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PUNJAB NATIONAL BANK

ACCOUNT OPENING FORM (All BRANCHES)

The Manager,

Branch Office…………………………..

Dist. No…….……………………………

FOR RESIDENT

INDIVIDUALS (SINGLE/

JOINT) ACCOUNTS

(FOR OFFICE USE ONLY)

Customer ID No: (Sole/first A/c holder only)

Account No.

(16 digits)

1. I/we request you to open the following account. I/we agree to be bound by the bank’s rules in force from time to time. (Tick the relevant box on right side).

(To be filled in Block Letters)

(A) Savings Fund Account

(B) PNB Prudent Sweep SF

(Sweep In and Out Facility Required

for………days)

(D) PNB Smart Roamer

(E) Overdraft/Cash Credit $

(F) PNB Spectrum

Current Account $

FixedDeposit@

(Sweep In and Out Facility

Required for………days)

(G) Recurring Deposit

(H) Flexi-Recurring Deposit

(I)

Tax Saver FD@

(Separate declaration

Monthly Instalment Rs………

Monthly Core amount Rs……………

annexed)

No. of instalments……………

No. of instalments………………

Interest rate ………….%

(J) Flexible Rate

(K) OTHERS (specify):

Deposit@

@Amount Rs………………….……………Period: Year………..Months………...Days…….…….

Interest Rate: ………..…%

Interest payment

On maturity

Annually

Half Yearly

Quarterly

Monthly

Credit Interest to SF/CA/ CC/OD

frequency

Account No.________________

(Pl. tick in the

Credit maturity proceeds to SF/CA/

appropriate box)

CC/OD

Account No.__________________

TDS DETAILS

TDS, if applicable: Yes/No

If no, exemption reference No.______________________

If Yes,

Whether Form 15 G/H* submitted : YES

Instruction for Auto Renewal on maturity of

Renew for

Period for which Auto renewal required:………

deposit (Tick the relevant column)

Principal &

Principal only

No. of times…………

Interest

2.Name of sole/first account holder (in block letters) Mr./Ms.

First Name

Middle Name

Last Name

$I /We am/are not availing any credit facility with any other Bank(s)/branch(es) of your Bank and I/We undertake to inform you, in writing, as soon as any credit facility is availed by me /us from any other Bank/branch of your Bank. OR I/We am/are availing credit facilities with other bank(s)/branch(es) of your bank, as per details given in the enclosed sheet

* Form 15G for General Category & Form 15 H for Senior Citizens

PNB 1084 A

3.Names of the joint account holders (If applicable) (in block letters) i. Mr./Ms.

First Name

Middle Name

Last Name

ii. Mr./Ms.

First Name

Middle Name

Last Name

4. Mode of operation (tick whichever is applicable)

Self

Either or Survivor

Former or Survivor

Any one of us or

Survivor(s)

Jointly

Any Other#

#Specify__________________________

5. Nomination required : YES

If Yes, please fill form DA-1.

6.ATM/DEBIT CARD: I/we may please be issued ATM Card/ATM cum Debit Card as per following details. I/we have read the terms and conditions governing the use of ATM/DEBIT card.

Name of Ist Card holder

Name of 2nd Card holder

Name of 3rd Card holder

7.Account numbers of the customer on which ATM-cum-Debit card services are required (in case the customer has more than one account with Bank)

Main Account No.

2nd Account No.

3rd Account No.

8.Nomination for ATM/DEBIT CARD Holder (ACCIDENTAL INSURANCE):	(delete whichever is not applicable)
i) I/We_________________________________________________ hereby nominate Mr./Ms.		s/d/w/o

___________________________________r/o	____ aged___________years to receive the

money payable by the Insurance Company in the event of my/our death. I further declare that his/her receipt shall be sufficient discharge to the bank.

(ii) As the nominee is minor on this date, I appoint Mr./Ms.__________________________________________________________________

s/d/w/o	r/o	____ aged___________years to

receive the money on behalf of nominee during the minority of nominee.

9.Internet Banking : I/we may please be allowed Internet Banking as per the following details. I/we have read the terms and conditions governing the use of Internet Banking.

i)Name of the account holder (s) authorized for using internet banking services :

a.________________________________________________________ b.__________________________________________________

ii)Account numbers on which internet banking services are required (in case the customer has more than one account with Bank)

Main Account No.

2 nd Account No.

3 rd Account No.

10. Request:

i) Please issue Pass Book:

OR Statement of account:

(at my residence/Office /e-mail address (Any one))

ii.	I wish to avail Met-life insurance facility	Y	N
iii.	I wish to avail Medi-claim insurance facility	Y	N
iv.	I wish to avail Locker facility	Y	N
v.	I wish to avail on-line Trading facility	Y	N
vi.	I wish to avail cheque book facility	Y	N
vii.	I wish to avail Credit Card facility	Y	N
viii.		Y	N

Date:………………………… Customer’s Signature/ : 1. _______________________________________

Thumb Impression

2. ___________________________________

Place:………………...………

3. ___________________________________

Cheque Book issued bearing No. From:__________________ to _______________

SIGNATURE OF AUTHORISED OFFICIAL

PUNJAB NATIONAL BANK		Photograph: Please
		paste recent Passport
		Size photograph.
Branch Office…………………………..		Size photograph.
Branch Office…………………………..
Dist. No…….……………….……………

Customer ID

Photograph: Please paste recent Passport Size photograph.

Account No.

SPECIMEN SIGNATURES/THUMB IMPRESSIONS

3.Names of the Account Holder( s) ( I n block letters)

i.Mr. Ms.

ii.Mr. Ms.

iii.Mr. Ms.

Mode of operation

Signature(s) verified by:

(With GBPA No. & Date)

FOR BRANCH USE ONLY

				GBPA/SPA /
			SIGNATURE	PF NUMBER	DATE

1.	Information entered in the system by

2.	Entered Information Verified by


	ATM-cum-Debit Card no.	Date of issue		Issued by (Signature with
				GBPA/SPA no.)


	Internet issued	Date of issue		Issued by (Signature with
	(Mention User ID)			GBPA/SPA no.)

PUNJAB NATIONAL BANK

Branch Office………………………….

Dist. No…….……………………………

FORM DA-1: NOMINATION

Nomination under Section 45 ZA of Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of Bank Deposits,

I/ We @ Name(s) ________________________________________________________________________________________________

R/o_____________________________________________________________________________________________________________

Nominate the following person to whom in the event of my/our/ minor’s death, the amount of deposit in the account may be returned by Punjab National Bank, B.O.______________

	DEPOSIT				NOMINEE
Nature of	Account	Additional	Name	Address	Relationship	Age	If nominee is minor
Account	No.	Details, if any			with depositor,		his/her Date of birth
					if any

* As the nominee is minor on this date, I/we appoint Mr/Ms_______________________________________________________

Age________ Address______________________________________________________________________________________

_________________________________________________________________________________________________________

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:__________________________________	@ Signature(s)/thumb impression(s) of depositors

@Where the deposit is made in the name of minor, the nomination is to be signed by natural/legal guardian of the minor to act on behalf of the minor.

*Strike out if nominee is not a minor

	WITNESSES#
Name & Signature of the first witnesses		Name & Signature of second witnesses
Name___________________________		Name___________________________
Signature:________________________		Signature:________________________
Address:_________________________		Address:_________________________
Place:___________________________		Place:___________________________
Date:____________________________		Date:____________________________
Telephone No._____________________		Telephone No._____________________

#Thumb impression(s) shall be attested by two witnesses, otherwise it shall be attested by one witness.

…………….……………………………………………………………………………………………………………………………………………

A C K N O W L E D G E M E N T

Received on ________________nomination form no. DA – 1 for making Nomination from (Name of deposit Holder(s))

___________________________ in respect of (Type of Account.) _________________ Deposit Account

No.________________ ___________________________

Date_____________________.

For Punjab National Bank

(Authorised Official)
(GBPA NO	)

	(ALL BRANCHES)

PUNJAB NATIONAL BANK	Photograph: Please
PUNJAB NATIONAL BANK	paste recent Passport
Branch Office……………………...	Size photograph.
Dist. No…….……………………….
CUSTOMER MASTER FORM
(To be filled in separately by every individual)

(To be filled by bank)

1. Customer ID No.

(Tick the appropriate boxes, wherever required)

1.Name of Account Holder (In block letters) Mr./Ms.

First Name

Middle Name

Last Name

2.Father/Husband’s Name

3. Gender

Male

Female

4. Place of

Birth

5. Date of birth

6. Nationality

(DD/MM/YYYY)

7. Religion

HINDU / MUSLIM / SIKH / CHRISTIAN /

8. Category

GENERAL/ OBC / SC / ST

OTHERS

9. Status

Illiterate

Blind

Pardanashin

Phy.Hand.

OTHERS

10.Identification mark__________________________________________________________________

11.Address :

(a) Present Residence

Owned

Parental

Rental

Employer provided

Address

City (State)

Telephone No. (with STD Code)

E-mail

Mobile No.

(b)Permanent Residence

Owned

Parental

Rental

Employer provided

Address

City (State)

Office / Business

Address

City (State)

Telephone No. (with STD Code)

12. minor:

YES

If yes, furnish details of guardian

a. Relationship with Minor

Father

Mother

Guardian

b. Name of Guardian: Mr./Ms.

c. Address of Guardian

13. Whether staff member:

YES

14. Occupation :

If yes, PF account no._____________

Salaried-

Retired -

Retired-

Student

Housewife

Self

Others

Govt./PSU

others

Govt./PSU

Others

employed

- Not

sector

working

Medical

Legal

CA/CS

Business-

Agriculture

Other (specify)

Trading

Industry/Mfg.

PNB 1084 B

Question	Answer
Form Name	Pnb Account Form
Form Length	8 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min
Other names	pnb current account opening form, pnb new account opening form pdf, punjab national bank forms, punjab national bank account opening form pdf

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