KNOW YOUR CUSTOMER (KYC) UPDATE FORM

RESIDENT CUSTOMERS
Important Information
A separate KYC Update Form has to be filled by each joint accountholder/constituted attorney
Foreign nationals must also provide their foreign address and self-attested proof of foreign address in addition to the KYC Update Form
If the address2 on the document submitted as proof of identity1 is the same as that updated in this KYC Update Form, the same document will be
acceptable as Proof of Identity1 and Proof of Address2, both#
Kindly ensure that the KYC form is filled completely and accurately, e.g. occupation, income details, etc. for seamless processing

1
Officially Valid Documents - Proof of Identity (any one)

Passport (mandatory for foreign nationals) Indian Electors Photo Identity card (Voter ID card)

Permanent Driving Licence Income Tax Permanent Account Number card (PAN card)

Unique Identification Authority of India card (Aadhaar card) National Rural Employment Guarantee Act (NREGA) Job card

2
Officially Valid Documents - Proof of Address (any one)

Passport Indian Electors Photo Identity card (Voter ID card)

Permanent Driving Licence Unique Identification Authority of India card (Aadhaar card)

National Rural Employment Guarantee Act (NREGA) Job card

#
Proof of address is not required if your correspondence address is the same as currently updated on our records. For information on additional documents
acceptable as address proof please get in touch with the nearest HSBC branch in India or your Relationship Manager or call the HSBC India Contact Centre.
Documents accepted as a proof of address should mention the address details.
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Note
It is mandatory to provide a self-attested copy of the PAN card (or Form 60, as applicable).

Documents required from foreign national resident but not permanently resident and holding
resident account
A self-attested copy of each of the following is required:
Passport
Proof of residential address in India2
Proof of overseas address
Valid visa/work permit/residential permit to stay in India
Registration certificate from the office of District Foreigners Registration/Foreigners Regional Registration Office (FRRO)

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 Date ___________

To
The Manager,
The Hongkong and Shanghai Banking Corporation Limited, India (HSBC India) Please paste your recent
photograph and sign across
_______________________________________________________ Branch the same.

Sub: My HSBC India Customer Identity Number: _______________________________

KYC Number (if available): _______________________________

(As issued by Central KYC Registry)

Dear Sir,

I, ______________________________________________________________________________ (Full name of the accountholder1) do hereby

confirm that the information provided herein and below is correct and up-to-date.

I hereby authorise you to update my personal details in your records based on this submission.

Personal Details

Residential Status: Resident Individual g Non-Resident Indian g Foreign national g Person of Indian Origin g

Salutation: Mr. Mrs. Mst. Miss Ms. Dr.

Full name:
(in the order of First name, Middle name, Last name):

Are you known by any other names: g Yes g No

Former/Other name (if any):

Maiden name (if any)

Name (same as per ID proof):

Fathers name:

Mothers name:

Date of Birth D D M M Y Y Y Y Country of Birth

Place/City of Birth:

Gender Male Female Third gender Marital Status: Single Married Others _____________________

Spouses name (if available)

Nationality/Citizenship

Multiple Nationality/ Yes No If Yes, Nationality/Citizenship 2

Citizenship
Nationality/Citizenship 3

My Identification details:
It is mandatory to provide a self-attested copy of the PAN card (or Form 60, as applicable).
Permanent Account Number (PAN) g or Form 60 attached g PAN number:

Officially Valid Documents - Proof of Identity (any one):

My PAN number g Yes g No PAN number:

Aadhaar card g Yes g No Aadhaar card number:

Passport g Yes g No

Passport number and expiry date D D M M Y Y Y Y

Voters ID g Yes g No Voters ID number:

NREGA job card g Yes g No NREGA job card number:

Driving licence g Yes g No

Driving licence number and expiry date: D D M M Y Y Y Y

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Officially Valid Documents - Proof of Address (any one):
Aadhaar card g Passport g Voters ID g NREGA job card g Driving Licence g Other#______________
For information on additional documents acceptable as identity / address proof please get in touch with the nearest HSBC branch in India or your Relationship
#

Manager or call the HSBC India Contact Centre.

Documents accepted as a proof of address should mention the address details.
In case Proof of Identity does not contain Date of Birth an additional proof for the same is required.

Purpose of the g Household Expenses g Personal expenses g Major Personal Purchases g Regular Mandated Credit
relationship with HSBC g Regular Mandated Debit g Major Purchase g Savings g Childrens Education or School Fees
Source of funds
in the account

Residential Address
Current Residential Address (Overseas Address wherever applicable)
Is it Residential and Business? g Yes g No
Apartment No. and
Building No./Name

Street No./Name

Locality/Area

City Pin Code

District

State Country
Note: In case of only PO Box address, it is mandatory to provide the Area/Landmark details.

E-mail ID

Telephone No. (Resi.)

(ISD code) (STD code)

Off.
(ISD code) (STD code)

Fax No.
(ISD code) (STD code)

Mobile No.
(ISD code)

At this Address since D D M M Y Y Y Y

Do you have any alternate residential address/es Yes No

Apartment No. and
Building No./Name

Street No./Name

Locality/Area

City Pin Code

District

State

Country

Previous Address (if resident at current address for less than 3 years)
Apartment No. and
Building No./Name

Street No./Name

Locality/Area

City Pin Code

District

State

Country

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 Permanent Address
Same as Current Residential Address: g Yes g No
If different,
Address type:
g Residential/Business g Residential g Business g Registered office
Apartment No. and
Building No./Name

Street No./Name

Locality/Area

City Pin Code

District

State Country

E-mail ID

Telephone No. (Resi.)

(ISD code) (STD code)

Off.
(ISD code) (STD code)

Mobile No.
(ISD code)

CRS - Individual Tax Residency Self-Certification (Please refer Annexure at the end)

Aadhaar Number Issued by UIDAI (if available) _________________(if not provided above)
Country of Residence for tax purposes and related Taxpayer Identification Number or functional equivalent (TIN) (see Appendix).
Please complete the following table indicating:
(i) The country where the account holder is resident for tax purposes.
(ii) The accountholders TIN for each country indicated.
If the accountholder is tax resident in more than three countries please use a separate sheet. If a TIN is unavailable please provide the appropriate reason A,
B or C (Please refer the Annexure section for definitions of reasons A,B and C)

Country of tax residence/Country of TIN issuance TIN If no TIN available enter Reason A, B or C
1.
2.
3.

Please explain in the following boxes why you are unable to obtain a TIN if you selected Reason B above.

1.

2.

3.

Note: Please complete if CRS self declaration was not provided earlier OR if you have already provided information in relation to the United States
Governments Foreign Account Tax Compliance Act (FATCA), you are still needed to provide additional information for the CRS as this is a separate
requirement under the local regulation.

Current Address In The Jurisdiction Details Where Applicant Is Resident For Tax Purposes
If same as Current Residential Address g Permanent Address g Mailing address g

If different
Address type:
g Residential/Business g Residential g Business g Registered officetered office

Apartment No. and

Building No./Name

Street No./Name

Locality/Area

City Pin Code

District

State Country

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 Level of Activity Anticipated Monthly

Country(s) where your current net worth has been accumulated:

Country 1: __________________________________ Country 2: __________________________________ Country 3: __________________________________

Would you intend to continue transacting as done in past? g Yes g No If no, please provide reason __________________________________________

Estimated value of funds to be deposited in the account with in the next 12 months (`) ________________________

Anticipated Activity (per month):

Cash to be deposited Cash withdrawn

Expected Value (amount)
Frequency (volume)
Purpose Household Expenses Household Expenses
Personal Expenses Personal Expenses
Major Personal Purchases Major Personal Purchases
Regular Mandated credits Regular Mandated credits
Regular Mandated debits Regular Mandated debits
Major Purchase Major Purchase
Savings Savings
Childrens Education/School fees Childrens Education/School fees
Other __________________________ Other __________________________

Would you conduct banking transactions from this account outside of India: g Yes g No

List details of where you intend to send or receive regular international payments (per month):

Inward Remittance Outward Remittance Total

Country (ies)

Expected Value (amount in INR)

Expected Value (amount in USD)

Frequency (volume)

Reason for remittance

Personal Occupation Details

Please check the boxes and fill the requested information under applicant.
Applicant
Employment status
Employed (i.e Salaried)
Self-employed
Non Employed
If salaried
Nature of organisation
MNC
Government
PSU
Public Ltd.
Private Ltd.
Proprietorship
Partnership
HUF
Others (please specify) _____________
Occupation details
Senior MGMT
Manager/Executive
Non-Executive
Teacher
Police
Armed forces
Salaried
Seafarer

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If self-employed
Your firm is
Proprietorship
Partnership
Private Ltd.
Your profession is
CA
Journalist
Architect
Consultant
Lawyer
Others (please specify) _____________
Employment Role:
Business Owner

Key Controller

Sole Trader
Employee
To be filled by both salaried and self-employed customers:
Nature of business
Software
IT
Hardware
Finance
Insurance
FMCG
Engineering
Infrastructure
Textile
Leather
Others (please specify) _____________
Other details
1. Company name _________________________________________________ Designation _____________________________________________________

Department _____________________________________________________ Gross Annual Salary/Earnings _____________________________________

If Not Employed
Student
Housewife
Retired
Unemployed
If you are a student
Course start date _____________
Course end date _____________
If you are unemployed -
Social security benefits received- Yes No

Company Address

Flat no. and building name

Road no./name

Area and landmark

City District

State Country

Pin code

Telephone (Res.) Please mention NA if you do not have a telephone number.

(ISD code) (STD code)

Facsimile Please mention NA if you do not have a facsimile number.

(ISD code) (STD code)

Address for Communication

Current residential address Permanent address Company address

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 Connected Party Details
Please list the connected/associated parties who have control or influence over your account without necessarily signing on your account. Please approach
the bank staff for further clarifications.

Connected parties Yes No

KYC number (number would be given by the Central KYC registry) (if available)

Connected party details: Individual Entity

Existing Customer Yes No

Customer ID (if existing customer) :

Account number (if existing customer):

Relationship with applicant:

POA Letter of Authority
Deputy for safe deposit access Executor
Guardian Contributor
POA for Mortgages Additional Cardholder

Type of arrangement in place:

Legal Written Informal

Salutation : g Mr. g Ms. g Miss. g Mst. g Mrs Title: g Dr g Prof g Not Applicable
Full name (In the order of First Name, Middle name, Last name)

Connected Party is known by any other names: Yes No

Former/other name (If any):

Date of birth Nationality/Citizenship ________________________________________________

My Identification details:

It is mandatory to provide a self-attested copy of the PAN card (or Form 60, as applicable).

Permanent Account Number (PAN) g or Form 60 attached g PAN card number

Officially Valid Documents - Proof of Identity (any one)

PAN card g Yes g No PAN card number

Aadhaar card g Yes g No Aadhaar card number

Passport g Yes g No Passport number & expiry date

Voters ID g Yes g No Voters ID number

NREGA job card g Yes g No NREGA job card number

Driving licence g Yes g No Driving licence number & expiry date

Residential Address
Flat number and building name:
Road number/name:
Area and landmark:

City: _________________________ State: _____________________________ Country: _____________________________ Pin code

Note: In case of only PO Box address, it is mandatory to provide the Area/ Landmark details.
Correspondence Address
Flat number and building name:
Road number/name:
Area and landmark:

City: _________________________ State: _____________________________ Country: _____________________________ Pin code

Telephone (Res.)
(ISD code) (STD code)

Telephone (Off.)
(ISD code) (STD code)

Mobile
(ISD code)

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 Overseas address (only for Foreign Nationals)
Apartment No. and
Building No./Name

Street No./Name

Locality/Area

City Pin Code

State Country

E-mail ID

Telephone No. (Resi.) Off.

(ISD code) (ISD code)

Mobile No. Country code

Telephone No. (Resi.)

(ISD code) (STD code)

Off.
(ISD code) (STD code)

Mobile No.
(ISD code)

Country code

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 Customer Declaration
I declare that the information furnished by me to HSBC India is true and correct and HSBC India is entitled to verify the same either directly or through any third party agent. I also
agree that, if any such declarations made by me are found to be incorrect, HSBC India shall be entitled to terminate the account relationship.
I confirm having read and understood the account rules of HSBC India, and hereby agree to be bound by the terms and conditions and amendments governing the account(s)
issued by HSBC India from time to time. I agree and acknowledge that HSBC India shall have the right to modify the account rules and the terms and conditions at its sole
discretion. I am aware that the modifications in the account rules and the terms and conditions will be put up on the website from time to time.
I undertake to check HSBC Indias website for modifications to the account rules from time to time. I am also aware that any change to the terms and conditions will be made with
prospective effect giving notice of one month and would be updated on the website/notice board at branches. I agree to notify HSBC India of change of resident status as defined
under the Foreign Exchange Management Act, 1999, and the rules and regulations made thereunder (hereinafter referred to as FEMA).
I will be liable to comply with the relevant Exchange Control Regulations issued and amended by Reserve Bank of India from time to time and adhere with the provisions under the Foreign
Exchange Management Act, 1999 (FEMA). I understand and acknowledge that any violation or non-observance of the undertakings given herein will be subject to action under FEMA.
I am a tax resident/non-resident as per the provisions of Section 6 of the Indian Income Tax Act, 1961. In case there is any change in the tax residential status I undertake to
promptly inform the Bank in writing. I also undertake to indemnify the Bank for any loss (including but not limited to tax, interest and penalty) suffered by the Bank as a result of
either relying on this declaration or my delay/default in confirming the change, if any, in the facts mentioned above. The obligation to indemnify shall continue in any such event and
notwithstanding a case where I am no longer a customer of the Bank.
I acknowledge that HSBC India remains entitled to assign any activities to any third party agencies/service providers at its sole discretion. I further acknowledge the right of HSBC
India to provide details of my account and sharing or transfer of information which will be on a confidential basis to HSBC Group offices or other third party agencies/service
providers, whether located in India or overseas including but not limited for the purpose of availing support services of any nature by HSBC India and also may disclose information
if required or permitted by any law, rule or regulation or at the request of any public or regulatory authority or if such disclosure is required for the purposes of preventing fraud,
without any further specific consent or authorisation from me. Notwithstanding the above, the present consent is in addition to and not in supersession of any other consent that I
have provided/will provide to HSBC India in relation to sharing of data.

CRS and CKYCR Declaration

I have read and understood the information requirements and the Terms and Conditions mentioned in this Form (and hereby confirm that the information provided by me on this
Form is true, correct and complete. I hereby agree and confirm to inform The Hongkong and Shanghai Banking Corporation Limited, India (HSBC India) for any modification to this
information promptly. I further agree to abide by the provisions relating to Common Reporting Standards (CRS) on Automatic Exchange of Information (AEOI) provided in Rules
114F to 114H of the Income Tax Rules, 1962.
I authorize you to update your records basis the above information. I also authorize you to share the given information provided by me with the any statutory/regulatory authorities,
as appropriate or HSBC group entities.
I understand that the details provided in the form will be reconciled with your existing records and any discrepancy thereof will be duly highlighted to me for further rectification/
updation of records.
I acknowledge that the information contained in this form and information regarding the accountholder and any Reportable Account(s) may be provided to the tax authorities of the
country in which this account(s) is/are maintained and exchanged with tax authorities of another country or countries in which the account holder may be tax resident pursuant to
intergovernmental agreements to exchange financial account information.
I certify that I am the accountholder (or am authorized to sign for the accountholder) of all the account(s) to which this form relates.
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I under take to inform you of any changes therein immediately.
In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
I hereby consent for receiving information from Central KYC Registry through SMS/Email on the above mentioned registered number/email address.
I certify that where I have provided information regarding any other person (such as a Controlling Person or other Reportable Person to which this form relates) that I will, within
30 days of signing this form, notify those persons that I have provided such information to HSBC and that such information may be provided to the tax authorities of the country in
which the account(s) is/are maintained and exchanged with tax authorities of another country or countries in which the person may be tax resident pursuant to intergovernmental
agreements to exchange financial account information.
I undertake to advise The Hongkong and Shanghai Banking Corporation Limited within 30 days of any change in my circumstances which affects the tax residency status or
causes the information contained herein to become incorrect, and to provide HSBC with a suitably updated self-certification and declaration within 90 days of such change in
circumstances

Signature /Thumb Impression of Applicant

Name: _______________________________________

Note: If you are signing the form under the capacity of a guardian, please input the capacity as Guardian and also provide a certified copy of the guardianship order
or birth certificate of the minor if the accountholder is a minor.

Capacity: _____________________________________

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 Annexure: Instructions / Check list / Guidelines for filling Individual KYC Application Form
1. Instructions/ Check list / Guidelines for filling Individual Application Form
Self-Certification of documents is mandatory.
The generation of KYC number/identifier will be performed by the Bank subject to availability of necessary technology.
2. Clarification/Guidelines on filling details for CRS purposes.
Reason A The country where I am liable to pay tax does not issue TINs to its residents.
Reason B The accountholder is otherwise unable to obtain a TIN or equivalent number.
(Please explain why you are unable to obtain a TIN in the below table if you have selected this reason)
Reason C No TIN is required.
(Note: Only select this reason if the authorities of the country of tax residence entered in the table do not require the TIN to be disclosed)

Appendix Definitions

Note: These are selected definitions provided to assist you with the completion of this form. Further details can be found within the Income
Tax Rules, 1961 and OECD Common Reporting Standard for Automatic Exchange of Financial Account Information (the CRS), the associated
Commentary to the CRS, and domestic guidance. This can be found at the following link www.oecd.org/tax/automatic-exchange/.
If you have any questions then please contact your tax adviser or domestic tax authority.

Tax identification Number (TIN): TIN (including functional equivalent) The term TIN means Taxpayer Identification Number assigned to a person in
the country or territory in which he is resident for tax purposes and includes a functional equivalent in case no such number is assigned. A TIN is a
unique combination of letters or numbers assigned by a jurisdiction to an individual or an Entity and used to identify the individual or Entity for the
purposes of administering the tax laws of such jurisdiction. Further details of acceptable TINs can be found at the following link: www.oecd.org/tax/
automatic-exchange/.
Some jurisdictions do not issue a TIN. However, these jurisdictions often utilise some other high integrity number with an equivalent level
of identification (a functional equivalent). Examples of that type of number include, for individuals, a social security/insurance number,
citizen/personal identification/service code/number, and resident registration number, PAN (Permanent Account number) and resident registration
number)

Accountholder The term accountholder means the person listed or identified as the holder of a Financial Account by the financial institution that
maintains the account. A person, other than a Financial Institution, holding a Financial Account for the benefit of another person as an agent, a custodian, a
nominee, a signatory, an investment advisor, an intermediary, or as a legal guardian, is not treated as the accountholder. In these circumstances that other
person is the accountholder. For example in the case of a parent/child relationship where the parent is acting as a legal guardian, the child is regarded as
the accountholder. With respect to a jointly held account, each joint holder is treated as an accountholder.
CKYCR Central KYC Registry
Controlling Person This is a natural person who exercises control over an entity and includes a beneficial owner as determined under sub-rule (3) of rule 9
of the Prevention of Money-Laundering (Maintenance of Records) Rules, 2005.
In determining the beneficial owner, the procedure specified in the following circular as amended from time to time shall be applied, namely:
(i) DBOD.AML.BC. No.71/14.01.001/2012-13, issued on 18 January 2013 by the Reserve Bank of India; or
(ii) CIR/MIRSD/2/2013, issued on 24 January 2013 by the Securities and Exchange Board of India; or
(iii) IRDA/SDD/GDL/CIR/019/02/2013, issued on 4 February 2013 by the Insurance Regulatory and Development Authority.
In the case of a trust, the controlling person means the settlor, the trustees, the protector (if any), the beneficiaries or class of beneficiaries, and any other
natural person exercising ultimate effective control over the trust, and in the case of a legal arrangement other than a trust, the said expression means the
person in equivalent or similar position.
Where an entity accountholder is treated as a Passive Non-Financial Entity (NFE) then a Financial Institution must determine whether such Controlling
Persons are Reportable Persons. If the account is maintained for an entity of which the individual is a Controlling Person, then the Controlling Person tax
residency self-certification form should be completed instead of this form.
Entity The term Entity means a legal person or a legal arrangement, such as a corporation, organisation, partnership, trust or foundation.
Financial Account A Financial Account is an account maintained by a Financial Institution and includes: Depository Accounts; Custodial Accounts; Equity
and Debt interest in certain Investment Entities; Cash Value Insurance Contracts; and Annuity Contracts.
Reportable Account The term Reportable Account means an account held by one or more Reportable Persons or by a Passive NFE with one or more
Controlling Persons that is a Reportable Person (relevant extract for CRS).
Reportable Person
Reportable person means,
(a) one or more persons other than,
(i) a corporation, the stock of which is regularly traded on one or more established securities markets;
(ii) any corporation that is a related entity of a corporation mentioned in item (i);
(iii) a Governmental entity;
(iv) an International organization;
(v) a Central bank; or
(vi) a financial institution,
that is a resident of any country or territory outside India (except the United States of America) under the tax laws of such country or territory or an estate
of a descendent who was a resident of any country or territory outside India (except the United States of America) under the tax laws of such country or
territory; (relevant extract for CRS).
Dual resident individuals may rely on the tiebreaker rules contained in tax conventions (if applicable) to solve cases of double residence for purposes of
determining their residence for tax purposes.

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 For Bank Use Only

g I confirm having done the following checks:

1. SV Yes g No g 2. SCC/PEP Yes g No g 3. FCCRM Yes g No g
4. HRC Yes g No g 5. BL Yes g No g 6. WC Yes g No g
7. Has the Customers Identity been verified in line with the required standards and have true copies of the Yes g No g
original documents been obtained?
8. Is the customer able to provide required ID? Yes g No g
9. Is the Customer subject to special circumstances? Yes g No g
Category of special circumstances
g Benefit or Social Welfare claimants g Individual in care homes/sheltered accomodations/ refuge g Individuals on probation
g Prisoners g Students g Minors g Individual who lack the capacity to manage their own affairs g Economic Migrants
g Refugees g Asylum seekers g Other
10. Is a CDD Risk Acceptance request required to be submitted to Business and FCC? Yes g No g
11. Was the CDD Risk Acceptance request approved by Business Risk/FCC? Yes g No g
12. Is the identity of the connected party (full name, residential address) has been verified? Yes g No g
13. Is there a reasonable connection between the connected party and the customer? Yes g No g
14. Select a currency to apply to all intended transactions: ________________________________________________________________________
15. Is the Customer likely to engage in funds transfers to/from high risk or Sensitive sanctioned countries? Yes g No g
16. What level of influence does the Connected Party have over the account?
g Control g Direct g Contribute g Beneficiary
Rationale for connection: ________________________
17. Was Connected Partys Identity verified through the use of Electronic or Documentary sources? Yes g No g
18. Is the connected party PEP? Yes g No g
19. Were any exceptions (to global CDD policy) noted during the Connect Party verification process? Yes g No g
20. Date of account/relationship opening:
21. Confirm the customers occupation as a student has been validated. Yes g No g
D D M M Y Y Y Y
22. Is the connected party an existing customer? Yes g No g
23. Is the connected partys customer record in the same system as the main partys? Yes g No g
24. Does the Jurisdiction of Tax Residency appear inconsistent with the Customers residential address(es), Yes g No g
correspondence address(es) and nationality/Citizenship or TIN provided?
25. Provide the rationale for the upwards revision of the risk rating and any other relevant information that
you wish to note in relation to the Customer that may affect their application? ___________________________________________________
26. Has CRS declaration already obtained? Yes g No g
27. Is a manual EDD trigger required for the customer? Yes g No g
28. Does the customer have, or is asking for, a safe Custody product? Yes g No g

Purpose of this review: _______________________________________

________________________
(HSBC employee signature)

Employee Name

Employee Designation

Employee Branch:

Peoplesoft ID
RES_KYC_UPD_CDD_FRM_12/16

Date D D M M Y Y Y Y

Issued by The Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability.
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