Title:

Mr.Mrs.Ms.Dr.

Name:

Date of Birth (DD/MM/YYYY):

Father’s Name:

Mother’s Name:

Maiden Name (if any):

Name of Guardian/Parents (if minor):

PAN No.:

Aadhaar No.:

Current Marital Status:

SingleMarriedDivorced

Anniversary Date (DD/MM/YYYY):

Are you KYC Certified:

YesNo

Place of Birth:

IndiaOther Country

Address:

City:

State:

Pin Code:

Country:

Email ID:

Mobile No.:

Mailing Address (if different):

Same as Correspondence

Mobile (alternate):

Annual Income:

Up to 5 Lakhs5–10 Lakhs10–25 Lakhs25L–1 Cr1Cr–5 Cr5 Cr Above

Net Worth (₹):

As on Date:

Occupation:

Salaried – Private SectorSalaried – MNCSalaried – Public SectorBusiness – ProprietorshipBusiness – PartnershipBusiness – Pvt LtdBusiness – LLPListed CompanyRetiredHomemakerSelf-Employed (CA/Doctor/Others)Other

Designation:

Industry:

PEP Status:

I am PEPRelated to PEPNot Applicable

Mode of Holding:

SingleJointEither or Survivor

Title:

Mr.Mrs.Ms.Dr.

Name:

Date of Birth (DD/MM/YYYY):

Father’s Name:

Mother’s Name:

Maiden Name (if any):

PAN No.:

Aadhaar No.:

Current Marital Status:

SingleMarriedDivorced

Anniversary Date (DD/MM/YYYY):

Are you KYC Certified:

YesNo

Place of Birth:

IndiaOther Country

Address:

City:

State:

Pin Code:

Country:

Email ID:

Mobile No.:

Mailing Address (if different):

Same as Correspondence

Annual Income:

Up to 5 Lakhs5–10 Lakhs10–25 Lakhs25L–1 Cr1Cr–5 Cr5 Cr Above

Occupation:

Salaried – Private SectorSalaried – MNCSalaried – Public SectorBusiness – ProprietorshipBusiness – PartnershipBusiness – Pvt LtdBusiness – LLPListed CompanyRetiredHomemakerSelf-Employed (CA/Doctor/Others)Other

Designation:

Industry:

PEP Status:

I am PEPRelated to PEPNot Applicable

Account No.:

Account Type:

SavingsCurrentNRENROOthers

Bank Name:

Branch Address:

City:

Pin Code:

MICR Code:

IFSC Code:

Nominee Name:

Guardian Name (if minor):

Date of Birth (DD/MM/YYYY):

Relationship:

Nominee Address:

Nomination %:

Signature of Nominee/Guardian:

a. What kind of music do you enjoy? (Please tick all that apply)

Sufi / FolkBollywoodInstrumentalClassic English RockAny otherNot Interested in any

b. Which is your favorite travel destination?

Domestic:

International:

c. Do you like to read?

YesNo

If Yes, please tick the genres you enjoy:

Science FictionSatireDramaMysterySelf-ManagementOthers

d. Which is your favorite publication?

News:

Other:

e. Other areas of interest:

MoviesTheatre / Plays

Your favorite sports: (Please tick all that apply)

CricketTennisChessGolfF1BridgeTable TennisOthers