CHANGE IN CLIENT INFORMATION (For Individual Clients)

(Please fill in BLOCK LETTERS only)

Customer Name

Account Number 1 Account Number 2

Credit Card Number Loan Account

Personal Details - Please update the following details in my records maintained with your Bank. I understand that the changes will apply to all relationships with the Bank.

Date of Birth Mobile Number -

Country of Birth Residence Number -
Nationality Office Number -
PAN Card Aadhaar Number^

Email

Others (Pls Select) Professional Self Employed Retired Housewife Student Unemployed

Occupation (Please tick) Service (Pls Select) Private Public Government

Business Not Categorised

Employer / Business Entity Name _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _

Nature of Business Manufacturing Trading Export/Import Service Retailing Wholesaler Other

Industry in which the client’s Business entity or Employer Operates (e.g. Jewellery, diamond, textile, chemicals, law/accounting firm etc) * _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Residence Address - Please carry proof of Residence/Permanent Address (see overleaf for acceptable KYC document) in original for us to verify the same

District

City State

PIN Country

Permanent Address (If different from Residence Address)

District

City State

PIN Country

Employer Address

Employer Name

City State

PIN Country

Mailing Address – Pleases tick Residence Address Permanent Address Employer Address Others (Pls mention below)

District

City State

PIN Country

COPP_V1_Dec2016
 DECLARATION

I/We hereby declare that all the details provided in this form are true and correct and supported by valid documents enclosed with this form. I/We accept and agree that
this declaration shall be in addition to any other declaration provided by me/us with respect to the facility provided by Standard Chartered Bank and agree to indemnify
and keep the Bank indemnified from any loss, damage, claim, action, costs, charges and expenses which the Bank may suffer or incur as a result of any
defect/misrepresentation made by me/us in the above declaration. I/We also understand that my new Resident/Permanent/Office address shall be updated across all the
linked accounts/lockers where I am an account holder or Loans or Credit Cards held by me.

I/We understand and agree that the mailing address can be changed by any of the account holders (Primary or Joint) and the same shall apply only to the account
numbers mentioned in this application. In case the Account operating mandate is “JOINT” the request will have to be signed by all the joint holders.

I/We understand that this change would be effected in the Bank’s records within a period of 5 working days from the date of this request, subject to the correctness and
completeness of the information/documents provided by me and subject to the Bank’s requirements/verifications. Till such time, any communication by the Bank will
continue to be dispatched to the previous mailing address on the Bank’s records.

APPLICANT SIGNATURE

st nd rd
Signature (1 Applicant) Signature (2 Applicant) Signature (3 Applicant)
Note: Change in Personal Particulars must be signed by the respective account holder. Change of Mailing address can be signed by joint account holder as well. All account holder signatures are required only in case
of Joint Operating Mandate.

DOCUMENTATION GUIDELINES

Documents for Proof of Address

Passport (Mandatory for foreign Nationals) Driving Licence Voter’s Identity Card Aadhaar Card NREGA job card
Other documents may also be accepted as Proof of Address for Resident Accounts*
(*Appended list of documents would be accepted based on the account classification. Please check with Bank on the applicability)

 Utility bill, which is not more than 2 months old, of any service provider (electricity, telephone, post paid mobile, piped gas, water bill Property or
Municipal Tax receipt
 Bank account statement or Post Office savings bank account statement not more than 2 months old; Bank account shall be of any scheduled
commercial Bank.
 Property or Municipal Tax receipt; not more than 2 months old.
 Pension or family Pension Payment Orders (PPOs) issued to retired employees by Government Departments or Public Sector Undertakings, if
they contain the address
 Letter of allotment of accommodation from employer issued by State or Central Government departments, statutory or regulatory bodies, public
sector undertakings, scheduled commercial banks, financial institutions and listed companies. Similarly, leave and license agreements with
such employers allotting official accommodation
 Identity card with applicant's Photograph issued by Public Sector Undertakings, Scheduled Commercial Banks, and Public Financial Institutions
 Documents issued by Government departments of foreign jurisdictions or letter issued by Foreign Embassy or Mission in India
Note:
 For change of Address, please carry Original Address proof which will be verified by Bank officials
 Copy of Aadhaar card is required or e-Aadhaar to be downloaded at branch for updation
 All documents to be self attested by the customer
 NR customers sending KYC documents through post should get the required documents certified as “Original Sighted” by Diplomatic Missions

For Office Use Only

Instruction Received Through (Please tick) In Person Mail/Representative Date:

Customer met in person by Name: Employee # Sign:

Name: Employee # Sign:

Signature verified by
Name: Employee # Sign:

Operating Mandate

Call back details (if applicable)

Name of staff making the call: Employee # Sign:
Call made from: Number Called: Name of the person contacted:
2FA identification done: Yes No Date and Time of the Call made:
Reviewed by Supervisor (ID): Sign:

COPP_V1_Dec2016