India Kyc – Skyland Group Pvt Ltd

KYC FORM

India

Please fill this form in ENGLISH and in BLOCK LETTERS.

Name of the applicant

Father's/Spouse name

Grand father's name

Nationality

Pan card

Aadhaar card

Date of birth

Gender

Marital status

Phone number

Email address

Occupation

Have passport?

Passport number

Which country used your passport

Current Address

Permanent Address

Select Membership Plan

Aadhar card front

Aadhar card back

Pan card

Driving Licence

Passport front page

Passport back page

Electricity/water/landline bill

DECLARATION

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

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KYC FORM

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