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KNOW YOUR CLIENT (KYC) APPLICATION FORM
A). IDENTITY DETAILS
Name of the Applicant:
Date of incorporation:
Place of incorporation
Date of commencement of business:
a).PAN :
b). Registration No. (e.g. CIN) :
Status (please tick any one):
Private Limited Co
Public Ltd. Co
Body Corporate
Partnership
Trust
Charities
NGO’s
FI
FII
HUF
AOP
Bank
Government Body
Non-Government Organization
Defense Establishment
BOI
Society
LLP
Others
(Please Specify)
B).ADDRESS DETAILS:
Address for correspondence:
City/town/village
Pin Code
State:
Country:
Contact Details:
Tel. (Off.):
Tel. (Res.):
Mobile No.
Fax.
Email id:
Specify the proof of address submitted for correspondence address:
Registered Address (if different from above) :
City/town/village
Pin Code
State:
Country:
C). OTHER DETAILS
Name, PAN, residential address and photographs of Promoters/Partners/Karta/Trustees and whole time directors :
2. a)DIN of whole time directors:
b) Aadhaar number of Promoters/Partners/Karta:
Upload Your Clear Signature:
Upload Your Photo:
Declaration Date: