Know Your Contributor (KYC)

Submission Number To be filled at KSK

17078969978435296
UCIN (KYC no)
Personal Information
Name GANESH BAHADUR PUN
Pf Number 8435296
National ID
Employee ID
Gender M
Date of Birth (in B.S.) 2041-5-25
Contribution Start Date (in B.S.) 2080-10-7
Nationality Nepali
Citizenship Number 186(032)/3846
Citizenship Issued District Rukum West
Citizenship Issued Date (in B.S.) 2058-10-25
PAN Number 107344599
Bank Name Nmb Bank Ltd
Account Number 1740128357300014
Contact Information
Mobile 9847936269
Email gpun895@gmail.com
Country npl
Permanent Address Karnali Pradesh, Rukum West, Tribeni Rural Municipality-7,
Tulsipur To Rukum Musikot
Temporary Address Karnali Pradesh, Rukum West, Tribeni Rural Municipality-7,
Tulsipur To Rukum Musikot
Other Information
Father Name LILE PUN
Mother Name LILAWATI PUN
Grand Father Name PRASE PUN
Spouse Name MANISA BUDHA MAGAR PUN
Nominee Details
Full Name MANISA BUDHA MAGAR PUN
Relationship WIFE
Citizenship Number 561024/154
Citizenship Issued District Rukum West
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.

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Contributor's Signature
Required documents to be presented
1. Photocopy of Citizenship.
2. Proof of document validating bank account name and number same as one provided with this form..
3. Proof of document validating PAN details.
4. Photocopy/original of Employees Provident Fund card (if available).

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