Form No. 1

Date: ______

TAMILNAD MERCANTILE BANK LTD ., ______

DEPOSIT ACCOUNT OPENING FORM

Customer ID No :
Deposit Account No :

I / We tender the amount of Rs. ______to be deposited in the name /s of ______under the following Deposit Scheme:

Please ( ) whichever is applicable / Period / Rate of Interest p.a. / Maturity Date / Maturity Value
Fixed Deposit / XXXXXXX / XXXXXXXXX
Muthukkuvial Deposit
Cash Certificate
Pearl Deposit
Interest payable on every half-yearly /yearly / XXXXXXXXX
Recurring Deposit(Monthly Instalment)
Kids Recurring Deposit(Monthly Instalment
TMB TSD Malligai /TMB TSD Mullai
Mode of Operation :
Sole / Joint Either or Survivor/s Both or Survivor/s Former or Survivor/s
Name and Address of the Depositor / s (In Block Letters)
______Pin :______Phone : ______

PAN / GIR NO. : ______ Occupation: ______

(Form No. 15 H should be submitted every year, if TDS is not to be deducted)

Minor Details:
Date of Birth of Minor: Name of Guardian :
Whether the depositor is a Senior citizen : Yes / No
If Yes, Age proof and details :

Instructions:

1. Pay Monthly / Quarterly interest by Cash / transfer to my / our ______Account No. ______

2. DUE DATE NOTICE TO BE SENT : Yes / No Auto Renewal Required : Yes / No

I/We have read and understood the rules relating to Tamilnad Mercantile Bank Ltd., Deposit Scheme and agree to comply with and be bound by them. I/We also agree that, the Interest rates applicable for renewal of overdue deposits and for prematureclosure of deposits will be subject to the Banks prevailing rules which may change from time to time.

Rules and Regulations regarding this deposit have been explained to me.

Note: Proof of Identity : ______obtained Proof of address : ______obtained

Introduction:
Name ______Signature ______Account No ______
Address ______

Verified

Signature Of Depositor / Guardian Officer / Manager

Name& P.A No.

IDENTITY PROOF
(Any one of the following valid documents should be verified with the originals by the Bank Official:
Passport
Driving License
Voter’s Identity Card
PAN Card
Ration Card
Pension Book issued by Government of India
with photograph of applicant containing name,
address and validity period / ADDRESS PROOF
(Any one of the following valid documents should be verified with the originals by the Bank Official:
Latest Electricity Bill
Latest telephone bills
Latest Bank Account Statement
Latest Income / Wealth Tax Assessment Order
Latest statement of account from a credit card issuing co
Latest premium receipt from any life insuranceCo.
Depositor’s Name Signature
1.______
2.______
3.______
4. ______

NOMINATION FORM – DA 1

(to be obtained in case of deposit A/cs in the name of Individuals in Single / Joint names)

Registration No. ______

Nomination under Section 45of the Banking Regulation Act 1949 and Rule 2(1) of the Banking Companies (Nomination Rules 1985 in respect of Bank deposits).

I / We ______nominate the following person to whom in the event of my / our / minor’s death the amount of deposit in the account(s) mentioned below may be returned by Tamilnad Mercantile Bank Ltd., ______.

NOMINEE (Only One Nominee per Deposit Account)

Nature of
Account & No. / Name & address / Relation-ship if any / Age / If Minor **
his /her date of birth / Additional details
(if any)

** As the nominee is a minor as on this date, I/We appoint Mr./Mrs. ______

aged ______Resident of ______to receive the amount of deposit in the account on behalf of the nominee in the event of my / our / minor’s death during the minority of the nominee.

DECLARATION

In the event of my/ our death prior to the maturity of the deposit, the bank will at the request of the person who has been nominated by me/us to receive the deposit money after my/our death, be at liberty, thoughnot bound and at its solute discretion to repay the deposit before maturity or to grant an advance against the security there of and such repayment before maturity would constitute a valid discharge for the bank.

Date:

Place:

*Signature (s) Thumb Impression (s) of Depositor (s)

Witness(es)***
1. Name :______2. Name : ______
Signature : ______Signature : ______
Address : ______Address : ______

*When deposit is made in the name of a minor the nomination must be signed by a person lawfully entitled to act on behalf of the minor. **Strike out if nominee is not a minor. ***Two witnesses shall attest Thumb impression (s) & one witness will attest signature.

NOMINATION REGISTER PARTICULARS
Nomination Register No. ______Serial No. ______
For Tamilnad Mercantile Bank Ltd.,
Authorised signatory