Existing Customer
Registered Customer
Open your Fixed Deposit
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Applicant Details
FD Details
Payment Details
Nominee Details
Other Details
Primary Applicant Details
Type of Customer
Select Customer Type
Resident Indian
Non Resident Individual
Hindu Undivided family
Sole Prop
Partnership Firm
Private Limited
Public Limited
Foreign Limited Companies
Government
Society
Trust
Banks
Foreign Nationals
Type of Account
Select Account Type
Fixed Deposit (Earnest Money deposit/Third party deposit/Tender FD)
FD Plus (Non Callable Deposits)
EMD FD Purpose
Select Account Type
Contract
Tender
License
Security
Others
Customer Name
Select Title
Mr.
Miss
Mrs.
Shri
Smt
M/s
Enter the customer name as per bank record
Beneficiary Name
FD Name option
FD Name option
Beneficiary name A/C customer name
Customer name A/C beneficiary name
FD Name
Contact Number
Email Id
Existing Bank Customer Id
PAN Number
If PAN details are not entered then Please fill up form 60 or 61 seperately.
Joint Applicant Details
Name (Joint Applicant Name )
Select Title
Mr.
Miss
Mrs.
Shri
Smt
M/s
Existing Bank Customer Id
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FD Details
Tenure
Select
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Month
Select
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Invalid
Day
Interest Payout
Select Interest Payout
Simple (payout)
Cumulative (Reinvestment)
Monthly (MIC)
Quarterly (QIC)
Select Deposit Type
Select Deposit Type
EMD
Non callable
Non callable - Inter Bank
Non callable - NRI
Non callable - NRO
Amount
Scheme Code
Auto Renewal
Yes
No
Renewal Period: Number of Times
Auto Closure
Yes
No
Standing Instruction for RD
Kindly debit my A/C Number
Debit date of every Month
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Initial Payment Details
Mode Of Payment
Mode of Payment
Debit my/our existing A/C
Cheque
Debit to A/C Number
Debit to A/C Number
Cheque
Cheque Number
Cheque Date
Bank Drawn On
Branch Name
Interest Payment/Maturity Proceeds
Credit My Axis Bank A/C Number
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Nomination Details
I wish to Nominate
Yes
No
Primary Applicant Address
Nominee Name
Print Nominee Name
Nominee Address
Same as Primary Applicant
Yes
No
Address Line 1
Address Line 2
City
Select City
A I AREA
A K PORA
A KONDURU
A S PETA
A THEKKUR
AAU
ABBEY WARD
ABC
ABDASA
ABERDEEN
State
Select State
AARGAU
ABERTA
ABHA
ABIDJAN
ABU DHABI
ABUDHABI
ACCRA
AHMADI
AICHI
AJMAN
Country
Select Country
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
Pincode
Relationship with Depositor
Relationship with Depositor
Father
Mother
Husband
Wife
Son
Daughter
Child
Brother
Sister
Grand Father
Grand Mother
Uncle
Aunt
Nephew
Niece
Guardian
Grand Son
Grand Daughter
Age (in Year)
Date of Birth (if Minor)
Guardian Name
Relationship with Minor
Select Relationship with Minor
Father
Mother
Husband
Wife
Son
Daughter
Child
Brother
Sister
Grand Father
Grand Mother
Uncle
Aunt
Nephew
Niece
Guardian
Grand Son
Grand Daughter
Guardian Address
Same as Primary Applicant
Yes
No
Address Line 1
Address Line 2
City
Select City
A I AREA
A K PORA
A KONDURU
A S PETA
A THEKKUR
AAU
ABBEY WARD
ABC
ABDASA
ABERDEEN
State
Select State
AARGAU
ABERTA
ABHA
ABIDJAN
ABU DHABI
ABUDHABI
ACCRA
AHMADI
AICHI
AJMAN
County
Select County
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
Pincode
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Other Details
Mode of Operation
Select Mode of Operation
SELF
PROPRIETOR / AUTHORISED SIGNATORY
AS AUTHORISED BY BOARD RESOLUTION
ANY ONE AUTHORISED SIGNATORY
ANY ONE DIRECTOR
AUTHORISED SIGNATORY ANY TWO
AUTHORISED SIGNATORY FIRST AND ANY ONE
EITHER/SURVIVOR
FORMER OR SURVIVOR
JOINTLY OR SURVIVORS
ANYONE SINGLE OR SURVIVOR
ALL JOINTLY
KARTA OF HUF
ANY ONE PARTNER
ANY TWO JOINTLY
ANY THREE JOINTLY
FIRST ONLY
FIRST TWO JOINTLY
FIRST THREE JOINTLY
AUTHORISED SIGNATORY ONE OR ALL
FORMER OR ANY TWO JOINTLY
LEFT THUMB IMPRESSION
PARDANASHIN
MINOR > 13 YRS
MINOR AND GUARDIAN OPERATED BY GUARDIAN
LATTER OR SURVIVOR
POWER OF ATTORNEY HOLDER
1st 4 SINGLY REST JOINTLY
JOINTLY OR SEVERALLY
ANYONE OF 1st TWO
BOTH OR SURVIVOR
REFER SIGNATURE CARD
SELF / AUTHORISED LETTER HOLDER
ANY TWO PARTNERS JOINTLY
ANY TWO DIRECTORS JOINTLY
KARTA
ANY ONE TRUSTEE
ANY TWO TRUSTEE JOINTLY
KARTA OR CO-PARCENER
NON - OPERATIVE, COLLECTION ACCOUNT
BY MANAGING PARTNER ONLY
BY MANAGING TRUSTEE ONLY
BY MANAGING TRUSTEE ONLY
ALL JOINTLY
ANY TWO JOINTLY
ANY THREE JOINTLY
FIRST ONLY
FIRST TWO JOINTLY
FIRST THREE JOINTLY
ANYONE OF 1st TWO
REFER SIGNATURE CARD
AUTHORISED SIGNATORY ANY TWO
AUTHORISED SIGNATORY FIRST AND ANY ONE
I would need Fixed Deposit in the form of
I would need Fixed Deposit in the form of
Receipt
Physical Advice
E-Advice
Number of Joint Holder
0
1
2
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Office Use Section
Initial Deposit Transaction Id*
Initial Deposit Transaction Date*
Branch Name*
Branch Code*
Emp No.*
SE Code*
Ledger No*
S.S. No.*
A/c label
Name of Official*
Designation*
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