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SelfDeclarationofKYCDocumentSubmission_ForIndividualPartner
SelfDeclarationofKYCDocumentSubmission_ForIndividualPartner
SelfDeclarationofKYCDocumentSubmission_ForIndividualPartner
Address………………………………………………………………………………………………………………………………………………………..
The documents provided as proof of identity and proofs of address have been self-attested. I have also attached my
recent photograph above.
Date…………………………………Place……………………………..
………………………………………………………….........................
Signature of the Declarant
Bajaj Allianz General Insurance Company Ltd. GE Plaza, Airport Road, Yerawada, Pune 411 006 Tel- (+91 020) 66026777 Fax- (+91 020) 66026791