Eminent Research

FOR INDIVIDUAL

Name :

Father/Spouse Name :

Gender : Male Female

Marital Status : Single Married

Birthday :

Nationality :

Status : Resident Individual Non Resident Foreign National

PAN No. :

Unique Identification Number (UID)/ Aadhaar, if any :

Specify the proof of Identity submitted :

Address Detail

Address for correspondence :

City/town/village :

Pin Code :

State :

Country :

Contact Details

Tel.(Off.) : Tel.(Res.) : Mobile No :. Fax No. :

Email address :

Specify the proof of address submitted for correspondence address :

Same as above

Address for correspondence :

City/town/village :

Pin Code :

State :

Country :

Specify the proof of address submitted for registered address :

Other Details

Gross Annual Income Details :

Net-worth Amount :

Net-worth Date :

Occupation :

Please Selects, if applicable, for any of your
authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :

Any Other Information :

Upload Signature :(Only jpg,png,jpeg Format File)*

Upload Photo :(Only jpg,png,jpeg Format File)*

Upload Document :(Only xlsx,xls,pdf,docx,doc Format File)*

Confirmation Code * :

I agree to all Terms & Conditions.

FOR NON INDIVIDUAL

Full Name :

Date of incorporation of business :

place of incorporation :

Date of commencement of business :

PAN No. :

Registration No.(e.g. CIN) :

Status :

Address Detail

Address for correspondence :

City/town/village :

Pin Code :

State :

Country :

Contact Details

Tel.(Off.) : Tel.(Res.) : Mobile No :. Fax No. :

Email address :

Specify the proof of address submitted for correspondence address :

Same as above

Address for correspondence :

City/town/village :

Pin Code :

State :

Country :

Specify the proof of address submitted for registered address :

Other Details

Gross Annual Income Details :

Net-worth Amount :

Net-worth Date :

Occupation :

Please Selects, if applicable, for any of your
authorized signatories/ Promoters/ Partners/ Karta/ Trustees/ whole time directors :

Any Other Information :

Upload Signature :(Only jpg,png,jpeg Format File)*

Upload Photo :(Only jpg,png,jpeg Format File)*

Upload Document :(Only xlsx,xls,pdf,docx,doc Format File)*

Confirmation Code * :

I agree to all Terms & Conditions.

For Individual

For Non-Individual

Full Name :

Mobile Number :

Email address :

Form Type :

Upload Kyc Form(Only .xlsx ,.xls or .pdf Format) :

Confirmation Code * :

KYC Form

Home / KYC Form

KYC Form

FOR INDIVIDUAL

Address Detail

Contact Details

Other Details

FOR NON INDIVIDUAL

Address Detail

Contact Details

Other Details

For Individual

For Non-Individual

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