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I Want To:

Ekyc

Name of Applicant

Name as per Income Tax records (Your Account will be opened as per the name in Income Tax records)

Father Spouse
Father's / Spouse's Details

Mother's Name

On Behalf Of

PAN

Application Date

Gender

Maritial Status

Nationality

Residential Status

Date of Birth

Upload Photo

(Upload recent passport size photo - Min. size of 200KB)

POI Details

Proof of Identity

POI Reference No

(PAN Number)

Correspondence Address

Address 1

Address 2

Address 3

City/Town/Village

Pin Code

Country

State

Tel.(Off.)

Tel.(Res.)

Mobile

Fax No

E-mail Id

Proof of Address

Proof of Address No.

Permanent Address

Same as Correspondence Address

Address 1

Address 2

Address 3

City/Town/Village

Pin Code

Country

State

Proof of Address

Proof of Address No.

Relationship Code:

(Optional)

Marketing Source:

(Optional)

AOC:

(Account Opening Charges)

Brach Code:

RM/SB Mobile No:

Ekyc

Correspondence Address

Permanent Address

CUSTOMER CARE

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