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POST OFFICE SAVINGS BANK
NEW/CHANGE KYC ( Know Your Customer) Form
(to be sent to CPC)
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Signature
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Recent Photograph
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Applicant
(1)
Name:-
CIF
ID No.
Account
No.
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(1)
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(2)
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Applicant
(2)
Name:-
CIF
ID No.
Account
No.
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(1)
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(2)
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Applicant
(3)
Name:-
CIF
ID No.
Account
No.
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(1)
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(2)
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Please fill all the information
below in case of new account and only relevant information in case of Change in
KYC
Name
(in capital letters)
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Flat/House
No.
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Locality
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Road
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Landmark
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City
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PIN
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State
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Country
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Tel
(Off)
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Tel
(Res)
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Mobile
No
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E Mail
ID
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Proof
of Identity (doc. type & no.)
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Proof of address (doc. type &no.)
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I do
hereby solemnly declare that the information provided above with respect to my
account is up to date and correct.
Signature/Thumb
Impression:- 1st
Applicant 2nd Applicant
3rd Applicant
(In case of joint a/c holders
all applicants have to sign)
For
Office Use only
Certified that I have
verified the documents submitted with this application form and confirm that
KYC norms are fully complied with.
Signature of BPM Signature
of SPM Signature of
Postmaster
Date:
Date Stamp:-
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