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Wallet KYC Form
Wallet KYC Form
Wallet details
1. Wallet linked phone number*
2. Wallet linked email-id
Identity details
1. Name* (as in documentary proofs submitted)
Photograph
2. Gender*
Female
Male
3. Date of birth* d
m m
Passport
Voter ID
Driving License
PAN Card
Government ID
cards with photo
Address details
1. Address for correspondence* (as in documentary proofs submitted)
City/Town/Vill.
State
Pin code
2. Proof of Address* (please tick )
Aadhar
Passport
Pension
order
Property tax
receipt
Driving
License
Letter of allotment by
government depts.
Voter ID
Declaration
I hereby declare that details furnished above are true and correct to the best of my
knowledge. Incase any of the above information is found to be incorrect, false or
misleading I am aware that I may be held liable for it
Date
Place
Signature
m m
Aadhar card
Passport
Driving License
Voter ID
Utility bills (electricity, telephone,
postpaid mobile phone, piped gas,
water bill) not more than 2 months old
6. NREGA Job Card
7. Property or municipal tax receipt
8. Bank account/Post office saving
account statement (not more than 2
months old)
9. Pension or family pension payment
order (PPOs) containing address
10. Letter of allotment of accommodation
issued by government departments,
statutory or regulatory bodies, PSUs,
and scheduled commercial banks
Aadhar card
Passport
Driving License
Voter ID
PAN card with photograph
NREGA Job card with photo
Identity card/document with applicant
photo issued by Central/State
government and its departments and
Public sector undertakings