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    Mobikwik Wallet Kyc Form

    Uploaded by

    avisekg
    The document is a KYC (Know Your Customer) form for Mobikwik Wallet that collects identity details like name, date of birth, ID proof, address proof, and a declaration from the customer. It requests information like phone number and email linked to the wallet, as well as identity details, address, and a signature from the customer along with uploading a photo. The form also has a section for office use only to verify the documents against originals and collect photos.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Mobikwik Wallet Kyc Form

    Uploaded by

    avisekg
    134 views1 page
    The document is a KYC (Know Your Customer) form for Mobikwik Wallet that collects identity details like name, date of birth, ID proof, address proof, and a declaration from the customer. It requests information like phone number and email linked to the wallet, as well as identity details, address, and a signature from the customer along with uploading a photo. The form also has a section for office use only to verify the documents against originals and collect photos.

    Original Description:

    This is a excerpt of book by Micheal Hyatt

    Original Title

    Micheal Hyatt

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    The document is a KYC (Know Your Customer) form for Mobikwik Wallet that collects identity details like name, date of birth, ID proof, address proof, and a declaration from the customer. It requests information like phone number and email linked to the wallet, as well as identity details, address, and a signature from the customer along with uploading a photo. The form also has a section for office use only to verify the documents against originals and collect photos.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    134 views1 page

    Mobikwik Wallet Kyc Form

    Uploaded by

    avisekg
    The document is a KYC (Know Your Customer) form for Mobikwik Wallet that collects identity details like name, date of birth, ID proof, address proof, and a declaration from the customer. It requests information like phone number and email linked to the wallet, as well as identity details, address, and a signature from the customer along with uploading a photo. The form also has a section for office use only to verify the documents against originals and collect photos.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    MobiKwik Wallet KYC Form

    Please fill in BLOCK letters. One Mobikwik Systems Private Limited

    1 Wallet Details

    Phone number linked with Wallet

    Email ID linked with Wallet

    2 Identity Details (as per ID Proof)

    Name

    Please affix recent


    Date of Birth D D M M Y Y Y Y Gender Male Female passport sized photo
    graph.

    ID Proof Submitted (should have photograph)

    PAN Card (recommended) Aadhar Card Driving License Passport

    Voter ID NREGA Job Card Government Issued ID Proof


    Cross sign the photograph

    3 Address Details (as per Address Proof)

    Flat No. / Plot No. / House No. / Building / Area

    City/District

    State PIN Code

    Address Proof Submitted (Bank Statement/Utility Bills should not be more than 2 months old)

    Aadhar Card Bank Statement Driving License Voter ID Passport

    Utility Bills Pension Payment NREGA Job Card Municipal Tax Receipt

    4 Declaration

    I hereby declare that the above furnished details are true to the best of my knowledge. In case any of the above information is found to be
    false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

    Place Date Signature

    5 For Office Use Only

    Documents verified against originals Agency Name

    Photos Collected Self-attest verified Seal/Stamp of Verifying Agency


    Agent Name

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