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Important instructions: 1 Pal acd wath are mando fe, 18) Tk’ wherever appiabl ) lea i te fom in Engish ant BLOCK ers 1) Please the date in DO-MNEYYYY format. |For particular econ update, please ick (inthe box seeten number and sr fhe sectors nt required ‘obo upsate, F) Please esd secon wise delaed guidlines instructions a the ed htt dam Ut oe np ten ice toe et ot wrt en g lgenceerecue at ee ermem eee 1 iC nro ele mney rp rp A hreumeateKegersencacstrwmcecuin — QACERSAIL Bireaaeivenaracsbacemse ” For office use only Aopicaion Type New] Update (Tobe os by francalinssuion) _KYC Number (Mandatory for KYC upd request) ‘count Type" [Nema] stnar [) Aadhasr OTP based EY fn nonface face mode) Prati Fret Name Meda Name LastName Fi Name® (Same 3610 proof aon Name Father! Spouse Name Mother Name Date of it" ‘center Owe aale OF Female (1 Ttanagender PAN Form 6 furshes | Cerna copy of OVO or equvsnte-dacunent ef OVO or OVD obtains trough gta KYC process need obo sutmtos(anyne fhe allowing OVDS) Ca Passpor Number Voter 0 Cars (©-rvng Licence DNREGA Job Cort a a a 1 Eaten Poplin Regter Lote 71 Preto Possesson of Aacnaar C1 ekyC Auhonteaton a ttioe vareaton of Aachase Address ne? Distt Pinot Cadet (cay Town viage? State T Code 150 3168 County Coder 7 Same at above menioned adress (In euch cases sare dela as below noe ot be proses) |. Coiled copy of OVD o:eaiaentedecurent of OVD or OVD obtained through dtl KY process neodsto be submits (anjene of the flowing OVDs) CA. Passport Number Beer 10 cart C1 cooing Ueno NRE GA Cars 1 E-Natonal Population Register Letor CF Proof of Possession of Aschaar YC Authentication 1. Oftne vritcatin of Aadhaar 7. Boome Proof of cress - Document Type coe Set Dedaratin Pin! Post Cadet (cay Town viager ‘tata Code’ 180 3168 County Code" + thereby detae tha th deta fried above are tro and correc othe bast of my kaowdge and bebe and undertake tonfrm yout any change neon, ened ncase any fhe above informations feud ob fae or unt or rmisbading or meepresning, lam aware that may be el able fort + tnereby consent orosving norman fam Central KYC Reg trough &MSIEmal onthe above rophtord minora wes pw: S[5)-fla- Pac: Sone Th nsesson Act Documents Receves _-CTentedcopies CT EYCdatarcaved tom UDA] Data reehedrom One vertttion [Dota KYC Process lequvalont document C] Veo eed KY KYCVERIFICATION CARRIED OUTBY INSTTUTION DETALS Date GO-G-fho tee CODD CCE Emp. Name TETTTTT TTT TTT) om (PTT TIT ITT) mp. Code CORCECECEEEE | - Spent CECOEEEEEEEELEeEo eee COOOEeE eee) [A Claifcation Guldeines on fing ‘Personal Details’ section “Name: The name shoud mat the name ae menoned nthe roo of ant suo tng which he applet sabe to be ejected 2 Onethe elloning is mandatory: Methers name, Speuse's name, Fathers nam. 1B Clariteation/ Gudeines on fling “Curent Address deta section Timeace ofdeemed Poksch ney beso sof acaraton the docunt need not be pla on CKYCR ‘Ponto be submited only te sutmitac Po oes not have cen adres or acess per Pal svar ot fe, ‘State UT Cade and Pin! Post Code wl not be mando or Overseas adresses inSecton 2 an fl andl be ssacos.ncaee of nine E-KYC athenteaton, Isobe sletes, InSecton 3. on of I nd Vso be elect. In cate of onine E-KYC autantoatin listo be elected lst document fr Deemed Poot tAdeoos Decumeni Cade Description 01 Uy il whic isnot mae than wo ments dof any service provider (lect. lephone, post ald moble pone, piped gas, water bi 02 Property arNuniipal be ecg 08 Bera ety ps et res PPOs sed ra ples by Govern primers or ub Sex Una, ey cota the acres 04 Later of atsiment of accommodation rm employer sued by Stale Goverment Cental Goverment Deparment, latory or ‘egustory bodes, pi sector nderatings,schacud comers bank, nancial netatens sr Isted compance snd aave snd lesncs Spremontswhr uch enpoyers along oil accormecation 7 Regul Eniy (RE) sal eda! fre 8 cigs) of fe Aachaar mb rom Achar related da and documents suchas proof of possasion of Achar while peadng on CKYCR. 8 "Exuivalentecocumen” means an elecroic equivalent of document sued byte issuing auhory of such document wih is wad tal signature incaing document aoued oe digi acer sccourt othe lat asp Bol he ntrmstion Technolgy (Preweraon abd Ratan ol nrnation Intanediares Prov Dial LoceFocltes) Rules, 2016. 9 ‘DiptalKYC proces’ hast be camed ou as stpulatadin the PML Rules, 2005, 40 REamay seth Set! Decoration check bax where Aadhaar authedaton hasbeen cares ou sucess fora clantan lent wantsto provide acurentadcees,

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