Know Your Contributor (KYC)

Submission Number To be filled at KSK

UCIN (KYC no)

16290060402626700
Personal Information
Name LAKSHMAN KHANAL
Pf Number 2626700
National ID
Employee ID 242361
Gender M
Date of Birth (in B.S.) 2052-1-26
Contribution Start Date (in B.S.) 2077-1-30
Nationality Nepali
Citizenship Number 45-11-69-00050
Citizenship Issued District Lamjung
Citizenship Issued Date (in B.S.) 2069-7-21
PAN Number 118479341
Bank Name Civil Bank Ltd
Account Number 05610387295012
Contact Information
Mobile 9846780870
Email Laxukhnl@gmail.com
Country npl
Permanent Address Gandaki Pradesh, Lamjung, Rainas Municipality-5, Tinpiple
Temporary Address Gandaki Pradesh, Lamjung, Rainas Municipality-5, Tinpiple
Other Information
Father Name BINOD KHANAL
Mother Name KAMALA KHANAL
Grand Father Name KHAGUPADHYA KHANAL
Spouse Name
Nominee Details
Full Name
Relationship
Citizenship Number
Citizenship Issued District
Declaration
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I
undertake to inform Karmachari Sanchaya Kosh (KSK) of any changes therein, immediately. In case any of the above
information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

............................................................
Contributor's Signature
Recommendation of Contributing Office
I hereby recommend that the details furnished above about the presently working employee Mr/Ms
……………………………………………………… are true and correct.
Name of the office head:
Signature:
Date: Office Seal

Required documents to be attached:

1. Photocopy of Citizenship Card or Passport.
2. Photocopy of Employees Provident Fund Card.

Generated from https://site.epfnepal.com.np/kyc on Sunday, 2021/08/15 11:25:41am

Powered by TCPDF (www.tcpdf.org)