IDFC FIRST

Bank

KNOW YOUR CUSTOMER (KYC)

CUSTOMER POINT VERIFICATION (individual)
(To be maintained by the Branch)

Person conducting CPVto fill/Strike off the

relevant fields
Branch Name: Jaso\a Branch Code:L0 9t
Date &Time of CPVperformed:
\33S Reason for CPV:

Customer Name: ulOm

Full Address: toue
noE-Lyst
extehs Qh pat 0 Pin code: || 9o4 y Landmark:
Locality Type: Lower Middle class/Decent Middle Class locality/ Posh Upper Class locality
Name plate sighted at Society/Door (Yes/No).If Yes, does name match with records
(Yes/No)
Customer met in person (Yes/No) If No, reasonNo
Name of the Person contacted during CPV:

Relationship with customer: Sisten n Ia

Customer Contact number (R)
32US23%6
Mobile no: 4 | s 2 3 G
Email: shahplakah 1Qahoail-coh
Occupation: Self Employed/Service. Occupation details:
No of ycars in present occupation:

Any other details: Ustome Las hothe en he, helatives

Wlemevelne edhe deced he existey
Do Neighbours/neighbouring shops or offices know the customer (Yes/No)
Name &address of Neighbour
i shet

Name of Agency/Br Staff conducting CPV: Abhbe Signature

Agency/E mployee code: 346gy

BM Revicw/Analysis (tick onc): () Satisfactory CPV

gative CPV
Remarks if CPV Negative: Ac
BM Name: Signature

Employce Code:
 IDFC FIRST
SITE VERIFICATION REPORT Bank

No Bnkr o v e ordu ting Site Venficatin t l t e Releyant Cields n CAPITAL letters only

Entity Inormation
Souce of Lead
CRM lead Activity anch Other

tEntt lvpe sPrn ate Limted has the same been val1dated against PROBE &SARVA:JYes No
"Custmer Name
kul sulm LAST NAME pta.a leva ona soaca ha wasn Mrne

l the nam of the conpanyin abbreviation

o bl onduct a Gogle soath and list the entties witlh which the abbreviation matches NA
Date of Incornoration

.Noh Incorporated (Less than 6 months) Yeso Number of years the entity has been in active business:
Naiure of BusinesS Domestic Export Import Export &Import
-ine of Eusiness: . Product Dealing in:

An actiliat1ons/membership of associations e.g. IATA, IMA, and FICCI:

-ry Banking rclat ionship with IDFC FIRST Bank:(eg: Acs / loans etc of Director / promoter / Trustee/
Group Accounts etc) Yes No
-1f yes pls share detals

IDFC FIRST Bank Customer ID Details of Relationship

Ao2ob4LSI39 Aecaunt

AddressVerification Details
Details of Business Address:

400rcse_
"Lore:s procf CcllectedYesNo "Ease of Locating Site: EasyDifficult Untraceable

"ehysscal Appearance of Building:ExcellentGoodPoor

" Address Locality Commercial Complex Industrial area/estate Business Centre Resdential SEZ
Slum/Chawl Others

"ype of office FactorySmall Production Unit Workshop Small Scale Shed office Complex
Indeperndent Office building Shared OfficeShopping ComplexShop
ResidentialOthers
.hature ot Ownership of addressOwnedRented P.G.
. Surdtuf years the entity has been operating from this address:
. Dous t e custorner operatedfrom multiple locations |Yes toNumber of such addresses:
1f yes shat delails
lkeason tor operating from multiple locations

.thetenote than One company/entity operating tron the same address. YesNO
"Is Ihe cofmmunication Address Sarme as business address. |Yes No
if No ls a wet lhe ext section; else stuke it out

A4 Size
CUstome wa not theAe whehee I heached at lo calioh
he elatives ohim her e i tahce, s he's dedihed
he
IDFC FIRST
Bank

Details of Communication Address:

Address 1 o U o - E \3
" Reason WhyCommunication Address is different:
Jatpuh extehsOh poat
" In case this is the residence of Director / Trustee / Promoter; does the profile of the entitymatch with the profile of
the Director / Trustee / Promoter?Yes Ne
" Address proof Collected: Yesto Ease of Locating Site:Easy Difficult Untraceable
" Condition/Physical Appearance of Building: Excellent Good Poor
" Address Locality:Commercial ComplexIndustrial area/estateBusiness CentreResidertal SEZ
Slum/Chawl Others
" Type of Office:Factory Small Production Unit Workshop Small Scale ShedOffice Complex
|Independent Office building Shared Office Shopping Complex ShopResigential Others
" Nature of Ownership of address: OwnedRentedP.G.
" Number of years the entity has been operating from this address:
" is there more than One company/entity operating from the same address:YesNo
If Yes. Pls. share reason:

Business ActivityiEdneaset.
" Was the business Board /Signage seen outside the business address: Yes
" What was the type of signage you saw: Backlit/Metal fixture/boardFlex Banner Temporary Printed Paper
" Does the board match the Account title:Yes No

If no Pls. share reason: Office of the parent entity Abbreviation used Others
If Abbreviation pls. share reason ie. short, famous
" Were the neighbours (shops/office) aware of the customer/entity: Yes No
" Details of feedback from the neighbour on their understanding of business activity, period since the office/shop has been
active, their iteration or any other observation

" Number of employees seen working in the office " Level of activity seen:High Low Poor (no activity)
"Was stock, raw material sighted (if applicabBe)
" Was the activity aligned with the nature&line of business:
"Was the necessary infrastructure sighted in line with business activity i.e. computer terminals, machinery

Details ofKey decísion makers &authorised signatories

Who was met at the time of conducting SVR: Designation Name
Please capture below mentioned details of ALL AUTHORISED SIGNATORIES
Name Age Holding the position since (years) No of yrs. of Experience in similar field

Maker/Checker recommendation A
Ihereby recommnend account opening as Ihave conducted due diligence at the place of business, verified the KYC documents
and checked the profile of the signatories & key decision makers,
"Maker Name Abhishek hotam *Designation HH AM
"Employee Code 34Gu "Date &Time aby
DD MM Y Y Y Y

Signature
I hereby recomnend acCOUnt openig am aware that the below mentioned parameters is/are true and have been addressed
satisfactorily.
office is rented P.G Name of co.is in abbreviation Board not seen Business activity seen is poor
Comments
'Checker Name 'Designation
'Employee Code 'Date & Time

Signature_

A4 Size