SEBI Reg. No. INA000013022
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Full Name
Father Name
Gender : MaleFemale Maritial Status: SingleMarried
Birthday:
Date of commencement of business:
Nationality :
Status: Resident IndividualNon ResidentForeign National
PAN NO. :
Unique Identification Number (UID)/ Aadhaar, if any :
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Address for correspondence :
City/town/village:
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Country:
Tel.(Off.) :
Tel.(Res.):
Mobile Number:
Fax No:
Email:
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Specify the proof of address submitted for registered address :
Gross Annual Income Details :
Below Rs 1 Lac1-5 Lac5-10 Lac10-25 Lac25 Lacs-1 croreMore then 1 crore
Net-worth Amount:
Net-worth Date :
Occupation :
Private SectorPublic SectorGovernment ServiceBusinessProfessionalAgriculturistRetiredHousewifeOthers
Please Selects, if applicable, for any of your authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :
Politically Exposed Person (PEP)Related to a Politically Exposed Person (PEP)
Any Other Information :
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Full Name:
Date of incorporation of business :
place of incorporation:
PAN NO :
Registration No.(e.g. CIN) :
Status:
---Select---Private Limited CoPublic Ltd. Co.Body CorporatePartnershipTrustCharitiesNGOsFIFIIHUFAOPBankGovernment BodyNon-Government OrganizationDefense EstablishmentBOISocietyLLPOthers
Form Type:
None-IndividualIndividualCompany
