PAYPOINT INDIA NETWORKS PVT LTD
H.No: 14-106, S.N Colony,Swaroop Nagar, Uppal,Hydearabad-500039
Ph.NO: 040-40152427
S.B.I. CUSTOMER SERVICE POINT (CSP) REGISTRATION FORM
CSP DETAILS:
Full Name:
PHOTO
S/o, W/o or D/o
Residence Address: - Village:
Mandal: District:
State : Pin Code: Mobile No:
Email Id: Date of Birth
CSP BUSINESS OUTLET LOCATION DETAILS:
Location Address:
Mandal: District: Population:
State: Pin Code: Mobile No:
SBI near Branch: Branch Code
Distance from Location: Shop Own / Rented
Nearest CSP Distance:
No of Years Stay in Present Location: Education:______________________
KYC OF THE CUSTOMER(CSP):
Aadhar Card No: PAN Card No: __________________
SBI Bank A/c No: Branch:
I hereby declare that the details furnished above are true and correct to the best of my knowledge and
belief.
APPLICANT SIGNATURE:
(Authorized Signatory)
Paypoint India Networks pvt ltd