NOMINEE FORM

Nominee Form

𝐍𝐎𝐌𝐈𝐍𝐄𝐄 𝐅𝐎𝐑𝐌

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Nominee Information

NOMINEE NAME: *

RELATION WITH NOMINEE: *

DATE OF BIRTH OF NOMINEE: *

% OF SHARE OF P. F. BALANCE: *

MARITAL STATUS: *

MARRIAGE DATE:

IDENTIFICATION MARK:

Personal Information

NAME: *

DATE OF BIRTH: *

MOBILE NUMBER: *

EMAIL ID: *

ADDRESS: *

Bank Information

NOMINEE'S BANK A/C NO: *

IFSC CODE: *

BRANCH NAME: *

BANK NAME: *

DATE:

EMPLOYEE SIGNATURE:

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