AXIS Bank | Term Deposit Lead Page

Primary Applicant Details

Type of Customer

Type of Account

EMD FD Purpose

Salutation

Customer Name

Date Of Birth

Enter the customer name as per bank record

Beneficiary Name

FD Name option

FD Name

Contact Number

Email Id

Existing Bank Customer Id

PAN Number

If PAN details are not entered then Please fill up form 60 or 61 seperately.

Joint Applicant Details

Name (Joint Applicant Name )

Existing Bank Customer Id

FD Details

Tenure

Month

Invalid

Day

Interest Payout

Select Deposit Type

Amount

Scheme Code

Auto Renewal

Yes

No

Renewal Period: Number of Times

Auto Closure

Yes

No

RATE OF INTEREST For ROI and Value Date fields, confirm with the Branch team before entering details.

DEPOSIT VALUE DATE For ROI and Value Date fields, confirm with the Branch team before entering details.

Standing Instruction for RD

Kindly debit my A/C Number

Debit date of every Month

Initial Payment Details

Mode Of Payment

Debit to A/C Number

Cheque

Cheque Number

Cheque Date

Bank Drawn On

Branch Name

Interest Payment/Maturity Proceeds

Credit My Axis Bank A/C Number

Nomination Details

I wish to Nominate

Yes

No

I/we wish to appoint a new nominee

Primary Applicant Address Line 1

Primary Applicant Address Line 2

Primary Applicant Address Line 3

City

State

Country

Pincode

Nominee Name

Print Nominee Name

Nominee Address

Same as Primary Applicant

Yes

No

Address Line 1

Address Line 2

City

State

Country

Pincode

Relationship with Depositor

Age (in Year)

Date of Birth (if Minor)

Guardian Name

Relationship with Minor

Guardian Address

Same as Primary Applicant

Yes

No

Address Line 1

Address Line 2

City

State

County

Pincode

Other Details

Mode of Operation

I would need Fixed Deposit in the form of

Number of Joint Holder

Office Use Section

Initial Deposit Transaction Id*

Initial Deposit Transaction Date*

Branch Name*

Branch Code*

Emp No.*

SE Code*

Ledger No*

S.S. No.*

A/c label

Name of Official*

Designation*

Open your Fixed Deposit

Primary Applicant Details

FD Details

Standing Instruction for RD

Initial Payment Details

Debit to A/C Number

Cheque

Interest Payment/Maturity Proceeds

Nomination Details

Nominee Address

Guardian Address

Other Details

Office Use Section