CKYC & KRA KYC Form

1. Identity Details (Please refer instruction A at the end)

PAN
                       
Please enclose a duly attested copy of your PAN Card
  Prefix First Name Middle Name Last Name
Name* (same as ID proof)
     
                     
                     
                     
Maiden Name (If any*)
     
                     
                     
                     
Father / Spouse Name*
     
                     
                     
                     
Mother Name*
     
                     
                     
                     
 
Date of Birth*
D D - M M - Y Y Y Y
 
Gender*
M - Male F - Female T - Transgender
 
Marital Status*
Married Unmarried Others
 
Citizenship*
IN- Indian Others - Country __________________ Country Code
 
Residential Status*
Resident Individual Non Resident Indian
 
 
Foreign National Person of Indian Origin
 
Occupation Type*
S-Service Private Sector Public Sector Government Sector
 
 
O-Others Professional Self Employed Retired Housewife Student
 
 
B-Business X-Not Categorised
  Apply For*
Dance Actor Model Singer Other
   

2. Proof of Identity (PoI)* (for PAN exempt Investor or if PAN card copy not provided) (Please refer instruction C & K at the end)

(Certified copy of any one of the following Proof of Identity [PoI] needs to be submitted)
A- Passport Number
                 
Passport Expiry Date
D D - M M - Y Y Y Y
B- Voter ID Card
                           
D- Driving Licence
                             
Driving Licence Expiry Date
D D - M M - Y Y Y Y
E- Aadhaar Card
                       
F- NREGA Job Card
                             
 
Z- Others (any document notified by the central government)
                   
Identification Number
                       

3. Proof of Address (PoA)*

3.1 Current / Permanent / Overseas Address Details (Please see instruction D at the end)

Address
Line 1*
Line 2
Line 3 City / Town / Village*
District* Zip / Post Code* State/UT Code
Address Type*

(Certified copy of any one of the following Proof of Address [PoA] needs to be submitted)

Proof of Address*

Passport Number
                 
Passport Expiry Date
D D - M M - Y Y Y Y
Voter ID Card
                           
Driving Licence
                             
Driving Licence Expiry Date
D D - M M - Y Y Y Y
Aadhaar Card
                       
NREGA Job Card
                             
 
Others (any document notified by the central government)
                   
Identification Number
                       

3.2 Correspondence / Local Address Details* (Please see instruction E at the end)

Line 1*
Line 2
Line 3 City / Town / Village*
District* Zip / Post Code* State/UT Code


Form Submittion Process : Please first take a printout of this form and fill it in capital letters. After that attach this form with all the documents and email us -
(i) - Pan Card "Color" (Self Attested Copy)
(ii) - Adhaar Card "Color" (Self Attested Copy)
(iii) - Passport size photograph
(iv) - Video_PortPolio (If available)
(v) - Payment Slip copy / Cheque / DD, the name of Company