DCB Bank Ltd
Re-KYC Declaration
To be filled for Non-individual entity
Date:___/__/____
Dear Sir/Ma’am,
With reference to DCB Bank Entity’s CIF ID ___________________and related
Directors/Partners/Trustees/Beneficial owners/Authorised Signatories/POA CIF IDs
I/we hereby confirm that there is
1. No change in our Entity’s KYC details
2. No change in personal details of Directors/Partners/Trustees/Beneficial owners/ POA recorded
with the Bank and that the details remain same, as provided to Bank earlier.
3. No change in personal details of Authorised signatory/s recorded with the Bank and that the
details remain same, as provided to Bank earlier.
OR
There is a change in the Authorised signatory/s and relevant Board resolution and KYC
related documents of Authorised signatory/s are being provided with this note.
(for point no 3- please select as applicable)
I/we hereby undertake to inform DCB Bank in the event of any change to the details recorded with the
Bank.
Regards
________________________________________
Authorised Signatory Signature (as per Mode of operation in the account)/Company Secretary/Chairman
Company Stamp
Customer Acknowledgement Copy
Re-KYC form Submitted Date: __/__/____
Name of Customer: ___________________________________
Account Number: ____________________________________
_______________________________
Bank Official Signature & Employee ID