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ACCOUNT OPENING FORM OFF-SHORE BANKING UNIT

Account No.____________
(to be filled in by the bank)

To 
Punjab National Bank 

Date__________________

_____________ 

______________
 
Dear Sir,

Please open the account in the name of _____________________________________as per details below
(In capital letters and expanded initials)
PERSONAL DETAILS
 
Name Passport No Date of Issue Place of Issue Valid upto Nationality Occupation
________________
First applicant
           
________________
Second Applicant
           
________________
Third Applicant
           
Date of Birth (in case of minor account) ______________ Date of Majority_____________
Overseas Address_________________________________________________________
 
Mailing/Correspondence address_____________________________________________
Mailing instructions (if any)_________________________________________________
(Please enclose photocopy of relevant pages of passport and two copies of recent passport size photographs for each account holder)
DETAILS OF REMITTANCES OF INITIAL FUNDS (Please tick as applicable)
( ) Demand Draft No. ______________Dt. _______________for__________________ (amount)
issued by_________________________________ (enclosed)

( ) Mail Transfer/Telegraphic Transfer No.________________Date_________________
for_________________through_________________________

( ) Foreign Currency Notes/Traveller Cheques

( ) Transfer from NRE/FCNR Account No.
 
TYPE OF ACCOUNTS (Please indicate by )
( ) With Cheque Book facility ( ) Without Cheque Book facility ( ) Term Deposit account for a period of_______________