NRI Family Banking Application Form: D D M M Y Y Y Y

NRI Family Banking Application form
Service Request no:

Date: D D M M Y Y Y Y
Fields marked in*are mandatory
To,
ICICI Bank Ltd
NRI Hub, RPC Mumbai
Autumn Estate, 5th Floor, A wing
Near Mhada, Chandivali, Andhari (E)
Mumbai - 400 072, India
Subject: Request to create/close a NRI Family ID or Add/delete existing family member
Dear Sir / Madam,
I/We wish to,
Request for (please tick any one option) Family variant (please tick any one option)
Create a new NRI Family ID NRI PRO family
NRI PREMIA family
Add new customer ID to existing NRI Family ID
Delete existing customer ID from existing NRI Family ID
Close existing NRI Family ID
Name of the Primary Applicant*:
NRI Savings Account Number*:
Customer ID*:
Existing NRI family ID number:
Contact Number:
Country Code Area Code Number
Mobile Number:
Country Code Number
Email address*:
Customer Name Relationship Account opening form

Sr. No. Family member Account Number
(as it is in account) with primary ID No (for new applicant)
1.
2.
3.
4.
5.
NRI Customer Signature (s)
Signature Signature Signature
Name of Primary Applicant Name of Joint Applicant 1 Name of Joint Applicant 2
Page 1 of 2
Notes
• Resident member getting added in NRI PRO family will get benefit of Resident titanium savings account
• Resident member getting added in NRI PREMIA family will get benefit of Resident wealth savings account
• Only NRI account holder will be added as primary customer ID in NRI family banking
Terms and Conditions:
NRI Premia: A Monthly Average Balance ("MAB") of INR 5,00,000 has to be maintained at CASA level or minimum INR 25,00,000 at customer ID level by primary
customer ID. Non – maintenance of the required MAB at CASA level will attract a charges as mentioned below:
•MAB between – INR 4,00,000 to INR 5,00,000: INR 50 per month
•MAB between – INR 50,000 to INR 1,00,000: INR 350 per month
•MAB – Less than INR 50,000: INR 450 per month
Waiver of non-maintenance of MAB charges – Subject to total monthly average balance of minimum INR 25,00,000 at Customer ID level.
NRI PRO: A Monthly Average Balance ("MAB") of INR 1,00,000 has to be maintained at CASA level or minimum INR 5,00,000 at customer ID level by primary customer
ID. Non - maintenance of the required MAB at CASA level will attract the charges as mentioned below:
•MAB between – INR 50,000 to INR 1,00,000: INR 50 per month
•MAB between – INR 25,000 to INR 50,000: INR 100 per month
•MAB – Less than INR 5,000: INR 450 per month
Waiver of non-maintenance of MAB charges – Subject to total monthly average balance of minimum INR 5,00,000 at Customer ID level.
The above Terms and Conditions are in addition to the Terms and Conditions for NRE/NRO/FCNR AND RFC Accounts (the "Terms") as updated on www.icicibank.com
from time to time and not in derogation of the same. In the event of any conflict between these Terms and Conditions and Terms, these terms and conditions shall
prevail over the Terms.
Declaration by Primary customer ID :

1. I/We undertake and agree to maintain the MAB prescribed under this product/ programme
2. I/We understand and agree that if I/ We don't maintain the required MAB, non-maintenance of MAB charges will be levied in Primary customer ID
3. I/We agree that these conditions are in addition to the Terms (as defined above) and available on www.icicibank.com
4. I/We hereby agree and confirm that my/our instructions herein shall not be construed as a contract to the contrary in respect of ICICI Bank's right of general lien
and set off, as per the Terms.
5. On closure of family ID or removal of any family member, all related benefits of resident customer ID shall continue. However, resident customer has to maintain
required MAB (Monthly average balance) in their resident account.
6. I/We hereby agree to abide by the Terms of the new product variant selected upon my/our de-linking from the Family ID.
7. I/ We understand and agree that in case any of my/our account mentioned in my/our Customer ID is dormant/inactive; it will be activated on the basis of this
request form.
8. I/We agree that in case my/our Passport details are not available with ICICI bank, photocopies of my/our passports submitted with this application will be used to
update the records.
For India Branch use only :
Customer ID:
Family Status code:
Declaration from Branch official :
The details match with the Bank records
Check status code of NRI account for NRI PREMIA FAMILY.
OR
Check status code of NRI account for NRI PRO FAMILY.
Signature of applicant matches with signature in our record
All resident account mentioned above are in active status
1. I confirm that I have verified the identity of the above-named person/s and he/they signed in my presence.
2. I confirm that the activation request for dormant/inactive account was received from a genuine source, by verifying the identity proofs.
Authorization by Branch Head / Branch Operations Manager only.
Name :
Employee ID :
SIGNATURE OF AUTHORISING OFFICIAL
Page 2 of 2

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NRI Family Banking Application form

Service Request no:

Dear Sir / Madam,

I/We wish to,

Create a new NRI Family ID NRI PRO family

NRI PREMIA family

Add new customer ID to existing NRI Family ID

Delete existing customer ID from existing NRI Family ID

Close existing NRI Family ID

Name of the Primary Applicant*:

NRI Savings Account Number*:

Existing NRI family ID number:

Customer Name Relationship Account opening form

NRI Customer Signature (s)

Signature Signature Signature

Name of Primary Applicant Name of Joint Applicant 1 Name of Joint Applicant 2

Terms and Conditions:

Declaration by Primary customer ID :

For India Branch use only :

Family Status code:

Declaration from Branch official :

The details match with the Bank records

Check status code of NRI account for NRI PREMIA FAMILY.

Check status code of NRI account for NRI PRO FAMILY.

Signature of applicant matches with signature in our record

All resident account mentioned above are in active status

Authorization by Branch Head / Branch Operations Manager only.

SIGNATURE OF AUTHORISING OFFICIAL

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