ACCOUNT OPENING FORM : NON-INDIVIDUAL

For Corporates/Trusts/Societies/Partnership Firms/Government/Co-op Bank (To be filled by applicant only)

Request you
to open Current Savings Term Deposit Overdraft Cash Credit Branch Code (For internal use)

Date D D M M Y Y Y Y CKYCR No.

DETAILS OF ENTITY *FIELDS ARE MANDATORY

*Entity Name

*PAN No. Form 60 (Please provide Form 49A if PAN applied) Existing Customer ID
(Mandatory if applicable)

Registration No. Valid Till D D M M Y Y Y Y (If applicable)

GSTIN

LEI Code *Date of Incorporation D D M M Y Y Y Y Years of existence

*Address Line 1 R E G I S T E R E D A D D R E S S

Address Line 2
ADDRESS

Landmark *District

*City *Country *PIN Code

*State Phone No. -

Please tick if same as Registered Address Are you a related party to AU Small Finance Bank, as defined under GST** Yes No

*Address Line 1 C O M M U N I C A T I O N A D D R E S S / B U S I N E S S A D D R E S S

Address Line 2
ADDRESS

Landmark *District

*City *Country *PIN Code

*State Phone No. -

*Key Contact P R E F I X F I R S T M I D D L E L A S T N A M E
Person
Email ID
(In Capital Letters)
Physical Statement@ Yes No
NOTE : Digital statement, Bank Intimations, Trade advices will be sent by default on registered Email ID, on frequency as applicable. SMS alerts are sent by default
(Frequency will be as determined by the Bank)
Passbook Yes No For e-statement preference Daily Monthly (by default)
@ I/We understand that Digital statement of account will be sent on a monthly frequency by default to
*Mobile No. of Key Person Tick if SMS alerts are not required all customers having a registered email ID with the bank, even if physical statement has been opted for.

*Mode of
Single Anyone Partner As per Resolution Others S p e c i f y
Operation

*Line Of (Employer Type or Industry)

Business Manufacturer Service Provider Financial Services Retailer Export/Import E-commerce Infrastructure Trader

Public/Private Limited Liability

Limited Partnership Partnership Government Bank Foreign Bodies Trust Association
*Type of
Entity Non Government S p e c i f y
Societies Club Mutual fund Insurance Self Help Group Others
Organization
*Annual
<20Lacs 20Lacs - 50Lacs >50Lacs - 1Cr >1Cr - 5Crs >5Crs - 10 Crs >10Crs - 20Crs >20Crs - 50Crs >50Crs
Turnover
*Sub Type of entity (please pick appropriate sub type of entity)
Public/Private HFC NBFC other Other Financial Non-Financial Non Deposit Others
Limited than HFC Services Company Services Company taking Financial
Company intermediary
Financial Other
Partnership Un-Incorporated Un-Incorporated
/LLP Enterprise Enterprise
Government Central State Local PSU Non Others
Departmental
Undertaking

Indian Foreign Bank Co-operative Correspondent Non Deposit Regional Others

Bank Commercial Bank Bank Bank taking Financial Rural Bank
Intermediary
Trust Charitable Public Private Religious Non Deposit Educational Provident fund
taking Financial
Intermediary
Pension Financial Other
fund Un-Incorporated Un-Incorporated
Enterprise Enterprise

Financial Other
Association Un-Incorporated Un-Incorporated
Enterprise Enterprise

Credit Non-Credit Non Deposit Financial Other

Societies
Co-operative Co-operative taking Financial Un-Incorporated Un-Incorporated
Intermediary Enterprise Enterprise

Section 8 University Non-Profit

Others Company Organization
 *NATURE OF INDUSTRY (Department or Profiling or Sector)
Retail Trade Apparel/Footwear Food Products Agriculture Tourism/Hotel/Restaurants Motor Vehicle

Textile Real Estate Infrastructure/Constructions Medical/Healthcare Furniture/Rubber/Plastic Commission/Trade

Transportation Computer related Beverages/Tobacco Gems, Jewelry, Precious/
Financial Intermediation Chemicals
Products Semi-Precious Stones
Petroleum Products Fishing Cultural/ Sports Mining Coal Telecom/Post

Leather NBFC Radio/Television P l e a s e S p e c i f y

Others

*PROFESSION OR SUB SECTOR

Dairy And Dairy Products Readymade Garments Food Grains Agri Equipment Tea, Coffee and Snacks Building & Construction
Material
Auto Parts, Lubricants Kirana, Provision and Liquor
Transporter Electrical Parts General Goods Mobile and Accessories
and Batteries
Petrol or Gas Pump-Fuel Chemical, Seeds, Fertilizers Professional Auto Parts, Lubricants Glass, Hardware and
Electronics goods
Dealers and Pesticides and Batteries Plywood
Professional Medicines and Plastic and Related Commission Agent
Handicraft Tour and Travel
Pharma Goods Products
Brick, Marble and Granite Computer Hardware FMCG and Household P l e a s e S p e c i f y
Paper and paper products Others
Goods
FIXED DEPOSIT # Attach relevant declaration

Pre-mature withdrawal facility required (applicable for Fixed Deposits >= INR 1 Crore only) Yes No
NOTE: I/We further understand that Sweep-in Facility , if requested will be activated in the same account.

Amount (in INR) TD Tenure Rate of Interest Payment Maturity Instructions

Interest
Months Days % Renew Principal Renew Principal Do Not Sweep In
Monthly Quarterly Maturity & Interest & Pay Interest Renew

. .
Please Debit New A/c OR Existing A/c No. for FD Booking

Maturity Payment Credit proceeds of the new Term Deposit to my AU Small Finance Bank Current/Savings account number mentioned above
Instructions { Payment instrument to be mailed to registered address (for payable at maturity deposits only)

*Deposit will be reinvestment of interest with maturity instruction as Renew Principal and Interest

*TDS Details for FD : Deduct TDS (if applicable) Yes No (If No, attach Income Tax Exemption Letter)
INITIAL PAYMENT DETAILS :
Deposit Amount Payment Mode Cash Cheque Internal Transfer Date D D M M Y Y Y Y
(in INR)

Cheque No. Internal Bank Account No. for Transfer

Drawn on Bank NOTE : Cheque should be A/C Payee and payable to “ AU Small Finance Bank Ltd. A/c<Applicant Name>”
AUTHORISED SIGNATORY 1
*Name P R E F I X F I R S T M I D D L E L A S T N A M E
Existing CKYCR No. *Gender M F T ^ ^Third Gender *DOB D D M M Y Y Y Y
Customer ID
*Marital Status Married Unmarried Others S p e c i f y
*Citizenship
Maiden Name F I R S T M I D D L E
(if any ) P R E F I X L A S T N A M E
field is mandatory.

Mother’s
any one of this

Name P R E F I X F I R S T M I D D L E L A S T N A M E
Father’s/
Spouse’s P R E F I X F I R S T M I D D L E L A S T N A M E
Name
Email ID
(In Capital Letters)

*Address Line 1
ADDRESS

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

NOTE : If PAN number is not provided, then Father's name of the applicant is mandatory
*Mobile No +91 *PAN No. ^ The Short name will be printed on Debit Cards, if applicable
*Aadhaar No.
(Last 4 digits) *^Short Name
CKYC Declaration: I confirm that the Bank can seek my records from CKYC registry for account opening & periodic updation.
Yes No Please Paste the
Debit Card
photograph here
By default Debit Card will be enable for Domestic ATM and POS transaction. Other Channel Specimen
(Ecomm/International/Contactless) Enablement/Disablement can be done through AU Small Finance Signature
Bank website/AU Small Finance Bank Branch or Customer Care (IVR).
without
View only Transaction Stamp
Internet Banking & Mobile Banking (non-financial) (financial)
Phone Banking Yes No
*Occupation
Private Sector Public Sector 35mm x 45mm
Service Govt. sector Self employed Professional Business
Service
House wife Politician Others P l e a s e S p e c i f y

*Proof of Identity
Passport Driving License Aadhaar Proof of Possession of Aadhaar Voter ID NPR Letter
Proof of Identification Number Expiry Date D D M M Y Y Y Y (If applicable)
 AUTHORISED SIGNATORY 2
*Name P R E F I X F I R S T M I D D L E L A S T N A M E
Existing CKYCR No. *Gender M F T ^ ^Third Gender *DOB D D M M Y Y Y Y
Customer ID

*Marital Status Married Unmarried Others S p e c i f y *Citizenship

Maiden Name F I R S T M I D D L E
(if any) P R E F I X L A S T N A M E
field is mandatory.

Mother’s
any one of this

Name P R E F I X F I R S T M I D D L E L A S T N A M E
Father’s/
Spouse’s P R E F I X F I R S T M I D D L E L A S T N A M E
Name
Email ID
(In Capital Letters)

*Address Line 1
ADDRESS

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

NOTE : If PAN number is not provided, then Father's name of the applicant is mandatory
*Mobile No +91 *PAN No. ^ The Short name will be printed on Debit Cards, if applicable

*Aadhaar No.
(Last 4 digits) *^Short Name
CKYC Declaration: I confirm that the Bank can seek my records from CKYC registry for account opening & periodic updation.

Debit Card Yes No Please Paste the

By default Debit Card will be enable for Domestic ATM and POS transaction. Other Channel Specimen photograph here
(Ecomm/International/Contactless) Enablement/Disablement can be done through AU Small Finance Signature
Bank website/AU Small Finance Bank Branch or Customer Care (IVR). without
View only Transaction Stamp
Internet Banking & Mobile Banking (non-financial) (financial)
Phone Banking Yes No

*Occupation
Private Sector Public Sector
Service Govt. sector Self employed Professional Business
Service 35mm x 45mm
House wife Politician Others P l e a s e S p e c i f y

*Proof of Identity
Passport Driving License Aadhaar Proof of Possession of Aadhaar Voter ID NPR Letter
Proof of Identification Number Expiry Date D D M M Y Y Y Y (If applicable)

AUTHORISED SIGNATORY 3
*Name P R E F I X F I R S T M I D D L E L A S T N A M E
Existing CKYCR No. *Gender M F T ^ ^Third Gender *DOB D D M M Y Y Y Y
Customer ID
*Marital Status Married Unmarried Others S p e c i f y *Citizenship
Maiden Name
(if any ) P R E F I X F I R S T M I D D L E L A S T N A M E
field is mandatory.

Mother’s
any one of this

Name P R E F I X F I R S T M I D D L E L A S T N A M E
Father’s/
Spouse’s P R E F I X F I R S T M I D D L E L A S T N A M E
Name
Email ID
(In Capital Letters)
*Address Line 1

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

NOTE : If PAN number is not provided, then Father's name of the applicant is mandatory
*Mobile No +91 *PAN No. ^ The Short name will be printed on Debit Cards, if applicable

*Aadhaar No. *^Short Name

(Last 4 digits)
CKYC Declaration: I confirm that the Bank can seek my records from CKYC registry for account opening & periodic updation.
Debit Card Yes No Please Paste the
Specimen photograph here
By default Debit Card will be enable for Domestic ATM and POS transaction. Other Channel
(Ecomm/International/Contactless) Enablement/Disablement can be done through AU Small Finance Signature & Sign Across
Bank website/AU Small Finance Bank Branch or Customer Care (IVR). without
View only Transaction Stamp
Internet Banking & Mobile Banking (non-financial) (financial)
Phone Banking Yes No
*Occupation
Private Sector Public Sector
Service Govt. sector Self employed Professional Business
Service
P l e a s e S p e c i f y 35mm x 45mm
House wife Politician Others
*Proof of Identity
Passport Driving License Aadhaar Proof of Possession of Aadhaar Voter ID NPR Letter
Proof of Identification Number Expiry Date D D M M Y Y Y Y (If applicable)
Benecial Ownership Declaration
A SCHEDULED COMMERCIAL BANK

Name of the Entity:

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 / Ch ief
Executive Officer/president/secretary/treasurer/trustees/partners, etc.) are as under:

Eligibility*:
1. Private limited / Partnership Firms/Limited Liability Partnership/Limited companies (more than 10% shares)
2. Unincorporated association or body of individuals/Society (more than 15% Shares)
3. Trust (10% or more)

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)

Signature with stamp Signature with stamp Signature with stamp

(Managing Director/Company Secretary/Chairman/Two Directors/Authorized Signatory/ Any 2 of president/secretary/ treasurer)

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.
** 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
DECLARATIONS & CONDITIONS
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 as displayed on www.aubank.in (#here in 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.
I/We understand that the Bank may, at its sole discretion subject to applicable regulatory /statutory / internal guidelines, at any time, and from time to time, add to, alter or modify any of the terms and conditions and that
I/We hereby agree to abide and be bound by all such changes, as if they form part of the T & C as at present and that any transaction in my/ our account(s) with the Bank and / or usage of any services by me/us subsequent
to such change shall be deemed and tantamount to my/our acceptance of all such changes
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 here under.
I/We agree to abide by and be bound by all applicable rules/regulations/instruction/guidelines issued by the Reserve Bank of India, and under the FEMA regulations, 2000 governing EEFC Accounts, the Foreign Exchange
Management Act, 1999 and Foreign Account Tax Compliance Act, 2010 (to the extent applicable to India) and the Common Reporting Standards (CRS), in force from time to time.
I/ We confirm that the authorized 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 in writing by me/us. I/ We understand that the above account will be opened on the basis of the declaration made by me/ us. I/ We further agree to indemnify AU Small Finance Bank Ltd. and their successors or
assignees if any of the representation and declarations made hereunder by me / us is incorrect, false or misleading in any of its particulars. We further unconditionally and irrevocably authorise AU Small Finance Bank Ltd.
to debit our account with an amount equivalent to the fees and charges applicable for the services enjoyed by us. I/ We declare, confirm, agree: a) That all particulars and information given in the application form are true,
correct, complete and up-to-date in all respects and I/ We have not withheld any information. b) I/ We have had no insolvency initiated against me / us nor have I / We ever been adjudicated insolvent. c) I/ We have not at
any time defaulted under any loan taken by me / us from any other bank / institution. d) I/ We have read and understood that charges are applicable to the current account facility and hereby agree to bear the charges as
revised from time to time by AU Small Finance Bank Ltd. at its sole discretion. I/ We have also gone through the schedule of charges and understood that to be eligible for the concessions, I/ We have to maintain the
minimum average balance as indicated in the schedule of charges. 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 also understand that the continuation of the account is at AU Small Finance Bank Ltd.'s sole discretion and in case AU Small Finance Bank Ltd. is
dissatisfied with the conduct of the account, AU Small Finance Bank Ltd. has the right to close the account after giving me/ us 15 days notice or withdraw the concessions in all or any service charges granted to me / us or
charge AU Small Finance Bank Ltd.'s applicable rates for such services. I/ We authorise the Bank or its agents to make references/ enquiries as may be necessary and to exchange/ share/ part with any/ all information with
credit bureaus/ statutory bodies/ other agencies as may be deemed necessary or appropriate. 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 to the Company .We shall at no point of time raise any objection or claim on the said transactions and the Bank is well within the
law to deem the said transactions so effected as valid, binding transactions conducted by the firm/ company represented by all its Directors/ Authorised Signatories on the said account.
The Branch of the Bank where my/our account(s) is/are kept(Accountable Branch) is the sole branch of account for repayment of any credit balance in the account(s) and any interest accruing thereon which will only be
made at the Accountable Branch and in the currency in which the credit balance is denominated. Accordingly the Bank shall not be required to repay any such credit balance or interest at its head office or any branch other
than the Accountable Branch for so long as and to the extent that the Accountable Branch cannot repay the balance or interest due to (a) an act of war, insurrection or civil strife, or (b) an action by the government or any
instrumentality preventing such repayment. The competent court within whose jurisdiction the accountable branch is situated shall have exclusive jurisdiction in respect of any claims against the Bank. However this will
not affect the Bank's general lien and right of set-off over all my/our accounts at all branches of the Bank and for this purpose the Bank shall be entitled to combine and consolidate all or any of such accounts.
I/We undertake that the Bank can seek my/our latest information and collect the required KYC documents on periodical basis in compliance with applicable regulatory guidelines. I/We will update the Bank in case of any
change in my/related party/Beneficial Owner details provided at the time of opening the account which includes address change, change in industry, change of employment, etc.. I/We hereby declare that the transactions
relating to foreign exchange routed through your Bank do not involve and are not 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 also hereby agree and undertake to give such information/documents as well reasonably satisfy you about the transactions in terms of the above declaration.
It is mandatory to maintain Average Monthly Balance (AMB) as prescribed for your savings / current account as prescribed by bank from time to time. Please note charges are applicable if AMB is not maintained. Please
refer our website or approach any our branches or phone banking team for Schedule of charges. I/We declare that all the details furnished above are true and correct and I/We undertake to inform you of any changes,
there in immediately. In case any of the information if found to be false or untrue or misleading or mispresenting, I/we may be held liable for it. I/We also confirm that my/our preferred language of communication is
English unless confirmed otherwise.
LEI is a mandatory requirement for all non-individual remitter / beneficiary for NEFT and RTGS transaction of Rs 50 crores and above.
I/We have read understood, and agree to abide and be bound by all the provisions of the Terms and Conditions of AU QR Code, as displayed on www.aubank.in
I/we understand and convey my consent that, if the bank identifies presence of multiple customer IDs based on information furnished by me/us while processing this account opening request, then all my active
relationship(s) / may be tagged / migrated to the latest/ oldest customer ID in Bank records under suitable information to me/ us.
I/We understand and convey my consent that, if the bank identifies presence of multiple customer IDs based on information furnished by me/us while processing this account opening request, then all my active
relationship(s) / may be tagged / migrated to the latest/ oldest customer ID in Bank records under suitable information to me/ us.
I/we herein understand and agree to provide my consent to any additional information which may be required/sought w.r.t KYC or any other details by the bank from time to time.
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.
Aadhaar
I/We hereby give my consent to AU Small Finance Bank Ltd. to obtain my Aadhaar Number, Name and Fingerprint /iris for authentication with UIDAI. Bank has informed me that my identity information would only
be used for KYC and also informed that my biometrics will not be stored/shared and will be submitted to CIDR only for that purpose of authentication.
GST Guidelines
a) State of GSTIN and state mentioned in communication address should be the same for correct invoicing. In case of a difference, the communication address is to be modified accordingly before submission of
GSTIN details. b) The determination of the location of supplier of service is the sole responsibility of AU Small Finance Bank and would be determined basis applicable tax laws. c) **For definition of related party,
please visit : www.aubank.in/knowledge-center/gst-related-party

Insta Kit Acknowledgement (If applicable)

I/We confirm having received the Welcome Kit in an untampered / sealed condition and confirm that the below deliverable have been received by me. ($-if applicable)

Welcome Letter 10 Non-personalized cheques Schedule of Charges MSE Booklet$ Most Important Terms & Conditions AU QR
FATCA/CRS Declaration The controlling person / ultimate beneficial owner/ proprietor is tax resident
I/we declare that the entity is tax resident of any country other than India. Yes No Yes No
of any country other than India
(If yes please fill separate FATCA/CRS Form)
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 laws 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 that I have read and understood the FATCA / CRS Declaration, Terms and Conditions and hereby accept the same.
CKYC Declaration : I/We confirm that the Bank can seek my/our records from CKYC registry for account opening & periodic updation.
I/We confirm that the below signatures are applicable for the details provided in AOF, Declaration and Terms & Conditions.

Signature with stamp Signature with stamp Signature with stamp

Tear Off Tear Off Tear Off

AU Small Finance Bank Ltd. (Acknowledgement / Customer Copy)
Customer Name Amount of 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)
 PARTNERSHIP/LLP DECLARATION (With Entity Seal)
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 account opened in AU Small Finance Bank.
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, Net
Banking and other facilities. We accept and agree to comply with the terms & 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 or any monies
then and thereafter standing to the firm's Credit and securities pledged, hypothecated or held in the firms 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 anyone 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 agree to authorize the partners/person nominated by us 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 authorized by these persons in conduct of the said account.
We have read the deposit rules annexed to this account opening form and agree to abide by the same.

Signature with stamp Signature with stamp Signature with stamp

DECLARATION FOR TRUSTS / ASSOCIATION / SOCIETIES / CLUBS (With entity Seal)

The account will be operated by authorised signatories who has / have been authorized by the Byelaws / Memorandum of Association / Trust Deed / and Resolution of the Trustee / Directors /
Authorized signatories. A certified copy of the resolution signed by all Trustee / Director / Authorized Signatories is attached herewith. A copy of the Byelaws / Trust Deed / Memorandum of
Association and Articles of Association duly certified is provided herewith. In future any change required in the name of the operators of the account, it will be effected by a resolution of the
Board of Trustee and Bank 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 deposits rules annexed to this account
opening form and agree to abide by the same.

Signature with stamp Signature with stamp Signature with stamp

FOR BANK'S INTERNAL USE ONLY

Risk Level of the applicant based on KYC-AML guidelines: Low Medium High
Product Code* Account No. Promo Code 1
CA/SA Account

Product Code* Account No. Promo Code 2

OD/CC
Account
Product Code* Account No.
FD -
Saving Account Value Maximum Premium Exclusive Royale Others _____________

Current Account Basic Value Maximum Premium Platinum Business Vishesh Royale Business RERA RERA Collection Others _____________
Trade Current Royale Trade Platinum Trade EEFC-USD EEFC-EURO EEFC-GBP DDA SNRR
Account
OD/CC Account Overdraft _____________ Dropline OD _____________ Cash Credit _____________ Others _____________

Lead Number *Whether any Beneficial Owner is a Politically Exposed Person or related to one ? Yes No

Customer ID Document Submitted No cheque book

1st Applicant to be issued
Entity Proof Add Proof
Insta kit issued
e-KYC Yes No Group ID
Passbook
LG Code LC Code RM Emp. ID
CPV Initiated

ADDITIONAL BANK USE SECTION

To be filled by the sourcing staff To be filled by the BOSM/BM, post below authorization
I confirm that I have personally met Proprietor/Partner/Director/Signatory of the entity at Business
/Registered/Communication address. I also confirm that the customer has completed all account opening All information (incl. Name and/or signature variation), as specified in the AOF, have been
documentation formalities and signed the AOF, documents and other annexures in my presence. verified & found to be correct. I authorize the mentioned account(s) to be opened

Emp. Name & Designation Emp. Name & Designation

Version May, 2024

Emp. Code Emp. Code

Emp. Branch Name Signature of Sourcing Staff Emp. Branch Name Signature

Signature of BSM/TL/BM RPC / CPC Sign, Emp. Code, stamp with date

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.

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)
A SCHEDULED COMMERCIAL BANK

I/ We is/ are desirous of opening a Current Account with AU Small Finance Bank Limited (“AU SFB”).

I/ We understand that in accordance with RBI Circular DOR.No.BC/7/21.04.048/2020-21 on 'Opening of Current Account by Banks – Need for Discipline' dated August 06, 2020 and the related circulars thereafter , all
scheduled commercial banks have been permitted to open Current Accounts for customers under following scenarios with an undertaking from the borrowers that they shall inform the bank(s), as and when the credit
facilities availed by them from the banking system reaches ₹ 5 crore or more.
In case of availing CC/OD facilities from banking system and having exposure to banking system of ₹ 5 crore or more, such borrowers can maintain Current Accounts with any one of the banks with which it has CC/OD
facility, provided that the Bank has at least 10 per cent of the exposure or has the highest exposure (in case no Bank has exposure >=10%) of the banking system to that borrower.
Consequent to the above, I/ We hereby confirm and undertake that: (Tick any one of the below)
[ ] I/We are not availing Credit facility from any Bank .
OR
[ ] I/ We are availing single/ multiple credit facilities (including CC/ OD) of less than 5Cr from any/ all banks.
OR
[ ] I/ We are availing single/ multiple credit facilities (none of it is of CC/OD nature) of Rs 5 to 50Cr from any/ all banks and AU SFB is one of lender
OR
[ ] I/ We do not have a Current account and am/are availing single/ multiple credit facilities (including CC/ OD) of greater than or equal to Rs 5Cr from any/ all banks including AU SFB and AU SFB Share is >=10% of total
exposure or AU SFB has highest exposure.
OR
[ ] I/ We are opening Collection Account as AU SFB exposure is <10%. Standard Instructions will be setup in this account wherein funds will be remitted to lender's CC/OD/escrow act. within 2 working days of receiving
such funds.
OR
[ ] I/ We are opening Current account which is exempted from “Opening of Current Account-Need for discipline RBI guidelines

Real Estate Projects Collection Purpose IPO/NFO/FPO/Share Buyback/Dividend Payment/Issuance of Commercial Papers/Allotment of Debentures/Gratuity Special Instruction of Govts (Central/State)

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

I/We shall inform/ update AU SFB immediately in writing to [email protected] or to the branch in the event of any change in my/ our exposure from the Banking System.

I/ We understand that the information furnished by myself/ ourselves is accurate and the AU SFB can take necessary action for closure of my/ our account in the event any discrepancy is identified by the AU SFB in the
undertaking submitted by me/ us.

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)
A SCHEDULED COMMERCIAL BANK

Company Name
Address will be same as address registered with the bank
Contact Person
Name
Contact Person
Email
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)
*Name P R E F I X F I R S T M I D D L E L A S T N A M E

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

*Marital Status Married Unmarried Others S p e c i f y

*Citizenship
Maiden Name F I R S T M I D D L E
(if any *) P R E F I X L A S T N A M E
*Mother’s
Name P R E F I X F I R S T M I D D L E L A S T N A M E
Father’s/
Spouse’s P R E F I X F I R S T M I D D L E L A S T N A M E
Name
Email ID
(In Capital Letters)

*Address Line 1
ADDRESS

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

*Mobile No +91 *PAN No. NOTE : If PAN number is not provided, then Father's name of the applicant is mandatory
^ The Short name will be printed on Debit Cards, if applicable
*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 P l e a s e S p e c i f y

*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)
*Name P R E F I X F I R S T M I D D L E L A S T N A M E

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

*Marital Status Married Unmarried Others S p e c i f y

*Citizenship
Maiden Name F I R S T M I D D L E
(if any *) P R E F I X L A S T N A M E
*Mother’s
Name P R E F I X F I R S T M I D D L E L A S T N A M E
Father’s/
Spouse’s
Name
P R E F I X F I R S T M I D D L E L A S T N A M E
Email ID
(In Capital Letters)

*Address Line 1
ADDRESS

Address Line 2 *District

*City *Country *PIN Code

*State Phone No. -

*Mobile No +91 *PAN No. NOTE : If PAN number is not provided, then Father's name of the applicant is mandatory
^ The Short name will be printed on Debit Cards, if applicable
*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 P l e a s e S p e c i f y

*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
1. View access includes - Only view and statement download access, Maker access includes - Access to initiate single or bulk transactions, Checker access includes – Authorization
rights for transactions initiated by maker, Self checker access includes - Transactions initiated do not require authorization. One can have a dual role of Maker & Checker. Checker
can be a maker for another checker's transaction.
2. Common mobile no and email cannot be used for different users.
3. Parallel authorization matrix means whenever a transaction is initiated from maker ID it will be sent to all authorizers simultaneously. If skip is allowed and highest priority authorizer
approves the transaction, the transaction will get processed.
4. In sequential authorization matrix transaction is visible to authorizer when previous (lower priority) approver has approved the transaction

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