Know Your Customer (KYC) Application Form
  1. Personal Details
PAN*
Name* (Same as ID Proof)
Date of Birth*  -   - 
  1.1 Additional Identity Details
Citizenship*
Residential Status*
Occupation Type*
Gender*
Marital Status*
Maiden Name* (if any)
Father's Name*
Spouse Name* (if any)
Mother's Name*
  2. Residence For Tax Purposes in Jurisdiction(s) Outside India (if applicable)
  3. Proof Of Identity (PoI) (if applicable)
  4. Proof Of Address (PoA)*
Current / Permanent / Overseas Address Details
(Certified copy of any one of the following Proof of Address[POA] Needs to be submitted)
Address Type*
Proof of Address*
Address
Line 1*
Line 2
Line 3
City/Town/Village*        District*           Pin/Post Code*   
State / UT Code*         ISO 3166 Country Code*   
  4.2 Correspondence / Local Address Details*
  Same as Current / Permanent / Overseas Address Details
Line 1*
Line 2
Line 3
City/Town/Village*        District*           Pin/Post Code*   
State / UT Code*         ISO 3166 Country Code*   
  5. Contact Details* (All communcations will be sent on the provided Mobile No. / Email-ID)
Tel. (Off)  -   Tel. (res):  -   Mobile:*  - 
Fax  -    Email*   
  6. Details of Related Person (if applicable)
  7. Remarks (if any)
Submit