FIRST APPLICANT DETAILS

1^st APPLICANT NAME: MOBILE NO.: EMAIL ID: OCCUPATION: INCOME: PANCARD NO.: DATE OF BIRTH: PLACE OF BIRTH: ADDRESS:

SECOND APPLICANT DETAILS

2^nd APPLICANT NAME: MOBILE NO.: EMAIL ID: OCCUPATION: INCOME SLAB: INCOME SLAB 1 to 5 lacs 5 to 10 lacs 10 to 25 lcas 25 lacs to 1 crore 1 crore & above PANCARD NO.: DATE OF BIRTH: PLACE OF BIRTH: PASSPORT SIZE PHOTO ADDRESS:

NOMINEE DETAILS

1^st NOMINEE NAME: DATE OF BIRTH: RELATION WITH APPLICANT: PERCENTAGE: ADDRESS:

PLEASE PROVIDE THE BELOW DOCUMENTS

PANCARD COPY ADHAAR CARD COPY CANCELLED CHEQUE COPY

FOR NRI INVESTOR

FOREIGN ADDRESS SOCIAL SECURITY NUMBER