NRI SCHEME CHANGE REQUEST FORM (Please strike off fields which are not applicable) For Branch Use Only SR Number: _____________________ To, The Branch Head Axis Bank Ltd. ________________ Branch Request Date: | _ | _ | _ | _ | _ | _ | _ | _ | Sol ID: _________________ Name of Account Holder: __________________________________________________________________________________________________________ Customer ID: | _ | _ | _ | _ | _ | _ | _ | _ | _ | Mobile No: | _ | _ | _ | _ | _ | _ | _ | _ | _ | _ | Existing Residential Status: NRI/PIO Resident Indian New Residential Status: Resident Indian NRI/PIO Email: _______________________________________ A/c Number Mode of A/c Operation A/c Holder Status (Primary/Joint) Existing Scheme New Scheme |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| __________ ___________ __________ __________ |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| __________ ___________ __________ __________ |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| ____________ ____________ ___________ ____________ I confirm that all unused cheques have been destroyed by me / enclosed cheque leaves from No. __________________ to _____________________, I also authorise the bank to destroy all the unutilised cheques, if any, in the system. I have destroyed/ enclosed the ATM/Debit Card(s) issued to me. The corresponding card numbers are given below: Card No.1 ____________________________________ New debit card required: Additional detail, as required: Yes No Card No.2 _____________________________________ ; if yes, please fill a separate debit card application form. For Scheme Change from NRE/NRO Account to Resident Savings Account: Date of return to India: |D | D |M|M|Y |Y|Y| Y | For Scheme Change from Resident Savings Account to NRO Account: 1st a/c holder Passport Number/ Visa Type Passport Details Place of issue Date of issue Expiry Date Passport Number VISA Details Type of Visa I hereby request you to change my constitution and the scheme code as mentioned above. I confirm that I have read and understood all the terms and condition associated with the product and I accept and agree to be bounded by the same. Primary Holder’s Name: ______________________________________________________ Joint Holder’s Name: ______________________________________________________________ Primary Holder’s Signature: ______________________________ Joint Holder’s Signature: ______________________________ BANK USE ONLY Following have been destroyed: ATM/Debit card Y N Unused cheque leaves: Y N Following have been delinked from the account Demat Account No: ________ Signature verified by: __________________ Employee No_____________ (Name of the employee) Certified that this Request Letter is complete in all respect & all relevant documents are obtained. Mode of operation and signatures of the A/c have been verified. The request may please be processed. For AXIS BANK LTD. Signature: ___________________________________________ Signature: _______________ Designation: ___________________ S.S No: ________________ ______________________________________________________________________________________________ Acknowledgement Copy Customer Name: ____________________________________________________________ Customer ID: _________ SR No. __________ Date of Request Receipt: ________ Name of Branch Official: _________________________________________________________ Employee Number of Branch Official: _________________ Signature of Branch Official: ____________________ Branch Seal: Documents Check List: Documents Checklist for NRE/NRO to Resident Account: 1. Passport Copy with latest arrival stamping page* 2. Expired/Cancelled Visa* 3. Indian Address Proof (Optional) 4. PAN Card Copy (Optional) Documents Checklist for Resident Account to NRO Account: 1. 2. 3. 4. Valid Passport Copy* Valid Work Visa/Residence Permit* Overseas Address Proof (Optional) PIO Proof (If applicable) *Mandatory Documents Terms & Conditions: In case of account re-designation from Resident Indian to Non – Resident Indian, account holder’s name will be captured as appear in customer’s passport. The balance in the account must adhere to the minimum quarterly average balance stipulation laid down by the Bank and communicated to you at the time of opening of the account. Non-maintenance of this quarterly average balance will attract applicable penalty on a quarterly basis and on a date determined by the Bank. Any special instructions, both financial and non-financial in nature, like standing instructions, stop payment instructions, issuance of cheque books, Demand Drafts, pay Orders, requests for hot carding ATM/DEBIT Cards, Issuance of duplicate card/PIN must be communicated in writing and/or via valid Internet Banking User ID (wherever such an option is available subject to terms and conditions applicable for such facility), otherwise it shall not be binding on the Bank to comply with such instructions. At any point in time, a customer cannot maintain dual Resident status; henceall resident accounts (Savings, Term Deposits and Individual Current Account) will be converted to relevant NRO Accounts when the constitution of the customer changes from Resident Indian to NRI. After re-designation of savings account the account number will remain the same. Before getting the savings account converted into NRO account, it needs to be funded in case it is in zero balance or debit balance. In case of change of constitution from Resident Indian to NRI, if the savings account is linked with a trading account, the same will be delinked before conversion of the savings account to NRO. For more detail please visit www.axisbank.com
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