Self - Certification - REKYC updation

(In case of no change in status with respect to identity and address)

To,
IndusInd Bank Ltd.
__________ Branch.

Dear Branch Manager,

Re : Self-certification of no change in Identity & Address & FATCA Declaration

I ………………………… (Customer name) having Customer ID ………………. at your ……………. Branch hereby
confirm that there is no change in my Identity and Address.

I am aware that the bank shall basis this declaration permit me to continue operations in the said acount.

Request you to please update the RE-KYC for my customer ID …………………

FATCA (Foreign Account Tax Compliance Act) / CRS (Common Reporting Standards) Declaration

Place of Birth : _________________

Country of Birth : _______________

Are you a Resident/Tax Resident of any country other than India ? Y N

If YES please submit the FATCA-CRS Annexure for Individuals.

I hereby declare that the information provided by me is true. In case of any changes, I will inform the Bank within 30 days

Thanking You,

Yours Faithfully,

_________________
< Customer's Signature>

For Bank's use only :

Approved by

__________________________

Signature, Name, ECN Number of BM/HUB Manager Senior RM.