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BASIC SB DEPOSIT/ SBI TINY SB ACCOUNT OPENING FORM

(SIMPLIFIED FOR FIP)

Account No.____________________________ CIF No.________________________________ Date: D D / M M / Y Y Y Y

Name of the Branch Br Code

Address

Applicant’s Details: (Tick the appropriate choice)

Name Mr/Mrs/Ms Date of Birth : D D / M M / Y Y Y Y

Name of Father Marital Yes M

GENDER
Name of Spouse Status No F

Address

Census Code Pin Code

Aadhaar No. PAN No.

Telephone &
MGNREGS JOB CARD No.
Mobile No.
Occupation Annual Income No. of Dependents

Owning House Yes No Owning Farm Yes No Acre:

Detail of Assets
No. of Animals Any other
Name of Bank/
Yes If yes, Account No.
Existing Bank A/c. of family Post office
details of
members / household
No A/Cs.

I request you to issue me a RuPay Card Yes No Kisan Credit Card Whether Eligible Yes No

Declaration
I hereby apply for opening a Savings Bank Account. I declare that the information provided by me in this application form is true
and correct. The terms and conditions as applicable have been read over and explained to me and I have understood the same. I
shall abide by all the terms and conditions as may be in force from time to time. I declare that I have not availed any
Overdraft or Credit facility from any bank.

Place:
Date: / / Signature / LTI of Applicant
Nomination
In the event of my/ minor’s (if applicant is making an application on behalf of a depositor who is a minor) death, I nominate the
undernoted person to receive the balance in the accounts mentioned herein.
Name of Nominee Relationship Age DOB in case of minor Account No.

Place:
Date: / /

In case of LTI, nomination to be witnessed by a literate person. Signature / LTI of Applicant