Subsequent-aof-2019

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Subsequent Account Opening Form

Registered address - 9 Raffles Place, #50-01 Republic Plaza, Singapore 048619 Company Reg No.T03FC6380G

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Please ensure that your latest contact information and personal details are updated with us for ease of operations of your account. In case of any change please notify

us in writing intimate us along with this account opening request.

For Joint Accounts, signing condition will be as per the earlier account. For any changes, please intimate us of the same along with this account opening request.

Kindly Note:

• Kindly fill up the form in English only. • Any overwriting or alteration should be countersigned (full signature only).• When there are more than two joint applicants,

please use an additional form. • You will need to provide us with valid personal identification proof such as government issued ID proof like NRIC/EP/DP, Passport and

Proof of address such as Singapore Power Services Utility Bill, Bank Statement or Telephone/Mobile Bill (not more than 3 months old.) If you do not have either of the

above mentioned documents please ask our branch staff as other documents may be acceptable. • Incase of a joint applicant, the above is required for each applicant.

• Please complete this form in full using BLACK ink, BLOCK CAPITALS and tick wherever appropriate. • Field marked * are mandatory fields and for fields marked ** at

least one option is required to be filled up. We may not be a

ble to process your application for account opening if any of the mandatory fields are missing.

Existing account with ICICI Bank Singapore Existing account with ICICI Bank Singapore

Name ________________________________________________________ Name _______________________________________________________

________________________________________________________ _______________________________________________________

A/c no A/c no

Cust ID Cust ID

Your New Account (Please tick wherever appropriate)

I/We wish to apply for and request you to open:

(1) Current Account in following currencies: SGD USD EUR AUD with following facilities as applicable

Savings account linked to Current Account: SGD

Cheque book SGD

Name as required on the cheque book*

Purpose of Account opening (e.g transaction/saving etc)

(2) Term Deposit

Amount in words*

Amount in figures* Currency Tenor

Interest payout*

Quarterly Half yearly Annually On Maturity

Maturity Instructions*

*Please select one of the following options and the details required for the same

Auto Renewal

I/We authorise ICICI Bank Limited, Singapore Branch (“ICICI Bank”) to keep renewing the Term Deposit on maturity for an identical

period as selected at the time of deposit opening.

I/We authorise ICICI Bank to renew for an existing tenor namely

1 month 3 months 6 months 9 months 12 months 18 months 24 months 36 months

No auto renewal, payout instruction

Credit my ICICI Bank Current Account with maturity proceeds

Credit my account with another bank with maturity proceeds

1. Account number

2. Bank Branch Code

3. Bank Name

4. SWIFT Code

Section B

Your agreement and authorisation

Registered address - 9 Raffles Place, #50-01 Republic Plaza, Singapore 048619 Company Reg No.T03FC6380G

Section C

(DD MM YYYY) (DD MM YYYY)

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Mode of funding*:

Cheque Cheque No.

Cheque drawn on Date of Cheque

Amount

Cash Amount with currency

NETS Amount in SGD

Wire Transfer Amount

Debit ICICI Bank Current Account Amount

Allocation of initial deposit amount*:

Current Account Savings Account

Term Deposit Currency

Mode of operation for Joint Accounts only: Either or Survivor All to Sign Main Applicant to Sign

By signing below:

1. I/We confirm that the details given above are true, correct and not misleading and that we have read and fully understood a copy of the ICICI Bank's General terms and

conditions governing accounts and secured facilities, (”the Term and Conditions”) which have been made available to me and/or are available on the ICICI Bank's website. I/We

further confirm that we agree to abide such Terms and Conditions. I/We further confirm that I/ We have read and understood, and agree to abide and be bound by the Cash

iers

Orders / Bankers Cheques Terms and Conditions of ICICI Bank, as made available on ICICI Bank's website (www.icicibank.com.sg) and as amended and updated from time to

time. 2. I/We hereby declare and confirm that I/We are the beneficial owner of the Account(s) mentioned hereinabove and of all the funds deposited or will be deposited in the

said Accounts. 3. I/We understand that the approval of this application is at ICICI Bank's sole discretion and without providing any reasons to me/us.In such a case, no contractual

relationship would exist between me/us. 4. I/We agree to

abide and be bound by any amendments, alterations and additions to the Terms and Conditions as may be made from

time to time. I/We consent to disclosures as provided under the said Terms and Conditions and agree that all payments be debited from the Account(s). 5. I/We agree to provide

to ICICI Bank in writing any changes in my/our personal details or circumstances from time to time. 6. I/We authorise ICICI Bank to verify any of the information that I/We have

given to ICICI Bank or my/our credit standing from anyone as ICICI Bank may consider appropriate (such as an authority or credit r

eference agency). ICICI Bank may use other

methods (including credit scoring by electronic or other means) to assess this application and to verify my/our identity. Credit searches and other information which is provided

to ICICI Bank and/or the credit reference agencies, about me/us and those with whom me/us are linked financially may be used by ICICI Bank and other organisations if credit

decisions are made about me/us, or other members of my/our household. This information may also be used for identification purposes, debt tracing and the prevention of

money launderi

ng and countering the financing of terrorism as well as the management of my/our account. 7. I/We agree that ICICI Bank may record and/or monitor my/our

telephone conversations with ICICI Bank for security and training purposes. Any recordings made are ICICI Bank's sole property. 8. I/We agree that the interest rates on deposits

and savings accounts may change periodically. The rate applicable on my/our deposit will be as prevalent on the date of account opening. I/We may check the rates applicable

to my/our deposit on the website link www.icicibank.com.sg. 9. I/We hereby specifically agree and confirm

that the Bank shall be entitled to disclose or procure all information,

including but not limited to the personal data pertaining to me/us as provided in the Terms and Conditions. I/We hereby specifically acknowledge and accept that the clause

24.1 to 24.6 and 24.8 applies to all information of the Customer.

For Joint Accounts only:

1. We agree that ICICI Bank may debit our Joint Account(s) with cheques and other payments authorised by any one of us. 2. We agree that ICICI Bank can update its records

using information given by anyone of us about other(s). 3. We agree that we will be individually as well as jointly liable for any money owed to ICICI Bank.

Notice on Singapore Deposit Insurance

Singa

pore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$100,000 in aggregate per depositor per Scheme

member by law. Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured. For further information, please visit:

www.sdic.org.sg

Customer declaration (To be filled in by customer)

I/We confirm having received the following:

1) General Terms and Conditions Governing Accounts and Secured Facilities Yes No

2) Schedule of Rates and Charges Yes No

Declaration of Non-evasion of tax and pertaining to Sanctions

To,

ICICI Bank Limited Singapore Branch, 9 Raffles Place, #50-01 Republic Plaza, Singapore – 048619 (“ICICI Bank”)

By signing this application form, I/We, in addition to accepting the Terms and Conditions (as defined above), hereby further affirm, confirm and undertake that

I/We have read, understood and agree to abide and be bound by the GTC (including but not limited to Clauses 41 (OFAC and other sanctions) and Clause 42

(Non-evasion of tax)) of ICICI Bank, as made available on ICICI Bank’s website (www.icicibank.com.sg) and as amended and updated from time to time.

Signature of Individual applicant Signature of Joint applicant

Date (DD MM YYYY) Date (DD MM YYYY)

For Office use only

Date of rec

eiving Application form Branch Official//RM Name DSA ID:

Account Status Code: RET SAL Code: Employee Number:

Branch Sol ID Branch Official Signature

Branch Seal

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