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Form Sr.

No KYC Documents
List Of Documents Submitted and fulfill Document No. with Capital Letter and Adjustable Space Letter.
1. Personal Details :- Date:- __ __ /__ __ /__ __ __ __
a. Name. :-. DOB. :- __ __ / __ __ / __ __ __ __
Fathers Name.:- Mothers Name.:- ..
b. Mob. :- +91- __ __ __ __ __ __ __ __ __ __ Alternate No.:- +91- __ __ __ __ __ __ __ __ __ __
c. Address :-
District:-.. Pin Code.:- __ __ __ __ __ __
2. Age Proof (Only Standard Age Proof Summated )
a. Matriculation Certificates:-.Passport:-
b. Birth Certificate:-Driving License :-
c. PAN :-Any other (Specify) :-
3. Photo I D Proof:-
a. Pan Card :-Driving License :-
b. Passport :-.Election Card :-..
c. Ration Card :-Bank Pass Book With Photograph :-.
4. Address Proof Details :-
a. Aadhar Card No. :-Enroll No.:- __ __ __ __ / __ __ __ __ / __ __ __ __
Date. :- __ __ / __ __ / __ __ __ __ Time .:- __ __ / __ __ / __ __
DOB. :- __ __ / __ __ / __ __ __ __ Pin Code.:- __ __ __ __ __ __
b. Driving License No. :-Ration Card No. :-
c. Voters ID No. :-...Passport:-
d. Electricity Bill :-.Water Bill :-
e. Telephone Bill :-..Credit Card Bill :-
f. Judicial Rent Agreement:-..Any other (Specify) :-..
5. PAN Card Details:-
a. PAN No. :-...Coupon No:-
6. Qualification Proof Details :-
a. Matriculation Certificates Roll No. :-..HSC Roll No. :-..
b. Graduate Degree Roll No. :-Post Graduate Degree Roll No. :-
c. Professional Courses:-.Any other (Specify) :-..
7. Bank Details :-
a. ITR Acknowledgement No.:- 1st.Yr....
2nd Yrs.3rd Yrs.
b. Cancelled cheque leaf /First Page Of passbook with 3 Months Current Statement:-..
c. Bank Name :- .Name :-
Account No.:- Branch/IFSC Code :-

Applicant Signature
Note: Copies attested by competent authority or Self Certified copies of the following documents (both side) other than item (i) must be attached with the application.
IASAM GROUP 011-22043114,09643005830,Email:- iasaminfo@gmail.com Page 1 of 1

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