The provided document outlines the FATCA/CRS Declaration Form (For Individuals) issued by Karur Vysya Bank (KVB). This form is mandatory for individual account holders to self-certify their tax residency status globally. It helps the bank identify individuals who are tax residents outside of India.

Here are the key points and structural sections of the form:

The header collects your basic personal details:

• Account Credentials: Customer ID, full Customer Name, mobile number, and email ID.
• Statutory Identification: Core government identifiers including PAN, Aadhaar Number, and Date of Birth.
• Background Identifiers: City of Birth, Occupation, Father’s name, and Spouse’s name.

This screening section targets potential overseas tax links:

• Residence Tracking: Demands explicit declaration of Country of Residence, Country of Birth, and your country of Residence for Tax Purposes.
• U.S. Indicator: Direct “YES/NO” declaration asking if you are a U.S. Person.

If you declare any country other than India in Part A, or if you answer “YES” to being a U.S. person, you must complete this section:

• Part B (i) Foreign TIN: Captures your Country of Tax Residency, your Taxpayer Identification Number (TIN) or functional equivalent, and its issuing country. This applies to any country where you are a citizen, resident, Green Card holder, or tax resident.
• Part B (ii) Non-U.S. Indian Resident Exception: If you have external indicators but confirm you are strictly an Indian resident for tax purposes, you must declare it here and provide an Indian proof document (Passport, Voter ID, Aadhaar, PAN, Driving License, Govt ID, or NREGA card).

The bank explicitly flags you as a United States person if you meet any of these criteria:

• You hold U.S. citizenship, residency, or an unambiguous U.S. place of birth.
• You maintain a current U.S. mailing address, residential address, P.O. Box, or U.S. phone number.
• You have standing instructions to transfer funds to a bank account in the USA.
• You have granted a Power of Attorney or signing authority to a person with a U.S. address.

By signing the customer declaration, you legally agree to the following terms:

• Reporting Permission: Acknowledgment that KVB will share your account variables with the Central Board of Direct Taxes (CBDT) or external government agencies to comply with Inter-Governmental Agreements (IGA).
• The 30-Day Disclose Rule: You are legally bound to declare any changes to your tax status or documents to the bank within 30 days of the change.
• Financial Liability: You assume full responsibility for false or missing data and agree to compensate KVB for any financial losses or penalties caused by your incorrect information.

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