Customer Review Page

Name of Customer Raksha Dilip Shitole FKYC DOB 04/08/2001

FKYC Gender F Name on Debit Raksha Shitole

Card

Mothers Maiden SAVITA Marital Status Single

Name

Annual Income Less than 2 Lakhs Occupation Student

Product Name Kotak 811 Branch Name Pune - Bhosari

Communication SR NO 802, H.NO 34, SHITOLE FKYC Comm City PUNE

Address NIWAS, BAJARPETH, KATIK ALI,
MARUTI CHOWK, CHARHOLI BK

FKYC Comm State MH FKYC Comm 412105

Zipcode

FKYC Addr1 BAJARPETH KATIK FKYC Addr2

ALICHARHOLI BK

FKYC Addr3 ALANDI RURAL FKYC City Alandi Rural

FKYC State Maharashtra FKYC Pincode 412105

Nominee Flag N CRN 684575968

Account number 8447603860

I hereby declare that the above information is true and correct to the best of my knowledge. I further agree that any false / misleading information given by me or suppression of any material fact will result in
withholding declining of the transaction of the Bank. I declare that any change in the Tax Residency i.e. becoming FATCA reportable is intimated to the Bank within 30 days of such change. I authorize the Bank to
share my transaction details with regulatory / enforcement authorities whenever such information is called for. I authorize the Branch official to update the document details in the Bank records as per copies of
documents submitted by me. The bank official has explained to me the terms and conditions applicable, details of features and charges as per bank's general schedule of features and charges (GSFC) and
average quarterly/monthly balance requirement as applicable to the product subscribed by me and I have agreed to the sameI confirm that the bank executive has explained to me all the product features,
charges and important terms and conditions in my preferred language and the same has been understood and agreed by me. The bank official has explained to me the most important document as set out in the
bank's account opening form including the clause on consent to call and I have signed the same after understanding the terms contained therein. I understand that I will be bound by and have to abide by the
bank's general terms and conditions available on the bank's website www.kotak.com and savings bank rules. I understand that the Bank reserves the right to revise its service charges as laid down in the GSFC. I
also understand that the same is available in http://www.kotak.com. I understand and agree that the Savings Account should be used to route transactions of only non-business/non-commercial nature.In the
event of occurrence of such transactions that may be construed as commercial/ suspicious in nature, the Bank reserves the right to decline/reverse such transactions and freeze/close the Savings Account. The
number of permissible deposit and withdrawal transactions without any charges are available in GSFC. I have given consent for the Promo/Program Declaration and read all the terms and conditions of
Promo/Program including applicable AQB/AMB, which I understand is valid till the Promo/Program is active. I give my consent to receive information with respect to account maintenance, alerts, payments due,
and updates on existing and new products, servicing of account for sales, marketing or servicing my relationship with KMBL, its group companies/associates or agents through Telephone / Mobile / SMS / Email
etc.Further, I understand that my consent to receive calls/communications shall be valid and shall prevail over my current or any subsequent registration of my number for NDNC and shall continue to be treated
as my consent /acceptance.I voluntarily agree to, fund my Kotak811 account by scanning QR Code displayed on application used to submit KYC details and ensure to verify my name & last 4 digits of account
number with QR displayed.

I Accept
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