YES BANK

Note: It is mandatory to fill up all fields in this form and in case of any over writing we will require a signature near the over writing.

Employee ID Mobile No

Date of Birth Gender MALE FEMALE OTHER

Documents Required (mandatory) { Please tick and attach self attested copy of below mentioned documents.}

a) ID Proof: PAN Card or Aadhaar Card or Passport or Driving License or Voter Identity Card

or NREGA Job Card

b) Address Proof: Aadhaar Card or Passport or Driving License or Voter Identity Card

or NREGA Job Card or Utility Bill or Bank Account Statement

I declare that I am a tax paying resident of India and of no other country.

Signature of Employee