: BRANCH : Qe oie gitar BOI BRANCH CODE, Bank of India CUSTOMER ID ACCOUNT NO. COMPREHENSIVE FINANCIAL INCLUSION ACCOUNT OPENING CUM OVERDRAFT APPLICATION FOR INDIVIDUALS First Applicant ‘Second Applicant (If any) Full Name, In| FIRST Capital Letter [MIDDLE Mr./Mrs./Ms_ [LAST Fathers/ | FIRST Husband's name, [MIDDLE In Capital Letter [LAST ‘Occupation (Agri. / Service / Housewife / Business / Others) : Permanent Address : _ ‘Operational Instructions: SELFT EITHER OR SURVIVOR JOINTLY / FORMER OR SURVIVOR ‘Gender (Male / Female) Date of Birth Mobile Number: Email Other facilities required (Please Tick mark in the appropriate box) S.No Particulars Yes [ No | S.No Particulars Yes | No 1_| Passbook 4_ | Rupay Card/ Debit Card 2 | Statement of A/C through E-mail/Post 3__| Internet Banking Facility 3 _ | Cheque Book 6 _ | Mobile Banking Facility 7_ | Linking of Adhar No. 8 _ | Voter ID No, Ifavailable Nomination: SIBA/C | Name of the Nominee Relatio | Age _ | Date of Birth | Person authorized to receive No ship (incase of | the amount on behalf of Minor) ‘Minor in the event of death IVsve agree to abide by the terms and conditions of Saving Bank Account of Bank of India, PHOTO 2 Sigattie °L11 of applicant (s) PLACE: __ Above particulars Verified DATE ‘Name and Signature of the BC with Stamp Signature of Bank Officer with Code