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KYC Update Form 20 01

Bank Baroda kYC form

Uploaded by

doreendudutlhaba
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34 views

KYC Update Form 20 01

Bank Baroda kYC form

Uploaded by

doreendudutlhaba
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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KYC DETAIL UPDATION /ADDITION/ CHANGES/ MODIFICATION ETC.

Full Name

Date of Birth Gender Nationality


Country of Origin Period of stay in Botswana
Marital Status Married Single Divorced Widowed
Passport No. / Omang Issue Date of Expiry
No. Date
Place of Issue / Country
Work Permit No. Valid Up to
Residence Permit No. Valid Up to
TIN Number
Type of Residence Owned Rented Company’s Married Married
Living with Parents Other (Specify) -
Educational Qualification
Occupation
Are you a PEP / close
associate of a PEP / family
member of a PEP?
Any other Activity/ ies
Source /s of Income
Net worth (Assets –Liabilities) :-
Physical Address

City:- Country :-
Postal Address

City :- Country :-
Email Address
Telephone / Mobile
Married in Community Yes / NO :-
If Yes A} Spouse Name -
B} Spouse’s ID / Date of Issue
Place of Issue Date of Expiry
Any Other information
I hereby confirm that the information provided herein is accurate, correct and complete and that the documents submitted
along with this application form are genuine. I undertake to inform the Bank of Baroda (Botswana) Ltd in writing of any changes
to the information already provided and to update the information on this form whenever requested to do so by the Bank. I
understand and agree that this declaration is final and irrevocable, and that it is not subject to cancellation or amendments.
Signature Date :
Place :

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