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KYC

KYC Application Form (#3)

KYC Application

Date

Sales Person

Choose One

Individual Credit

Joint Credit

Applicant Details:

First Name

Middle Name

Last Name

Aadhar Number

PAN Number

Birth Date

Home Phone Number

Mobile Number

Applicant Email

Number of Dependants

Time at Resident

Present Address

Street Address

Street Address Line 2

City

State

Zip Code

Country

Permanent Address

Street Address

Street Address Line 2

City

State

Zip Code

Country

Employer Information

How Many Years

Gross Annual Income

Mark please

Spouse

Single

Stock Market Experience (In Years)

Total Asset Value (Till Today In Lakh)

Source of Additional Income

Upload passport size recent photo

Choose File

Upload Aadhar card

Choose File

Upload Pan card

Choose File

Nominee Information

First Name

Last Name

Mobile Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

By clicking the submit button, I agree to terms & conditions

I authorize The Universe Research to make whatever inquiries it deems necessary in connection with this application and in the course of review or collection of any credit extended on this application. I further authorized any person from The Universe Research to complete and finish the KYC process that it may have or obtain in response to such inquiries. All information stated in this application is declared to be a true representation of the facts and made for the purpose of obtaining the KYC request. I HAVE REVIEWED THE ABOVE DISCLOSURE.