Indian Bank SELF CERTIFICATION FORM DOWNLOAD

This document is an Indian Bank FATCA/CRS Self-Certification Declaration Form used to determine an individual’s tax residency status in compliance with international tax laws. [1]

Here are the key points of the form broken down by section:

• Personal Data: Requires essential identity information including full name, date of birth, gender, and father’s name (p. 1).
• National Identifiers: Mandatory fields for your PAN, Aadhaar Number, and official identification type (e.g., Passport, Voter ID) (p. 1).
• Crucial Indicia: Captures your country of Birth, Citizenship, and Tax Residence alongside whether you are a US Person (p. 1).
• Location Reference: Uses international standard Country Codes listed in Annexure-I (e.g., IN for India, US for United States) (pp. 1, 4-5).

• India-Only Loop: If you only have ties to India and are not a US person, you can skip this section and go straight to signing (p. 2).
• Foreign Ties: If your country of birth, citizenship, or tax residency is outside India, you must provide your Tax Payer Identification Number (TIN) or its functional equivalent for that nation (p. 2).
• US Birth Rule: If you were born in the US but declare you are not a US person, you must provide document proof of Relinquishment of Citizenship or a valid reason for lacking it (p. 2).

• Legal Accountability: You sign under penalty of perjury confirming that all provided tax details are true, correct, and complete (p. 2).
• No Tax Advice: The bank explicitly states it cannot offer tax advice; you must consult a professional if you have questions (p. 2).
• 30-Day Rule: You legally agree to submit a brand new form within 30 days if any information on this form changes or becomes incorrect (p. 2).
• Account Action: Acknowledges the bank’s right to report your data to the Central Board of Direct Taxes (CBDT) or suspend/close the account if needed for compliance (p. 2).

• Special Cases Only: This section is only completed if you have international markers (like foreign birth or US ties) but do not possess a foreign TIN (p. 3).
• Residency Confirmation: Your signature here confirms you are solely a tax resident of India despite what other parameters suggest, backed by a submitted Indian ID proof (e.g., Passport, UIDAI/Aadhaar) (p. 3).

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