Gramin Digital Seva

Union Bank of India

Customer Account Opening Form

1. Personal Details

Full Name

Date of Birth

Gender Select Male Female Other

Marital Status Select Single Married Other

2. Contact Information

Mobile Number

Email

Address

City

State

PIN Code

Country

3. KYC & Account Details

Aadhaar Number

PAN Number

Account Type Select Savings Current Salary Minor Joint

Preferred Branch Select Branch Union Bank Main Branch Union Bank Rural Branch Union Bank Urban Branch Union Bank Corporate Branch

Purpose of Account Opening

4. Nominee & Declaration

Nominee Full Name

Relationship with Nominee

Nominee Address

I hereby declare that the information provided in this form is true and correct to the best of my knowledge and belief. I agree to abide by the rules and regulations of Union Bank of India.

Place

Date