Resident Account to NRO Account Conversion Form

FOR NON RESIDENT - INDIVIDUAL CUSTOMERS

Bank use only Face to face Non face to face Application Date D D M M Y Y

I/We hereby request you to convert my resident a/c to NRO a/c as I have become NRI. My a/c is in Branch code Br Name _________________________ in ________________ city.

A) FIRST APPLICANT DETAILS

PREFIX FIRST NAME MIDDLE NAME SURNAME

I N C A P I T A L L E T T E R S O N L Y
I confirm that I do not have any customer id apart from the one mentioned here. In case found
otherwise, Bank reserves the right to consolidate the customer ids / redesignate my active account
Resident Cust ID as per current residential status without any prior notice to me.
PAN Card No. Form
FORM 60 REQD IF PAN IS NOT
60
Y N Aadhaar No.
AVAILABLE

Passport No. Issuing country

Status NRI Foreign citizen of Indian origin Foreign citizen of Non Indian origin Please paste your latest
passport size photograph
Are you U.S. person Yes No If Yes, please tick USA Citizen Green Card holder Born in USA Other ___________
Mention visa type
Country of residence (As required under FATCA - Foreign
Account Tax Compliance Act)
Nationality

Mother's maiden name

B) FIRST APPLICANT ADDRESS DETAILS

Please tick where your correspondence is to be sent Overseas Indian (If No option ticked, correspondence will be sent to overseas address)

Flat No & Bldg.

Name

Landmark
OVERSEAS ADDRESS

City PIN Code

State Country

E-mail ID I N C A P I T A L L E T T E R S O N L Y
Country code Area code Number Please register me for
Mobile No. - - InstaAlert through email [Free] InstaAlert through SMS [Chargeable]

Tel (R) - - Monthly email statement [Free] email ID is mandatory

Insta alert will be sent on mobile number and email ID mentioned in
Tel (O) - - - E X T N correspondence address section. If email statement is ticked, all
accounts linked to Cust ID of 1st Applicant will be registered for Free
Fax - - Email Statements and physical statements will not be sent.

Flat No & Bldg.

Name
INDIAN ADDRESS

Landmark
City PIN Code
State Country I N D I A
STD code Number Number

Tel (R) 9 1 - - Mob. No. 9 1 -

Tel (O) 9 1 - - - E X T N
Fax 9 1 - -

C) FIRST APPLICANT OCCUPATIONAL AND INCOME DETAILS

Source of funds Salary Business income Agriculture Investment income Others ________________________

Occupation Salaried Self-employed Retired Self-employed prof. Housewife Student Unemployed Others _______________

If salaried employed with Private ltd Partnership Proprietorship Public limited Public sector Government Multinational Others _______________

Self employed since Years Months Date of incorporation D D M M Y Y Y Y

Nature of business Manufacturing Service provider Money lender Bullion/Gold/Jewellery Stock broker Traders Agriculture Real estate Others _________

Type of company/firm Partnership Sole proprietorship Public limited co. Private ltd co. Others ________________________

Self employed professional Doctor CA/CS Lawyer Architect IT consultant Others ________________________

Income earned in currency Company Name _________________________________________ Designation _______________________________

Gross annual income (`) < 50,000 50,000 - 5 lac >5 - 10 lac >10 - 25 lac >25 - 50 lac >50 - 100 lac >100 - 250 lac >250 - 500 lac >500 lac

Remittance in Account expected Annually(`) Nil Upto 1 lac >1 - 3 lac >3 - 5 lac >5 - 10 lac >10 - 20 lac >20 lac Page 1 of 4
D) SECOND APPLICANT DETAILS
PREFIX FIRST NAME MIDDLE NAME SURNAME

I N C A P I T A L L E T T E R S O N L Y
In case the applicant is minor, please write parent / guardian's name above as second applicant
I confirm that I do not have any customer id apart from the one mentioned here. In case found
otherwise, Bank reserves the right to consolidate the customer ids / redesignate my active account
Resident Cust ID as per current residential status without any prior notice to me.

PAN Card No. Form

FORM 60 REQD IF PAN IS NOT
60
Y N Aadhaar No.
AVAILABLE

Passport No. Issuing country Please paste your latest

passport size photograph
If second applicant is a resident, the mode of account operation will be changed to Former or Survivor.
Status Non Resident Resident In case operating rights needs to be given to second applicant, please provide a separate Mandate Addition Form.

Sub status NRI Resident Indian Foreign citizen of Indian origin Foreign citizen of Non Indian origin

Are you U.S. person Yes No If Yes, please tick USA Citizen Green Card holder Born in USA Other ___________
Mention visa type
Country of residence (As required under FATCA - Foreign
Account Tax Compliance Act)
Nationality

Mother's maiden name

E) SECOND APPLICANT ADDRESS DETAILS

Please tick where your correspondence is to be sent Overseas Indian (If No option ticked, correspondence will be sent to overseas address if 2nd holder is NRI)

Flat No & Bldg.

Name

Landmark
OVERSEAS ADDRESS

City PIN Code

State Country

E-mail ID I N C A P I T A L L E T T E R S O N L Y
Country code Area code Number Please register me for
Mobile No. - - InstaAlert through email [Free] InstaAlert through SMS [Chargeable]

Tel (R) - - Insta alert will be sent on mobile number and email ID
mentioned in correspondence address section.
Tel (O) - - - E X T N
Fax - -

Flat No & Bldg.

Name
INDIAN ADDRESS

Landmark
City PIN Code
State Country I N D I A
STD code Number Number

Tel (R) 9 1 - - Mob. No. 9 1 -

Tel (O) 9 1 - - - E X T N
Fax 9 1 - -

F) SECOND APPLICANT OCCUPATIONAL AND INCOME DETAILS

Source of funds Salary Business income Agriculture Investment income Others ________________________

Occupation Salaried Self-employed Retired Self-employed prof. Housewife Student Unemployed Others _______________

If salaried employed with Private ltd Partnership Proprietorship Public limited Public sector Government Multinational Others _______________

Self employed since Years Months Date of incorporation D D M M Y Y Y Y

Nature of business Manufacturing Service provider Money lender Bullion/Gold/Jewellery Stock broker Traders Agriculture Real estate Others _________

Type of company/firm Partnership Sole proprietorship Public limited co. Private ltd co. Others ________________________

Self employed professional Doctor CA/CS Lawyer Architect IT consultant Others ________________________

Income earned in currency Company Name _________________________________________ Designation _______________________________

Gross annual income (`) < 50,000 50,000 - 5 lac >5 - 10 lac >10 - 25 lac >25 - 50 lac >50 - 100 lac >100 - 250 lac >250 - 500 lac >500 lac

Remittance in Account expected Annually(`) Nil Upto 1 lac >1 - 3 lac >3 - 5 lac >5 - 10 lac >10 - 20 lac >20 lac Page 2 of 4
G) ACCOUNTS & TERM DEPOSIT DETAILS
Type of account / deposit
Savings / Current / Fixed Deposit Account No. Redesignate Delete Name Rebook
Single Joint

H) DEBIT CARD HOTLISTING AND REISSUANCE

I hereby declare that I do not hold / hold an International Debit card having no. for this account.
FIRST APPLICANT

Hotlisting Reissuance of card

I hereby request to Hotlist this card as this is linked to sole account. I hereby request to Issue ATM Card Issue NRO Domestic Debit Card

Do not issue any card

I hereby declare that I do not hold / hold an International Debit card having no. for this account.
SECOND APPLICANT

Hotlisting / Delinking of existing card Reissuance of card

I hereby request to Hotlist this card as this is linked to sole account. I hereby request to Issue ATM Card Issue NRO Domestic Debit Card

Delink this card as it is linked to more than 1 accounts. Do not issue any card
(applicable only for Resi Indian)

I) ADDITIONAL FACILITIES ON ACCOUNT

Please tick if you wish to continue the below existing facilities in NRO account

Standing Instruction ___________________________________________________ Super Saver __________________________________________________________

The existing Sweep-in & Sweep-out facility linked to the above SB account will be discontinued after redesignation of account.

J) DOCUMENTS ENCLOSED
Please tick as applicable
Self attested copy of passport (mandatory) Self attested copy of Visa (mandatory) Overseas address proof Indian address proof if mailing address is India

Additional overseas address proof in case of Non Face to Face category

TERMS AND CONDITIONS
▪ I authorize the Bank to re-designate the Resident Term Deposit(s) to Non Resident Ordinary Term Deposits.
▪ I also authorize the Bank to rebook the deposits and issue fresh Term Deposit Advice(s) on my Term Deposit(s).
▪ I acknowledge that TDS will be deducted as per applicable rates for NRI’s from date of redesignation.
▪ I acknowledge that as a result of redesignation, the Fixed Deposit/s will be closed and rebooked, and certain amount of excess TDS could be deducted during the financial year from the FD, which will be refunded back to
the account manually. In case of reinvestment compounding benefit will not be available for such amount.
▪ I acknowledge that I will not register for DTAA benefit for the current financial year.

PEP DECLARATION
PEP declaration: Politically exposed persons are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of State or of Governments, senior politicians, senior government /
judicial / military officer, senior executives of state owned corporations, important political party officials, etc. In addition, a ‘Politically Exposed Person’ includes the immediate family member of a Politically Exposed Person such as
spouses, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conduct transactions on behalf of a
Politically Exposed Person.

Please tick mandatorily: 1st appl. Yes, I am politically exposed person as per above definition. No, I am not politically exposed person as per above definition

2nd appl. Yes, I am politically exposed person as per above definition. No, I am not politically exposed person as per above definition

DECLARATION FOR CREDIT TO NRO ACCOUNTS

I/We hereby declare that only legitimate dues in India which would include current income like rent, dividend, pension, and interest etc., sale proceeds of assets including immovable property acquired out of rupee/foreign currency
funds or by way of legacy/inheritance will be deposited in my/our NRO Account.
AMB DECLARATION
The Average Monthly Balance required to be maintained for the account is Rs. Product: NRO SAVINGS NRO CURRENT
I/We have understood that non-maintenance of the above Average Monthly Balance will attract charges. These charges have been explained to me for the respective product. I/We confirm that in event of no salary credits received
in my/our NRO salary account for continuous six months, the NRO salary account will be converted to Regular NRO Savings Account. I/We understand the detailed charging structure for non-maintenance and the same is available
on HDFC Bank's website on the link : www.hdfcbank.com/nrifees
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ACKNOWLEDGEMENT

Date D D M M Y Y Please quote following ref. no. for any future communication

This application is subject to verification. If any discrepancy is observed, application may be kept on hold until discrepancy is resolved.

Signature of Bank official ___________________

DECLARATION
▪ I/We hereby declare that I/We am/are Non-Residents Indian(s). ▪ I/We understand that the above account(s) will be designated as NRO Account(s) on the basis of the declaration made by me/us.▪ The account will be put into use
for bonafide transactions not involving any violations of the provisions of any Government/Exchange Control Regulation / FEMA regulations. ▪ I/We hereby undertake to intimate you about my/our return to India for permanent
residence immediately on arrival.▪ I/We would confirm that all debits to my/our accounts for the purpose of investment in India and credits representing sale proceeds of investments in India are covered either by general or special
permission of the Reserve Bank of India. ▪ I undertake that I will close the Resident Demat account and open NRO Demat Account. ▪ I authorize HDFC BANK to hotlist my existing International Debit card and in case I have opted for
reissuance, I understand that I will not be able to avail the benefit of the same till I receive the replacement card. ▪ I acknowledge that the cheque book currently held by me will not carry the nomenclature ‘NRO’ on the face of the
cheque leaflets. ▪ I understand that my existing Sweep in/Sweep out requests will be closed and rebooked as per my rebooked FD’s. ▪ I understand that the Inward Standing Instructions on the Account will be discontinued. ▪ I
hereby confirm that this account will be operated singly and in case of Joint Account operated by either or survivor. ▪ I hereby authorize provision of Internet Banking (NetBanking) and PhoneBanking Services to continue on this
account. ▪ I hereby declare that I am not a mandate or Power of Attorney for operation of any Resident Account, registered with the Bank. ▪ I declare that I am not a Joint Account holder in any other Resident Account.▪ I undertake
that the change to Non Resident status will be informed by me/us to NSDL for updating my KYC details for Mutual Fund transactions/holdings. ▪I declare that I will not route any business transactions in the current account held by
me upon change in residential status.

DO NOT CALL REGISTRY : I understand that in case I do not wish to receive promotional information through telephonic calls / email / sms on products and services not currently availed by me, I can register for 'Do Not Call'
service through the Bank's website www.hdfcbank.com or other channels that the Bank may offer. I agree that this service will not apply to receipt of advice and information regarding products and services currently availed by me,
to help me in fully realising the benefits of the range of financial solutions designed to make my relationship value added and more convenient.

I confirm and declare that: a) All the particulars and information given are complete and true. b) I/We have not withheld any information. c) I/We do not hold any other Resident Account(s) & Deposits other than those mentioned in
this letter, with HDFC BANK.

1st Applicant's Signature 2nd Applicant's Signature

Name __________________________________________ Date __________________ Name __________________________________________ Date __________________

BRANCH USE SECTION

1st applicant ATM / Debit card number Hotlisted on D D M M Y Y Time H H M M

2nd applicant ATM / Debit card number Hotlisted on D D M M Y Y Time H H M M

Resident joint applicant Debit card hotlisted Yes No (To be hotlisted only if card has this account mapped to it)

Debit Card Hot-Listed by Current ethnic code

Customer Signature verified by New ethnic code M /

(In case the customer is classic, preferred or Imperia, retain current Ethnic code) (M – NRO Redesignated Regular)
CPU USE SECTION
Ethnic code verified Yes No NA Old New

Category patch done Yes No NA

Term deposit's liquidated and rebooked as NRO Yes No NA

ATM / NRO Domestic Debit card issued Yes No NA

Account level TDS flag changed Yes No NA

Debit card of Resident Joint applicant delinked from the account Yes No NA

Verified 1st applicant is a not a joint holder in another resident account Yes No NA

Sweep - In Deleted No NA

Inward Standing Instructions Deleted No NA

Sweep - Out Deleted No Re-maintenance NA

Low level memo raised Redesignated NRO account / Do not issue International Debit card

Do not issue Interest / TDS certificate

For premature closure of Fixed deposit, ref CPU

Branch Stamp and Signature CPU Stamp and Signature

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