CKYC Form Fillable Form
CKYC Form Fillable Form
CKYC Form Fillable Form
2. PROOF OF IDENTITY (PoI)* (for PAN exempt Investor or if PAN card copy not provided) (Please refer instruction C & K at the end)
(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)
A- Passport Number Passport Expiry Date D D M M Y Y Y Y
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y
E- Aadhaar Card
F- NREGA Job Card
Z- Others (any document notified by the central government) Identification Number
3.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS * (Please see instruction E at the end)
Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill Additional Form, Submit relevant documentary proof)
Line 1*
Line 2
Line 3 City / Town / Village*
District* Zip / Post Code* State / UT Code* as per Indian Motor Vehicle Act, 1988
State/UT* Country* Country Code as per ISO 3166
4. CONTACT DETAILS (All communications will be sent on provided Mobile No. / Email ID) (Please refer instructions F at the end)
Email ID
5. FATCA/CRS Information (Tick if Applicable) Residence for Tax Purposes in Jurisdiction(s) Outside India (Please refer instruction B at the end)
Additional Details Required* (Mandatory only if above option (5) is ticked)
Country of Jurisdiction of Residence* Country Code of Jurisdiction of Residence as per ISO 3166
Place / City of Birth* Country of Birth* Country Code as per ISO 3166
Address
Line 1*
Line 2
Line 3 City / Town / Village*
District* Zip / Post Code* State / UT Code* as per Indian Motor Vehicle Act, 1988
State/UT* Country* Country Code as per ISO 3166
6. DETAILS OF RELATED PERSON (Optional) (please refer instruction G at the end) (in case of additional related persons, please fill Annexure B1)
Related Person Deletion of Related Person KYC Number of Related Person (if available*)
Related Person Type* Guardian of Minor Assignee Authorized Representative
Prefix First Name Middle Name Last Name
Name*
(If KYC number and name are provided, below details of section 6 are optional)
Proof of Identity [PoI] of Related Person* (Please see instruction (H) at the end)
(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)
A-Passport Number
Passport Expiry Date D D M M Y Y Y Y
B-Voter ID Card
C-PAN Card
D-Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y
Aadhaar Card
F-NREGA Job Card
Z-Others(any document notified by the central government) Identification Number
7. REMARKS (If any)
8. APPLICANT 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 you 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. I hereby declare that I am not making this application for the purpose of contravention of any Act, Rules,
Regulations or any statute of legislation or any notifications/directions issued by any governmental or statutory authority from time to time. [Signature / Thumb Impression]
I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
Date D D M M Y Y Y Y Place Signature / Thumb Impression of Applicant
B. Clarification/Guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India
1. Tax identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued a high integrity number with an equivalent level of identification (a Functional
equivalent), the same may be reported. Examples of that type of number for individual include, a social security/ insurance number, citizen/personal identification/services code/number, and resident registration number)
C. Clarification / Guidelines on filling Proof of Identity [PoI] section, if PAN Card copy is not enclosed/For PAN exempt Investors
1. If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if Z Others (any document notified by the central government) is ticked.
3. Others - Identity card with applicants photograph issued by any of the following: Central/ State Government Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public
Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council, etc., to their Members; and Credit cards/Debit cards issued by Banks.
4. Letter issued by a gazetted officer, with a duly attested photograph of the person.
E. Clarification / Guidelines on filling Proof of Address [PoA] - Correspondence / Local Address details section
1. To be filled only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted.
2. In case of multiple correspondence / local addresses, Please fill Annexure A1
3. Others includes Utility bill which is not more than two months old of any service provider (electricity, telephone, post-paid mobile phone, piped gas, water bill); Bank account or Post Office savings bank account statement;
Documents issued by Government departments of foreign jurisdictions and letter issued by Foreign Embassy or Mission in India; Identity card with applicants photograph and address issued by any of the following: Central/
State Government Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as ICAI,
ICWAI, ICSI, Bar Council, etc., to their Members; and Credit cards/Debit cards issued by Banks.
H. Clarification / Guidelines on filling Related Person details Proof of Identity [PoI] of Related Person section
1. Mention identification / reference number if Z- Others (any document notified by the central government) is ticked.
I. List of people authorized to attest the documents after verification with the originals:
1. Authorised officials of Asset Management Companies (AMC).
2. Authorised officials of Registrar & Transfer Agent (R&T) acting on behalf of the AMC.
3. KYD compliant mutual fund distributors.
4. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign Banks (Name, Designation & Seal should be affixed on the copy).
5. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India, Notary Public, Court Magistrate, Judge, Indian Embassy/ Consulate General in the country where the client resides
are permitted to attest the documents.
6. Government authorised officials who are empowered to issue Apostille Certificates.