Open New Account - Nexa Blue Bank

Bank Account Registration Form

Please fill out the form below to initiate your digital bank account onboarding. All fields marked with * are required.

Full Name

Email Address (Live validation: must be a valid @gmail.com address)

Phone Number (Live validation: 10 digits starting with 6-9)

Date of Birth

Address

Branch Location

Aadhar Number (Live validation: 12-digit number)

PAN Number (Optional for Regular Account, Mandatory for others)

Regular Account Eligibility & Rules:

Eligible to Normal Individuals, Students, Agriculture-related customers, and General public.
Age limit must be between 5 and 45 years.
Opening balance must be in range of 0 to 50 lakhs.

Select Account Type

Eligibility Category

Opening Balance Deposit (INR)

(Required because applicant is under 18 years of age or a student)

Parent/Guardian Name

Relationship with Applicant

Parent/Guardian Email ID (Live validation: valid email format)

Parent/Guardian Phone Number (Live validation: 10-digit number)

Alternate Contact Number

Parent/Guardian Occupation

Parent/Guardian Address

Parent/Guardian ID Proof Number

Please upload valid digital documents in PDF, JPEG or PNG formats (Max size: 5MB per document):

ID Proof (Aadhar/PAN Card)

Drag or Click to upload ID Proof

Date of Birth Proof (DOB)

Drag or Click to upload DOB Proof

Signature (Scan Copy)

Drag or Click to upload Signature Scan

Photograph (Recent Passport Size)

Drag or Click to upload Photograph

I hereby declare that all the information provided is true and correct to the best of my knowledge.

Applicant Signature (Type Full Name)

Date

Cancel