456 IDENTITY/ADDRESS VERIFICATION DEATAILS OF THE PROPOS (PLEASE FILL DEATAILS IN BLOCK LETTERS Photograph NAME, PROPOSAL/POLICY NO. 1) Thereby confirm that I have personally met the Proposer / Person, whose mame and Photo is given above and confirm his identity, * Thereby confirm that I have verified the following address of the following address of the Proposer / Person mentioned above Date Signature Place, Name S.K.No/Dev OmhCode Designation’ Notes:- 8) Identity Verification should be based on a personal meeting only B) isnot compulsory i to confirm only identity and obtain address proof separately or vice versa ©} The address verified above should be same as that mentioned in the Proposal! form The above template can also be used for KYC verification of Assignee.