BB eanx oF BARODA SAVINGS / TERM DEPOSIT A/C AIC No. Title of Account: Special Instructions: Operating Instructions: Full Names of Signatories: ‘Specimen Signature: 1 1 2 2 3 3 Address & Place: Telephone No. bi HR TO? ManagerBANK OF BARODA SAVINGS / TERM DEPOSIT A/C AIC No. Title of Account: Special Instructions: Operating Instructions: Full Names of Signatories: Specimen Signature: 1 1 & 2 3 3 Address & Place: Telephone No. ees ManagerBANK OF BARODA (A GOVERNMENT OF INDIA UNDERTAKING) HEAD OFFICE: MANDVI, BARODA, INDIA. FOREIGN CURRENCY/RUPEE FIXED DEPOSIT ACCOUNT OPENING FORM (FOR NON-RESIDENT INDIANS) ACCOUNT No. Date: NAMES & ADDRESSES Please open an account as per details below: Attested copies of Passport/s and photograph/s with signature at the back, attached. (NAME OF APPLICANT) 1.FIRST. (MR./MS) 2.SECOND. (MR/MS) 3.THIRD. (MR/MRS) Overseas Address. CITY. STATE, COUNTRY, TEL NO: FAX NO: E-mail : Indian Address. e CITY. STATE PIN/ZIP. TELNO: FAX NO: E-MAIL : Date of Birth (in case of minor) Please Tick ( ) mailing address. Please Tick if we can e-mail you any articles, newsletters, New products. PASSPORT DETAILS Applicant Passport No. Date Valid Place of Nationality Present of issue up to issue Occupation First Second ThirdDETAILS OF REMITTANCE 1.Demand Draft/MT/TT no. for INR on. 2. NRE/FCNR/Account no. 3. Remittance Instructions (CLICK HERE) FOR HOW TO REMIT FUNDS TO YOUR INSTRUCTIONS REGARDING INTEREST PAYMENT (FOR FIXED DEPOSIT ACCOUNT )etc. Please hold the deposit for months and keep the deposit under Please Tick 1. Reinvestment Plan, 2. Half yearly Interest Plan and Credit interest to 3. Please keep the deposit Receipt in your safe custody free of charge. 4. Any other instruction. MODE OF OPERATION 1. Singly. 2. Either or Survivor 3. Any one or Survivor. Depositor's Signature 41: 2: 3. DECLARATION: \We hereby declare that | am/we are non-resident Indian(s )of Indian Origin. We understand that the above account will be opened on the basis of the statements/declarations made by me/us, and I/We also agree that if any of the statements/declarations made herein is found to be not correct in material particulars, you are not bound to pay any interest on the deposit made by me/us. We agree that no claim will be made by me /us for any interest on the deposit/s for any period after the date/s of maturity of the deposits/s. I/We agree to abide by the provisions of Foreign Currency (Non-Resident) Account/Non-Resident (External) Account Scheme. We here by undertake to intimate you about my/our return to India for permanent residence immediately on arrival. !/We agree that if the premature withdrawal is permitted at my/our request, the payment of interest on the deposit may be allowed in accordance with the prevailing stipulations laid down by Reserve Bank of India /your Bank in this regard. We authorize the bank to automatically renew the deposit on the due date for an identical period unless the instructions to the contrary from me/us is received by the bank before maturity. We further understand that the interest applicable on renewals will be at the applicable ruling rates on the dates of maturity and that the renewal will be noted on the deposit receipt on my/our presenting the same on the maturity date or later for renewal/payment. \We understand that the renewal will be in accordance with the provisions of the Reserve Bank of India/Bank in force at the time of renewal. SPECIMEN SIGNATURE(S) FULL NAME IN RUNNING HANDWRITING SPECIMEN SIGNATURE 1. 2.VERIFICATION OF SIGNATURES 1. Authentication of signatures to be made by Bank/ Indian Embassy/ High Commission/ Consulate/Notary Public/person known to the Bank, or if you hold an account with our Bank there. My/Our A/c No. Above Signature(s) Verified/Passport(s)f Particulars are authenticated/Photograph(s) attested Name/Signature of Person Verifying with rubber stamp. (Where applicable) Place. Date. NOMINATION NOMINATION FORM DA1 Nomination under Sec. 45ZA of the Banking Regulation Act, 1949 and Rule2(1) of the Banking Companies (Nominations) Rules, 1985 in respect of Bank deposits. We. Name & Address(es) nominate the following person to whom in the event of my/our/minor's death the amourit of deposit in the account, particulars whereof are given below, may be returned to us. NATURE OF DEPOSIT DISTINGUISHING NUMBER ADDITIONAL DETAILS, IF ANY Fixed Deposit in Foreign Currency Account No. Non Resident Account. NOMINEE Name Relationship with Age if nominee is a minor Depositors, if any years his/her date of birth Address As the nominee is a minor on this date, |/We appoint Mr/Mrs. (Name, Address & Age) to receive the amount of the deposit in the account on behalf of the nominee in the event of my/our/minor's death during the minority of the nominee Signature of Witness + Signature(s) of depositor(s) Name & Address. Date. FOR BRANCH USE ONLY Particulars of Form DA1 entered in Nomination Register Sr. No. Dt. MANAGERDate: DECLARATION I/WE hereby declare that I am /we are non resident Indian(s) of Indian origin. I/We understand that the above account will be opened on the basis of the statements /declaration made by me /us ,and I/We also agree that if any of the statements /declaration made herein is found to be incorrect in material particulars, bank is not bound to pay any interest on the deposit made by me/us. I/We also agree to abide by the provisions of Foreign Currency (non resident) account /Non resident (external) account scheme. I/WE hereby undertake to intimate you about my return to India for permanent residence immediately on arrival. I/We agree that if the premature withdrawal is permitted by my/our request, the payment of interest on deposit may be allowed in accordance with the prevailing stipulations laid down by Reserve Bank of India /your bank in this regard I/We authorize the bank to automatically renew the deposit on the due date for any identical period unless the instructions to the contrary from me/us are received by the Bank before maturity. I/We further understand that the interest applicable to the renewals will be at the applicable selling rates on the dates of maturity and that the renewal will be noted on the deposit receipt on my/our presenting the same on maturity date or later for renewal /payment. 1/We understand that the renewal will be in accordance with the provisions of the Rese-ve Bank of India /Bank in force at the time of renewal. NAME(S) SIGNATURE(S) 1 1. 2 2 3 3 4 4