SB-KYC
POST OFFICE SAVINGS BANK
NEW/CHANGE KYC (Know Your Customer) Form
(to be sent to respective CPC)
Signature
Recent Photograph
Applicant(1)
Name:-
CIF ID No.
Account /Registration No.
(1)
(2)
Applicant(2)
Name:-
CIF ID No.
Account /Registration No.
(1)
(2)
Applicant(3)
Name:-
CIF ID No.
Account /Registration No.
(1)
(2)
Please fill all the information below in case of new account and only relevant information in case of change in
KYC.
Name (in Capital letters)
Flat/House Number
Locality
Road
Landmark
Village/Town/City
District
Pincode
State
Mobile Number
Email ID
Aadhar number
PAN Number
I do hereby submit photo copy of the following documents (self attested) for the proof of:-
Proof of identity (doc.no./date/issuing authority)
Proof of address (doc.no./date/issuing authority)
I do hereby solemnly declare that the information provided above with respect to my account is up to date and
correct.
Signature/Thumb impression:- 1
st
Applicant 2
nd
Applicant 3
rd
Applicant
(in case of Joint A/c, all applicants have to sign)
FOR OFFICE USE ONLY
Certified that I have verified the documents submitted with this application form and confirm that KYC norms
are fully complied with.
Signature of GDS BPM Signature of SPM Signature of Postmaster
Date:-
Date Stamp
