KYC Form

1. Name of the Applicant


1. Father's/Spouse's Name




2c. Date of Birth


3. Nationality
Please Select Nepal India America

4. Status
Resident Individual
Non Resident
Foreign National


5. PAN


6, Proof of Identity for PAN Exempt Cases
UID
Passport
Voter ID
Driving License
Other

1. Address for Correspondence

Street Address

Street Address line 2

City

  

State / Province

2.Phone Number

Please enter a valid phone number.


3. Email

example@example.com


4. Proof of Address to be Provide by Applicant

Password
Registered Lease
Latest Telephone Bill
Latest GAs Bill
Driving License

Ration Card
Votter Identy card
Latest Bank Account Statement/Passbook
Latest Electricity Bill
Other

C. File Upload

Please upload related photographs and documents.

Drag and drop files here

I hereby declare that the information provided in this form is accurate and complete. I confirm
that any information is found incorrect and/or incomplete that leads a violation of regulations
may initiate legal actions, and I accept that I am the responsible party for any and all charges,
penalties and violations.

Name of the Applicant



Date Signed

Date