SRIHARI SECURITIES PVT. LTD. - KYC

Personal Information

First Name *

Middle Name

Last Name *

Mobile No. *

Email *

Date of Birth (in B.S.) *

Date of Birth (in A.D.) *

Gender *

Male

Female

Others

Nationality *

Citizenship No. *

Citizenship Issued From *

Citizenship Issued Date (in B.S.) *

Citizenship Issued Date (in A.D.) *

Passport No.

Passport Issued From

Passport Issued Date

Passport Expiry Date

PAN No.

Family Information

Grand Father's Name *

Father's Name *

Mother's Name *

Marital Status

Married

Single

Spouse's Name *

Father-in-law Name *

Mother-in-law Name *

Son's Name

Daughter's Name

Is this a Minor Account?

Yes

No

Name of Guardian *

Relationship With Guardian *

Guardian Contact No. *

Guardian Email *

Do you want to keep nominee?

Yes

No

Name of Nominee *

Father's Name (Nominee) *

Grandfather's Name (Nominee) *

Relationship With Applicant *

Nominee Contact No. *