PAYPOINT INDIA NETWORKS PVT LTD

H.No: 14-106, S.N Colony,Swaroop Nagar, Uppal,Hydearabad-500039

Ph.NO: 040-40152427

S.B.I. CUSTOMER SERVICE POINT (CSP) REGISTRATION FORM

CSP DETAILS:

Full Name:
PHOTO
S/o, W/o or D/o

Residence Address: - Village:

Mandal: District:

State : Pin Code: Mobile No:

Email Id: Date of Birth

CSP BUSINESS OUTLET LOCATION DETAILS:

Location Address:

Mandal: District: Population:

State: Pin Code: Mobile No:

SBI near Branch: Branch Code

Distance from Location: Shop Own / Rented

Nearest CSP Distance:

No of Years Stay in Present Location: Education:______________________

KYC OF THE CUSTOMER(CSP):

Aadhar Card No: PAN Card No: __________________

SBI Bank A/c No: Branch:

I hereby declare that the details furnished above are true and correct to the best of my knowledge and
belief.
APPLICANT SIGNATURE:

(Authorized Signatory)
Paypoint India Networks pvt ltd