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IDSCANFORM IDSCANFORM Email: …

Family NameGiven NamePlace of BirthOccupationDate of BirthDD-MM-YYYYM obile PhoneOther PhoneEmail AddressPersonal DetailsResidential Address (Must not be a )Unit NoStreet NoStreet NameStateGenderMaleFemaleSuburbPost CodePrimary Identity DocumentRTA Drivers Licence Please select the Type of DocumentPassportOtherDrivers Licence / or Passport No. Issue DateDD-MM-YYYYE xpiry DateDD-MM-YYYYS tate of Issue / Country of IssueCountryState Bank of IndiaSydney BranchSuite 2, Level 31,Australia Square264 George Street, Sydney NSW 2000 Tel: 61 2 9241 5643 Email: Verification Form (instructions overleaf)Page 1 of Identity DocumentUtility BillOtherPLEASE SPECIFYC ouncil Rates NoticeATO Tax Notice / LetterTelephone BillDocument NumberIssuer Organisation /

Applicant Signature Date DD-MM-YYYY State Bank of India Sydney Branch Suite 2 , Level 31,Australia Square 264 George Street, …

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