Long KYC Application Form

Comprehensive KYC Application Form

Please fill all mandatory fields marked with *. This form can be submitted electronically or printed and signed.

1. Personal Information

Full Name *

Father / Spouse Name

Date of Birth *

Gender *

Marital Status

Nationality *

2. Contact Information

Mobile Number *

Alternate Mobile

Email Address *

Alternate Email

Permanent Address *

Current Address *

Residence Status

3. Identity Documents

Upload at least one primary ID and one address proof. Maximum size per file: 5MB.

Primary ID Type *

ID Number *

Upload ID Proof *

Front/back if applicable.

Address Proof Type *

Upload Address Proof *

4. Employment & Income Details

Employment Status *

Organization / Employer Name

Designation

Annual Income (Approx) *

Nature of Business / Profession

5. Bank & Financial Details

Primary Bank Name

IFSC / SWIFT Code

Account Number

Account Type

6. Nominee / Guardian Details

7. FATCA / CRS Declaration

Please declare your tax residency status.

Are you a tax resident of any country other than India? *

Purpose of account opening *

8. Risk Profiling

Investment Horizon

Risk Tolerance

9. Declaration & Consent

I hereby declare that the information provided above is true and correct. I authorize verification of the same and agree to the terms and conditions. *

Place of Application *

Digital Signature / Name *

Additional Notes (optional)

After submission you will get an acknowledgement reference. Backend must handle file storage, verification, and persistence.