Know Your Contributor (KYC)

Submission Number To be filled at KSK

UCIN (KYC no)

15814183528248888
Personal Information
Name MAHESH THARU
Pf Number 8248888
National ID 29589
Employee ID 770952
Gender M
Date of Birth (in B.S.) 2041-10-11
Contribution Start Date (in B.S.) 2076-4-1
Nationality Nepali
Citizenship Number 29589
Citizenship Issued District Rupandehi
Citizenship Issued Date (in B.S.) 2062-4-25
PAN Number 107549677
Bank Name Nic Asia Bank Ltd
Account Number F 287963189552401
Contact Information
Mobile 9848624313
Email daonnefeeds1992@gmail.com
Country npl
Permanent Address Province No. 5, Rupandehi, Siyari Rural Municipality-7,
Chiliya
Temporary Address Province No. 5, Rupandehi, Siyari Rural Municipality-7,
Chiliya
Other Information
Father Name CHANDRA SHEKHAR THARU
Mother Name KUSHUM KUMARI THARU
Grand Father Name AJODHYA THARU
Spouse Name SUSHILA THARU
Nominee Details
Full Name SUSHILA THARU
Relationship WIFE
Citizenship Number 373019/172
Citizenship Issued District Rupandehi

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
Required documents to be attached:
1. Photocopy of Citizenship Card or Passport.
2. Photocopy of Employees Provident Fund Card.

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