* USER_ID

* FIRST_NAME

* LAST_NAME

VINAY

VINAY KUMAR

MIDDLE_NAME TITLE
Mr

DOB

GENDER*OFFICE_CODE
Male

611702

*IDV_ZONE

*PARTY_CODE

AG00020831

LICENSE_NOLICENSE_EXPIRY_DT

* ADDRESS_LINE1
H.NO.1-2-761, WARD NO.7,
RAKASIPET,

ADDRESS_LINE2
BODHAN, NIZAMABAD

* PINCODE
503185

*EMAIL_ID1

*MOBILE_NO1LAND_LINE_NO1*BANK SL CODE
9581474700

BA00004715

* CHANNEL * ROLE
AGENT SUPER USER

Authorized
Authorized
Authorized
Authorized
Authorized
Authorized

Authorized Signatory's Details

Signatory's Title(Mr. Mrs, DrRequired
Mr
Signatory First Name
Required
CHANDRASHEKARAM
Signatory Middle Name
Signatory Last Name
Required
R
Signatory Designation
Required
SENIOR BRANCH MANAGER
Signatory Attached
in .gif format only

BUSINESS SOURCE DETAIL

DEVELOPMENT OFFICER/DIRECT CODE
REQUIRED1D4316395
AGENT/CORPORATE AGENT/ BROKER NAME
REQUIRED
VINAY KUMAR P
AGENT/CORPORATE AGENT/ BROKER CODE NUMBER REQUIRED
AG00020831
AGENT/CORPORATE AGENT/ BROKER SITE NAME
REQUIREDAGENT
AGENT/CORPORATE AGENT/ BROKER SITE CODE NU REQUIREDSI00036862