KYC Individual Submit FormKYC Non-Individual Submit Form KYC Individual Submit Form All fields are Required*** Step 1 1. Name of the Applicant : 2. Father/Spouse Name : 3. Gender* --Select-- Male Female Others 4. Marital Status* --Select-- Married Single 5. Date Of Birth* 6. Nationality 7. Email 8. Mobile number : 9. Pan No.* : 10. Pan Image : 11. Unique Identification Number(UID)/Aadhaar (Optional): 12. UID Front Image : 13. UID Back Image : 14. Address For Correspondence* : 15. City/Town/Village* : 15. Pincode* : 16. State* : 17. Country* : 18. Status* : --Select-- Residential Individual Non-Residential Foreign National 19. Alternate Mobile : 19. Occupation : --Select-- Private Sector Public Sector Government Service Business Professional Agriculturist Retired Housewife Others 20. Please tick if applicable --Select-- Politically Exposed Person (PEP) Politically Exposed Person (PEP) No Political Relation Other Details 21. Gross Annual Income Details* : --Select-- Below 1 lac 1-5 lac 5-10 lac 10-25lac 25 lac - 1 Crore More than 1 Crore 22. Net Worth(as per last Financial Year) : : --Select-- Less Than 25 Lacs Between 25 Lacs to 50 Lacs Between 50 Lacs to 1 Cr Above 1 Cr 23. Demat Account number : 24. Demat Account Broker Company : 25. Upload Income Proof : : 26. Upload Your Photo : 27. Digital Signature photo : 19. Upload your Signature Next All fields are Required*** step 2 1. Name of the Applicant : 2. Father/Spouse Name : 3. Gender* --Select-- Male Female Others 4. Marital Status* --Select-- Married Single 5. Date Of Birth* 6. Nationality 7. Email 8. Mobile number : 9. Pan No.* : 10. Pan Image : 11. Unique Identification Number(UID)/Aadhaar (Optional): 12. UID Front Image : 13. UID Back Image : 14. Address For Correspondence* : 15. City/Town/Village* : 15. Pincode* : 16. State* : 17. Country* : 18. Status* : --Select-- Residential Individual Non-Residential Foreign National 19. Alternate Mobile : 19. Occupation : --Select-- Private Sector Public Sector Government Service Business Professional Agriculturist Retired Housewife Others 20. Please tick if applicable --Select-- Politically Exposed Person (PEP) Politically Exposed Person (PEP) No Political Relation Other Details 21. Gross Annual Income Details* : --Select-- Below 1 lac 1-5 lac 5-10 lac 10-25lac 25 lac - 1 Crore More than 1 Crore 22. Net Worth(as per last Financial Year) : : --Select-- Less Than 25 Lacs Between 25 Lacs to 50 Lacs Between 50 Lacs to 1 Cr Above 1 Cr 23. Demat Account number : 24. Demat Account Broker Company : 25. Upload Income Proof : : 26. Upload Your Photo : 27. Digital Signature photo : 19. Upload your Signature Back KYC Non-Individual Submit Form (* = fields are required) Your Name* Date Of Incorporation Place Of Incorporation Date Of Commencement Of Business Pan No.* Registration No.(e.g. CIN) Status* --select--Private limited coPublic limited coBody CorporatePartnershipTrustCharitiesNGO'sFIFIIHUFAOPBankGovernment BodyNon Government OrganisationDefence EstablishmentBOISociety LLPAdityaPU-4-1PU-4-2Manorma GanjOrbit MallC.K.NaiduEjajOthers ADDRESS DETAILS Address For Correspondence* City/Town/Village* Pincode* State* Country* CONTACT DETAILS Mobile* Tel. (Office) Tel. (Residential) Fax Registered Address* Email Specify The Proof Of Address Submitted For Correspondence Address Other Details Gross Annual Income Details* --Select--Below 1 lac1-5 lac5-10 lac10-25lac25 lac - 1 CroreMore than 1 Crore Net-Worth Amount Name, PAN, Residential Address And Photographs Of Promoters/Partners/Karta/Trustees And Whole Time Directors DIN/UID Of Promoters/Partners/Karta And Whole Time Directors Please Selects, If Applicable, For Any Of Your Authorized Signatories/ Promoters/ Partners/ Karta/ Trustees/ Whole Time Directors--Select--Politically Exposed Person(PEP)Related to Politically Exposed Person(PEP) Any Other Information Upload Photo Select submission code--Select--0001020304050607080910111213151617181820 Demat Account number Demat Account Broker Company submit
