KYC - CUSTOMER PROFILE Form
KYC - CUSTOMER PROFILE Form
KYC - CUSTOMER PROFILE Form
Account Number:
APPLICANT’S DETAILS
Date Of Birth: Gender: Male Female Transgender Religion: Marital Status: Married Unmarried Others
Father's Name:
Mother's Name:
Spouse Name:
Landmark/Street: City:
Landmark/Street: City:
ADDITIONAL DETAILS
Educational Qualification: Illiterate Under Graduate Graduate Post Graduate Professional Other (specify)............... Occupation:.....................
Address:
Any one document for a photo-identity and proof of address(Please tick the appropriate box and give details below):
I hereby declare that the details furnished above are true and correct to the best of my/our
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
Paste a latest Passport misrepresenting, I am aware that I may be held liable for it.
size Photograph inside
the Box