I hereby understand, agree and confirm with the following Terms and Conditions:

1. The above details are entered / selected by me and will be updated in my Account;

2. I hereby authorise ICICI Bank to contact me on my registered mobile number for verification, call back or checks to confirm the veracity of any

transaction, as deemed fit by the ICICI Bank;

3. I agree that basis this request, my name mentioned in the Aadhaar will be updated in the Bank records.

4. I have understood the information requirements of the application form and hereby confirm that the information provided by me is true, correct

and complete.

5. I hereby authorise ICICI Bank to send SMS alerts and e-mails to my registered mobile number and e-mail ID provided by me.

6. I have authorised NSDL e-Governance Infrastructure Ltd (NSDL e-gov) to use my Aadhaar/Virtual ID details (as applicable) for execution of this

application form, through Aadhaar based electronic signature.

7. In compliance with the Rule 9B of the Prevention of Money Laundering (Maintenance of Records) Rules, 2005 as amended vide notification dated

March 7, 2023, I/We agree to intimate ICICI Bank in case of any update in KYC documents / information as submitted at the time of establishment

of business relationship / account-based relationship within a period of 30 (thirty) days (from the date of update) to enable updation of bank

records. Any such update shall be intimated to ICICI Bank by visiting a branch or through internet or mobile banking.

8. All cheques collected and paid in future by the Bank in this account will be drawn in the changed name as given in the request form.

9. My name has been changed/modified with respective tax authority/ies as well and that there is no change in my Tax Identification Number issued

by the competent authority in the jurisdiction I am currently residing in, on account of the name change.

10. I am aware that if name on Aadhaar and name on PAN do not match, my request for name change will be rejected.

11. I hereby declare that I authorise ICICI Bank to download/fetch my CKYCRR record for the purpose of processing of re-KYC/demog update

application and/or updating the CKYCRR record reference number in Bank’s records or any other related purposes.

Aadhaar Consent:

I have been provided various options by ICICI Bank for establishing my identity for the purpose of name change in my account with ICICI Bank and

have voluntarily submitted my Aadhaar to ICICI Bank for biometric based e-KYC authentication and hereby give my consent to ICICI Bank:

i) To establish my identity/address proof by Aadhaar based authentication system or verify the genuineness of the Aadhaar through Quick

Response (QR) code or through such other manner as set out by UIDAI or any other law from time to time;

ii) To share my Aadhaar details with UIDAI, NPCI, concerned regulatory or statutory authorities as may be required under applicable laws.

I have been explained and informed in the language understood by me about the consent and the purpose of collecting Aadhaar. I have been

informed that:

a) Upon authentication, UIDAI may share with ICICI Bank, information in nature of my demographic information including photograph which ICICI

Bank may use as an identity/address proof for the above mentioned purpose.

b) My Aadhaar details (including my demographic information) shared by UIDAI will not be used for any purpose other than the purpose mentioned

above or as per requirement of law.

c) My biometric information will not be stored by the Bank.

I have read and understood the declarations, consents and terms governing this application form/request and hereby accept the same.