KNOW YOUR CLIENT (KYC) FORM

A Company Details

1. Company’s Name:

2. Company Address:

3. Factory Address:

4. Contact Person Name:

5. Phone Number:

6. Billing Person (if Any):

7. Phone Number:

8. Product List:

B Trip Details

1. Company’s Own Fleet:

2. Number of Truck Required in a Month:

3. Truck Requirement Time/Day:

4. Types of Trucks Needed: 1 Ton 7 Feet 2 Ton 12 Feet

A. Open 3.5 Ton 16 Feet 5 Ton 20 Feet

B. Covered 7.5 Ton 20 Feet 15 Ton 20/23 Feet

15 Ton 18 Feet Trailer Truck-20/40 Feet

5. Present Vendor:

6. Pickup Point & Delivery Point:

C Payment Details

1. Payment Module: A. Cash B. Credit (07 Days/14 Days/21 Days/01 Month)

2. Any Supporting Documents (if Needed):

D Signatory

Customer Signature: KAM Signature:

Customer Name: _______________________________________ KAM Name: _____________________________________________

Oiicial Stamp:
Date: Date:

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Not Selected Finance Department