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    KYC Template Individual AnnexB1

    Uploaded by

    Nobita Tamao
    This document is a KYC application form for adding or deleting a related person from an existing KYC record. It contains 3 sections - 1) details of the related person such as name, proof of identity, 2) an applicant declaration, and 3) an attestation section for office use only. Mandatory fields are marked with an asterisk. Instructions are provided at the end for reference codes, updating sections of the form, and acceptable proof of identity documents.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    KYC Template Individual AnnexB1

    Uploaded by

    Nobita Tamao
    32 views1 page
    This document is a KYC application form for adding or deleting a related person from an existing KYC record. It contains 3 sections - 1) details of the related person such as name, proof of identity, 2) an applicant declaration, and 3) an attestation section for office use only. Mandatory fields are marked with an asterisk. Instructions are provided at the end for reference codes, updating sections of the form, and acceptable proof of identity documents.

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    Kyc annexure b1

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    This document is a KYC application form for adding or deleting a related person from an existing KYC record. It contains 3 sections - 1) details of the related person such as name, proof of identity, 2) an applicant declaration, and 3) an attestation section for office use only. Mandatory fields are marked with an asterisk. Instructions are provided at the end for reference codes, updating sections of the form, and acceptable proof of identity documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views1 page

    KYC Template Individual AnnexB1

    Uploaded by

    Nobita Tamao
    This document is a KYC application form for adding or deleting a related person from an existing KYC record. It contains 3 sections - 1) details of the related person such as name, proof of identity, 2) an applicant declaration, and 3) an attestation section for office use only. Mandatory fields are marked with an asterisk. Instructions are provided at the end for reference codes, updating sections of the form, and acceptable proof of identity documents.

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    of 1

    Annexure B1

    CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual | Related Person
    Important Instructions:
    A) Fields marked with ‘*’ are mandatory fields. E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.
    B) Please fill the form in English and in BLOCK letters. F) List of two character ISO 3166 country codes is available at the end.
    C) Please fill the date in DD-MM-YYYY format. G) KYC number of applicant is mandatory for update application.
    D) Please read section wise detailed guidelines / instructions H) For particular section update, please tick ( ) in the box available before the
    .at the end. section number and strike of the sections not required to be updated.

    For office use only Application Type* New Update


    (To be filled by financial institution) KYC Number (Mandatory for KYC update request)

    1. DETAILS OF RELATED PERSON (Please refer instruction G at the end)

    Addition of Related Person Deletion of Related Person KYC Number of Related Person (if available*)
    Related Person Type* Guardian of Minor Assignee Authorized Representative
    Prefix First Name Middle Name Last Name
    Name*
    (If KYC number and name are provided, below details of section 1 are optional)

    PROOF OF IDENTITY (PoI) OF RELATED PERSON* (Please see instruction (H) at the end)

    A- Passport Number Passport Expiry Date D D M M Y Y Y Y

    B- Voter ID Card
    C- PAN Card
    D- Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y

    E- UID (Aadhaar)
    F- NREGA Job Card
    Z- Others (any document notified by the central government) Identification Number
    S- Simplified Measures Account - Document Type code Identification Number

    2. APPLICANT 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. [Signature / Thumb Impression]

    Date : D D M M Y Y Y Y Place : Signature / Thumb Impression of Applicant

    3. ATTESTATION / FOR OFFICE USE ONLY

    Documents Received Certified Copies

    KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS

    Date D D M M Y Y Y Y Name
    Emp. Name Code
    Emp. Code
    Emp. Designation
    Emp. Branch

    [Institution Stamp]
    [Employee Signature]

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