Fatca crs self certification declaration for

FATCA/CRS Declaration Form Appl. No - ICICI Bank

FATCA/CRS Declaration Form To: ICICI Bank Limited India Customer ID: Name: Primary Holder Joint Holder 1 Joint Holder 2 1. Country of : a) Birth b) Citizenship c) Residence for Tax Purposes Part I- Please fill in the country for each of the following (Applicable for all customers): 2.US Person (Refer definition at bottom) b.

  Bank, Declaration, Fatca, Icici, Icici bank, Crs declaration