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page 11.pdf - Form DA1 Nomination Form(Please choose one of...

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Unformatted text preview: Form DA1 Nomination Form (Please choose one of the available options)Applicable only for individuals I: Yes, IIWe require nomination undersection 452Aof the Banking Regulation Act, 1949 and Rule 2(1 ) of the Banking Companies (Nomination) Rules, 1985 in respect of bank deposits. D No IIWe confirm that llwe have been explained about the benefits of nomination facility to mylour bank account by the YES BANK official. However, llwe state that in spite of the explanation of the said benefits, llwe do notwish to nominate any person to theAccount Request you to kindly process mylour/minor’ s accountopening form withoutthe nomination facility'"*. IIWe ....................................................... ..................................................................... s nominate the following person towhom in the event of mylour/minors death the amountof the deposit in the amount, particulars whereof are given below, may be retumed byYES BANK Ltd. Deposit I Account ADDITIONAL DETAILS, IF ANY NATURE NOMINEE NAME (Nomination should be only in favour of an individual) DDDEEDDDDDDDEEDDDDDDDDDDDDDDDDDDDDDDDDDD Relationship with depositor, if any .................................... Age ............ If minor, nominee’s date of birth 'As the nominee isaminoron this date, llwe appointShri/SmtJ Kum. (name) ............................................. ...(age) (Address) ........................................................................................................................................ to receive the amount of the deposit in the account on behalf of the nominee in the event of mylourlminor’s death during the minority of the nominee. I: l agree/do not agree for the name of my nominee to be displayed on the Fixed Deposit Advice/Statement of Accounts and/or other documentslletters. ** SIGNATURE/THUMB IMPRESSION “* SIGNATURE OF FIRST WITNESS SIGNATURE OF SECOND WITNESS 0F DEPOSITOR(S) (Guardian’s signature if applicant is a minor) Name: ...................................... Name I ...................................... Date : .................................... Address .................................... Place: ................................................................................. ’ Strike out if nominee is nota minor "Where deposit is made/account is held in the name of minor, the nomination should be signed bya person lawfully entitled to acton behalf of the minor. “* Witness signature are required only forcases where the customer is providing thumb impression. **** In case the customerdoes notopt for nomination this declaration needs to be mandatorily obtained Terms and Conditions for Instructions to be given by Fax, Telephone and Other forms of Electronic Communications (Only for non-financial transactions) To, YES BANK Limited Not with standing anything to the contrary contained in any other document/agreement, We the undersigned, hereby request and authorize you to act and rely on any instructions or communications forany purpose (including but not limited to the Instructionslcommunications pertaining to the operation of all mylouraccounts or to any otherfacilities orservices that may be provided by you from time to time) which may from time to time be or purport to be given by telephone, facsimile, untested telexes and faxes, telegraph, cable or any other form of electronic communication by melus (including such instructions/communicaticns as may be or purported to be given by those authorized to operate mylour account(s) with you)("lnstructions").llWe understand and acknowledge that there are inherent risks involved in sending the Instructions to you via telephone, facsimile, untested telexes and faxes, telegraph, cable or any other form of electronic communication and hereby agree and confirm that all risks shall be fully borne by melus and llwe assume full responsibility forthe same, and you will not be liable for any losses ordamages including legal fees arising upon your acting, oryourfailure to act, wholly or in part in accordance with the Instructions so received. In consideration of you agreeing, subject to the terms and conditions here under, to act upon the Instructions as aforesaid, llwe here by irrevocably agree and undertake: That you shall be entitled to act or refuse to act as you see fit, without incurring any liability whatsoeverto me or to any other person, upon any Instructions for any purpose which may from time to time be orpurport to be given by telephone, facsimile, untested telexes and faxes, telegraph, cable crany other form of electronic communication by melus (including such Instructions as may be or purported to be given by those authorized to operate mylour account (s)with you),even if such Instructions or Communications are not followed up by written confirmation to you. 1) Thatthe Instructions shall be conclusively presumed foryour benefit to be duly authorized by and legally binding on us, and we shall be fully responsible forthe same. 2) You shall not be responsible to ensure the authenticity, validity orsource of any Instructions and shall not be liable if any Instructions turned out to be unauthorized, erroneous or fraudulent. 3) That you shall be entitled (but not obliged) to keep records of our Instructions given or made by telephone, facsimile. untested telexes and faxes, telegraph, cable or any other form of electronic communication in such form, physical orelectronic, as you may in your sole discretion deemfit , and your records shall be conclusive and binding on melus. 4) You shall be entitled to dispose of or destroy any such records at any time as determined by you at yoursole discretion; that you shall be authorized to disclose all instructions as you may deemfit, to youraffiliates, counter parties, service providers, regulators and otherauthorities orwhere you are required by law to do so. 5) That you shall be entitled to require any Instruction in any form to be authenticated by use of any password, identification code ortest as may be specified by you from Time to time and llwe shall ensure the secrecy and security of such password, code ortest and llwe shall be solely responsible forany improper use of the same; 6) That, notwithstanding the above, you may, under circumstances determined by you in yourabsolute discretion, require from melus confirmation of any of any Instructions in such form as you may specify before acting on the same; and we shall submit such confirmation to you immediately upon receipt of your request. 7) Pursuantto receipt of Instructions, you shall have the right but not the obligation to act up on such Instruction. 8) Such otherterms as provided underwww.yesbank.in Signature of 1st Applicant Signature of 2nd Applicant 11 — ...
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