‘Know Your Client (KYC) Application Form (For Individuals Only) Peace tl in ENGLISH ain BLOCK LETTERS. 4 Status Paster En i ClFang il Pao ra ress onan 5. paw ‘ese et yates py fe PAN Cat, ‘Ung nian Nbr (UD Rodos {6 Proof of Wen submited fr PAN oromp eases Pasi) ‘Dud ana ClPasjor Brew Boney case Clones| J esse ude re) ion Sal 2 comact Deals +a. Moa Fa uate] Tritt “Proof fades ob provid by Aplin. Peas ub ANY ONE oe Tolovng va omen 7 apna ie Goce aac (CaPsciet Ce Gee CJtagued inaealeAreme ester C]Oheg ewes CYible Mey CoC] Saat iret Passk [Dita ete ot oy dre) Eytan Cat es Cre Pao ot, “fie et ‘4 Pemanent Ades of eset Appa irr tom 1 above OR Oversee Adres Mando) or Renee Appt “on i nl Tai | Proalefadcres oe provid by Applian. Pras abit ANY ONE of folowing val ocr US (7 apa doce and (Gesgen Ensen Gee Drags ise sAgemeto esses []Oney ewes Cierny Con (Jat dent aorenPastck [ities hee oy ace) Cte Eero Cat es Ore renee, ‘reo eto Gross Annual Income Osals Placa ck) LiSaowiixe LL isu Siu LTbesue Lala 10m newer ng —_CMestrinuinainotoom ies) gy Lofodmululy Leb ‘ecupatn Oia Pease ck) ery nea ae ete) Diente Semen” CnneSsar”” icomnomtcoves Caen Ponce! Digest Chee Cosete Eis" ror Onir Xorg ‘lasek pps El aay Sac tn PE) Cla a Ed ain PP Fern el Epa rbd ny ater invomaon eee eae cay eenuacmenettarns i oetrae enue eeeecs ‘essay ane Oe = va [Dioipstn St ete Doane pes ees tite anette Os 2 Dine Teepe foment coedINSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM IMPORTANT POWTS: ‘Seltatisied cony of PAN cad is mandatory. fompulery slate by the aplicnt an secorgared ty orghaleforveratonncese he cngaalotany document isnot gece fr vera, hen fe copes sould Be ropa atesed by enti autoraes fr stering te Soeument ar perhelatmentonedunde EL any sroofotidensty or assis afreign ngage hon trarlaton tn Erlahisrequros ‘eulemateh h he sorumentry ral subes I eomespensence 8 permanant adresies ae deer hen rae 8 capacity Fer nontesdonis and foreign ratonas(aowod 16 ade subject to RBI and FEWA guidelines). copy of mandala, In case of Merchant New NRIS, Matne's deaaten of corind copy f COC (Cantnoous Dacarge Carte) © Policy Exposed Persns (PEP) ae dele as nits ‘ako ora or nave been efsed ih prominent pbc functions in 2 torn county ey Hoods of State or of nian ficers scr enceuivenct tle cwned copeaions, imporanpoticalpary fica, Proof of Kenity (PO List of documents admissible a5. Proof of tently (Documents having an expiry ate ‘shouldbe vals onthe dat of submission): PAN card wth photograph, This is a mandatory requement {oratapptcanscocepttnse hose spcicay exemgom ‘tainng PAN ited SerbonD) nique denifeaton Nomber (UID) AschearyPaesporVoter IocardDrvng cere, deny ar! document wit applicants Pt, sed by any fof the folowing CentaliSiae Government stds Denarineni, Satur eg dat Alors, Pub Sector LUntorings, Sonecied Commersl Bas, Pubic Fan Irsuitors, Colges susie Wo Unverates, Petes Bocas sich a6 ICA, CNA, ICS, Bar Coun t,o ar Memes ad ea caraDett carts vey Ba. Proof of Adress (POM) List of documents admisibie as Proof of Address: ‘Documents having an expiry date ‘houldbe vad onthe date ofsubrssion) Passponvotrs ently CardRaton CarRegstred Lease ‘oF Sal Agreament of Residenceriing” LienseFat Maintenance bnsurnce Copy ik is ke Teophone Bal onlin) Elector Garbil-cimor tans months ‘Bank Account SlaemantParsbok-Not more fan 3 mans ‘Set-docaraion by Wh Cout and Supreme Court judges Prot of sds isued by any of the fallowing: Bank NManagere"of Senedieg Conmercs!Banks!Schoulog CCocperaive.Barkutnaiona Foign.GarkatGazetns (fice notype represents oe Lgiaive ‘aseriy or ParamensDocumens ued by ty Govt Stal Athy. deny carldocument with adress, issued by any ofthe fia Hanis ment opens Slabloy equator Autres, Puse Ser Undertings Schacded Commeral Bank, Pible Fnac istions “The pool of adress in the nae of he spaute may be seca xemplonsileriications to PAN (Suficint documentary ‘vidnceinsuppor.f suchclaimstebecolcte,) Goverment andor Sate Goverment and. by fils srooindby Conse, Ocal bquaton Coutrcnver Invesrsresiaing inthe staat Skim, LUN scatteamutitral agencies oxempt om paying ‘arastngtaxotmsin ina Imvesianisincudag SIPs) 9 Mutual Fund schemes ype List of people authorized 1 atest the documents ater ‘ection withthe gina AutorsedofcasofAsselNanagenent Corpses AMC) Autorsed feof Rega & Tester Agent RAT) seing Notary Pie, Gaze Ofer, Manager of 2 Schedlod {Name Desgnaton & Sea shouldbe afixedon the ony) Schacied Commerc! Gorka Teltered nda. Noley Publi Court Maga, Jug, Inan Entassy/Oorslte “Generali he coun where to contose ar pemiedo poste Cerieats List of people authorize to perform inPerson Vertetion (ww: ‘AuthorsedoticalsofAsselManagement Compaen AMC) Autoradio Regia & Traetr Agent (RT) ae5Ng KyDcerplntmutultnditbvrs. Morape of a Schofued CorearciaCo operative Bank or stnatonal Foron an ormestrsnesing rt) In casa of NR applicants, a person permis 10 atest Secures (6) above, may 0 cost Io In Person \oreatonandconfrmes tbe KYC For, ‘lease Sub the KYE Documents on At Size Paper On.