered/Communication address. I also confirm that the customer has completed all account opening documentation formalities and
signed the AOF, documents and other annexures in my presence.
Emp Name & Designation: ________________________________________________________ Emp Code : ________________ Signature of Sourcing Staff _______________________________________

AU Small Finance Bank Ltd. (Acknowledgement / Customer Copy) Tear Off

Customer Name Amount (INR.) in Cash /cheque No/Internal Transfer

drawn on Minimum Average Balance requirement (Monthly) (Please refer applicable schedule of charges document for charge details)

Variant Name Name of bank official

Signature of bank official
Date
(with seal of Bank)
$- if applicable
 PARTNERSHIP/LLP DECLARATION

E-MOA & EAOA DECLARATION (for Company)

We would like to inform you that we have filed the Memorandum of Association (MOA) and Articles of Association (AOA) electronically pursuant to the Simplified Proforma for
Incorporating a Company Electronically (SPICe) form launched by the Ministry of Corporate Affairs (MCA).
In respect of the above, we hereby declare that:

BENEFICIAL OWNERSHIP DECLARATION

Details of natural persons ultimately holding shares* or exercising ultimate control over the entity OR
We hereby declare that no natural person exercises control/ is holding shares* in the entity as above or information about the ultimate shareholders is not available with the entity.
The details of senior managing officials (e.g. Managing Director / Chief Executive Officer/president/secretary/treasurer/trustees/partners, etc.) are as under:

Particulars/S. N 1 2 3 4
Name

Photograph#

DOB
Nationality/
Citizenship

Address

ID proof type and

no.**
Address Proof type
and no**
Email ID
Share Holding %/
Controlling interest %
Whether tax resident
outside India***
Politically exposed
person (YES/NO)
Exemption: (I) an entity listed on a stock exchange in India, or (ii) is an entity resident in jurisdictions notified by the Central Government and listed on stock exchanges in such
jurisdictions, or (iii) is a subsidiary of such listed entities; it is not necessary to identify and verify the identity of any shareholder or beneficial owner of such an entity.
Version May, 2024

PAN (if available), OVD as address and identity proof to be obtained. if yes then CRS/FATCA Declaration to be mandatory filled separately with documentation.

Signature with Stamp Signature with Stamp Signature with Stamp

AU Small Finance Bank Ltd. (Acknowledgement / Customer Copy)

No charges levied for account opening. Form No.
We thank you for banking with us and acknowledge receipt of your account opening form.
Account No.
The instructions for generating the PIN for your ATM/Debit Card, for carrying out transactions on the ATM, will be stated in the Debit Card Welcome Letter. We request you to maintain confidentiality of the PIN
number and the bank would not be held liable for misuse of PIN number.
Annexure 16 - Undertaking for Opening Current Account (Credit Facility Declaration)

Real Estate Projects Collection Purpose

Stock Broking Account for holding the funds (i.e., Client Account), for settlement purposes (i.e., Settlement Account)

Signature with stamp Signature with stamp Signature with stamp

DSB APPLICATION FORM - CASH AND CHEQUE PICKUP

I/We would like to avail below facility from the Bank as per following details:

Account Name ______________________________________________________ Account Type (SB /CA) _______________________

Cash Pickup Frequency - Beat Cash Pickup Frequency - On Call Cash Delivery

Cheque Pickup Frequency - Beat Cheque Pickup Frequency - On Call

Pickup Address Registered Address Communication Address

Note : For availing Cash Pickup and Delivery Service, separate agreement needs to be executed as per Bank's policy.

I/We confirm that I/We are aware of the possible risks involved in connections with the pickup/delivery of cash/cheque on our request to and from our office/workplace. You are hereby
irrevocably and unconditionally authorised to act on my request for said facility, and the Bank shall not be held liable for any circumstances whatsoever.
I/We undertake to keep up indemnified at all time against and to save you harmless from all actions, proceedings, claims, loss, damage, cost and expenses which may be brought
against you or suffered or incurred by you and which shall have arisen either directly or indirectly out of or in connections with your accepting my/our request or instructions for
extending cheque pickup service through the services provider for & on our behalf from me/us acting thereon, whether or not the same are confirmed in writing by me/us.

I/ We, the undersigned, being customer of AU Small Finance Bank Ltd. (here in after referred to as the 'Bank’) hereby confirm that I/We have read, understood and agree to abide and
be bound by all the provisions of the Terms and Conditions and Services Fee Reckoner as displayed on www.aubank.in (#herein after referred to as the 'T&C’) which govern, all of
my/our accounts, present, past and future, maintained/opened/to be maintained/to be opened with the Bank from time to time, and also provisions of the various services/facilities
provided at present/that may be provided in future.

Signature with stamp Signature with stamp Signature with stamp

(In case of non-individual affix the rubber stamp)

FOR BANK'S INTERNAL USE ONLY

Account No. Customer ID

CA/SA Account
 CORPORATE INTERNET BANKING - REGISTRATION FORM
(To be filled by applicant only. Please fill the form in CAPITAL LETTERS & BLACK ink only)

Mobile Number Corporate's Daily

Transaction Limit*
*If amount is not mentioned, default limit of INR 5 Crore will be provided. In case a daily transaction limit is mentioned in BR, daily limit would be set up as per BR.
USER DETAILS SECTION
Name of User CIF ID Access Rights Email Id Mobile Transaction Limit
of the user (Maker/Checker/ Number (In INR Lakhs)
View/Self Checker)

OTP over mail also Yes No

OTP over mail also Yes No

OTP over mail also Yes No

OTP over mail also Yes No

OTP over mail also Yes No

Authorization Matrix Parallel Sequential

Allow Skip Yes No
PRODUCTS REQUIRED (In addition to default products offered)
Cash Payout Yes No For Bulk Payments :
Cheque Printing Yes No (if Yes, please fill annexure 2) Transaction authorization Transaction level Bulk authorization
Virtual Accounts Yes No (if Yes, please fill annexure 3) Account debit entry Consolidated Multiple
Cash and Cheque Collection Yes No (if Yes, please fill annexure 4)
Tally ePayments required Yes No
Beneficiary advice required Yes No
Online Trade Portal Required Yes No (if Yes, please fill annexure 5)
USER (In case user does not have existing customer ID)
M I D D L E

CKYCR No. *Gender M F T ^ ^Third Gender *DOB D D M M Y Y Y Y

*Marital Status Married Unmarried Others *Citizenship

M I D D L E

M I D D L E
Father’s/
Spouse’s M I D D L E
Name

*Address Line 1
ADDRESS

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

*PAN No.

*Aadhaar No.
(Last 4 digits) *^Short Name
Please Paste the
Specimen photograph here
Signature
without
Stamp

*Occupation
Private Sector Public Sector
Service Govt. sector Self employed Professional Business
Service
House wife Politician Others
*Proof of Identity

Passport Driving License Aadhaar PAN Voter ID NPR Letter

Proof of Identification Number Expiry Date D D M M Y Y Y Y (If applicable)
 USER (In case user does not have existing customer ID)
M I D D L E

CKYCR No. *Gender M F T ^ ^Third Gender *DOB D D M M Y Y Y Y

*Marital Status Married Unmarried Others *Citizenship

M I D D L E

M I D D L E
Father’s/
Spouse’s
Name M I D D L E

*Address Line 1
ADDRESS

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

*PAN No.

*Aadhaar No.
(Last 4 digits) *^Short Name
Please Paste the
Specimen photograph here
Signature
without
Stamp

*Occupation
Private Sector Public Sector
Service Govt. sector Self employed Professional Business
Service
House wife Politician Others
*Proof of Identity

Passport Driving License Aadhaar PAN Voter ID NPR Letter

Proof of Identification Number Expiry Date D D M M Y Y Y Y (If applicable)

IMPORTANT INSTRUCTIONS

TERMS, CONDITIONS & DECLARATIONS

I/We have read, understood and hereby agree to the terms and conditions as applicable to the banking services selected by me/us for the operations of my/our account as set forth
on the website https://www.aubank.in/terms-and-conditions and that I/we will adhere to all the terms and conditions applicable.
I/We are aware of charges applicable for banking services and I/we further authorize AU Small Finance Bank Limited to debit my/our account(s) towards any charges for the
selected banking services.
I/We declare, confirm and agree:
a. That all the particulars and information given in this application form (and all documents referred or provided therewith) are true, correct, complete and up-to-date in all respects
and I/we have not withheld any information. I/We understand that certain particulars given by me/us are required by the operational guidelines governing banking companies.
I/We and undertake to provide any further information that AU Small Finance Bank Ltd. may require.
b. That I/we have had no insolvency proceedings initiated against me/us nor have I/we ever been adjudicated insolvent
c. That the email id & mobile no. mentioned against me/us are being used by me/us only and I/We are aware that login credentials and OTPs will be delivered on the given Email
id/Mobile No only.

Name of User Name of User Name of User Name of User Name of User

Signature of Signature of Signature of Signature of Signature of

User with stamp User with stamp User with stamp User with stamp User with stamp

Name of Authorized signatory Name of Authorized signatory Name of Authorized signatory Name of Authorized signatory Name of Authorized signatory

Signature of Signature of Signature of Signature of Signature of

Authorized signatory with stamp Authorized signatory with stamp Authorized signatory with stamp Authorized signatory with stamp Authorized signatory with stamp