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KYC - CUSTOMER PROFILE Form

This document contains a KYC/customer profile form for Karnataka Bank Ltd. The form collects personal details of the applicant such as name, date of birth, gender, religion, marital status, father's and mother's name, spouse name, correspondence and permanent addresses, additional contact details like telephone numbers and email, income sources and amounts, educational qualifications, occupation, PAN number, and identification and address proof documents. The applicant is required to declare that the provided details are true and correct and agrees to inform the bank of any changes.

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ಬೇಳೂರು ಸುದರ್ಶನ
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380 views

KYC - CUSTOMER PROFILE Form

This document contains a KYC/customer profile form for Karnataka Bank Ltd. The form collects personal details of the applicant such as name, date of birth, gender, religion, marital status, father's and mother's name, spouse name, correspondence and permanent addresses, additional contact details like telephone numbers and email, income sources and amounts, educational qualifications, occupation, PAN number, and identification and address proof documents. The applicant is required to declare that the provided details are true and correct and agrees to inform the bank of any changes.

Uploaded by

ಬೇಳೂರು ಸುದರ್ಶನ
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Karnataka Bank Ltd.

Date: KYC/Customer Profile form


Your Family Bank, Across India
CKYC Number:
Branch Name and Address:
Customer ID:

Account Number:

APPLICANT’S DETAILS

Name: Mr. Ms. Mrs.

Date Of Birth: Gender: Male Female Transgender Religion: Marital Status: Married Unmarried Others

Father's Name:

Mother's Name:

Spouse Name:

CORRESPONDENCE ADDRESS: RESIDENTIAL OFFICE BUSINESS RESIDENT/BUSINESS UNSPECIFIED

Landmark/Street: City:

District: State: PIN: Country:

Telephone No: Mobile No: E-mail:

PERMANENT ADDRESS: Same as Correspondence Address : Yes No (If No , furnish below )

Landmark/Street: City:

District: State: PIN: Country:

Telephone No: Mobile No: E-mail:

ADDITIONAL DETAILS

Income (Gross) Monthly Annually Source of Income: Designation/Profession:

Educational Qualification: Illiterate Under Graduate Graduate Post Graduate Professional Other (specify)............... Occupation:.....................

If employed: Organization's Name:

Address:

PAN : or Please fill Form 60/61 if you donot have PAN

KYC DOCUMENTS (Official Valid Document)

Any one document for a photo-identity and proof of address(Please tick the appropriate box and give details below):

Aadhar No: Driving License:

Passport: Job card issued by NREGA:

Voter's ID: National Population Register Letter:

I hereby declare that the details furnished above are true and correct to the best of my/our
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
Paste a latest Passport misrepresenting, I am aware that I may be held liable for it.
size Photograph inside
the Box

FOR OFFICE USE ONLY


Signature/Thumb impression(s) of depositor
The KYC Documents are received on ….... / ….... / ….................

Emp.Name: Designation: Staff No:

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