Classification - Internal

Extended Declaration For Non-Individual Entities

Date: DD / MM / YYYY Place: AOF Number

{All Questions from 1 to 5 are mandatory}
1. Name of the entity: _
2. a) Customer ID (Applicable for existing customer): ______________
3. a) Country of incorporation: b) Place/City of incorporation:
c) Date of Commencement of Business DD / MM / YYYY

4. a) Is the entity a tax resident of any country/ies outside India Yes No

(If Yes, please fill Annexure 1)

b) Is the entity incorporated or organized in the United States (including a Trust, if the trustee is a U.S. citizen or resident)
Yes No (If Yes, please fill Annexure 1)
5. Questions relevant for entity FATCA and CRS classification
(Please consult your professional tax advisor for further guidance on tax residency and FATCA& CRS classification)
a. Is the entity a Governmental entity, an International Organization, a Central Bank, or an entity wholly owned by
one or more of the above mentioned entity types Yes No
(If yes, please sign the declaration on Page 2; If No, go to next question)

b. Is the entity a Financial Institution1 (FI) OR a Direct Reporting NFE Yes No

(If Yes, please fill Annexure 1; If No, please go to next question)

c. Is the entity a publicly traded corporation/ a related entity of a publicly traded corporation

i. Publicly traded corporation Yes No

(If Yes, please specify any one stock exchange upon which the stock is regularly traded)
Name of the stock exchange __

ii. Related entity of a publicly traded corporation Yes No

If Yes, please provide below details:

Name of the listed company, the stock of which is regularly traded _ _

Name of the stock exchange __
Nature of relation:
Subsidiary of the listed company Controlled by a listed company or under common control

(If answer to Q.5(c)(i) or Q.5(c)(ii) above is Yes, please sign the declaration on Page 2; If No, go to next
question)

d. Does the entity have any ultimate beneficial owners (incl. controlling persons) who are tax residents (incl. U.S.
citizens/green card holders) of countries other than India Yes No
(If yes, please fill Annexure 1)

Note: If the entity is not listed in any of the stock exchange, then please fill Annexure 2 (beneficial ownership
declaration) mandatorily.
1
Including a Foreign Financial Institution

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 Classification - Internal

FATCA-CRS terms & conditions

The Central Board of Direct Taxes has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules
require Indian financial institutions such as the Bank to seek additional personal, tax and beneficial owner information and
certain certifications and documentation from all our account holders. In relevant cases, information will have to be reported
to tax authorities/ appointed agencies. Towards compliance, we may also be required to provide information to any
institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any
proceeds in relation thereto.

Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30
days. Please note that you may receive more than one request for information if you have multiple relationships with HDFC
Bank or its group entities. Therefore, it is important that you respond to our request, even if you believe you have already
supplied any previously requested information.

If you have any questions about your tax residency, please contact your tax advisor. If you are a US citizen or resident or
green card holder, please include United States in the foreign country information field along with your US Tax
Identification Number.

Certification
Under penalty of perjury, I/we certify that:

• I/We understand that HDFC Bank is relying on this information for the purpose of determining the status of the account
holder named above in compliance with FATCA/CRS. HDFC Bank is not able to offer any tax advice on FATCA or
CRS or its impact on the account holder. I/we shall seek advice from professional tax advisor for any tax questions.

• I/We agree to submit a new form within 30 days if any information or certification on this form becomes incorrect.

• I/We agree that as may be required by domestic regulators/tax authorities, HDFC Bank may also be required to report,
reportable details to CBDT or other authorities/agencies or close or suspend my account, as appropriate.

• I/We have understood the information requirements of this Form (read along with the FATCA/CRS Instructions and
definitions in Part C to this Form) and hereby confirm that the information provided by me/us on this Form including
the taxpayer identification number is true, correct, and complete. I/We also confirm that I/We have read and understood
the FATCA Terms and Conditions below and hereby accept the same.

Name: _

Designation: _

Signature:

Date: / _/ Place: _ _

For Bank use only: Sourcing Branch Name: Branch Code: Signature verified and form

approved by BDA / BM employee Code : _ _ Employee Name: _

Signature & Date: _ _

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 Classification - Internal

Annexure – 1
(This Annexure is in continutation to the “Extended Declaration for Entities” and is required to be filled based on
responses in the main form)

PART A: Details required from all customers filling Annexure 1

Name of Entity AOF Number

6. a) Identification Number (please provide any one) ({Mandatory}

Select ID Type
CIN Global Entity Identification Number TIN Other _
Provide the ID Number for above_ _
b) Identification Number issuing country _ _
ADDRESS AND CONTACT DETAILS (Mandatory)
7. Address for tax purpose: Same as registered Add Same as mailing Add

PART B: To be filled as applicable

9. Details of foreign tax residency and associated TIN (please fill if answer to Q.4(a) or Q.4(b) is YES):
Country/(ies) of tax residency Tax Identification Number% Identification Type (TIN or Other %,
please specify)

%
In case Tax Identification Number is not available, kindly provide functional equivalent 2

10. Is the entity a specified U.S. Person (please fill if answer to Q.4(b) is YES) Yes No
(If No, please mention entity’s exemption code : _ _)3

11. Entity FATCA classification and other details (Mandatory)

11(A) - (to be filled by Financial Institutions or Direct Reporting NFEs)* - please fill if answer to Q.5(b) is YES
We are a:
Financial institution4 GIIN: GIIN not available (please tick as applicable):
OR
Direct reporting NFE5 Note: If you do not have a GIIN Following options available only for Financial
(please tick as appropriate) but you are sponsored by Institutions:
another entity, please provide
*If the entity is a Financial your sponsor’s GIIN above and Applied for
Institution and located indicate your sponsor’s name
outside India, please fill below: Not required to apply for (Please
11(B) specify sub-category6 __ )
Name of sponsoring entity:
_ Not obtained

2
It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is
yet available or has not yet been issued, please provide an explanation and attach this to the form.
3
Refer Part C, 3 (viii)
4
Refer 1(i), 1(ii) & 1(iv) of Part C
5
Refer 3(vii) of Part C
6
Refer 1A. of Part C

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11(B) - (to be filled by Financial Institution that is a tax resident outside India) (Mandatory)
1. Whether the Financial Institution is located in a CRS jurisdiction? Yes No
(Please refer to the list of signatories to CRS given in the following link
http://www.oecd.org/tax/automatic-exchange/international-framework-for-the-crs/ )
(If Yes, Q 2 and Q3 are not required. If No, please go to Qs. 2)

2. Whether FI is an ‘Investment Entity’? Yes No

(Please refer definition 1(iii) of Part C of the FATCA-CRS declaration)
(If yes, please go to Qs. 3)
3. The entity is managed by another entity that is a depository institution, a custodial institution, a specified insurance
company, or an investment entity and the gross income of the entity is primarily attributable 7 to investing,
reinvesting, or trading in financial assets. Yes No
(If Yes, please additionally fill Annexure 2)
11(C) - (please fill ANY ONE as appropriate; to be filled by NFEs other than Direct Reporting NFEs)
- please fill if answer to Q.5(d) is YES
C1 Is the Entity an active NFE8 Yes No

Please specify the sub-category of Active NFE:_

(Mention code – refer 2c of Part C)

C2 Is the Entity a passive NFE9 Yes No

(if Yes, please fill Annexure 2)

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Entity’s gross income attributable to the relevant activities equals or exceeds 50 percent of the entity’s gross income during the shorter
of:
(i) the three-year period ending on 31 March of the year preceding the year in which the determination is made; or
(ii) the period during which the entity has been in existence.
8
Refer 2c of Part C
9
Refer 3(ii) of Part C
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 Classification - Internal

Annexure – 2
Beneficial Owner Declaration (For Company/Partnership/LLP/AOP/BOI/Trust)

AOF Number _ _

1 Name of the controlling person (mandatory)

Pub/Pvt Co. LLP Partnership Trust Association

2 Entity Type (mandatory) Society Club HUF Bank Insurance SHG

Foreign Bodies NGO Mutual Fund Government

3 Controlling person type code (mandatory)

4 Date of birth (mandatory)

5 PAN (mandatory)

6 Customer ID (if available)

Percentage of ownership/capital/profits
7
(mandatory)
8 Place / City of Birth (mandatory)

9 Country of Birth (mandatory)

Male Female Male Female
10 Gender (mandatory)
Third Gender Third Gender
Married Unmarried Married Unmarried
11 Marital Status (mandatory)
Others Others
12 Father’s name (mandatory)
Nationality (Please specify country)
13
(mandatory)
14 Adhaar No (Optional)

15 Mother’s Name (optional)

16 Maiden Name (if any)

17 Country of tax residence* (Mandatory)

Tax identification number (or functional
18
equivalent of country other than India) %
Tax identification number type (for country
19
other than India)

20 Address (Mandatory)

Address - City (Mandatory)

Address - State (Mandatory)

Address - Country (Mandatory)

Address - Pin Code (Mandatory)

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 Classification - Internal

Residential / Business Residential / Business

Address Type for above (Mandatory)

21 Residential Business Residential Business

Registered Office Registered Office

22 Mobile Number (Mandatory)
23 Telephone Number (with ISD &STD code)
S - Service Provider S - Service Provider
24 Occupation Type (Mandatory) O - Others B-Business O - Others B-Business
X - Not Categorized X - Not Categorized

☐ Passport No. ☐ Passport No.

☐ Voter ID No. ☐ Voter ID No.
☐ Driving License No. ☐ Driving License No.
☐ Aadhaar No. ☐ Aadhaar No.
☐ NREGA Job Card No. ☐ NREGA Job Card No.
Proof of Identity@ (Mandatory) ☐ Letter from National Population ☐ Letter from National Population
25 register register
(Tick relevant and mention the details) ☐ Any other Government issued ☐ Any other Government issued
Doc__________________ Doc________________
Mention ID no _______________ Mention ID no _______________

Expiry Date: DD / MM / YYYY Expiry Date: DD / MM / YYYY

☐ Passport No. ☐ Passport No.

☐ Voter ID No. ☐ Voter ID No.
Proof of Address (Mandatory) ☐ Driving License No. ☐ Driving License No.
26 (attach self attested proof) (any ☐ Aadhaar No. ☐ Aadhaar No.
one) (Please select any one Address ☐ NREGA Job Card No. ☐ NREGA Job Card No.
proof ) ☐ Letter from National Population ☐ Letter from National Population
register register
☐ Any other Government issued ☐ Any other Government issued
Doc________________ Doc_________________
Mention ID no _______________ Mention ID no _______________

Expiry Date: DD / MM / YYYY Expiry Date: DD / MM / YYYY

27 Spouse’s name (Optional)

Please paste photograph of Please paste photograph of

Authorized Signatory here Authorized Signatory here
28 Recent colour photograph

Name of Director/Partner/Member/Trustee

_
(Signature & seal of any of the Directors/Partners/Members/Trustees)
*To include US, where controlling person is a US citizen or green card holder. Please provide ALL the countries of tax residency and corresponding TINs.
%In case Tax Identification Number is not available, kindly provide functional equivalent @ Permissible values are: • Passport – (With expiry date) •
UIDAI Letter • Election ID card • ID Card • Driving License– (With Expiry Date) • NREGA Job card • PAN Card • Others

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 Classification - Internal

Part C: FATCA-CRS Instructions & Definitions

1. Financial Institution (FI) - The term FI means any financial institution that is a Depository Institution, Custodial
Institution, Investment Entity or Specified Insurance company, as defined.
(i) Depository institution: is an entity that accepts deposits in the ordinary course of banking or similar business.

(ii) Custodial institution is an entity that holds as a substantial portion of its business, holds financial assets for the
account of others and where it’s income attributale to holding financial assets and related financial services
equals or exceeds 20 percent of the entity's gross income during the shorter of-

a) The three financial years preceding the year in which determination is made; or
b) The period during which the entity has been in existence, whichever is less.

(iii) Investment entity is any entity:

a) That primarily conducts a business or operates for or on behalf of a customer for any of the following activities
or operations for or on behalf of a customer
(i) Trading in money market instruments (cheques, bills, certificates of deposit, derivatives, etc.); foreign
exchange; exchange, interest rate and index instruments; transferable securities; or commodity futures
trading; or
(ii) Individual and collective portfolio management; or
(iii) Investing, administering or managing funds, money or financial asset or money on behalf of other persons ;
or

b) The gross income of which is primarily attributable to investing, reinvesting, or trading in financial assets, if
the entity is managed by another entity that is a depository institution, a custodial institution, a specified
insurance company, or an investment entity described above.

An entity is treated as primarily conducting as a business one or more of the 3 activities described above, or an
entity’s gross income is primarily attributable to investing, reinvesting, or trading in financial assets of the
entity’s gross income attributable to the relevant activities equals or exceeds 50 percent of the entity’s gr oss
income during the shorter of:
(i) the three-year period ending on 31 March of the year preceding the year in which the determination is
made; or
(ii) the period during which the entity has been in existence.

The term “Investment Entity” does not include an entity that is an active non-financial entity as per codes 03, 04, 05
and 06 - refer point 2c. )

In case the entity confirms it is an FI and a tax resident outside India, an additional CRS declaration will need to be
filled. Refer Annexure A

(iv) Specified Insurance Company: Entity that is an insurance company (or the holding company of an insurance
company) that issues, or is obligated to make payments with respect to, a Cash Value Insurance Contract or an
Annuity Contract.

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 Classification - Internal

1A FIs not required to apply for GIIN:

Code Sub-category
01 Governmental Entity, International Organization or Central Bank
02 Treaty Qualified Retirement Fund; a Broad Participation Retirement Fund; a Narrow Participation
Retirement Fund; or a Pension Fund of a Governmental Entity, International Organization or Central
Bank
03 Non-public fund of the armed forces, an employees’ state insurance fund, a gratuity fund or a provident
fund
04 Entity is an Indian FI solely because it is an investment entity
05 Qualified credit card issuer
06 Investment Advisors, Investment Managers & Executing Brokers
07 Exempt collective investment vehicle
08 Indian trust where the trustee is a reporting FI
09 FI with a local client base
10 Non-registering local banks
11 FFI with only Low-Value Accounts
12 Sponsored investment entity and controlled foreign corporation
13 Sponsored, Closely Held Investment Vehicle
14 Owner Documented FFI(if you select this category, please provide Owner Reporting Statement or an
Auditor’s Letter with required details as mentioned in Form W8 BEN E)

2. Non-financial entity (NFE) – Any entity that is not a financial institution

Types of NFEs that are regarded as excluded NFE are:

a.. Publicly traded company (listed company)

A company is publicly traded if its stock are regularly traded on one or more established securities markets
(Established securities market means an exchange that is officially recognized and supervised by a governmental
authority in which the securities market is located and that has a meaningful annual value of shares traded on the
exchange)

b. Related entity of a publicly traded company

The NFE is a related entity of an entity of which is regularly traded on an established securities market;

c. Active NFE : (is any one of the following):

Code Sub-category
01 Less than 50 percent of the NFE’s gross income for the preceding financial year is passive income and
less than 50 percent of the assets held by the NFE during the preceding financial year are assets that
produce or are held for the production of passive income;
02 The NFE is a Governmental Entity, an International Organization, a Central Bank, or an entity wholly
owned by one or more of the foregoing;
03 Substantially all of the activities of the NFE consist of holding (in whole or in part) the outstanding stock
of, or providing financing and services to, one or more subsidiaries that engage in trades or businesses
other than the business of a Financial Institution, except that an entity shall not qualify for this status if
the entity functions as an investment fund, such as a private equity fund, venture capital fund, leveraged
buyout fund, or any investment vehicle whose purpose is to acquire or fund companies and then hold
interests in those companies as capital assets for investment purposes;
04 The NFE is not yet operating a business and has no prior operating history, but is investing capital into
assets with the intent to operate a business other than that of a Financial Institution, provided that the
NFE shall not qualify for this exception after the date that is 24 months after the date of the initial
organization of the NFE;
05 The NFE was not a Financial Institution in the past five years, and is in the process of liquidating its
assets or is reorganizing with the intent to continue or recommence operations in a business other than
that of a Financial Institution;
06 The NFE primarily engages in financing and hedging transactions with, or for, Related Entities that are
not Financial Institutions, and does not provide financing or hedging services to any Entity that is not a

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 Classification - Internal

Related Entity, provided that the group of any such Related Entities is primarily engaged in a business
other than that of a Financial Institution;
07 Any NFE that fulfills all of the following requirements:
• It is established and operated in India exclusively for religious, charitable, scientific, artistic, cultural,
athletic, or educational purposes; or it is established and operated in India and it is a professional
organization, business league, chamber of commerce, labor organization, agricultural or horticultural
organization, civic league or an organization operated exclusively for the promotion of social
welfare;
• It is exempt from income tax in India;
• It has no shareholders or members who have a proprietary or beneficial interest in its income or
assets;
• The applicable laws of the NFE’s country or territory of residence or the NFE’s formation documents
do not permit any income or assets of the NFE to be distributed to, or applied for the benefit of, a
private person or non-charitable Entity other than pursuant to the conduct of the NFE’s charitable
activities, or as payment of reasonable compensation for services rendered, or as payment
representing the fair market value of property which the NFE has purchased; and

The applicable laws of the NFE’s country or territory of residence or the NFE’s formation documents
require that, upon the NFE’s liquidation or dissolution, all of its assets be distributed to a governmental
entity or other non-profit organization, or escheat to the government of the NFE’s country or territory of
residence or any political subdivision thereof.

Explanation.- For the purpose of this sub-clause, the following shall be treated as fulfilling the criteria
provided in the said sub-clause, namely:-
(I) an Investor Protection Fund referred to in clause (23EA);
(II) a Credit Guarantee Fund Trust for Small Industries referred to in clause 23EB; and
(III) an Investor Protection Fund referred to in clause (23EC),
of section 10 of the Act;

3. Other definitions

(i) Related entity

An entity is a ‘related entity’ of another entity if either entity controls the other entity, or the two entities are under
common control For this purpose, control includes direct or indirect ownership of more than 50% of the votes
and value in an entity.

(ii) Passive NFE

The term passive NFE means

(a) any non-financial entity which is not an active non-financial entity including a publicly traded corporation or
related entity of a publicly traded company; or
(b) an investment entity defined in clause 1(iii)(b) of these instructions which is not located in any of the
jurisdictions specified by the Central Board of Direct Taxes in this behalf.
(c) not a withholding foreign partnership or withholding foreign trust;
(Note: Foreign persons having controlling interest in a passive NFE are liable to be reported for tax information
compliance purposes)
(iii) Passive income

The term passive income includes income by way of :

(1) Dividends,
(2) Interest
(3) Income equivalent to interest,
(4) Rents and royalties, other than rents and royalties derived in the active conduct of a business conducted, at
least in part, by employees of the NFE
(5) Annuities
(6) The excess of gains over losses from the sale or exchange of financial assets that gives rise to passive income
(7) The excess of gains over losses from transactions (including futures, forwards, options and similar
transactions) in any financial assets,

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Classification - Internal