Kyc change individual form
- 1. CI KYC Details Change form (For Individuals Only) Place for Intermediary Logo Please fill this update / modification form in ENGLISH and in BLOCK LETTERS (Please strike off Sections that are not used). A Name of Applicant (As per original KYC records) Application No. : Title Mr. Ms. Other (Please specify) UID/Aadhaar, if any: PAN Name Please Provide the new KYC details which should be updated in your KYC records. B. Mandatory fields for KYCs done before 1st January 2012 1. Father’s/Spouse Name 2. Current Marital status Single Married 3. Current Nationality Indian Other (Please specify) 4. Current Gross Annual Income Details ( Please tick (ü 1 Lac ): Below 1-5 Lac 5-10 Lac 10-25 Lac > 25 Lacs OR Net-worth in `. (*Net worth should not be older than 1 year) as on (date) d d / m m / y y y y “FOR OFFICE USE ONLY” Columns at the bottom of the form is Mandatory-IPV for all KYCs done before 1st January, 2012 & Original Seen and Verified for change in Identity & Address Details. C. Identity Details (please see guidelines overleaf) 1. New Name (As appearing in supporting identification document). Name 2. New Status Please tick ( ü) Resident Individual Non Resident (Passport Copy Mandatory for NRIs & Foreign Nationals) 3. PAN Please enclose a duly attested copy of your PAN Card 4. Proof of Identity submitted for PAN exempt cases Please Tick (ü ) UID (Aadhaar) Passport Voter ID Driving Licence Others (Please see guideline ‘D’ overleaf D. Address Details (please see guidelines overleaf) 1. New Address for Correspondence City / Town / Village Pin Code State Country 2. Contact Details Tel. (Off.) (ISD) (STD) Tel. (Res.) (ISD) (STD) Mobile (ISD) (STD) Fax (ISD) (STD) E-Mail Id. 3. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick ( ü the document attached. ) against Passport Ration Card Registered Lease/Sale Agreement of Residence Driving License Voter Identity Card *Latest Bank A/c Statement/Passbook *Latest Telephone Bill (only Land Line) *Latest Electricity Bill *Latest Gas Bill Others (Please specify) *Not more than 3 Months old. Validity/Expiry date of proof of address submitted d d / m m / y y y y 4. New Permanent Address of Resident Applicant if different from above C1 OR Overseas Address (Mandatory) for Non-Resident Applicant City / Town / Village Pin Code State Country 5. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick (ü the document attached. ) against Passport Ration Card Registered Lease/Sale Agreement of Residence Driving License Voter Identity Card *Latest Bank A/c Statement/Passbook *Latest Telephone Bill (only Land Line) *Latest Electricity Bill *Latest Gas Bill Others (Please specify) *Not more than 3 Months old. Validity/Expiry date of proof of address submitted d d / m m / y y y y E. Other Details (please see guidelines overleaf) 2. New Occupation (Please tick (ü and give brief details): ) any one Private Sector Service Public Sector Government Service Business Professional Agriculturist Retired Housewife Student Forex Dealer Others (Please specify) 3. Please tick, if applicable: Politically Exposed Person Related to a Politically Exposed Person For definition of PEP, please refer guideline overleaf 4. Any other information: DECLARATION SIGNATURE OF APPLICANT I hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am/we are aware that I/we may be held liable for it. Place: Date: FOR OFFICE USE ONLY IPV Done on d d / m m / y y y y AMC/Intermediary name OR code Seal/Stamp of the intermediary should contain Seal/Stamp of the intermediary should contain Staff Name Staff Name (Originals Verified) Self Certified Document copies received Designation Designation Name of the Organization Name of the Organization (Attested) True copies of documents received Signature Signature Main Intermediary Date Date
- 2. CI INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM A. IMPORTANT POINTS: Agreement of Residence/Driving License/Flat Maintenance 1. Self attested copy of PAN card is mandatory for all clients in bill/Insurance Copy. all type of change request. 2. Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill 2. Copies of all the documents submitted by the applicant should be - Not more than 3 months old. self-attested and accompanied by originals for verification. In case 3. Bank Account Statement/Passbook - Not more than 3 months old. the original of any document is not produced for verification, then the copies should be properly attested by entities authorized for 4. Self-declaration by High Court and Supreme Court judges, giving the attesting the documents, as per the below mentioned list. new address in respect of their own accounts. 3. If any proof of identity or address is in a foreign language, then 5. Proof of address issued by any of the following: Bank Managers of translation into English is required. Scheduled Commercial Banks/Scheduled Co-Operative Bank/Multinationa Foreign Banks/Gazetted Officer/Notary 4. Name & address of the applicant mentioned on the KYC form, should public/Elected representatives to the Legislative match with the documentary proof submitted. Assembly/Parliament/Documents issued by any Govt. or Statutory 5. If correspondence & permanent address are different, then proofs for Authority. both have to be submitted. 6. Identity card/document with address, issued by any of the following: 6. Sole proprietor must make the application in his individual name & Central/State Government and its Departments, capacity. Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges 7. For non-residents and foreign nationals,(allowed to trade subject to affiliated to Universities and Professional Bodies such as ICAI, RBI and FEMA guidelines), copy of passport/PIOCard/OCICard and ICWAI, ICSI, Bar Council etc.,to their Members. overseas address proof is mandatory. 7. For FII/sub account, Power of Attorney given by FII/sub-account to 8. For foreign entities, CIN is optional; and in the absence of DIN no. for the Custodians (which are duly notarized and/or apostiled or the directors, their passport copy should be given. consularised) that gives the registered address should be taken. 9. In case of Merchant Navy NRI’s, Mariner’s declaration or certified 8. The proof of address in the name of the spouse may be accepted. copy of CDC (Continuous Discharge Certificate) is to be submitted. D. Exemptions/clarifications to PAN 10. For opening an account with Depository participant or Mutual Fund, (*Sufficient documentary evidence in support of such claims for a minor, photocopy of the School Leaving Certificate/Mark sheet to be collected.) issued by Higher Secondary Board/Passport of Minor/Birth Certificate must be provided. 1. In case of transactions undertaken on behalf of Central Government and/or State Government and by officials appointed by Courts e.g. 11. Politically Exposed Persons (PEP) are defined as individuals who are Official liquidator, Court receiver etc. or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments, senior 2. Investors residing in the state of Sikkim. politicians, senior Government/judicial/military officers, senior 3. UN entities/multilateral agencies exempt from paying taxes/filing tax executives of state owned corporations, important political party returns in India. officials, etc. 4. SIP of Mutual Funds upto Rs 50,000/- p.a. B. Proof of Identity( POI): List of documents admissible as Proof of Identity: 5. In case of institutional clients, namely, FIIs, Mfs, VCFs, FVCIs, 1. PAN card with photograph. This is a mandatory requirement for all Scheduled Commercial Banks, Multilateral and Bilateral applicants except those who are specifically exempt from obtaining Development Financial Institutions, State Industrial Development PAN (listed in Section D). Corporations, Insurance Companies registered with IRDA and Public Financial Institution as defined under section 4A of the Companies 2. Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID Act, 1956, Custodians shall verify the PAN card details with the card / Driving license. original PAN card and provide duly certified copies of such verified 3. Identity card/ document with applicant’s Photo, issued by any of the PAN details to the intermediary. following: Central/State Government and its Departments, E. List of people authorized to attest the documents: Statutory/Regulatory Authorities, Public Sector Undertakings, 1. Notary Public, Gazetted Officer, Manager of a Scheduled Scheduled Commercial Banks, Public Financial Institutions, Colleges Commercial/Co-operative Bank or Multinational Foreign Banks affiliated to Universities, Professional Bodies such as ICAI, ICWAI, (Name, Designation & Seal should be affixed on the copy). ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued by Banks. 2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India, Notary Public, C. Proof of Address (POA): List of documents admissible as Proof Court Magistrate, Judge, Indian Embassy/Consulate General in the of Address: (*Documents having an expiry date should be country where the client resides are permitted to attest the valid on the date of submission.) documents. 1. Passport/Voters Identity Card/Ration Card/Registered Lease or Sale Please Submit the KYC Documents on A4 Size Paper Only.