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Sourcing Associate Registration Form

Name of the applicant:


__________________________________________________________________________
Correspondence Address:

Photograph

__________________________________________________________________________________________________
______________________________________________________________

Pincode:

Village: _______________________________________ Block: ________________________________________


District: ______________________________________ State: _________________________________________
Mobile: ______________________________________ Email ID: _____________________________________
Aadhar Card Number: ________________________________________________________________________
Current Occupation: Service / Business / Student / Other: Please specify _____________________
Nature of Business /Service: _____________________________________________________

---------------------------------------------------Bank Account Details: -----------------------------------------Bank Name:_____________________________________________

Branch: _______________________________________________________

Account Number: ______________________________________

IFSC Code: ____________________________________________________

PAN Card Number: ____________________________________


I have read & agree to all Terms & Conditions for appointment as Pramaans Sourcing Associate.
List of documents submitted: Aadhar Card / PAN Card / Driving License/ Voter ID/ Passport/ Bank Passbook

Sign: ___________________________

Date: _____ / ______ / ______

-------------------------------------------------------------- (For Office Use) ----------------------------------------------------------Name

Place

Signature

Enrolled by
Approved by

#10, 5th Cross, 16th Main, KSRTC Layout, J P Nagar II Phase Bangalore - 78

Date

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