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Know Your Customer (KYC) Form For CHA - Individual Profile: Checked by Filing

The document is a Know Your Customer (KYC) form for an individual seeking to open an account with CHA. It requests basic personal information such as name, date of birth, address, contact details, and identification documents. A minimum of two documents such as a passport, PAN card, voter ID card, driving license or bank statement are required. Additional mandatory documents include a copy of the Individual Exporter Code (IEC), authority letter, photo of authorized signatory, and signature with name.

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Dharam Paaji
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488 views

Know Your Customer (KYC) Form For CHA - Individual Profile: Checked by Filing

The document is a Know Your Customer (KYC) form for an individual seeking to open an account with CHA. It requests basic personal information such as name, date of birth, address, contact details, and identification documents. A minimum of two documents such as a passport, PAN card, voter ID card, driving license or bank statement are required. Additional mandatory documents include a copy of the Individual Exporter Code (IEC), authority letter, photo of authorized signatory, and signature with name.

Uploaded by

Dharam Paaji
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Know Your Customer (KYC) Form for CHA - Individual Profile

Name : ____________________________________________________

**

Mr/ Mrs/ Ms _______________________________________________


___________________________________________________________
Date of Birth _________________ Sex _________________________
___________________________________________________________
Present Address:
___________________________________________________________
___________________________________________________________
___________________________________________________________
__________________________________
PAN Number ________________ IEC Number _________________ _____
Telephone
________________ Mobile
_________________
Fax
_ Email
_________________
___________________________________________________________
Permanent Address : _________________________________________
____________________________________________________________
____________________________________________________________
_________________________________________________________
Telephone
Fax

Mobile ______________________
Email
______________________

__

__________________________________
___________________________________________________________ ______
Documents Required ( Minimum 2 )
Passport

PAN Card

Voters Identity Card

Driving License

Bank Statement

Ration Card

Note: Any two of the documents listed above, which provides client/ customer information to the
satisfaction of the CHA will suffice.
Documents Required (* Mandatory )
Copy of IEC duly attested by Imp (cert with Photo)

Checked by
Customer Exc
Document Dept
Account Dept

___________
___________
___________

Authority Letter

Filing
A/c Code
Filed On
Scan & Uploaded by
Scan & Uploaded on

Photo of Authorized Signatory

_____________
_____________
_____________
____________

Signature & seal with name of signatory

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