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Identity Details
image1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(DD/MM/YYYY)

Proof of Identity (Pol)

Address 1*
 

Address 2
 

Address 3
 

Pin Code*
 

City/Town/Village*
 

District*
 

State/UT*
 

State/UT Code
 
as per indian Motor Vehicle Act, 1988

Country*
 

Country Code
 
as per ISO 3166

(DD/MM/YYYY)
Address 1*
 

Address 2
 

Address 3
 

City/Town/Village*
 

District*
 

Pin Code*
 

State/UT*
 

State/UT Code
 
as per indian Motor Vehicle Act, 1988

Country*
 

Country Code
 
as per ISO 3166
(DD/MM/YYYY)

Contact Details

E-Mail Id
 

Mobile No
 
 

Tel. (Off.)
 
 

Tel. (Res.)
 
 

FATCA/CRS Information

Country of Jurisdiction of residence*
 

Country Code of Jurisdiction of Residence
 
as per ISO 3166

Tax Identification No*
 

Place/City of Birth*
 

Country of Birth*
 

Country Code
 
as per ISO 3166


Address1*
 

Address2
 

Address3
 

City/Town/Village*
 

District*
 

Pin Code*
 

State/UT Code
 
as per indian Motor Vehicle Act, 1988

State/UT*
 

Country*
 

Country Code
 
as per ISO 3166

Details of Related Person

KYC Number of Related Person*
 
 
 
 
 

Remarks