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New Format Kiosk Banking

This document is an application to open a new customer service point (CSP). It provides details about the proposed CSP such as the business correspondent information, address, areas to be covered, operator details, expected business potential, and documents submitted for KYC verification. Bank management signatures are also included to recommend and approve the new CSP opening.

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Raj Vishwakarma
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867 views2 pages

New Format Kiosk Banking

This document is an application to open a new customer service point (CSP). It provides details about the proposed CSP such as the business correspondent information, address, areas to be covered, operator details, expected business potential, and documents submitted for KYC verification. Bank management signatures are also included to recommend and approve the new CSP opening.

Uploaded by

Raj Vishwakarma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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KIOSK BANKING

APPLICATION FOR OPENING OF NEW CUSTOMER SERVICE POINT(CSP)


(The detailed particulars of the proposed CSP are given below)
SR.
NO. ITEMS PARTICULARS
Business BC Name Atyati Technologies Pvt. Ltd 
Correspondent BC Code 1A88
(BC) Details Settlement A/c No. 35213715066
1
Commission A/c No.  35213732570
Reference No. in Kiosk
Scanner used MORPHO
Address of the SSA Non SSA
Customer Service Village: Ward:
Point proposed to Village code: Municipality:
be opened PS: PS:
Block: Block code: Block: Block code:
2
District: District code: District: District code:
State: Maharashtra/Goa State: Maharashtra/Goa
PIN: PIN:
Latitude (00.000000): Longitude (00.000000):
Areas to be SSA Non SSA
covered by the Village Name: Address:
CSP Cluster No.:  
3 Gram Panchayat:   
 Block: Village/Town/City:
District: Pop. Category: Rural/Semi-
urban/Urban/Metro
Name of Link Link Branch
Distance from
Branch with code Name Link Branch Code
4 No. and distance Link Existing Other Existing
between Link     Branch CSP Point Bank
Branch and CSP          
Particulars of Name:
proposed CSP S/D of:
Operator with Residential Address:
recent colour PP
photograph

Date of birth: Ag
5 Educational Qualification No. of years of stay in the present location:15
Source of funds for business
Place of Business: Rented
PAN No.: Aadhaar No.:
CSP's existing banking arrangements: Bank A/c No.
Bank Name: State Bank Of India Branch Name:
Mobile No.:
Signature Landline No.:
Email ID: 
Experience in Banking/Insurance Business:
BUSINESS POTENTIAL
Total Population: No of expected Accounts:
Annual business expected: Approx. No. of Business establishments:
6
No of households: Potential business through migrant workers:
Main activity of people:
Details of KYC Copy signed by CSP and verified & counter-signed by BC in respect of each of the
(Identification/ documents enclosed:
Residence) documents (i) Proof of Identity (v) Self Declaration in lieu of PVR
7 submitted by CSP
operator and verified by (ii) Proof of Residence (vi) Annexure-2
BC. [Documents are to (iii) Academic Qualification Certificate (vii) Receipt
be enclosed] (iv) Police Verification Report (viii)

(Signature and stamp of Business Correspondent)

FOR OFFICE USE

Verified all the above particulars and found in order.


We confirm that declaration by the applicant for
8 engagement as CSP (Annexure-1) has been
obtained.
Signature of Branch Manager/Chief Manager
Recommended
9
Signature of AM/DM/Mgr. (FI) at RBO
Recommended
10
Signature of CM/Mgr. (FI) at AO
Recommended (reasons, if rejected)
11
Signature of AGM (FI&MF)
Approved
12
Signature of DGM (FI&MF)

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