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Date: Re-KYC form (updation of KYC information) for Resident Individuals (In case of change
in KYC details)
The Branch Manager, Kotak Mahindra Bank Ltd., _______________________ branch

CRN Aadhaar

PAN Date of Gender

birth
M F
Section A – Personal:

Customer Name
F I R S T N A M E M I D D L E N A M E S U R N A M E

Name on
Aadhaar card F I R S T N A M E M I D D L E N A M E S U R N A M E

Aadhaar linking request- I give my voluntary consent to update my Aadhaar number in all the existing / new / future
accounts under my CRN and authenticate me from UIDAI. I understand that linking Aadhaar with the bank account does not entitle me
for getting Direct Benefit Transfer (DBT) from Govt. of India. I have been explained about the nature of information that may be
shared upon authentication. I have been given to understand that my information submitted to the bank herewith, shall not be used
for any purpose other than mentioned above or as per requirement of law. I am aware that communication on my linking of Aadhaar
number will be received on the mobile number registered with the bank records. Incase if my DOB/Gender as per bank records does
not match that of my Aadhaar, I hereby authorize the bank to rectify my DOB/Gender in my bank record as per Aadhaar. I hereby
declare that all the above information furnished by me is true, correct and complete.

Note - To get your Aadhaar no. seeded in your Kotak account for getting DBT, submit “Request for Aadhaar seeding” separately.

Signature of customer: __________________________________________

Section B – Occupation & Income:

Occupation Salaried Self Employed Student Housewife Politician Others pls specify______

Annual income Name of organization & designation Nature of business activity (if self- employed)
(Rs.) (if salaried)

Section C – Address & contact details: There is no change in my contact details / mailing address
I wish to change my mailing address / contact details in the bank records

Section D – To be filled ONLY IF THERE IS A CHANGE in the mailing address or contact details

Please update the following information in your records. I have provided identity / address proof for the same.
New Address (provide address proof document)
Address___________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

City ____________________ Pin-code_____________________ State _________________ Country______________________________

New Mobile Number (provide identity proof document)

Mention mobile no. I S D

I, do hereby solemnly declare, that the information provided above with respect to my account is true, correct and complete.

Place: ____________ Date: ________________________ Signature: ____________________________________________________

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Customer Acknowledgement Copy: (Applicable if submitted at the branch)

Service Request No: ____________________ Acknowledgement date: D D M M Y Y Y Y

Signature of the Bank Official: _____________________________________

KMBL/April-2018/V 1.02
 Instructions / Checklist for filling Re-KYC declaration
1. Always provide self attested identity / address proof documents and carry originals for
verification when visiting the branch
2. In case of change in contact details identity proof document will be required
3. In absence of valid address proof, the address proof of a close relative with whom
account holder is residing may be provided along with a declaration from the close
relative, and the close relative's ID and address proof.
4. Incase of joint accounts separate forms need to be filled by the joint holders.
5. Self attested copy of Aadhaar card has to be attached for Aadhaar number updation.
6. Self attested copy of PAN card has to be attached for PAN updation
7. Important - In case customer selects the option to link Aadhaar no. to the accounts,
customer’s signature is required for section A, apart from the customer’s signature
at the end of the form (after section D). If Aadhaar linking is not required, then
customer should sign only once (after section D).
8. Please contact the nearest branch to know more details.

Valid list of documents for individuals

Documents for establishing proof of identity and address: (submit any one):

1. Valid Passport
2. PAN card
3. E-Aadhaar letter downloaded from UIDAI site/Aadhaar card issued by Govt. of India.
4. Valid Permanent Driving license
a. DL issued by state of Maharashtra not acceptable as address proof document.
b. Driving License, irrespective of the same being issued in any state, if it bears a
notation “Not to be accepted as address proof” then the same will not be
acceptable as address proof. The same can still be accepted as identity proof
5. Election Card / Voter’s ID card
6. Job card issued by NREGA
7. Identity Card with applicant’s photograph issued by Central / State Government
Departments, Statutory / Regulatory Authorities, Public Sector Undertakings, Scheduled
Commercial Banks, and Public Financial Institutions
8. Letter issued by a Gazetted Officer containing the name, photograph and address of the
individual. The photograph has to be duly attested by the Gazetted Officer

KMBL/April-2018/V 1.02