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Additional Kyc Information

This document contains a form requesting additional Know Your Customer (KYC) information from applicants. It requests details such as applicant names, PAN numbers, occupation, income level, net worth, and politically exposed person status. Applicants are asked to provide signatures to confirm the accuracy of the information provided in the form.

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KRIZMAL TRADING SOLUTIONS PVT LTD
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34 views

Additional Kyc Information

This document contains a form requesting additional Know Your Customer (KYC) information from applicants. It requests details such as applicant names, PAN numbers, occupation, income level, net worth, and politically exposed person status. Applicants are asked to provide signatures to confirm the accuracy of the information provided in the form.

Uploaded by

KRIZMAL TRADING SOLUTIONS PVT LTD
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
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Additional KYC Information

Sole/1st Applicant’s Name: PAN

Occupation Detials Private Sector Service Public Sector Service Government Service Business Professional Agriculture
[Please tick ()] Retired Housewife Student Others (Please specify) ________________________________________________

Gross Annual Income [Please tick ()] Below 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac >25 lac - 1 crore > 1 crore

OR
Net Worth D D M M Y Y Y Y (Not older than 1 year)
Rs.__________________________________________ as on

Politically Exposed Person Status* I am Politically Exposed Person (PEP)^ I am Related to Politically Exposed Person (RPEP) Not applicable

2nd Applicant’s Name: PAN

Occupation Detials Private Sector Service Public Sector Service Government Service Business Professional Agriculture
[Please tick ()] Retired Housewife Student Others (Please specify) ________________________________________________

Gross Annual Income [Please tick ()] Below 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac >25 lac - 1 crore > 1 crore

OR
Net Worth Rs.__________________________________________ as on D D M M Y Y Y Y (Not older than 1 year)

Politically Exposed Person Status* I am Politically Exposed Person (PEP)^ I am Related to Politically Exposed Person (RPEP) Not applicable

3rd Applicant’s Name: PAN

Occupation Detials Private Sector Service Public Sector Service Government Service Business Professional Agriculture
[Please tick ()] Retired Housewife Student Others (Please specify) ________________________________________________

Gross Annual Income [Please tick ()] Below 1 lac 1 - 5 lac 5 - 10 lac 10 - 25 lac >25 lac - 1 crore > 1 crore

OR
Net Worth Rs.__________________________________________ as on D D M M Y Y Y Y (Not older than 1 year)

Politically Exposed Person Status* I am Politically Exposed Person (PEP)^ I am Related to Politically Exposed Person (RPEP) Not applicable

*PEP are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g. Heads of States or of Governments, senior politicians, senior Government/judicial/military
officers, senior executives of state owned corporations, important political party officials, etc.

I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we 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/we are aware that I/we may be held liable for it.

Signature of 1st Applicant/Guardian Signature of 2nd Applicant Signature of 3rd Applicant

This application will not be considered without the signature(s) of the respective applicant(s).

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