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Know Your Client (KYC) Application Form (For Non ...

NDate:Place:NAME & SIGNATURE(S)OF AUTHORISEDPERSON(S)I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we 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/we are aware that I/we may be held liable for it. DECLARATIONFOR OFFICE USE ONLYC. Other Details (please see guidelines overleaf)1. (Please use the Annexure to fill in the details)Name, PAN, DIN/Aadhaar Number, residential address and photographs of Promoters/Partners/Karta/Trustees/whole time directors2.

Commercial Banks/Scheduled Co-Operative Bank/Multinationa Foreign 4. Name & address of the applicant mentioned on the KYC form, should match with the Banks/Gazetted Officer/Notary public/Elected representatives to the Legislative ... Self-certification on letterhead Authorized signatories list with specimen signatures

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