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  • Beneficial Owner (BO) - KYC Form

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    ovisheikh965
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    This document is a Beneficial Owner KYC Form that collects key information about the beneficial owner of an account. It requests the beneficial owner's name, date of birth, parents' names, spouse's name, nationality, gender, profession, monthly income, source of funds, tax identification number if any, both present and permanent addresses, and identification document details such as national ID number or passport number. The beneficial owner signs and dates the form to confirm the accuracy of the provided information.

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    Beneficial Owner (BO) -KYC Form

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    This document is a Beneficial Owner KYC Form that collects key information about the beneficial owner of an account. It requests the beneficial owner's name, date of birth, parents' names, spouse's name, nationality, gender, profession, monthly income, source of funds, tax identification number if any, both present and permanent addresses, and identification document details such as national ID number or passport number. The beneficial owner signs and dates the form to confirm the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Beneficial Owner (BO) - KYC Form

    Uploaded by

    ovisheikh965
    This document is a Beneficial Owner KYC Form that collects key information about the beneficial owner of an account. It requests the beneficial owner's name, date of birth, parents' names, spouse's name, nationality, gender, profession, monthly income, source of funds, tax identification number if any, both present and permanent addresses, and identification document details such as national ID number or passport number. The beneficial owner signs and dates the form to confirm the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Beneficial Owner (BO) -KYC Form wnmv‡ei cÖK…Z

    ( wnmv‡ei cÖK…Z myweav‡fvMxi Rb¨ c~iYxq|) myweav‡fvMxi Qwe

    (Photo of BO)
    ZvwiL/Date t...............................
    wnmve b¤^i/ Account No. t.......................................
    BDwbK AvBwW/ Unique IDt.......................................
    1| wnmv‡ei wk‡ivbvg (evsjvq) :.............................................................................................

    Account Title (Block Letter) :.............................................................................................


    2| cÖK…Z myweav‡fvMxi bvg (evsjvq) :.............................................................................................
    Beneficial Owner’s Name (Block Letter) : ...........................................................................................
    3| Rb¥ ZvwiL/Date of Birth :............................................................................................
    4| wcZvi bvg/Father’s Name :............................................................................................
    5| gvZvi bvg/Mother’s Name :............................................................................................
    6| ¯^vgx/¯¿xi bvg/Spouse’s Name :...........................................................................................
    7| RvZxqZv/Nationality :....................................... 8| wj½/Gender: ..........................
    9| †ckv (we¯ÍvwiZ)/Profession (Detail) :........................................................................................
    10| gvwmK Avq/Monthly Income :............................................................................................
    11| A‡_©i Drm (we¯ÍvwiZ)/Source of Fund (Detail) : ......................................................................
    12| U¨v· AvBwW b¤^i(TIN)(hw` _v‡K) : .........................................................................................
    13| (K) eZ©gvb wVKvbv : †ivW/MÖvg :.......................†cv :................................ _vbv :..........................
    Present Address : Road/Village: PO PS

    ‡Rjv :..........................‡dvb/‡gvevBj b¤^i :.............................B‡gBj :...................................


    District Phone/Mobile e-mail

    (L) ¯’vqx wVKvbv : †ivW/MÖvg :..............................†cv :................................_vbv :.......................


    Permanent Address : Road/Village: PO PS

    ‡Rjv :........................... ‡dvb/‡gvevBj b¤^i :.............................B‡gBj :..............................


    District Phone/Mobile e -mail

    14| cwiwPwZ cÎ/Identification Document:


    (K) RvZxq cwiPq cÎ b¤^i/NID No. :....................................................................................
    A_ev,
    (L) cvm‡cvU© b¤^i/ Rb¥ wbeÜb bg¦i/ Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) : .....................................
    Number of Passport/Birth Registration/Others (Specifically)

    Dc‡i cÖ`Ë, Avgvi wnmv‡ei cÖK„Z myweav‡fvMxi mKj Z_¨ mwVK| ¯^vÿi: .............................., ZvwiL:.....................

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