FD/KD/RD/NNND/CARD

NF 154 sent on
________________

NF 108

ACCOUNT OPENING FORM FOR FD/KD/RD/NNND/CARD

To: CANARA BANK
__________________
__________________ Branch

A/c No.
Customer ID

Dear Sirs, Date:_________________

I/We request you to open a ________________________________ Account in my/our name/s in
accordance with the Rules of the Bank, on the following terms and conditions and issue me/us
a Deposit Receipt/Pass Book.

Amount of Deposit/Monthly Instalment :Rs____________________________________ __________________________________________________________________________
Period of Deposit ______ ________ ______ days months years	Rate of Int.: _______% p.a.	MODE OF INTEREST PAYMENT Periodicity__________________________ credit CA/SB A/c No.__________________with you/your _________________Branch
Name in full (in capitals)	Date of Birth	Occupation	Father's/Husband's Name
1.
2.
3.
4.
Address of the 1st Depositor ____________________________________ ____________________________________ _________________PIN Tel No: (R)_____________ (O) __________ E-mail ID: PAN/GIR NUMBER: On attach Form No. 60/61 as per IT rules A/C NO: _______________________		Address of other Depositors 2.________________________________ __________________________________ _________________PIN 3.________________________________ __________________________________ _________________PIN 4.________________________________ __________________________________ _________________PIN
In case of Minor: Name of minor: __________________________ Name of Guardian: _______________________ Date of birth:________________ Relationship:_______________________
Either or Survivor 1 or surivor/s Jointly No. _____________ or Survivor/s Payable to Illiterate Depositor or Survivor/s
Standing Instructions if any:

(please tick appropriate box)

a) I/We enclose copy of the following as proof of address:

Electricity/Telephone bill ID Card of reputed employer

IT Assessment Order Driving Licence Property Tax Paid Receipt

Passport Voter's ID Card PAN Card

Other Document/s acceptable to Bank (specify)________________________________

b) Nomination Facility: Opted (Please fill up Form DA - 1 on page 3) Not opted

c) Whether due notice is to be sent Yes No

DECLARATION

I/We hereby confirm that the Rules of Business have been read by me/us and/or explained to me/us.
I/We have understood and agreed to be bound by the Bank's Rules and Regulations governing such
Account from time to time. I/We confirm that I am /we are Indian National/s and resident/s of India.
I/We hereby declare that the above information is true and correct.

Yours faithfully,

(SPECIMEM SIGNATURE)

1. _______________ 3. __________________

2. _______________ 4. __________________

(Depositor/s to sign before the Bank Officer)

INTRODUCTION

I know the applicant/s personally for a period of _____year/s and confirm his/her/ their address stated in the application. I recommend that the Bank may consider to open the Account.

Name:____________________________

Address: __________________________

________________________________

________________

A/c No;

Signature of Introducer

FOR OFFICE USE

Deposit accepted at _______%p.a

Signed before me

Introducer's signature verified

Supervisor SP/Staff No.

PERMITTED TO OPEN ACCOUNT

____________________

Manager/Sr. Manager

Date:_________________

Photograph/s of the Depositors

1 st Depositor 2 nd Depositor 3 rd Depositor 4 th Depositor

PARTICULARS OF RENEWALS

A/c No.	Date of Renewal	Amount Rs.	Period	From	To	Rate of Interest	Sig. of Supervisor/Officer	Sig. of Manager