List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:
1. Certificate of residence issued by an authorized government body* 2. Valid identification issued by an authorized government body* (e.g. Passport, National Identity card, etc.)
* Government or agency thereof or a municipality
If customer does not agree to be Specified U.S. person/ reportable person status
1 U.S. place of birth
2 Residence/mailing address in a country other than India
3
4
Telephone number in a country other than India (and
no telephone number in India provided)
1. Self-certification (in attached format) that the account holder is neither a citizen of United States of America nor a resident for tax purposes; and
2. Documentary evidence (refer list below)
Documentation required for Cure of FATCA/ CRS indiciaFATCA/ CRS Indicia observed (Ticked)
1. Self-certification (in attached format) that the account holder is neither a citizen of United States of America nor a resident for tax purposes;
2. Non-US passport or any non-US government issued document evidencing nationality or citizenship (refer list below); AND
3. Any one of the following documents: a. Certified Copy of “Certificate of Loss of Nationality or b. Reasonable explanation of why the customer does
not have such a certificate despite renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at birth
1. Self-certification (in attached format) that the account holder is neither a citizen of United States of America nor a resident for tax purposes; and
2. Documentary evidence (refer list below)
1. Self-certification (in attached format) that the account holder is neither a citizen of United States of America nor a resident for tax purposes; and
2. Documentary evidence (refer list below)
Standing instructions to transfer funds to an account
maintained in a country other than India
V) DECLARATION
Page 6 of 6
Bar code number
▪ I/We hereby declare that I/We am/are Non-Residents Indian(s). ▪ I/We understand that the existing CASA account(s) will be re-designated as NRO Account(s) on the basis of the declaration made by me/us. I/We
understand that the Existing Fixed Deposits will be re-designated as per my current residential status. ▪ I/We understand that all the Recurring Deposits which are active and linked to my resident savings account will
continue and funds will be credited to my re-designated NRO Savings Account on maturity. ▪ I/We understand that LAS account will be re-designated as per my current residential status. ▪ I/We understand that my
Reimbursement current account will be closed and funds will be credited to my re-designated NRO Savin gs Account • Basis my/our confirmation if the bank has re-designated my Current Reimbursement into NRO
current account then I/We agree to maintain the Average Monthly Balance which is required to be maintained in the said account. ▪ I acknowledge that I will not be able to avail of DTAA in the current financial year. The
same can be availed by me in the next financial year by submitting the necessary DTAA documents as per Bank's requirement. Form 15 G/H is not applicable for me. ▪ The account will be put into use for bonafide
transactions not involving any violations of the provisions of any Government/Exchange Control Regulation / FEMA regulations. ▪ I/We hereby undertake to intimate you about my/our return to India for permanent
residence immediately on arrival. ▪ I/We would confirm that all debits to my/our accounts for the purpose of investment in India and credits representing sale proceeds of investments in India are covered either by general
or special permission of the Reserve Bank of India. ▪ I am aware that in case, I am a joint holder in any resident savings account then my status will remain NRI, but the mode of operation will be changed to former or
survivor after which I will not be able to operate the resident account. ▪ I am aware that in case of more than two account holders in the re-designated NRO account jointly held with resident Indian(s) then the resident
Indian(s) will be deleted from the said account. ▪ I am aware that in case, there are more than two account holders in the resident savings account and I am a joint holder in that account, then my name will be removed
from that resident account. ▪ In case if there are more than two account holders and I am the primary account holder then the third joint holder’s name will be removed (if the third holder’s status is Resident). In case the
third holder’s status is an NRI, then the second joint holder’s name will be removed (if the second holder’s status is Resident) from the re-designated NRO account. ▪ I am aware that I will have to give separate instructions
to add the joint holder(s) as mandate in the account. ▪ I/We undertake to inform NSDL / CDSL for change of status to Non Resident. I/We will close or re-designate my Resident Demat Account / Investment Services
Account and open NRO Demat Account/ Investment Services Account and transfer my holdings ▪ I authorize HDFC BANK to hotlist my existing International Debit card and I will have to apply for a new Domestic Debit
/ ATM card for my re-designated NRO Account. ▪ I hereby authorize the bank to block my existing resident credit card and I will clear all outstanding dues, if any. I will apply for a new credit card as per my current
residential status. ▪ I understand that the Inward Standing Instructions on the Account will be discontinued. ▪ I understand that the Debit Standing instructions on the Account will continue. ▪ I hereby authorize provision
of Internet Banking (NetBanking) and PhoneBanking Services to continue on this account. ▪ I hereby declare that I will destroy my existing cheque book, ATM/Debit Card and apply for new one as per my current
residential status and will also inform the resident joint holder on the above changes. ▪ I am aware that all the features of Non - resident accounts and deposits will be applicable including AMB Charges, TDS implication
and penalty on premature withdrawal of the deposit. I hereby undertake that I shall not use the proceeds lying in the Resident account in which I/We are joint holder for any transaction in contravention of the provisions
of the Foreign Exchange Management Act (FEMA) 1999, Rules/Regulations made thereunder and the related circulars/instructions issued by the Reserve Bank from time to time.I further undertake that if any such
transaction is put through the said account in contravention of the FEMA, 1999 or Rules/Regulations made thereunder, I shall be held responsible for the same. I shall not deposit cheques, instruments, remittances,
cash or any other proceeds belonging to me in this resident account. I shall intimate my bank in the event of any change in my Non-resident / Resident status. In the event of death of the resident account holder, I shall
intimate the bank and get the resident account converted to NRO account. The features and benefits associated with existing resident account may differ from NRO account. Kindly refer
https://www.hdfcbank.com/nri-banking for more details on NRO account. We have carefully read and understood the terms and conditions mentioned on the NRI page of HDFC Bank website
https://www.hdfcbank.com/nri-banking & https://www.hdfcbank.com/personal/resources/rates and I/We agree and accept to the said terms and conditions.
Death claim: In the event of the death of depositor, premature liquidation of term deposit will be allowed. Such premature liquidation will not attract any penal charge. in the event of one of the jointaccount holders, the
right to deposit proceeds does not automatically devolve on the serving joint deposit account holder, unless there is a survivorship clause. I/ We agree that in case of joint fixed deposit with survivor clause, the bank shall
be discharge by paying the fixed deposit proceeds prematurely to survivor/s, on request, in the event of the death of one or more joint depositor. In case of premature withdrawal of NRE deposit due to death of depositor,
interest (if any) may be paid as per Board Approved Policy.
DO NOT CALL REGISTRY: I/We understand that in case I/We do not wish to receive promotional information through telephonic calls / email / sms on products and services not currently availed by
me/us, I/we can register for 'Do Not Call' service through the Bank's website www.hdfcbank.com or other channels that the Bank may offer. I/We agree that this service will not apply to receipt of
advice and information regarding products and services currently availed by me/us, to help me/us in fully realising the benefits of the range of financial solutions designed to make my/our relationship
value added and more convenient.
I confirm and declare that: a) All the particulars and information given are complete and true. b) I/We have not withheld any information. c) I/We do not hold any other Resident Account(s) & Deposits
other than those mentioned in this letter, with HDFC BANK.
CBDT Instructions: If you have any questions about your tax residency, please contact your tax advisor. If you are a US citizen or resident or green card holder, please include United States in the foreign country
information field along with your US Tax Identification Number.
^ It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is yet available or has not yet been issued, please provide an explanation and attach
this to the form. In case customer has the following Indicia pertaining to a foreign country and yet declares self to be non-tax resident in the respective country, customer to provide relevant Curing Documents as
mentioned below:
Name: ___________________________________________ Date:__________________ Name: ___________________________________________ Date:__________________
1
st
applicant's signature(Guardian’s signature in case of minor) 2
nd
applicant's signature(Guardian’s signature in case of minor)
By signing on this form I / We agree to abide with all the above mentioned declarations ( “A” to “V” )
I / We confirm that I / We have read and understood the above Declaration and that the details provided on the form are correct. I / We also confirm that my request has been taken by Bank officer
Mr./Mrs. ___________________________________________________________ and I / We have signed in his / her presence.
DIGITAL SIGNATURE IS NOT ACCEPTED.