Tamilnad Mercantile Bank Ltd

TAMILNAD MERCANTILE BANK LTD.,

APPLICATION FORM FOR

(NON-RESIDENT NON-REPATRIABLE)

DEPOSIT ACCOUNT

To USE ONE FORM FOR ONE ACCOUNT

The Manager,

Tamilnad Mercantile Bank Ltd.,

______

Dear Sir,

1. (a) I/We enclose a cheque/draft No ...... drawn by me/us on

......

issued by ......

in favour of ...... on my/our account

(b)I/We have sent you a TT/MT through ......

Travelers cheques
Foreign Currency notes and coins

In your favour on my/our account for ......

(Amount in words)

which amount on realisation please place in FIXED DEPOSIT at the current rate of interest for a period of ...... months/years in my name/our joint names:

......
......
......
......

into my/our account/s for an appropriate period.

______

(Applicable only in the case of opening a Reinvestment Deposit Account)

Strike whichever is inapplicable.

To be filled by TMB Branch

The principle amount of the deposit in my/our name/s and interest there on are to be held at the disposal of :

Myself

Both of us jointly or Survivor

Any of the multiple holders or any of the survivors or the last Survivor of us, until you receive instructions to contrary from both/all of us.

(Tick option chosen)

The account is to be held single by me/jointly by the following persons :

NameOccupationAddress

______
______
______
______

Nationality Country ofPassport No.

Domicile & Date of issue

______
______
______
______

(Single Account holders must also fill in the details)

Note in case any of the above is a minor, indicate below :

a)The date of birth of the minor and

b)Name, Occupation and address of the guardian

IV.Specimen SignaturesSignature

Mr/Ms. ______will sign thus______

Specimen signatures given above, should also be furnished separately duly authenticated introduced by a bank/Indian Embassy/Notary Public/Person to our Bank, where the deposit is to be opened.

V The account I propose to open is introduced by ...... whose

letter is enclosed.

I already hold Account No...... in Tamilnad Mercantile Bank Limited.

Tick the item applicable, and fill in details.

Note:The account may be introduced by and account holder of our Bank or by an authorised officer of your bank or an official of Indian Embassy. No introduction is necessary if you already have an account with any branch of Tamilnad Mercantile Bank Limited.

VIAll correspondence to be addressed to ......

(Name of any one account holder)

VIIStanding Instructions (if any):

VIII(a) I/We hereby declare that I am/We are non-resident Indians/Persons of Indian

origin/Foreign citizens of Non-Indian origin other than Pakistani or Bangladeshi

Nationals.

(b)I/We understand that the above account will be opened on the basis of the

statements/declarations made by me/us and I/We also agree that if any of

statements/declarations made herein is found to be not correct in material particulars,

you are not bound to pay any interest on deposit made by me/us.

(c)I/We hereby understand and agree that where the remittance is made by me/us in a

Foreign currency for the purpose of making deposit under this scheme the Currency

will be converted to Indian Rupees at my/our exchange risk.

(d)I/We hereby understand and agree that the funds held under this deposit scheme

including interest earned shall not be repatriable outside India at any time.

(e)I/We agree that no claim will be made by me/us for any interest on the deposits for

any period after the dates of maturity of the deposit/s.

(f)I/We agree to abide by the provisions of the Non-Resident (Non-Repatriable) Deposit

Scheme.

(g)I/We undertake to intimate to you about my/our return to India on my/our coming to

India for permanent residence.

Yours faithfully

Date______1______2______3______

Note : Only one account may be opened on one application. If you wish to open more than

one account please write to us. We will send you as many forms as you need.