Paytm Wallet KYC upgrade form

All fields marked by * are mandatory

Wallet details
1. Wallet linked phone number*
2. Wallet linked email-id

Identity details
1. Name* (as in documentary proofs submitted)

Photograph

2. Gender* Male Female 3. Date of birth* d d m m y y y y Please affix recent

passport sized photo
4. Proof of identity* (please tick ) graph and cross sign
Aadhar Passport Voter ID Driving License PAN Card
Government ID Others, specify (see
cards with photo guidelines overleaf)

Address details
1. Address for correspondence* (as in documentary proofs submitted)

City/Town/Vill.
State
Pin code
2. Proof of Address* (please tick )
Aadhar Driving Utility Bill (not more Bank Statement (not more
Passport Voter ID
License than 2 months old) than 2 months old)
Pension Property tax Letter of allotment by Others, specify (see
order receipt government depts. guidelines overleaf)

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 Signature
Place Date

For office use only

IPV done on d d m m y y y y

Originals seen and verified

Self-attested documents collected Seal/Stamp of verifying agency

Paytm Wallet is a semi-closed wallet service operated by One97 Communications Ltd

Instructions / checklist for filling form

A. IMPORTANT GUIDELINES C. PROOF ADDRESS (POA): List of

1. All fields marked by * are mandatory.
Incase mandatory details are not
filled, KYC upgrade application will be
rejected
2. Phone number and Email ID
mentioned on the form must match
with linked details in Paytm wallet
3. Copies of all documents submitted by
applicant should be self-attested.
4. Applicant has to show the original
documents for verification purpose to
the visiting representative
5. Name and address of application
should match with documentary
proofs submitted
6. Passport size photo should be self
attested
B. PROOF OF IDENTITY (POI): List of
documents admissible as identity proof
documents admissible as address proof
1. Aadhar card
2. Passport
3. Driving License
4. Voter ID
5. 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

1. Aadhar card
2. Passport
3. Driving License
4. Voter ID
5. PAN card with photograph
6. NREGA Job card with photo
7. Identity card/document with applicant
photo issued by Central/State
government and its departments and
Public sector undertakings

Paytm Wallet is a semi-closed wallet service operated by One97 Communications Ltd