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Deta ils of Natural Person
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Client'sfuc No.: Reference No.: Date :

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Please complete all details and strike out the non-applicable fields/boxes. 5revr*
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Sweta Securities (P.) Ltd.
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Citizenship No. lssue District lssue Date

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Beneficiary ID No
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ldentification No. and address (ln case of NRN)

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Telephone No Ward No. Block No.
Page 1 of4
qk{rCrr ${Frff-+1 HTflr tat-i q5.r qWI QrT .rd qf+il (Details of Family Members)
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Father's Name
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Gnand Fathe/s Name . .. .

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Mothe/s Name

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Spouse's Name :,riXil


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Son's Name

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Daughter's Name

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lVother in Law's
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Types of Bank Account LJ 5sv61g Account CurrentAccount
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Name & Address of Bank :

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Occupation Service:
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Types of Business lVlanufacturing


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Organization's Name : Address
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Designation : , " , ', ,, , ' ,., (lD No of Em^l^',^^\
^{ Employee)

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Financial Details
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- Upto Rs. 5,00,000 - From Rs. 5,00,001 to Rs. 10,00,000
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Above Rs. 10,00,000

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Designation Director Executive Shareholder Employee Others

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Country: Province :

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Fax No.: tt/obile No.:
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Guardian's Signature

6r{', sSlSrS GSt Site Map


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Location Map

From main Road Street............ the distance of the Residence is meters


Page 3 of 4
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{}+1 < el kq-{q-q[ E* -<o q\ +raa E"*fu-c vqar. eurger r t/We herebyacknowtedge that
the above disclosed details are true. I further hereby consent to bear any legal actions
in case any false o.isclosure of
information related to me/us.

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