Fillable RESIDENT ACCOUNT TO NRO ACCOUNT CONVERSION FORM

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RESIDENT ACCOUNT TO NRO ACCOUNT CONVERSION FORM

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I/we hereby request you to convert my resident a\c to NRO a\c as I have become NRI. My a\c is in Branch code Br Name____________________________________ in ______________ city.
A) APPLICANT'S NAME (SAME AS ID PROOF)
APPL
PREFIX FIRST NAME MIDDLE NAME SURNAME
1st
NRO Account
Single Either / Anyone or Survivor
Former or Survivor
Minor under Guardian Jointly (ATM / Debit card not issued)
*Gender Male Female Transgender
NRI PIO/OCI
*Spouse's Name
%
PAN No.
*
Passport No.
Visa Expiry Date
Aadhaar
No
%
If PAN not available, kindly attach Form 60
Mother's Name
1-
2-
1-
2-
Choice of Correspondence Indian Address Overseas Address
(If not ticked, correspondence will be sent to Overseas address)
Attached Address Proof of
Landmark
City State
Country PIN Code
City
PIN
Code
State
*
E-mail ID
Monthly email statement will be sent to the above e-mail id. All accounts linked to Cust ID of 1st Applicant will be registered for Free Email Statements.
*
Mobile No.
Tel (R)
SMS E-MAIL
Tel (O)
(OTP will be sent to this mobile number)
Kindly DO NOT Mention any
special character like '+'
before the country code
C) FIRST APPLICANT'S DETAILS
Flat No &
Bldg. Name
Country code
^To also include USA, where the individual is a citizen/ green card holder of USA
*Mother's Maiden Name
*Residential
Status
Existing Cust Id
I Confirm that I do not have any existing customer ID/ Customer IDs apart from the one mentioned above. In case found otherwise, Bank reserves the right to consolidate the customer IDs as it may decide without any prior notice to me.
*Passport
Expiry Date
(For existing customers, address given below will be updated for the primary applicant in all accounts held with the bank)
Date of Birth
Please register me for Insta Alert
Please mention a prominent
landmark to ensure that the
deliverables reach you
Bar code
(To be filled by financial Institution) KYC Number
*Address Type Residence Business Residential and Business Registered Office Unspecified
Flat No &
Bldg. Name
Landmark
Bank use only
Face to Face Non Face to Face
Application Date
Maiden Name
2nd
Maiden Name
B) OPERATING INSTRUCTION
(Below operating instruction will be applicable for all the product/s opted for in this application form)
Indian Address Overseas Address
Country
- - - - -
-
-
Area code Phone Number
D D M M YY YY
Visa Type
I N C A P I T A L L E T T E R S O N L Y
I N C A P I T A L L E T T E R S O N L Y
I N C A P I T A L L E T T E R S O N L Y
I N C A P I T A L L E T T E R S O N L Y
DD M M YY YY
#
In case Tax Identification Number is not available, kindly provide functional equivalent^
*Father's Name
1-
2-
*
City of birth
*
Country of birth
1-
2-
*
#
Tax Id No. (TIN) For
tax resident of other
country than India
I N D I A
I N C A P I T A L L E T T E R S O N L Y
N U M B E R E X T N
RESIDENT ACCOUNT TO NRO ACCOUNT CONVERSION FORM
FOR NON RESIDENT - INDIVIDUAL CUSTOMERS
Minor
Y N
Married Unmarried Other
*Marital
Status
Applicant Type
*Nationality
^*Country / ies of
Tax Residency
(Outside India)
Passport
UID (Aadhar)
NREGA Job Card
Others _____________________
Driving License
Voter ID
*Name of Proof of Address
Please mention a prominent
landmark to ensure that the
deliverables reach you
"Aadhaar No." to be
mentioned if you hold an
Aadhaar. "Aadhaar No."
if kept blank will be deemed
as not holding an Aadhaar.
*Address Type Residence Business Residential and Business Registered Office Unspecified
*Address for Tax Purpose Indian Address Overseas Address
*OVERSEAS ADDRESS*INDIAN ADDRESS*CONTACT DETAILS
RESIDENCE TYPE
*PERSONAL DETAILS
Source of funds Salary Business income Agriculture Investment income Others ___________________________________
Occupation Salaried Self-employed Retired
If salaried employed with Private ltd Partnership Proprietorship
Public limited
Public sector Government Multinational
Name of currency
Mention the foreign currency which you are earning
Gross annual income (C
Exp Remittance in NR
Accounts(INR) Annually
Manufacturing Service provider
Agriculture Stock broker Trader
Real estate Others ________________________
Nature of business
Type of company/firm Residence Type
Sole proprietorship
Partnership
Public ltd co. Private ltd co.
Others ________________________
Owned
Ancestral / Family
Company provided
Rented /Lease
< 50K 50K - 1 L 1 - 3 L 3 - 5 L 5 - 7.5 L 7.5 - 10 L 10 - 15 L 15 - 25 L 25 - 50 L 50 L - 1 CR >1 CR
NIL < 0.5 L 0.5 - 5 L 5 - 10 L 10 - 25 L 25 - 50 L 50 - 100 L 100 - 250 L 250 - 500 L >500 L
Self employed
professional
CA Lawyer Architect IT consultant Others _________________________________Doctor
Others ______________________________
Date of incorporation
Self employed since
Years Months
D D M M YY YY
Self-employed Professional Housewife Student Unemployed Others ______________
(Below name combination / holding pattern will be applicable for all the product/s opted for in this application form)
I confirm that I do not have any Indian Address
4/ª"%ª&),,%$ª-!.$!4/2),9
"9ª!,,ª!00,)#!.43
*
TIN
Type
DD-MM-YYYY
DD-MM-YYYY
*Gender Male Female Transgender Minor Guardian
Married Unmarried Other
NRI PIO/OCI Foreign National
*Spouse's Name
%
PAN No.
*
If PAN not available, kindly attach Form 60
Passport
1-
2-
1-
2-
Choice of Correspondence Indian Address Overseas Address
(If not ticked, correspondence will be sent to Overseas address)
Attached Address Proof of
Landmark
City State
Country PIN Code
*Address Type Residence Business Residential and Business Registered Office Unspecified *Address for Tax Purpose same as above Tick if Yes
City
PIN
Code
State
Flat No &
Bldg. Name
OVERSEAS ADDRESS
^To also include USA, where the individual is a citizen/ green card holder of USA
INDIAN ADDRESSCONTACT DETAILS
*Residential
Status
Existing Cust Id
I Confirm that I do not have any existing customer ID/ Customer IDs apart from the one mentioned above. In case found otherwise, Bank
*
reserves the right to consolidate the customer IDs as it may decide without any prior notice to me.
(For existing customers, address given below will be updated for the primary applicant in all accounts held with the bank)
PERSONAL DETAILS
*Marital
Status
Applicant Type
Date of Birth
Please mention a prominent
landmark to ensure that the
deliverables reach you
Document Type Driving License Aadhaar Card Voter Card NREGA Job Card Other
*Address Type Residence Business Residential and Business Registered Office Unspecified
Flat No &
Bldg. Name
Landmark
VISA
Expiry
Date
DD-MM-YYYY
Document
Expiry Date
DD-MM-YYYY
Indian Address Overseas Address
Country
VISA
Type
DD M M YY YY
#
In case Tax Identification Number is not available, kindly provide functional equivalent^
1-
2-
*
City of birth
*
Country of birth
1-
2-
*
#
Tax Id No. (TIN) For
tax resident of other
country than India
I N D I A
Resident (F/S)
Document
Number
Passport details mandatory
if second applicant is an NRI
D) SECOND APPLICANT'S DETAILS
(Addition of Related Person) KYC Number of Related Person (if available)
Related Person Type Guardian of Minor Nominee Assignee Authorized Representative Beneficial Owner Beneficiary
Page 2 of 6
*Father's Name
*
Mother's Maiden Name
*Nationality
^*Country / ies of
Tax Residency
Passport
Driving License
UID (Aadhar) Voter ID
NREGA Job Card
Others _____________________
*Name of Proof of Address
Please mention a prominent
landmark to ensure that the
deliverables reach you
Source of funds Salary Business income Agriculture Investment income Others____________________________
Occupation Salaried Self-employed Retired
If salaried employed with Private ltd Partnership Proprietorship
Public limited
Public sector Government Multinational
Name of currency
Mention the foreign currency which you are earning
Gross annual income (
Exp Remittance in NR
Accounts(INR) Annually
C
RESIDENCE TYPE
Manufacturing Service provider
Agriculture Stock broker Trader
Real estate Others ________________________
Nature of business
Type of company/firm Residence Type
Sole proprietorship
Partnership
Public ltd co. Private ltd co.
Others ________________________
Owned
Ancestral / Family
Company provided
Rented /Lease
< 50K 50K - 1 L 1 - 3 L 3 - 5 L 5 - 7.5 L 7.5 - 10 L 10 - 15 L 15 - 25 L 25 - 50 L 50 L - 1 CR >1 CR
NIL < 0.5 L 0.5 - 5 L 5 - 10 L 10 - 25 L 25 - 50 L 50 - 100 L 100 - 250 L 250 - 500 L >500 L
Self employed
professional
Doctor CA Lawyer Architect IT consultant Others ____________________________________
Others ______________________________
Date of incorporation
Self employed since
Years Months
D D M M YY YY
Bar code number
Please tick Yes / No:
1
st
applicant Politically Exposed Yes No 2
nd
applicant Politically Exposed Yes No
E) PEP DECLARATION
Professional Housewife Student Unemployed Others ______________
Politically exposed persons are individuals who are or have been entrusted with prominent public functions in a foreign country. Example of 'PEPs' include,but not limited to:1-Heads of States or of Governments, 2-Senior Politicians,
3-Senior Government/Judicial/Military Officer,4-Senior Executives of state owned corporations,5-Important political party officials,6-Senior Indian Diplomatic posted outside the country.The term PEP also includes the families & close
associates of the PEPs mentioned above. Families: The term families includes close family members such as spouses,children,parents and siblings and may also include other blood relatives and relatives by marriage. Close
associates: The term closely associated persons in the context of PEPs includes close business colleagues and personal advisors/consultants to the PEP as well as persons who obviously being significantly from being close to such
a person. PEPs also include persons who are not currently falling under the above criteria but were doing so at any given point in time within the last one year.
*
E-mail ID
Monthly email statement will be sent to the above e-mail id. All accounts linked to Cust ID of 1st Applicant will be registered for Free Email Statements.
*
Mobile No.
Tel (R)
SMS E-MAIL
Tel (O)
(OTP will be sent to this mobile number)
Kindly DO NOT Mention any
special character like '+'
before the country code
Country code
Please register me for Insta Alert
- - - - -
-
-
Area code Phone Number
I N C A P I T A L L E T T E R S O N L Y
N U M B E R E X T N
I confirm that I do not have any Indian Address
*
TIN
Type
4/ª"%ª&),,%$ª-!.$!4/2),9
"9ª!,,ª!00,)#!.43
"Aadhaar No." to be mentioned if you hold an Aadhaar.
"Aadhaar No." if kept blank will be deemed as not holding an
Aadhaar.
G) NOMINATION (DA1): NOMINATION WILL BE APPLICABLE FOR ALL THE ACCOUNTS OPENED WITH THIS APPLICATION
Yes, I/ We wish to nominate (as per details below) No, I/We declare that I do not wish to make a nomination in my/our account.
Nomination under Section 45 ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules 1985 in the respect of Bank deposits. I / We nominate the following person to
whom in the event of my/our/minor's death the amount of deposit in the account, particulars whereof are given below, may be returned by HDFC BANK Ltd. by the account opening branch.
Nominee Name
I N C A P I T A L L E T T E R S O N L Y
Please mention a prominent
landmark to ensure that the
deliverables reach you
*Road No./Name
*Landmark
*City *State
Country PIN Code
*Tel (R) - -
*Relationship with Depositor
Nomination to be displayed on statement / FD Receipt / Passbook
Age
*Date of Birth of Nominee
DD M M YY YY
DD M M YY YY
DD M M YY YY
DD M M YY YY
As nominee is a minor on this date, I / We appoint the below to receive the amount of the deposit in the account on behalf of t
he nominee in the event of my / our / minor's death during the minority of the nominee.
Leave out if
nominee is not
a minor
Name
Address
*Witness 1 Signature
Place :
*Witness 2 Signature :
Place :
Date
Date
Nomination Registration No. (Bank Use):___________________________________________________________________
**(Thumb impression shall be attested by 2 witnesses)
* Where deposit is made in the name of minor, the nomination should be signed by a person lawfully entitled to act on the behalf of minor.
** If witnessed by an employee of HDFC Bank, provide employee number and office address along with the official stamp. Nomination can be made in favour of only one individual.
Registration Date:
I) 1
st
and 2
nd
APPLICANT'S PHOTOGRAPH AND SIGNATURE
By signing on this form I/We agree to abide with all the above mentioned declaration & term and conditions ("A" to "V")
If Applicant is minor then Guardian shall sign in place of Applicant
Digital Signature is not accepted
Name: ________________________________________
Date: __________________
Name: ________________________________________
Date: __________________
1
st
Applicant's latest passport size photo
(Signature across the photograph)
1
st
applicant's signature(Guardian's signature in case of minor)
2
nd
Applicant's latest passport size photo
(Signature across the photograph)
2
nd
applicant's signature
F) DEBIT CARD HOTLISTING AND REISSUANCE
I hereby declare that I
I hereby request to Hotlist this card as this is linked to sole account.
Hotlisting
do not hold /
I hereby request to
Reissuance of card
hold an International Debit card having no. for this account.
I hereby declare that I
I hereby request to Hotlist this card as this is linked to sole account.
Hotlisting / Delinking of existing card
do not hold /
Delink this card as it is linked to more than
1 accounts. (applicable only for Resi Indian)
I hereby request to
Reissuance of card
hold an International Debit card having no. for this account.
SECOND APPLICANT FIRST APPLICANT
H) ACCOUNTS & TERM DEPOSIT DETAILS
Savings / Current / Fixed Deposit Account No.
In case the space provided above is not sufficient to mention all Savings / Current / Fixed Deposit Account No., then the additional details can be shared through a separate Annexure mentioning the remaining
account numbers.
Type of account / deposit
Redesignate Delete Name Rebook
Single Joint
Page 3 of 6
Bar code number
The below details are applicable only if the second applicant is a Non Resident Indian
Issue ATM Card (Card Code - RTAN0)
Issue NRO Domestic Debit Card (Card Code - RCA01)
Do not issue any card
Issue ATM Card (Card Code - RTAN0)
Issue NRO Domestic Debit Card (Card Code - RCA01)
Do not issue any card
Witness 1 Name :
Address :
Witness 2 Name :
Address :
*Company Name / Flat
No & Bldg. Name
FIRST APPLICANT
SECOND APPLICANT
I/ We declare that the signature on the Passport is different than my/ our signature on this account opening form. Please consider the signature on this account opening application as my/ our updated Signature
for Bank Records.
Old Signature as per passport/ Existing Customer ID
M) SIGNATURE MISMATCH DECLARATION
1
st
applicant's signature
New Signature Desired for account opening
1
st
applicant's signature
Old Signature as per passport/ Existing Customer ID
2
nd
applicant's signature
New Signature Desired for account opening
2
nd
applicant's signature
I / We hereby declare that I/We am/are a Person of Indian Origin (PIO) because I satisfy one of the below mentioned conditions.
I / We confirm the above information is true and correct and that I may be required to prove my stat us as a PIO if I am questioned by any authority.
SECOND APPLICANTFIRST APPLICANT
L) PERSON OF INDIAN ORIGIN DECLARATION
Branch Stamp and Signature CPU Stamp and Signature
K) CPU USE SECTION
Ethnic code verified
Old New
Yes No Na
Category patch done
Yes No Na
Term deposit's liquidated and
rebooked as NRO
Yes No Na
ATM / NRO Domestic
Debit card issued
Yes No Na
Account level TDS flag changed
Yes No Na
Debit card of Resident Joint
applicant delinked from the account
Yes No Na
Verified 1st applicant is a not a joint
holder in another resident account
Yes No Na
Sweep - In
Yes No Na
Inward Standing Instructions
Yes No Na
Sweep - Out
Low level memo raised
Yes
Redesignated NRO account / Do not issue International Debit card
For premature closure of Fixed deposit, ref CPU
Supporting
Address
Proof
1st App
2nd App
No Na
H H M M
H H M M
1st applicant ATM / Debit card number
J) BRANCH USE SECTION
2nd applicant ATM / Debit card number
Debit Card Hot-Listed by
Resident joint applicant Debit card
hotlisted
Customer Signature verified by
(In case the customer is classic, preferred or Imperia, retain current Ethnic code)
Current ethnic code
New ethnic code
Hotlisted on
Hotlisted on
Time
Time
D D M M Y Y
D D M M Y Y
Yes No (To be hotlisted only if card has this account mapped to it)
Page 4 of 6
Bar code number
1
st
ID Proof Add Proof Photo
2
nd
ID Proof Add Proof Photo
Document submitted
I held an Indian Passport earlier
I am a spouse of _____________________________________ who is PIO
I am a spouse of _________________________________________ who is an Indian Citizen
My father/mother/grandfather/grandmother ______________________________ is/was an Indian
citizen by virtue of the Constitution of India or the Citizenship Act,1955
The father/mother/grandfather/grandmother ______________________________ of my spouse
is/was an Indian citizen by virtue of the Constitution of India or the Citizenship Act,1955
Further, I hereby (Please select from the below)
Submit the below mentioned documents in support of my declaration
Document Name ____________________________________________________
Document Name ____________________________________________________
Declare that I do not possess any document in support of my declaration
I held an Indian Passport earlier
I am a spouse of _____________________________________ who is PIO
I am a spouse of _________________________________________ who is an Indian Citizen
My father/mother/grandfather/grandmother ______________________________ is/was an
Indiancitizen by virtue of the Constitution of India or the Citizenship Act,1955
The father/mother/grandfather/grandmother ______________________________ of my spouse
is/was an Indian citizen by virtue of the Constitution of India or the Citizenship Act,1955
Further, I hereby (Please select from the below)
Submit the below mentioned documents in support of my declaration
Document Name ____________________________________________________
Document Name ____________________________________________________
Declare that I do not possess any document in support of my declaration
Section P is filled in case
deemed OVD is submitted
as address proof
Date Please quote following ref. no. for any future communication
Signature of Bank official ______________________
This application is subject to verification. If any discrepancy is observed, application may be kept on hold until discrepancy is resolved.
DD M M YY YY
N) AMB DECLARATION
DD M M YY YY
DD M M YY YY
Type of Guardian:
Father Mother Court Appointed
Declaration: I hereby declare that the date of birth of the minor who is my____________________________is
(copy enclosed). I shall represent the said minor in all future transactions of any description in the above account until the said minor
and I am his/her natural and lawful guardian/guardian
attains majority. I declare that the amounts withdrawn from this amounts withdrawn from this account by me will be used for the benefit of the minor. I indemnify the bank against the claim of the above minor
for any withdrawal/ transactions made by me in his/ her account.
S) DECLARATION FOR MINOR ACCOUNT (Not applicable if nominee is not a minor)
appointed by court order dated
ACKNOWLEDGEMENT
1 Document Name
2 Document Number
3 Issued By (Authority)
4 Issued At (Place)
5 Issued On
6 Valid Till
7 Address mentioned on
document, if any
FIRST APPLICANT SECOND APPLICANT
Since my/our document is in___________________ language, I / We hereby submit the following Non English document (translated below) for account opening and also confirm the validity of the Non English
document.
Q) DECLARATION FOR A NON- ENGLISH LANGUAGE DOCUMENT SUBMITTED IN THE BANK
O) DECLARATION FOR CREDIT TO NRO ACCOUNTS
I/We hereby declare that only legitimate dues in India which would include current income like rent, dividend, pension, and interest etc., sale proceeds of assets including immovable
property acquired out of rupee/foreign currency funds or by way of legacy/inheritance will be deposited in my/our NRO Account.
Page 5 of 6
Bar code number
The Average Monthly Balance required to be maintained for the account is Rs.
Product:
NRO Savings NRO Current
I/We have understood that non-maintenance of the above Average Monthly Balance will attract charges. These charges have been explained to me for the respective product. I/We confirm that in event of no salary
credits received in my/our salary account for continuous six months, the salary account will be converted to Regular Savings Account. I/We underst and the detailed charging structure for non-maintenance of the
same is available on HDFC Bank's webs ite on the link : https://www.hdfcbank.com/nri-banking/save/nri-accounts/savings-account/fees-and-charges
For the document in a foreign language other than english, I/We permit HDFC bank and its officers to verify the details of the document by using translation of external sources which are available in public domain
and also the use of external agencies wherever applicable. In consideration of same, I/We hereby keep HDFC bank and its successors and its officers saved against all losses and damages arising out of the
information shared with these external agencies .
T) MARINERS DECLARATION (Only for First Applicant)
I hereby confirm that I am proceeding on a contract with I have just returned after completion of my contract and am on break for _________________________ days / months with (Company Name)
___________________________________________________________________________________ registered in (Company Address) ____________________________________________________________
________________________________________________________________________________________________________________________________________. I request you to kindly open an NRE / NRO
account Attaching self-attested copies of 1) Passport copies 2) a) For Mariner on fresh contract - Latest / valid contract copy or Valid Employment Certificate and CDC (Continuous Discharge Certificate) Booklet
copy with the customer name, other details and latest discharge stamping or Valid Visa b) For Mariner On break - Previous Contract Copy and Copy of Valid CDC (Continuous Discharge Certificate) Booklet copy
with the customer name, other details and latest discharge stamping.
U) EXTENDED KYC
Certification: I/We have understood the information requirements of this Form as per the CBDT notified Rules 114F to 114H and hereby confirm that the information provided by me/us on this Form is true, correct,
and complete. I/We also confirm that I/We have read and understood the Terms and Conditions below and hereby accept the same.I/We understand that my personal details as provided /available in the bank records
will be used for CBDT reporting / Central KYC Registry. I hereby consent to receiving information from Central KYC Registry through SMS / Email.
CBDT Terms and Conditions: The Central Board of Direct Taxes (CBDT) has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions such as the Bank
to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account holders. In relevant cases, information will have to be reported to tax authorities/
appointed agencies. Towards compliance, we may also be required to provide information to any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any
proceeds in relation thereto. Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days. Please note that you may receive more than one request for
information if you have multiple relationships with HDFC Bank or its group entities. Therefore, it is important that you respond to our request, even if you believe you have already supplied any previously requested
information.
FIRST APPLICANT SECOND APPLICANT
R) DECLARATION OF SAUDI ARABIA RESIDENTS ON VISIT TO INDIA
I/we request you to kindly open an NRE/NRO account in my/our name on the basis of the valid passport and the immigration stamp on the passport confirming my/our landing in India. I/we also confirm that I/we will inform
the bank in case I/we am/are unable to proceed to Saudi Arabia for work or choose not to go, and will have the non- resident accounts opened in my/our name re-designated to resident/RFC accounts (as eligible).
I hereby confirm that I have just returned from Saudi Arabia. I have a valid residential visa (IQAMA) with
(*Company Name) _____________________________________________________________________.
I am on a leave for (*No. of days & months) _______________ Days ________________ Months and will be
going back to Saudi Arabia on / by (*Date) _____________________
dd__________mm______________yyyy.
I hereby confirm that I have just returned from Saudi Arabia. I have a valid residential visa (IQAMA) with
(*Company Name) _____________________________________________________________________.
I am on a leave for (*No. of days & months) _______________ Days ________________ Months and will be
going back to Saudi Arabia on / by (*Date) _____________________
dd__________mm______________yyyy.
I/We _____________________________________________________________________________________________________________________________________________________________________
giving a request to open Bank account, hereby confirm that I do not have a valid OVD (Officially Valid Document) with mylour current mailing address and will provide a valid proof of address within 90 days from the
date of request. I/We agree that if the OVD of mailing address is not submitted to the satisfaction of the Bank, within 90 days from the date of request for account opening, the Bank shall have the right to restrict
transactions in my/our account without any further notice to me. I/We agree to submit OVD with Current mailing address within the stipulated time in order to allow uninterrupted transactions in the account, I/We also
agree that it will be my/our respinsibility to inform other holders, in case such holders are being added in the accont(s) in due course of time. I/We agree and undertake to keep HDFC Bank fully indemnified against
claims and damages, which may arise due to HDFC Bank relying and acting on this declaration.
DECLARTION FROM CUSTOMER TO PROVIDE OVD WITH CURRENT MAILING ADDRESS WITHIN 90 DAYS FROM THE DATE OF ACCOUNT OPENING P)
_____________________________________________________________________ ________________________________________________________________________
_____________________________________________________________________ ________________________________________________________________________
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
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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.
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RESIDENT ACCOUNT TO NRO ACCOUNT CONVERSION FORM

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Completed 20 December 2021

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