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| Client ID | DP Int. Ref. | ||
| Account Category | Account Opening Date | ||
| Client Type | Closure/Suspension Date | ||
| Client Sub Type | AC Category | ||
| Branch | Standing Instruction | ||
| Phone | E-mail Id |
| First Holder Name : |
| Father/Husband Name : | DOB | ||
| Correspondence Phone : | |||
| Correspondence Address : | Permanent Address : |
| First holder PAN : | First holder Name : | First holder aadhaar : |
| Second holder PAN : | Second holder Name : | Second holder aadhaar : |
| Third holder PAN : | Third holder Name : | Third holder aadhaar : |
| IFSC Code : | Bank Names : | ||
| Bank Account Number : | |||
| Bank Address : | ECS/Mandate Tax Deduction Status : | ||
| Bank Code (MICR) : | SEBI Reg No : | ||
| RBI Ref No : | RBI Approval Date : |
| Nominee Name : | Nominee Mobile : | ||
| Nominee Address : | Nominee % |
| Nominee Name : | Nominee Mobile : | ||
| Nominee Address : | Nominee % |
| Nominee Name : | Nominee Mobile : | ||
| Nominee Address : | Nominee % |
| Name : | POA ID | ||
| Local Address : | Phone No : |
