Know Your Customer (KYO) Application Form Appteaion (For individuals Only) Pass fill this form in EUGLISH and in BLOCK LETTERS (Al Information as applicable in Sections A.B and € below is mandatory) Thisifomaton is saught under the Penton of Morey Lundtng Act 2002, te es pte their” aed SEs guidelines on Anti Money Lzdeing Fe esig Mal dite, eds ete sone len lb iad Se mos Metal ad Aube Aga ae Mts) aes vec “A Hdentty Detals (Please see guidelines At to AS oveiea) 1. Mame of Applicant ss spsring in supporting Went ieston document Te CMe Es. Ghote Gender He Fenle 2 bate of inh tents colour pocograph $m 4 mn 4, Status Fe ik) Eiders Een tit Passport Cony Overseasaddess Prot MandatyforN) | sin aos the photograph 2. Nationality Ehise Een 5. Permanent Account Number (PAN) (MANDATORY) Please ck) Copy f Cad atrd B. Address Details (Pease see guidelines B1 to B4 overleaf) 1. Aes for Conspondence (To ge Se 2 Contact Details won Natie fo aa 2. Poof of addes tobe provided by Applian. 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YeMnOQDI eR Se.09000 CI Hs SA}0900 el ow, 2 a, Oceypation Details Pease ck ¥) any one Ca Secor series Chie sacar/aoemment ene CJkusnes: )ofsorel Cagiaiuts Cate C]Howenife sucert Ey fore Dealer ota ese pea) ames If the folowing is additionally applicable to you Pease ick V) ane or more 2s apalcable cel sna Cp Bseaszat CYCre roa MF MMA cc CY Pacin Curr wae of Sate a __ DECLARATION z SIGNATURE OF APPLICANT yan rip Ps ou ih CT ets Le om et He nae ten te gu ey ire ett ise testy ane ale bly rn ot corey aed ty I ene rye ap etn bP ny getty Rae Reet ym anytime hearse pense alin fay Page ‘aeons Soe etsy hencscet Men et eat ony an erg eae er tae eh {rion sem ayer ve rete ena yr ae retrace ‘Se tb pe at nn nate yp ay eraaldanealetasatemanyclioc ncaa genes hy (Dig vr a Cad Nearest deste Ye psf counts ec |NONIDUAL KYC FoRIMPORTANT NOTES - PLEASE READ BEFORE FILLING UP THE FORM op ns yi din Seren oo a agar Scat encima seoweare somone cameceneneal Suesewotaaweneieecantins Eres aiove ria rea Eee tamauaneneam cotta Beans ct tii Sees ieee ‘pete tarainmeanirin Sahara infec seman age Syiereneny nas Sci atric me eres Beare tenareataiomns eee sur See aire ceeds enn nacre Fee ere eeeee es Peeatotgramemnee Se Sosy Pa tarragon tn DeSean so vey matt rele gr rin 1a etna te ieee ing tence tae Hearse aint cartes sche enone mam yt eceriuena iene sce Ze rereeaie era rites ecstatic motte sindineahs operen new paaiatacte Gieene ces toutigeere tote ar Baciccittage yaoneaeagg Bes as Veta cane eit ly oc orci em Tiss sats lass saiaace at Sow ememeene ce era ea Sera atten cae Siete caer Sear ar Soa taacranteguntemvars wives erated Rete rerancpaane Sateavecenmiante ‘Lee oN ea ovens ates along wih rope poo ‘rae stort copy ae mandatory oem GUIDELINES FOR FILLING UP THE KYC APPLICATION FORM Tele be ct Rs ORK TERS Fern ect wae pe Fe oa arn come eo yc ooh ‘rats lectern pt. gate noes sory wal ane acaneresneresarrecanrtt cece ramsey coat Seating et een pee Cc lal eau ie Pht teen poe wivemetontnc fe iret a ee [palo tapos tne cate PO cic isco ceri Foe ome amg Sere eer eet ear eee a IPE cit pai or cine gS aa oa cay ee ieee oaeanmes rear ta meek lighter oes creer ie ita toon a Eee ia ears aarinmassao es Daas 7 habe ‘ber nt xen oe ais ooh pe a Sight ty taharanen rc ute erat ata eo pn ein ca Seed supe a APA OF ce Boe ence emer eereeieenere hen antan seme itaasrad (ee ee er ae er cetera er ee ee da agra rs eae es oer io fay aay a FSS SERRE aT {este eet ash an raya oh 6 one te mh at jo wr Chi ea ot Myr at an. a me uagia onan ea Gas a ia ng tpg eaten et a hg Feet ufo neers jes Uaioe ciara ‘errr ra he I alpret do testo a mato yen oy Pew a id Fut ape Teds erty asaya yt se ‘Sip Winn samara sip id Serena ine Sees oe Sr a etc fofaseliienurengy cys sea see a cis pe bebe dees pee sey Scere ania estan nS ae ‘so ey nh nr ren Seen aa seater Investors Applying for KY, Please Submit the KYC Documents On AA Size Paper only. eos ea ea spate a eps asap a Pee ve has dys Pes ty on a cad Tk fa ‘CHECKLIST (Before submitting this form, please: ‘through the following checklist) fetta yar Bry ram le il ee 4 Phat a a Aes Ds nwa anes he alt th ed is ah a op © Pilani tin sa ee ses He & al ebm our Pasar Copy er mssanc or anquries please approach the Pont of Seve ware ya Fad sbid your RYE Apation Frm, INDNADUAL KY FORM