Know Your Contributor (KYC)

Submission Number To be filled at KSK

16806600732588140
UCIN (KYC no)
Personal Information
Name RANJANA KUMARI BHATTARAI
Pf Number 2588140
National ID 3808765249
Employee ID 206016
Gender F
Date of Birth (in B.S.) 2031-2-25
Contribution Start Date (in B.S.) 2071-1-5
Nationality Nepali
Citizenship Number 2192/4437
Citizenship Issued District Sindhuli
Citizenship Issued Date (in B.S.) 2047-10-21
PAN Number 116583459
Bank Name Nepal Sbi Bank Ltd
Account Number 43015243400195
Contact Information
Mobile 9844022137
Email bhattrairanjana056@gmail.com
Country npl
Permanent Address Bagmati Pradesh, Ramechhap, Likhu Rural Municipality-4,
Ratmata
Temporary Address Bagmati Pradesh, Dhading, Gangajamuna Rural
Municipality-4, Gumdi
Other Information
Father Name KEDAR NATH BHATTARAI
Mother Name HEM KUMARI BHATTARAI
Grand Father Name PREM LAL BHATTARAI
Spouse Name BABURAM PRASAD DAHAL
Nominee Details
Full Name NIMESH DAHAL
Relationship SON
Citizenship Number 21-01-78-04527
Citizenship Issued District Ramechhap
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.

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