(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) In the event of death of any of us, the survivor/s
or the continuing account holder/s of
us shall have full control and
be entitled to continue operation of the account or to receive all
the
monies standing in our account with you:
Opted
Not Opted
d)
* I/We do not enjoy any credit facility with any other Bank/Branch of your
Bank. I/ We undertake
to inform you as and when credit facilities are
availed by me/us, with any other Bank/Branch of your Bank.
I/We enjoy credit facility with other Bank/Branch of your Bank, details of
which are as under.
Name of the Bank/Branch
Nature
of Limit
Amount
(Rs.)
______________________
________________
_______________
e) I/We enclose Specimen Signature card/s
f)Please issue me Cheque Book as per Rules
g) **I/We request you to consider issuing me/us ATM/Debit Card linking
it to my/our account/s.
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Name to be embossed on ATM Card |
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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
Accounts 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. I/We clearly understand that all
the operations effected
through my/our ATM Card at any of the ATMs/POSEDC machines installed by
Canara Bank and /or installed by other banks and permitted to be used
by ATM card holders of Canara
Bank is/are binding on me/us. I/We do
hereby acknowledge the receipt of terms and conditions governing
the
network operation of ATM Card and I/We have agreed to the terms and
conditions and also agree to
abide by any amendments to the terms and
conditions as may be stipulated by the Bank from time to time.
Yours faithfully,
1.______________ 2. __________________ 3. ________________ 4.
___________
(Signature of the Depositors)
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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
Signed before me
Introducer's signature verified
Supervisor SP/Staff No. 
PERMITTED TO OPEN ACCOUNT
____________________
Manager/Sr. Manager
Date:_________________ |