AMCO Bank- Application Form

The Ahmedabad Mercantile Co-operative Bank Limited

(Scheduled bank)

A/c. No. : Date : __________

Dear Sir,

Please open the Savings / Fixed / Recurring deposit account in the following name(s) with your Bank. I/We have read the rules & regulations of Bank's Saving / Fixed / Recurring deposit account & I/We are agreeable to abide by them.

Full Name : _______________________________________________________

_______________________________________________________

Address : _______________________________________________________

_______________________________________________________

Tel.No. Residence : _______________________________ Office: ________________

Type of Business : _______________________________________________________

Special Instruction : _______________________________________________________

PAN / GIR NO. __________________________, FORM 60/61, COPY OF PASSPORT.

NAME OF INTRODUCER TYPE OF A/C. & NO. INTRODUCER'S SIGNATURE

    _________________                          ________________              _____________________

Name Full Signature of A/c. Holder Specimen Signature

Open Saving A/c. by Rs. _______________. Cheque book required : Yes / No

Recurring A/c. Monthly Rs. _______________. For the period of ____________.

Term Deposit A/c. Rs. _______________. For the period of ____________.

If the account is in the name of minor, please mention the date of birth : ____________

(For Nomination details please see reverse)

A/c. Opening Date : Signature of Clerk Manager / Accountant

The Ahmedabad Mercantile Co-operative Bank Limited

Form DA 1

Nomination under section 45 ZA of the Banking Regulation Act, 1949, and the rule 2(1) of the Banking Companies (Nomination) Rules, 1985, in respect of bank deposits.

I / We ______________________________________________________________________

[name(s) and address(es)]

nominate the following person to whom in the event of my/our/minor's death the amount of the deposit, particulars whereof are given below, may be returned by __________________

___________________________________________________________________________

(Name and address of branch/office in which deposit is held)

Deposit

Nominee

Nature of	Distinguishing No.	Additional details, if any	Name	Address	Relationship with depositor	Age	If nominee is a minor, his date of birth

2. As the nominee is a minor on this date, I/We appoint Smt./Kum ____________________________________

(name, address and age)

_____________________________________________________________________________________________

to receive the amount of the deposit on behalf of the nominee in the event of my/our/minor's death during the minority of the nominee.

Place :

Date :

Name(s), signature(s) and Signature(s)/Thumb impression(s) of depositor(s)

address(es) of witness(es).

x Delete if there is no nominee

* In case where the deposit is in the name of minor; the person who is legally authorised to receive on behalf of minor should sign the nomination.

* Obtain the signature of two witnesses for verification of correctness of the thumb impression.

1. _____________________________ 2. ___________________________

The Ahmedabad Mercantile Co-operative Bank Limited

Form No. 60 (See third provision to rule 114B)

Form of declaration to be filed by a person who does not have either a permanent account number or General Index register Number and who makes payment in cash in respect of transaction specified in clauses (a) to (h) of rule 114B.

1. Full Name & Address of the declarant :______________________________________

________________________________________________________________________

________________________________________________________________________

2. Particulars of transaction

3. Amount of the transaction

4. Are you assessed to tax ? Yes / No

5. If yes,

(i) Details of Ward / Circle / Range where the last return of income was filed ?

(ii) Reasons for not having permanent account number / General Index Register Number.

6. Details of the document being produced in support of address in column (1)

_______________________________________________________________________

Verification

I, ______________________________________ do hereby declare that what is stated above is true to the best

of my knowledge and belief.

Verified today, the _________ day of ___________, 200

Date Place Signature of the declarant

Details/ Documents required:
1. Two passport size photographs.
2. Permanent Account Number.
3. Address proof.
4. For NRE Account, copy of the passport, signatures to be attested by any Bank.

Instructions : Documents which can be produced in support of the address are :

(a) Ration Card, (b) Passport, (c) Driving Licence, (d) Identify card issued by any institution, (e) copy of the electricity bill or telephone bill showing residential address (f) Any document or communication issued by any authority of Central Government, State Government or local bodies showing residential address. (g) Any other documentary evidence in support of his address given in the declaration.

Specimen Card

THE AHMEDABAD MERCANTILE CO-OPERATIVE BANK LIMITED

______________ Branch, Ahmedabad (Scheduled Bank)

_____________ Account A/c. No. : _________________ Date - -

Full Name : ___________________________________________________________________

___________________________________________________________________

Address : ___________________________________________________________________

___________________________________________________________________

Tele No. (R) : ___________________________________________________________________

Occupation : ___________________________________________________________________

Tele No. (O) : _____________________________ Introducer's

Instruction : _____________________________ Signature ______________________

Specimen Signature & A/c. No.

2. Verified

4. Manager / Accountant

Instruction : A/c. to be operated Jointly or by either of Survivor of by any one.