KYC

Your Full Name*

Father/Spouse Name*

Gender
MaleFemale

Marital Status:
SingleMarried

Birthday:

Nationality

Status
Resident IndividualNon ResidentForeign National

PAN No

Unique Identification Number (UID)/ Aadhaar, if any :

Specify the proof of Identity submitted :

Address for correspondence* :

City/town/village

Pin Code

State

Country

Tel.(Off.)

Tel.(Res.)

Mobile No.

Fax No.

Email address*

Specify the proof of address submitted for correspondence address:

Gross Annual Income Details :
Below Rs 1 Lac1-5 Lac5-10 Lac10-25 Lac25 Lacs-1 croreMore then 1 crore

Net-worth Amount

Net-worth Date

Occupation

Please Selects, if applicable, for any of your
authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :
Politically Exposed Person (PEP)Related to a Politically Exposed Person (PEP)

Any Other Information

Upload Signature

Upload Photo

Upload Document* (xlsx,xls,pdf):

I agree to all terms & conditions.

Your Full Name*

Date of incorporation of business*

Place of incorporation*

Date of commencement of business*

PAN No.*

Registration No.(e.g. CIN)

Status*:
—Select—Private Limited CoPublic Ltd. Co.Body CorporatePartnershipTrustCharitiesNGOsFIFIIHUFAOPBankGovernment BodyNon-Government OrganizationDefense EstablishmentBOISocietyLLPOthers

Address for correspondence* :

City/town/village

Pin Code

State

Country

Tel.(Off.)

Tel.(Res.)

Mobile No

Fax No.

Email address*

Specify the proof of address submitted for correspondence address:

Gross Annual Income Details :
Below Rs 1 Lac1-5 Lac5-10 Lac10-25 Lac25 Lacs-1 croreMore then 1 crore

Net-worth Amount

Net-worth Date

Occupation

Please Selects, if applicable, for any of your
authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :
Politically Exposed Person (PEP)Related to a Politically Exposed Person (PEP)

Any Other Information

Upload Signature

Upload Photo

Upload Document* (xlsx,xls,pdf):

I agree to all terms & conditions.

Your Full Name*

Mobile Number*

Email address*

Form Type*

Upload Kyc Form*