aa 3iim aster Bank of Baroda a PERSONAL ug Paso ne [ON Pav nr Oo eu wh ute apa ima wats? ]ves [7] no Flay Resa ibe had Be res [7 ]n0 OCCUPATION & INCOME caipaten [SHAY [] Setersis pat (Punta [=] iti [) ete Seger 1 vas Mots Sees] ome 1) Be] Ra te Sesser) fen CBB ce Setempbed [) soar] mesmam —[] nw Sarecl soy] tm Bat Giossxmal [) ouca —[F) soooaue [] sue at) ones 1 fea 1m ‘There no change in my mailing! rant addr Contact Numer MAILING ADDRESS & CONTACT os Rane eae ty swe ta.) nail tO Mile Number #91 3 Hine asta ara ty sue DECLARATION eet eration provid above wn pet oy aces 0 ose root Wnty Prot ws thane my aig! permanent lv contact dt as blo mob Re-KYC Form for Individuals 1 Fon ons ee tr fe Aout ante Sakae! suset ——(E] Hoene roma =] [Chaitin [7] Party —[] Pubic imiet [) Gomrment —[] rs ae pci let wart (em Dl omianeg CS = Ot =O 1 Sharan _[ Does mm ee [jose Persie P]reioue Sjiowue E]>iue ] se? Cwamerst [| iy [—] fomant | fan evn rca 726) . | ca ‘a a8 conect| submit ef tested photocopy fhe folowing a5: "eat potapap sans FoR USE ONLY ‘SoratreCustre Vern dress Charge Vers Surya ae, eonh LP ot Veri = | Specimen Sgn No. ‘CUSTOMER ACKNOWLEDGEMENT COPY Feteence Mme osedgement date Sate of ark ona