‘Annexure A2 | Logl Entity / Other han Inividuals Important Instructions: |) Fields marked wit ~ are mandatory fel. F) List State / U7 cove as per ndan Motor Vehicle At, 1988 18) Tek wnarever appeabe. Is avalaie ate on. () Pease fil the date in DD-ANE-YYYYformst. 6) Listof wo character 180 3166 count codes is avaiable at the end 1) Pas fi te form in English and in BLOCK ltrs H) Please rad section wise detailed gusoines/nstetions a the end }KYC number of appears mandatory fr update 1) Forparteular section update, poase tick (7) nthe box aval before pptcation the section number and strike off he sections nol requed tobe updated For office use only ‘Application Type CINew [Update [Delete (Tobe filed by financial insttution) KYC Number i (Wandotory for KYC update and delete request) 5 Aadition of Related Person Delton of Related Person Update Related Person Details KYC Number of Related Person (if availabe ) 94 mater is avaible, ony Relies Person Type’ & Name's mandatory Related Person Type” [Director "1 Promoter (Karla [Trustee [Partner "Court Appointment Official Proprietor Beneficiary (1 Authorised Signatory (1 Beneficial Owner C1 Power ofAtfomey Holder 1 Other (Please speciy) DIN (Director Identification Number) (Mandatory i Related Person Type i Diecter) First Name Middle Name Last Name Name" (Same as 10 proof) I Maiden Name Father / Spouse Name Mother Name Date of Birth" = Gender* [IM Male CIF: Female [1 T-Transgender — Cin indian others (IS 3166 Country Code 11) Form 60 turisee | Cored copy of OVD or quaint -document of OVD or OVD obtaned ough tal KYC process needs fo be submited anyone of te allowing OVDs) DA: Passprt Number ewer 2 Bote 0 cars C-ovivng Licence DAREGA Job cand SE: Nalinal Popuaon Register Letir 2 F-Prootat Possession of achat 1D EKyCAutentiston WS Oftine vrtcaton of Aadhaar Address Une 1* Une nes (ty Town viage” Distt Pin Post Cost ‘State /UT Coder 1803106 County Code 1D Same as ove mentioned adress (h such cases aes dlls 2s below nod nal be proved) | Cred copy o OD or equiva eocumen cf OVD or OVD obtained trough ig KYC process needs o be submited (anyone of flowing OVDs) A. Passprt Number Boer o can 1 c-iving Leonco 1D DNREGA ob cars 1 E-Natona Pputon Regia ete DF Proof of Possession of Aadhaar a uo o a EKYC Auhentcaton (fine verification of Aacaar Doomed Pok ‘DedaratonAddress, Line 1° Line 3 ity Town / Vilage District" Pin Post Code" ‘State /U.T Goce" 180.3166 County Code" Tal (08) HI Tel es) CITI Mobile Enal 1D I I TUT + nereby declare thatthe detais furnished above are tue and correct 10 the best of my knowedge and bebef and | Undertake tito youotany changes theron imma Incase any oftheaboveiniomaton isfoundiobe fase or untue or mlsodngormsreprocertng, lam avast! may bahaldisbietrk +a herby consent 1 recabing rxomaton fom Cerra KY Reqity trough SMSIEmal on he sbove regsteres numoreral sss. Date [ap | Place: I ‘Signature Thumb impression of Applicant Documents Received] Cortes Copies E-KYC data received fom UDA). Data received fom Ofte veriation C1 Digital KYC process (1 Equivalent e-document KY VERIFICATION CARRIED OUT EY INSTITUTION DETAILS Date Sea =e Name CI Tr Emp. Name LETT TTT Code iat a Emp. Code LITTTITITI Emp. Designation CLOLLLEo LITT TTT TT Emp. Branch