Know Your Contributor (KYC)

Submission Number To be filled at KSK

16760177078246706
UCIN (KYC no)
Personal Information
Name SURITA SHAHI
Pf Number 8246706
National ID
Employee ID
Gender F
Date of Birth (in B.S.) 2050-2-29
Contribution Start Date (in B.S.) 2076-1-1
Nationality Nepali
Citizenship Number 66-06-75-00905
Citizenship Issued District Surkhet
Citizenship Issued Date (in B.S.) 2075-2-30
PAN Number 109722074
Bank Name Nepal Investment Bank Limited
Account Number 00405080384582
Contact Information
Mobile 9862220999
Email suritathakuri8@gmail.com
Country npl
Permanent Address Province No. 5, Banke, Kohalpur Municipality-7, Bikashnagar
Temporary Address Bagmati Pradesh, Lalitpur, Mahalaxmi Municipality-1, Imadol
Other Information
Father Name RAJ BAHADUR SHAHI
Mother Name DHANISARA SHAHI
Grand Father Name RANGA BAHADUR SHAHI
Spouse Name PRAKASH KUMAR CHAND
Nominee Details
Full Name
Relationship
Citizenship Number
Citizenship Issued District
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.

Generated from https://site.epfnepal.com.np/kyc on Friday, 2023/02/10 02:13:27pm

Powered by TCPDF (www.tcpdf.org)