[go: up one dir, main page]
Scribd
Upload
1K views1 page

Sbi KYC Update Fillup

This document is a KYC details update form for a customer at the State Bank of India, Sujapur branch. It includes personal information such as name, account number, residential status, occupation type, and identification information like PAN and Aadhar numbers. The customer declares the accuracy of the provided information and consents to the use of their Aadhar as identification proof.

Uploaded by

caseter486
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
1K views1 page

Sbi KYC Update Fillup

This document is a KYC details update form for a customer at the State Bank of India, Sujapur branch. It includes personal information such as name, account number, residential status, occupation type, and identification information like PAN and Aadhar numbers. The customer declares the accuracy of the provided information and consents to the use of their Aadhar as identification proof.

Uploaded by

caseter486
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

CIF No

I 111D
894790xxxx15
KYC DETAILS UPDATION KYC ANNEXURE 'B
STATE BANK OF INDIA: SUJAPUR Branch
1. PERSONAL DETAILS
Last Name
Prefix First Name Middle Name
Name (Same as proo O U
MD I I IIIIID
ZABBAR IIIIII0
ALI
PHOTO
Account No
3324xxxxx80
Residential Status: Resident Individual Non Resident Indian
Foreign National Person of Indian Origin
Occupation Type: S-Service ( Private Sector Public Sector Government Sector)
0-Others (Professional Self Employed Retired Housewife Student)
B-Business
X-Not Categorised Please Specify.. **********ooss**.

Annual Income/Tumover.
2. 1DENTIFICATION INFORMATION
PAN No L E L t PAN not available FORM 60 to be submitted)
MANDATORY: ENLXXS7611Q
(certified copy of any one of the folowing documents to be submitted)
OVD: Passport Voter ID Driving Licence NREGA Job Card Letter issued By National
Population Register
DOCUMENT No: III
| 1 I | I 1 IIAADHAR
I NO (Voluntary) 1 |
3. CURRENT/PERMANENT/OVERSEAS ADDRESS DETAILS

OVD:Passport Voter ID Driving LicenceNREGA Job Card Letterissued By National


Population Register
DOCUMENT No: II
I submit my Aadhar number and voluntarily give my consent(Please a tick mark)

Aadhar No: 9912xxxx3612


3.1 Current/LOCAL ADDRESS DETAILS
Line 1
HAJI DURI PARA SUJAPUR
Line 2 NAZIRPUR KALIACHAK
Line 3 SUJAPUR City/Town/Village NAZIRPUR
MALDA Pin/Post Code 732201 State/U.T WEST BENGAL
District
4. CONTACT DETAILS
Tel (Off) |IILITel(Re Mo Moble 9932xxxxx160
D 111
Email 1D
5. APPLICATION DECLARATION
I submit my Aadhar copy and voluntarily give my consent to use the same 1D/Address proof document (Strike of
Aadhaar not submitted). I hereby declare that the details furnished are true and correct to the best of my knowledge and
belief. I undertake to inform you of any changes therein, immediately. In case the above information is found to be false
untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

Date mOOM1
(0D-MM-Ymm 11. 03. 2022 LIID
Place: SUJAPUR
Signature/Thumb Impression of customer
6 ATTESTATION/FOR OFFICE USE ONLY
Documents Received Proof of identify Proof of Address
KYC VERIFICATION CARRIED OUT & ENTERED IN cBS ON -BY

Maker Checker
Thisform along with the KYC Documents be sent to LCPC for storage.
ldentity/Address details to be verified with bank records
AcknOMdadaor t to

You might also like