Individual PMS Checklist
Individual PMS Checklist
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Distributor Name
Additional Information :
Sr. Particulars Particulars
1 Name of Client
2 Place of Birth
3 Citizenship
4 Marital Status □Married □Unmarried Divorce
5 Father's Name
6 Mother's Name
7 Spouse's Name
Contact Details
Landline Number (with
8
STD code)
9 Mobile Number
FAX Number (with STD
10
code)
11 Email Address
Correspondence Address (If different from Registered Office address)
12 Address 1
13 Address 2
14 City
15 State
16 PIN / ZIP Code
17 Country
18 Occupation of Client
FY 2021-22 FY 2020-21 FY 2019-20
Income Range, for □ Rs. 1 to 5 Lakh □ Rs. 1 to 5 Lakh □ Rs. 1 to 5 Lakh
19
Last 3 years
( Tick the relevant ) □ Rs. 5 to 10 Lakh □ Rs. 5 to 10 Lakh □ Rs. 5 to 10 Lakh
□ Rs 10 to 25 Lakh □ Rs 10 to 25 Lakh □ Rs 10 to 25 Lakh
□ Above Rs 25 Lakh □ Above Rs 25 Lakh □ Above Rs 25 Lakh
Nomination Details
20 Name of the Nominee
21 Relationship with Applicant
22 Nominee's Address
23 PAN/ UID of Nominee
24 Nominee's Date of Birth (dd/mm/yyyy)
25 Name of Guardian if Nominee is a Minor
26 Date of Birth of Nominee's Guardian
27 Address of Nominee's Guardian
28 Relationship with the Guardian (in case of minor)
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