(For Consignee , CHA & forwarders)
(TO BE FILLED IN COMPANY’S LETTER HEAD)
KYC FORMAT
1. Name of Company :
2. Year of Establishment :
3. Nature of Company Ownership : Family / Partnership /Individual /
Private / Public / Trust / Foundation
4. Name of the Promoters / Directors :
5. Address for Communication :
6. Contacts: Telephone Numbers :
Mobile Numbers :
Fax Numbers :
Email :
Website :
7. IEC Code :
8. Permanent Account Number (PAN) :
9. Gst Number :
10. Name of Bankers (currently used) :
11. Address Prof Eg(Telephone Bill (landline) / Electricity Bill / Pass Port copy :
12. Account No IFSC Code. :
: :
I undertake that all the information given above is true.
SIGNATURE (DIRECTOR/PROPRIETOR/PARTNER/CEO)
NAME:
DESIGNATION:
COMPANY STAMP:
Mandatory: Please provide copies of below mentioned documents for our records
with self -attestation:
Photo ID of KYC Form Signing Authority Any one (PAN CARD / DRIVING LICENCE /
Election ID Card / Pass port copy/Aadhar Card).
Address Proof: Any One (Telephone Bill (landline) / Electricity Bill / Pass Port copy).
Photocopy of IEC/ CHA licence copy.
Bank signature Verification ( Either on KYC form OR on bank prescribed format)
NOTE: -
Do not delete any point in KYC form
KYC form (All pages should be on letter head)
Write N.A. - wherever Not Applicable
Form to be submitted in hard copy along with above necessary document attached
with self-attestation.
IF ANY CHANGES IN THE ABOVE DETAILS – PLS RE-SUBMIT THE KYC.