KYC Form

Full Name :

Father/Spouse Name :

Gender :

Select Gender Male Female

Marital Status :

Select Marital Status : Single Married

Birthday:

Nationality :

Status :

Select Status : Resident Individual Non Resident Foreign National

PAN No:

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

Specify the proof of Identity submitted :

Tel.(Off.) :

Tel.(Res.) :

Mobile No :.

Fax No. :

Email address :

Specify the proof of address submitted for correspondence address :

Gross Annual Income Details:

Gross Annual Income Details Below 1 Lac 1-5 Lac 5-10 Lac 10-25 Lac 25 Lacs-1 Crore More Than 1 Crore

Net-worth Amount :

Net-worth Date :

Occupation:

Occupation Private Sector Public Sector Government Service Business Professional Agriculturist Retired Housewife Others

Please Selects, if applicable, for any of your authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :

Select Category Politically Exposed Person (PEP) Related to a Policically Exposed Person (PEP)

Any Other Information:

Upload Signature (in .jpeg , .png)

Upload Photo (in .jpeg , .png)

Upload Document (in .docx )

Confirmation Code * :

I agree to all terms & conditions

Full Name :

Date of incorporation of business :

Place of incorporation :

Date of commencement of business :

PAN No. :

Registration No.(e.g. CIN) :

Status :

Select Status : Private Limited Co Public Ltd. Co. Body Corporate Partnership Trust Charities NGOs FI FII HUF AOP Bank Government Body Non-Government Organisation Defence Establishment BOI Society LLP Others

Tel.(Off.) :

Tel.(Res.) :

Mobile No :.

Fax No. :

Email address :

Specify the proof of address submitted for correspondence address :

Gross Annual Income Details :

Gross Annual Income Details Below 1 Lac 1-5 Lac 5-10 Lac 10-25 Lac 25 Lacs-1 Crore More Than 1 Crore

Net-worth Amount :

Net-worth Date :

Occupation:

Occupation Private Sector Public Sector Government Service Business Professional Agriculturist Retired Housewife Others

Please Selects, if applicable, for any of your authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :

Select Category Politically Exposed Person (PEP) Related to a Policically Exposed Person (PEP)

Any Other Information:

Upload Signature

Upload Photo

Upload Document

Confirmation Code * :

I agree to all terms & conditions

Full Names :

Mobile Number :

Email address :

Form Type :

Form Type Non-Individual Individual Company

Upload Kyc Form

Confirmation Code *