GEEEZOTS = Re-KYC Form for Individuals We understand your world hstucom adh reform ar on ter stl ee PERSONAL ong ] timer [| l Seen 5 ie ROR = Lo nn PET EP EP ETE TT) PAN Number [ Form 60, eee) OCCUPATION & INCOME Csipaton Do siterinet CJ rit) SH!) sudat | C] tsece J itis Saberaored Tvs] te Date of eomeeton [OT] | (WM) (YTV Ty) anon a a TL cvs re ee ee ee SeMEMBORT TY omar] nomi Cle lows] ammet — ] Stes Dae Sa Pn ee GessAmnal TH] esoon0 [7] soo. te [7] 19 ie [7] 5 te [7] 575 ue [7] 750 te [7] 10-15 Le [7] 51825 tx [7] 2560 Lie [7] 250 ux sen 7] ten fee Domes ie aD pea [COSRESERE ELE" []zees neem [ne enone nin metered MAILING ADDRESS & CONTACT i nt ibe ite init cy |W cade oe |_ St 16. = [af opme Te (0) Dec T ee ou Mi Rate et a Fat ow 85 Roe Fa ie nina oy PN Cote ste Cay 29217108 08.2020 DECLARATION ‘eel tat the information provided ano with respect to my acount upto dean ect 2 set atesied photocopy of he following a: ars Prot entity Prot | hve aloo stanbed my rent photograph singe (CUSTOMER ACKNOWLEDGEMENT COPY Feteence Number Acknowledgement date ayy 7] Strate o ark ofc