Transcription of KYM- KNOW YOUR MEMBER
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KYM- KNOW YOUR MEMBER
KYM- know your MEMBER 1. Membership No. : .. 2. Name : (Mr/ Mrs) .. 3. Present Address : .. (please attach address proof) .. 4. Phone No. : .. 5. Mobile No. : .. Sign across the Photo 6. E-Mail ID : .. 7. Bank Account No (Savings / Current). : .. (Please attach a copy of Bank Passbook) 8. Name & Address of Bank: .. 9. Under Section 22 of Act II of 1912, I hereby nominate the following person(s) as heir(s) to whom sum due to me after deducting my liabilities to the above Society, shall be paid in case of my death/ insanity. Nominee 1 : .. (paste photo) Relationship : .. % of Share: .. Address: .. Nominee 2: .. (paste photo) Relationship : .. % of Share: .. Address: .. 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.
INSTRUCTIONS FOR FILLING THE FORM (KYM) - PERSONAL /BANK ACCOUNT DETAILS (a) Form to be filled legibly in BLOCK LETTERS and preferably in BLACK INK. (b) Mention your bank account number in clear handwriting (no overwriting ) and correctly.
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