Signature Card

Customer
Signature Card HDFC BANK

We understand your world
1 Applicant Name: Mobile Number

2"Applicant Name. Mobile Number_
Operating Instruction (Savings/Salary&FixedDep). Average Monthly Balance
ID Proof Address Proof
Demat/Demat & Trading ref no.
Payment Details: Savings Amount Value Date
FD RD Amount Tenure_ Value Date
Nominee Name. Relationship
IWe have authorised employee of HDFC Bank Limited to enter the account opening details on my behalfand as per the instructions given
by me in the online form. IWe have reviewed and verified the details entered by him/her in the Online form, Signature card, FATCA declaration and Form 60 (wherever applicable) etc. IWe
are aware that the Online Form. Signature card. FATCA declaration and Form 60 (wherever applicable) etc together constitute the Account opening form. IWe have receved the kitin
untampered/sealed condition. IWe confírm of having read and agreed all the terms and conditions mentioned in the card. "1We have read and understood the termsand conditions
governing the opening of an account with HDFC Bank and those relating to various senvices.IWe authorize the bank to disclose from time to time anyinformation relatng to my/our
savingsindividual current account to any parent/subsidiary, affiliate and associate of HDFC Bank, and to third parties engaged by the Bank, for purposes as detailed in the rerms&
Conditions Booklet. The Bank shall, without notice to or without any consent of the Customer/Borrower, be absolutely entitled and have full right, power and authority to make disclosure of
any information relating to Customer/Borrower including personal information, details in relation to documents, L0an, defaults, security. obligations of CUstomerBorrower. to theredi
Infomation Bureau of india (CIBIL) andlor any other govenmenlaliregulatory/statutory or private agencylentity, credit bureau, RBI, the Bank's other branches/subsidiaries/aiflates
rating agencies, service providers, other banks/inancial institutions, any third parties, any assignees/potential assigneesor transferees, who may need theinformationand mayprocess
the information, publish in such manner and through such medium as may be deemed necessanybythe publisher/Bank/RBI, including publishingthe nameaspartofwilfuldetauterslist
from time to time, as also use for KYC information verification, credit risk analysis, or for other related purposes, In this connection, theCustomer/Borrowerwaivesthe privilege of privacy
and privity ofcontract. The Bank shall have the right, without notice to or without any consent of the Borrower, to approach, make enquiries, obtain information,from any person incun
other banks/finance entities/credit bureaus, Borrower's employer/family members, any other person related to the Borower, to obtain any information for assessing track record, credit
risk, or for establishing contact with the Customer/Borrower or for the purpose of recovery of dues from the Customer/Borrower
Aadhaar Consent: I hereby voluntaily submit my Aadhaar number, Virtual lD, e-Aadhaar, XML,Masked Aadhaar, Aadhaar details, demographic information, identityinformation, Aadhaar
registered mobile number,face authentication details and/or biometric information (collectively, "Information'") to the Bank and confirm as under
wWe hereby give consent to open the Demat/ Demat and Trading account basis the existing information and documents available with the bank
) was informed by Bank that submission of Aadhaar is not mandatory I was further informed about and givenalternativeoptionsbytheBank for KC andestablishing dentuity
including
may be.
by wayof physicalKYC using ofcially alid documents other than Aadhar, and I have
voluntarily chosen Aadhaar OVD KYC or e-KYC or oftine verifcation, as the case
lauthorise the Bank (and its service providers) and give my consentto them, for using Information for the following informed purposes:
b)
Carying out KYCand periodic KYC process as per the PMLAct,2002 and rules thereunderandRBlguidelines,orfor estabishing my identity, carryingoutmyidentfcation oftine
venfication or e-KYCorYes/No authentication or other authentication as may be permitted from time to time under the applicable law, for all accounts, facilities, services and
relationships ofthrough the Bank, existing and future.
Bank has intormed me that pursuant to authenticaion or venfication. CIDRUIDAIwil sharewithBank.authenticationdata.Aadhaardata,demographicdetals registered moble
number,identityinformation. This Information shallbe used by the Bank for purposes in () above and (c)below Ihave been exolained inlocalanguageabouttheconsent pur0se
such authentication.I specifically authorise and give consent for sharing of this Infomation from Bank to
of collecting Aadhaar and the nature of information that may shared upon
be
UIDAI/ CIDR and vice versa for this purpose.
) hereby further authorize and give infomed consent to the Bank (and itsserviceprovider's) 0)to colect. share.store preserve information maintainrecords anduse the
Infomation and authentication/venification/identification records for the informed purposes above, as well as for regulatory and legal reporting and filings and/or as required under
Services (AEPS); and to

(in) produce records of the consent, Information or of authentication, identification,
applicable law; (1) to enable my account for Aadhaar enabled Payment
verification etc. for evidentiary purposes including before a court oflaw,any authorty or in arbitration.
d) lunderstand that the Aadhaar number and core biometrics will not be stored/ shared except as perlaw and for CIDR submission.
hold the Bank its officials responsible in the event this
mobile number. I will not or
e) Ihave downloaded the e-Aadhaar myself using the OTP received on
my Aadhaar registered
document iS not tound to be in order or in case of any incorrect information provided by me.
1 Applicant Signature 2 Applicant Signature
Cust ID Bank Use Section Date
Account No
Company Code_ Emp Code_ LG Code LC Code
Product Code Debit Card Variant Branch Code_ Promo Code_
Other Document attached
UCIC Check PAN Validation Banned Deduped Checked

Seen & Verified & Customer signed in iny presence
Original Documents
Name. Signature & Employee Code of BM/BDA Signature/Date (OSV/CSIMP for NIL and Cash IP

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Customer

Signature Card HDFC BANK

1 Applicant Name: Mobile Number

Services (AEPS); and to

1 Applicant Signature 2 Applicant Signature

Cust ID Bank Use Section Date

Company Code_ Emp Code_ LG Code LC Code

Product Code Debit Card Variant Branch Code_ Promo Code_

Other Document attached

UCIC Check PAN Validation Banned Deduped Checked

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