33
1 ......................... e¨vsK/e¨vsK wjt ....................kvLv wnmve †Lvjvi Av‡e`b dig e¨w³K wnmve ZvwiLt............................... e¨e¯’vcK --------------e¨vsK/e¨vsK wjt ------------- kvLv| wcÖq g‡nv`q, Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i wnmve msµvšÍ I e¨w³MZ we¯ÍvwiZ Z_¨ wb‡gœ cÖ`vb KiwQ t 1| wnmv‡ei bvg t (evsjvq) ....................................................................................................... In English (Block Letter) .................................................................................. 2| wnmv‡ei cÖK…wZ (wUK w`b)t mÂqx PjwZ GmGbwW Gdwm AviGdwmwW GbGdwmwW Ab¨vb¨ ........................................................................................ 3| gy`ª v (wUK w`b)t UvKv Wjvi BD‡iv cvDÛ Ab¨vb¨...... 4| wnmve cwiPvjbv msµvšÍ †NvlYv (wUK w`b)t GKKfv‡e †h․_fv‡e ‡h †Kvb GKRb A_ev RxweZRb Ab¨vb¨ .............................................. 5| wnmve †Lvjvi D‡Ïk¨ t 6| MÖvn‡Ki Ab¨ †Kvb e¨vs‡K wnmve Av‡Q wK (wUK w`b)? nu¨v bv (DËi nu¨v n‡j wbgœiƒ‡c wee„Z Kiæb) e¨vsK I kvLvi bvg cwiPvwjZ wnmv‡ei cÖK…wZ (wUK w`b) (K) ........................ Rgv wnmve FY wnmve (L) ........................ Rgv wnmve FY wnmve (M) ......................... Rgv wnmve FY wnmve (N) ........................... Rgv wnmve FY wnmve (O) ........................... Rgv wnmve FY wnmve 7| e¨w³ msµvšÍ Z_¨vejx t (cwiwkó-1 (K) G mshy³ e¨w³ msµvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e|) wnmve b¤^it ............................ BDwbK Kv÷gvi AvBwW †KvWt .......................... (e¨vs‡Ki e¨env‡ii Rb¨)

e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

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Page 1: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

1

......................... e¨vsK/e¨vsK wjt

....................kvLv

wnmve †Lvjvi Av‡e`b dig

e¨w³K wnmve

ZvwiLt...............................

e¨e ’vcK

--------------e¨vsK/e¨vsK wjt

------------- kvLv|

wcÖq g‡nv`q,

Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i wnmve msµvšÍ I e¨w³MZ we ÍvwiZ

Z_¨ wb‡gœ cÖ`vb KiwQ t

1| wnmv‡ei bvg t (evsjvq) .......................................................................................................

In English (Block Letter) ..................................................................................

2| wnmv‡ei cÖK…wZ (wUK w`b)t mÂqx PjwZ GmGbwW Gdwm AviGdwmwW GbGdwmwW

Ab¨vb¨ ........................................................................................

3| gy`ªv (wUK w`b)t UvKv Wjvi BD‡iv cvDÛ Ab¨vb¨......

4| wnmve cwiPvjbv msµvšÍ †NvlYv (wUK w`b)t GKKfv‡e †h․_fv‡e ‡h †Kvb GKRb A_ev RxweZRb

Ab¨vb¨ ..............................................

5| wnmve †Lvjvi D‡Ïk¨ t

6| MÖvn‡Ki Ab¨ †Kvb e¨vs‡K wnmve Av‡Q wK (wUK w`b)? nu¨v bv

(DËi nu¨v n‡j wbgœiƒ‡c wee„Z Kiæb)

e¨vsK I kvLvi bvg cwiPvwjZ wnmv‡ei cÖK…wZ (wUK w`b)

(K) ........................ Rgv wnmve FY wnmve

(L) ........................ Rgv wnmve FY wnmve

(M) ......................... Rgv wnmve FY wnmve

(N) ........................... Rgv wnmve FY wnmve

(O) ........................... Rgv wnmve FY wnmve

7| e¨w³ msµvšÍ Z_¨vejx t (cwiwkó-1 (K) G mshy³ e¨w³ msµvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e|)

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ..........................

(e¨vs‡Ki e¨env‡ii Rb¨)

Page 2: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

2

8| GK ev GKvwaK wnmveavix bvevjK n‡j t

Avwg wbgœewY©Z wnmveavixi AwffveK wn‡m‡e GB g‡g© †NvlYv KiwQ †h, wnmveavix bvevjK| Zvi cÖ‡qvRbxq Z_¨ mshy³

di‡g cÖ`vb Kiv n‡jv| wnmveavix mvevjK bv nIqv ch©šÍ wKsev Avgvi cieZx© †NvlYv bv †`qv ch©šÍ AwffveK wn‡m‡e

wnmvewU Avgvi ¯vÿ‡i cwiPvwjZ n‡e|

(AwffveK ej‡Z evev A_ev gv A_ev Ab¨ †Kvb AvBbMZ AwffveK‡K eySv‡e)

(K) wnmveavix (bvevjK) Gi bvg t...........................................................Rb¥ ZvwiL t ...................

(L) Awffve‡Ki bvg t............................................................bvevj‡Ki mv‡_ m¤úK© t ..................

Awffve‡Ki ¯v¶i t............................................................

(bvevjK Ges AwffveK - Df‡qi Rb¨B cwiwkó-1 (K) G mshy³ Òe¨w³ msµvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e Ges bvevjK Av‡e`bKvixi †¶‡Î Dfq

di‡gB Av‡e`bKvixi ¯^v¶‡ii ¯’‡j AwffveK KZ©„K ¯^vÿi Ki‡Z n‡e|)

9| cwiPq`vbKvixi Z_¨ t

(K) bvg t.................................................................

(L) wnmv‡ei bvg t..................................................................

(M) wnmve bs t..................................................................

(N) kvLvi bvg t..................................................................

(O) MÖvn‡Ki mv‡_ cwiwPwZi m~Î/m¤úK© t..........................................................

(P) ‡hvMv‡hvM gva¨g t †dvb bs .....................†gvevBj bs ....................

(Q) ¯vÿi I ZvwiL t..................................................................

cwiPq`vbKvixi Z_¨ cÖZ¨vqbKvix mswkøó e¨vsK kvLvi Kg©KZ©vi bvg I ¯vÿi (wmj I ZvwiLmn) t................

10| cÖv_wgK Rgvi cwigvY t ..........................

11| bwgwb msµvšÍ Z_¨vejx t cwiwkó-2 G mshy³ bwgwb msµvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e|

bwgwbi msL¨vt....................

12| m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile) msµvšÍ Z_¨vejx t cwiwkó-3 G mshy³ TP msµvšÍ

Z_¨vejx dig c~iY Ki‡Z n‡e|

13| A‡_©i Drm/Drmmg~n (mywbw`©ó I we ÍvwiZ D‡jøL Ki‡Z n‡e)t ..........................................................

........................................................................................................................................................

........................................................................................................................................

14| †NvlYv I ¯vÿi t

Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµvšÍ hveZxq wbqgvejx/kZv©ejx c‡owQ Ges D³

wbqgvejx/kZv©ejx †g‡b Pj‡Z eva¨ _vKe| Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, DwjøwLZ Z_¨vw` mZ¨| Avwg/Avgiv

cÖ`Ë Z‡_¨i AwZwi³ mswkøó †h †Kvb cÖ‡qvRbxq Z_¨/`wjjvw` e¨vs‡Ki Pvwn`v †gvZv‡eK mieivn Kie|

1g Av‡e`bKvixi ¯vÿi, bvg I ZvwiL 2q Av‡e`bKvixi ¯vÿi, bvg I ZvwiL

e¨vs‡Ki e¨env‡ii Rb¨

gšÍe¨ t.....................................................................................................................................

.........................

.........................

wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi

bvghy³ wmjmn ¯vÿi I ZvwiL

.........................

.........................

Aby‡gv`bKvix Kg©KZ©vi (kvLv e¨e ’vcK)

bvghy³ wmjmn ¯vÿi I ZvwiL

Page 3: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

3

........................ e¨vsK / e¨vsK wjt

...............................kvLv

wnmve †Lvjvi Av‡e`b dig

A-e¨w³K wnmve

ZvwiLt...............................

e¨e ’vcK

-------------e¨vsK/e¨vsK wjt

------------- kvLv|

wcÖq g‡nv`q,

Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i, cÖwZôv‡bi Ges wnmv‡ei we¯ÍvwiZ

Z_¨ wb‡gœ cÖ`vb KiwQt

1| wnmv‡ei bvg t (evsjvq)......................................................................................................

In English (Block Letter) ..................................................................................

2| cÖwZôv‡bi aiY (wUK w`b)t GKK gvwjKvbv Askx`vix †h․_ D‡`¨vM cÖvB‡fU wjt †Kv¤úvwb

cvewjK wjt †Kv¤úvwb miKvix Avav miKvix/¯vqËkvwmZ Uªv÷ GbwRI/GbwcI

K¬ve/†mvmvBwU wkÿv cÖwZôvb agx©q cÖwZôvb

Ab¨vb¨ (wbw`©ófv‡e D‡jøL Kiæb)........................................

3| wnmv‡ei cÖK„wZ (wUK w`b)t mÂqx PjwZ GmGbwW Gdwm Ab¨vb¨.....

4| gy`ªv (wUK w`b)t UvKv Wjvi BD‡iv cvDÛ Ab¨vb¨......

5| wnmve †Lvjvi D‡Ïk¨ t

6| cÖwZôv‡bi wVKvbv t

(K) wbeÜbK…Z wVKvbv t..............................................................................................

(L) e¨emv¯’j/Awd‡mi wVKvbv t..............................................................................................

(M) KviLvbv/wkí cÖwZôv‡bi wVKvbv t.............................................................................................

7| †UªW jvB‡mÝ b¤^i t .................................................... ZvwiL t .....................................

Bmy¨Kvix KZ©„cÿ t.......................................................................................................

8| wbeÜb b¤^i t...................................................... ZvwiL t ..................................

9| wbeÜb KZ©…cÿ I †`k t......................................................................................................

(†`kx /we‡`kx Dfq ai‡Yi Rb¨)

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt .........................

(e¨vs‡Ki e¨env‡ii Rb¨)

Page 4: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

4

10| B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤^i t.......................................................................................

11| f¨vU †iwRt b¤i/BIN (hw` _v‡K) .........................................................................................

12| e¨emv msµvšÍ Z_¨ t

(K) e¨emvi aiY t †UªwWs †mev Drcv`b

(L) cY¨ ev †mevi aiYt ......................................................

(M) e¨emvq wb‡qvwRZ †gvU Rbej( ’vqx Ges A¯’vqx) t............................

(N) evwl©K Uvb©Ifvit ........................

(O) cÖwZôv‡bi wbU m¤ú`...............................................

(P) Ab¨vb¨ Z_¨ (cÖ‡hvR¨ †¶‡Î) t........................

13| MÖvn‡Ki Ab¨ †Kvb e¨vsK wnmve Av‡Q wK? nu v bv

(DËi nu¨v n‡j wbgœiƒc wee„Z Kiæb )

e¨vsK I kvLvi bvg cwiPvwjZ wnmv‡ei cÖK…wZ (wUK w`b)

(K) ........................ Rgv wnmve FY wnmve

(L) ........................ Rgv wnmve FY wnmve

(M) ......................... Rgv wnmve FY wnmve

(N) ........................... Rgv wnmve FY wnmve

(O) ........................... Rgv wnmve FY wnmve

14| cwiPq`vbKvixi Z_¨ t (miKvix/Avav miKvix/¯^vqËkvwmZ/÷K gv‡K©‡U wj‡÷W †Kv¤úvwb e¨ZxZ Ab¨vb¨ cÖwZôv‡bi

wnmve †Lvjvi †ÿ‡Î)

(K) bvg t............................................................................................................

(L) wnmv‡ei bvg t............................................................................................................

(M) wnmve bs t................................................................. ..........................................

(N) kvLvi bvg t............................................................... .............................................

(O) ‡hvMv‡hvM gva¨g t †dvb bs .....................†gvevBj bs ....................

(P) ¯vÿi (ZvwiLmn) t ............................................................................................................

(Q) MÖvnK/ wnmve cwiPvjbvKvix (MY) Gi mv‡_ cwiwPwZi m~Î/m¤úK© .....................................................

cwiPq`vbKvixi Z_¨ cÖZ¨qbKvix mswkøó e¨vsK kvLvi Kg©KZ©vi bvg I ¯vÿi (wmj I ZvwiLmn) t.........................

15| cÖv_wgK Rgvi cwigvY t..........................................................................................................

16| m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile) msµvšÍ Z_¨vejx t cwiwkó-3 G mshy³ TP msµvšÍ

Z_¨vejx dig c~iY Ki‡Z n‡e|

17| A‡_©i Drm/Drmmg~n t (wbw`©ó I we ÍvwiZ D‡jøL Ki‡Z n‡e)............................................................

18| wnmve cwiPvjbvKvix msµvšÍ †NvlYv I ¯vÿit

Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµvšÍ hveZxq wbqgvejx/kZv©ejx c‡owQ Ges D³

wbqgvejx/kZv©ejx †g‡b Pj‡Z eva¨ _vKe| Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, Dc‡ivwjøwLZ Z_¨vw` mZ¨| Avwg/Avgiv

cÖ`Ë Z‡_¨i AwZwi³ mswkøó †h †Kvb cÖ‡qvRbxq Z_¨/`wjjvw` e¨vs‡Ki Pvwn`v †gvZv‡eK mieivn Kie|

Page 5: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

5

Av‡e`bKvix/Av‡e`bKvixM‡Yi ¯vÿi, bvg, c`ex I ZvwiL

1| ...................

.....................

.....................

.....................

2| ...................

.....................

.....................

.....................

3| ...................

.....................

.....................

.....................

4| ...................

.....................

.....................

.....................

5| ...................

.....................

.....................

.....................

ÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑÑ

e¨vs‡Ki e¨env‡ii Rb¨

gšÍe¨ t

................................................................................................................................................

................................................................................................................................................

........................

wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi

bvghy³ wmjmn ¯vÿi I ZvwiL

.........................

Aby‡gv`bKvix Kg©KZ©vi (kvLv e¨e ’vcK)

bvghy³ wmjmn ¯vÿi I ZvwiL

Page 6: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

6

........................ e¨vsK / e¨vsK wjt

....................kvLv

wnmve †Lvjvi Av‡e`b dig

e¨w³K I A-e¨w³K wnmve

(Gd.wW.Avi. I we‡kl w¯‥g Gi ‡ÿ‡Î cÖ‡hvR¨)

ZvwiLt...............................

e¨e ’vcK

-------------e¨vsK/e¨vsK wjt

------------- kvLv|

wcÖq g‡nv`q,

Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i, cÖwZôv‡bi Ges wnmv‡ei

we ÍvwiZ Z_¨ wb‡gœ cÖ`vb KiwQt

1| wnmv‡ei bvg t

(evsjvq)......................................................................................................

In English (Block Letter) ..................................................................................

2| Gd.wW.Avi. msµvšÍ Z_¨t cwigvYt.....................................gy`ªv t..............................

†gqv`Kvj t eQi gvm w`b | ‡gqv`c~wZ©i ZvwiLt.............................

my`/gybvdvi nvit ...............................................

bevq‡bi †ÿ‡Î t Avmj Ges my`/gybvdv bevqb Kiæb

ïaygvÎ Avmj bevqb Kiæb, my`/gybvdv .......................b¤i wnmv‡e Rgv Kiæb

cÖ‡hvR¨ b‡n|

3| we‡kl w¯‥g msµvšÍ Z_¨t

w¯‥‡gi bvgt.............................................................................................................................

w¯‥‡gi †gqv`t.................. GKKvjxb Rgv/ wKw Íi cwigvYt ................ wKw Íi msL¨v (evwl©K) t..............

†gqv`v‡šÍ cÖ‡`qt.............................................. gvwmK cÖ‡`qt.....................................................

4| wnmve cwiPvjbv msµvšÍ †NvlYv (wUK w`b)t GKKfv‡e †h․_fv‡e ‡h †Kvb GKRb A_ev

RxweZRb Ab¨vb¨ .................................................................................................

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ..................

(e¨vs‡Ki e¨env‡ii Rb¨)

Page 7: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

7

5| wnmve †Lvjvi D‡Ïk¨ t

6| MÖvn‡Ki Ab¨ †Kvb e¨vs‡K cwiPvwjZ wnmve Av‡Q wK (wUK w`b)? nu¨v bv

(DËi nu¨v n‡j wbgœiƒ‡c wee„Z Kiæb)

e¨vsK I kvLvi bvg cwiPvjbvK…Z wnmv‡ei cÖK…wZ (wUK wPý w`b)

(K) ........................ Rgv wnmve FY wnmve

(L) ........................ Rgv wnmve FY wnmve

(M) ......................... Rgv wnmve FY wnmve

(N) ........................... Rgv wnmve FY wnmve

(O) ........................... Rgv wnmve FY wnmve

7| e¨w³ msµvšÍ Z_¨vejx t cwiwkó-1(K) G mshy³ e¨w³ msµvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e|

8| wnmveavix bvevjK n‡j t

Avwg wbgœewY©Z wnmveavixi •ea AwffveK wn‡m‡e GB g‡g© †NvlYv KiwQ †h, wnmveavix bvevjK| Zvi cÖ‡qvRbxq

Z_¨ mshy³ di‡g cÖ`vb Kiv n‡jv| wnmveavix mvevjK bv nIqv ch©šÍ wKsev Avgvi cieZx© †NvlYv bv †`qv ch©šÍ

AwffveK wn‡m‡e wnmvewU Avgvi ¯vÿ‡i cwiPvwjZ n‡e|

(AwffveK ej‡Z evev A_ev gv A_ev Ab¨ †Kvb AvBbMZ AwffveK‡K eySv‡e)

(K) wnmveavix (bvevjK) Gi bvg t...................................... Rb¥ ZvwiLt .....................................

(L) Awffve‡Ki bvg t............................................................bvevj‡Ki mv‡_ m¤úK© t ..................

Awffve‡Ki ¯v¶i t............................................................

(bvevjK Ges AwffveK - Df‡qi Rb¨B cwiwkó-1 (K) G mshy³ Òe¨w³ msµvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e Ges bvevjK Av‡e`bKvixi †¶‡Î

Dfq di‡gB Av‡e`bKvixi ¯^v¶‡ii ¯’‡j AwffveK KZ©„K ¯^vÿi Ki‡Z n‡e|)

9| cwiPq`vbKvixi Z_¨t (e¨vs‡K MÖvn‡Ki Ab¨ †Kvb mwµq wnmve _vK‡j cÖ‡qvRb †bB)

(K) bvg t.................................................................

(L) wnmv‡ei bvg t.................................................................

(M) wnmve bs t..................................................................

(N) kvLvi bvg t..................................................................

(O) MÖvn‡Ki mv‡_ m¤úK© t..................................................................

(P) ‡hvMv‡hvM gva¨g t †dvb bs t .....................†gvevBj bs t....................

(Q) ¯vÿi (ZvwiLmn) t..................................................................

cwiPq`vbKvixi Z_¨ cÖZ¨vqbKvix mswkøó e¨vsK kvLvi Kg©KZ©vi bvg, wmj I ¯vÿi t................................

10| bwgwb msµvšÍ Z_¨vejx t cwiwkó-2 G mshy³ bwgwb msµvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e|

Page 8: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

8

11| A‡_©i Drm/Drmmg~n (mywbw`©ó I we ÍvwiZ D‡jøL Ki‡Z n‡e)t ..........................................................

................................................................................................................................................

12| wbU m¤ú` (Ae¨w³K wnmv‡ei †ÿ‡Î) t ..........................

13| †NvlYv I ¯vÿi t

Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµvšÍ hveZxq wbqgvejx/kZv©ejx c‡owQ Ges

D³ wbqgvejx/kZv©ejx †g‡b Pj‡Z eva¨ _vKe| Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, DwjøwLZ Z_¨vw` mZ¨|

Avwg/Avgiv cÖ`Ë Z‡_¨i AwZwi³ mswkøó †h †Kvb cÖ‡qvRbxq Z_¨/`wjjvw` e¨vs‡Ki Pvwn`v †gvZv‡eK mieivn

Kie|

1g Av‡e`bKvixi ¯vÿi, bvg I ZvwiL 2q Av‡e`bKvixi ¯vÿi, bvg I ZvwiL

e¨vs‡Ki e¨env‡ii Rb¨

gšÍe¨ t.....................................................................................................................................

.........................

.........................

wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi

bvghy³ wmjmn ¯vÿi I ZvwiL

.........................

.........................

Aby‡gv`bKvix Kg©KZ©vi (kvLv e¨e ’vcK)

bvghy³ wmjmn ¯vÿi I ZvwiL

Page 9: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

9

cwiwkó-1(K)

(GB digwU c~iYc~e©K e¨w³K I A-e¨w³K wnmve †Lvjvi Av‡e`‡bi g~j As‡ki mv‡_ mshy³ Ki‡Z n‡e|)

ZvwiLt...............................

1. wnmv‡ei bvg t ................................................................................................................

2. MÖvnK/ †ewbwdwmqvj Ibvi/ wnmve cwiPvjbvKvixi bvg t ........................................................

3.wnmv‡ei mv‡_ m¤úK© (bx‡P cÖ‡hvR¨ †ÿ‡Î wUK w`b) t

1g Av‡e`bKvix 2q Av‡e`bKvix 3q Av‡e`bKvix cwiPvjK Askx`vi GKK ¯Z¡vwaKvix

wnmveavix bvevjK AwffveK GUwb© †nvìvi wnmve cwiPvjbvKvix Uªvw÷

†ewbwdwmqvj Ibvi Ab¨vb¨

4. wcZvi bvg t..............................................................................................

5. gvZvi bvg t..............................................................................................

6. ¯vgx/ ¿xi bvg t.............................................................................................

7. RvZxqZv t..............................................................................................

(we‡`kx bvMwiK n‡j wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e MÖnY Ki‡Z n‡e)

8. †iwm‡W›U ÷¨vUvm (wUK w`b) t †iwm‡W›U bb-†iwm‡W›U

(cÖ‡qvRbxq †ÿ‡Î e¨vsK KZ©…K MvBWjvBÝ di d‡ib G·‡PÄ Uªvb‡RKkbm& Gi wb‡`©kbv AbymiY Ki‡Z n‡e)

9. Rb¥ ZvwiL t.............................................................................................

10. Rb¥ ’vb (‡`kmn) t.............................................................................................

11. wj½ (wUK w`b) t cyiæl gwnjv Z…Zxq wj½

12. †ckvt (c`exmn we ÍvwiZ)...............................................................

13. gvwmK Avq (e¨w³K wnmv‡ei †ÿ‡Î) t........................................................................

(13 bs µwg‡Ki †¶‡Î we¯ÍvwiZ D‡jøLc~e©K cÖ‡hvR¨ †ÿ‡Î e¨vs‡Ki Pvwn`v †gvZv‡eK `wjjvw` cÖ`vb Ki‡Z n‡e)

14. cwiwPwZcÎ t

K) RvZxq cwiPqcÎ b¤^i t .....................................................................

L) cvm‡cvU© b¤i t......................................... †gqv` t ..................

M) Rb¥ wbeÜb mb`cÎ b¤^i t ..................................................................

......................... e¨vsK / e¨vsK wjt

....................kvLv

wnmve †Lvjvi dig t e¨w³ msµvšÍ Z_¨vejx

e¨w³i

Av‡jvKwPÎ

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt .....................

(e¨vs‡Ki e¨env‡ii Rb¨)

Page 10: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

10

N) B‡jKU ªwbK-U¨v· AvBwW (E-TIN) b¤^i t .............................

O) WªvBwfs jvB‡mÝ b¤^i t .......................................... †gqv` t ..........................

P) Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) t ...........................................................

[K n‡Z M b¤^i µwg‡K ewY©Z `wjjvw` n‡Z Avewk¨Kfv‡e †h †Kvb GKwU `wjj cÖ`vb Ki‡Z n‡e| Z‡e Rb¥ wbeÜb mb` cÖ` vbc~e©K wnmve

†Lvjvi †ÿ‡Î Rb¥ wbeÜb mb`c‡Îi AwZwi³ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn Ab¨ †h †Kvb cwiwPwZ cÎ cÖ`vb Ki‡Z n‡e| bb-

†iwm‡W›U Ges we‡`kx bvMwiK‡`i †¶‡Î mswkøó wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e cÖ`vb Ki‡Z n‡e| Av‡jvKwPÎmn cwiwPwZ cÎ bv

_vK‡j †m wel‡q e¨vs‡Ki mš‘wó mv‡c‡ÿ Zv‡`i wbKU MÖnY‡hvM¨ mgv‡Ri MY¨gvb¨ e¨w³1 KZ…©K cÖ`Ë cwiP‡qi cÖZ¨qbcÎ cÖ`vb Ki‡Z n‡e|

D³ cwiwPwZ cÎ ev cÖZ¨qbcÎ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn (Av‡jvKwP‡Îi Dc‡ii c„‡ô mZ¨vwqZmn) n‡Z n‡e| GQvov,

cÖ‡Z¨K e¨vsK h_vh_fv‡e MÖvn‡Ki cwiwPwZi wel‡q wbwðZ nIqvi j‡ÿ¨ e¨vs‡Ki mš‘wó mv‡c‡ÿ Dc‡ii N n‡Z P b¤^i µwg‡K ewY©Z

`wjjvw`mn AwZwi³ Av‡iv ‡Kvb `wjjvw` Ges GB di‡g DwjøwLZ Z_¨vw`i AwZwi³ Z_¨ msMÖn Ki‡Z cvi‡e|]

15. eZ©gvb wVKvbv (Avevm ’j) t.....................................................

16. ’vqx wVKvbv t........................................................

17. †ckvMZ wVKvbv t.........................................................

18. †hvMv‡hvMt

(K) wVKvbvt eZ©gvb ¯’vqx ‡ckvMZ

(L) †Uwj‡dvb b¤^i t (1) evmv ......................................... (2) Awdm .......................................

(M) †gvevBj b¤i t (1) ................................... (2) ...............................................

(N) B-†gBj t......................................... (O) d¨v· b¤^i t ...............................

19. Riæix cÖ‡qvR‡b †hvMv‡hv‡Mi Rb¨ g‡bvbxZ e¨w³ t

bvg t ...................................................................

wVKvbv t ..................................................................

wnmveavix/wnmve cwiPvjbvKvixi mv‡_ m¤cK© t ...................... †gvevBj b¤^i t .....................

B-‡gBj wVKvbv t .....................

20. †µwWU KvW© msµvšÍ Z_¨ (hw` _v‡K) t

Bm¨yKvix cÖwZôvb/e¨vsK (GKvwaK n‡j mKj e¨vs‡Ki bvg) t

(K) ’vbxq (Local Card) t........................................

(L) AvšÍR©vwZK (International Card) t.............................

1 MY¨gvb¨ e¨w³ ej‡Z msm` m`m¨, wmwU K‡c©v‡ik‡bi †gqi, †WcywU †gqi I KvDwÝjiMY, †M‡R‡UW Kg©KZ©v, cvewjK wek¦we`¨vj‡qi wkÿK,

Dc‡Rjv cwil‡`i †Pqvig¨vb I fvBm †Pqvig¨vb, BDwbqb cwil‡`i †Pqvig¨vb, †c․imfvi †gqi I †c․i KvDwÝjiMY, †emiKvix

wek¦we`¨vj‡qi Aa¨vcK, †emiKvix K‡j‡Ri Aa¨ÿ, †emiKvix D”P we`¨vj‡qi cÖavb wkÿK, RvZxq •`wbK cwÎKvi m¤úv`K, †bvUvwi cvewjK

Ges AvavmiKvix/¯^vqËkvwmZ/ivóªvqZ¡ ms ’vi RvZxq †eZb †¯‥‡ji 7g ev Z`~aŸ© †MÖ‡Wi Kg©KZ©vMY‡K eySv‡e|

MÖvnK/wnmve cwiPvjbvKvixi

Proof of address Gi mc‡ÿ

WKz‡g›Um cÖ`vb Ki‡Z n‡e

(Kgc‡ÿ 1 wU wVKvbvi mc‡ÿ)

Page 11: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

11

Av‡e`bKvixi ¯vÿi I bvg

(ZvwiLmn)

......................... ............................

......................... ............................

wnmve †Lvjvi mswkøó Kg©KZ©vi Aby‡gv`bKvix Kg©KZ©vi (kvLv e¨e ’vcK)

bvghy³ wmjmn ¯vÿi bvghy³ wmjmn ¯vÿi

Page 12: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

12

cwiwkó-1 (L)

(GB digwU c~iYc~e©K miKvix wnmve †Lvjvi Av‡e`‡bi g~j As‡ki mv‡_ mshy³ Ki‡Z n‡e|)

ZvwiLt...............................

1. wnmv‡ei bvg t ................................................................................................................

2. wnmve cwiPvjbvKvixi bvg t ..............................................................................

3.wnmv‡ei mv‡_ m¤úK© (bx‡P cÖ‡hvR¨ †ÿ‡Î wUK w`b) t

cÖavb wbe©vnx Kg©KZ©v GUwb© †nvìvi wnmve cwiPvjbvKvix Ab¨vb¨t (mywbw`©ófv‡e D‡jøL

Kiæb)....................................

4. wcZvi bvg t..............................................................................................

5. gvZvi bvg t..............................................................................................

6. ¯vgx/ ¿x Gi bvg t.............................................................................................

7. RvZxqZv t..............................................................................................

(we‡`kx bvMwiK n‡j wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e MÖnY Ki‡Z n‡e)

8. Rb¥ ZvwiL t.............................................................................................

9. Rb¥ ’vb (‡`kmn) t.............................................................................................

10. wj½ (wUK w`b) t cyiæl gwnjv Z…Zxq wj½

11. †ckv I c`gh©v`v (we ÍvwiZ D‡jøLc~e©K cÖ‡hvR¨ †ÿ‡Î e¨vs‡Ki Pvwn`v †gvZv‡eK `wjjvw` cÖ`vb Ki‡Z n‡e) t

...............................................................................................................................................

12. cwiwPwZcÎ t

K) RvZxq cwiPqcÎ b¤^i t ..........................................................................

L) cvm‡cvU© b¤i t ............................................. †gqv` t ................

M) Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) t ...........................................................

(K Ges L b¤^i µwg‡K ewY©Z `wjjvw` n‡Z Avewk¨Kfv‡e †h †Kvb GKwU `wjj cÖ`vb Ki‡Z n‡e| bb-†iwm‡W›U Ges we‡`kx bvMwiK‡`i

†¶‡Î mswkøó wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e MÖnY Ki‡Z n‡e|)

13. eZ©gvb wVKvbv (Avevm ’j) t....................................................

14. ’vqx wVKvbv t.....................................................

15. †ckvMZ wVKvbv t.....................................................

......................... e¨vsK / e¨vsK wjt

....................kvLv

wnmve †Lvjvi dig t e¨w³ msµvšÍ Z_¨vejx (miKvix wnmve)

e¨w³i

Av‡jvKwPÎ

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ...............

(e¨vs‡Ki e¨env‡ii Rb¨)

MÖvnK/wnmve cwiPvjbvKvixi

Proof of address Gi mc‡ÿ

WKz‡g›Um cÖ`vb Ki‡Z n‡e

(Kgc‡ÿ 1 wU wVKvbvi mc‡ÿ)

Page 13: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

13

16. †hvMv‡hvMt

(K) wVKvbvt eZ©gvb ¯’vqx ‡ckvMZ

(L) †Uwj‡dvb b¤^i t (1) evmv ......................................... (2) Awdm .......................................

(M) †gvevBj b¤i t (1) ................................... (2) ...............................................

(N) B-†gBj t......................................... (O) d¨v· b¤^i t ...............................

17. Riæix cÖ‡qvR‡b †hvMv‡hv‡Mi Rb¨ Awdm KZ©…K g‡bvbxZ weKí Kg©KZ©vi Z_¨vejx t

bvg t ...................................................................

c`ex t ...................................................................

Awd‡mi wVKvbv t ..................................................................

†gvevBj b¤i t ....................... B-‡gBj wVKvbv t .....................

wnmve cwiPvjbvKvixi ¯vÿi I bvg (ZvwiLmn)

......................... ............................

......................... ............................

wnmve †Lvjvi mswkøó Kg©KZ©vi Aby‡gv`bKvix Kg©KZ©vi (kvLv e¨e ’vcK)

bvghy³ wmjmn ¯vÿi I ZvwiL bvghy³ wmjmn ¯vÿi I ZvwiL

Page 14: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

14

cwiwkó-2

......................... e¨vsK / e¨vsK wjt

....................kvLv

wnmve †Lvjvi dig t bwgwb msµvšÍ Z_¨vejx

(ïaygvÎ e¨w³K wnmv‡ei ‡ÿ‡Î cÖ‡hvR¨ n‡e Ges G‡Ki AwaK bwgwb n‡j

GKvwaK bwgwb dig c~iY Ki‡Z n‡e|)

Avwg/Avgiv G wnmv‡ei A_© Avgvi/Avgv‡`i g„Z y¨i ci wb‡gœv³fv‡e wb‡gœ ewY©Z e¨w³/e¨w³MY‡K cÖ`v‡bi

Rb¨ g‡bvbxZ Kijvg| Avwg/Avgiv DwjøwLZ g‡bvbqb †h †Kvb mgq evwZj ev cwieZ©‡bi AwaKvi msiÿY Kwi|

Avwg/Avgiv GB g‡g© Av‡iv m¤§wZ Ávcb KiwQ †h, Avgvi/Avgv‡`i wb‡`©kbv †gvZv‡eK e¨vsK A_© cÖ`vb Ki‡e

Ges GRb¨ e¨vsK †Kv‡bvfv‡e `vqe× n‡ebv|

1. wnmv‡ei bvg t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ..

2. wnmve b¤i t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ..

3. bwgwbi bvg t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ..

4. wcZvi bvg t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

5. gvZvi bvg t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

6. ¯vgx/¯¿xi bvg t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. ..

7. Rb¥ ZvwiL t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .

8. eZ©gvb wVKvbv t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

9. ’vqx wVKvbv t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

10. †ckv t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

11. bwgwbi cwiwPwZcÎ t

K) RvZxq cwiPqcÎ b¤^i t ................................................................

L) cvm‡cvU© b¤i t ............................................... †gqv` t ............

M) Rb¥ wbeÜb mb`cÎ b¤^i t ................................................................

N) B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤^i t ..........................................................

O) WªvBwfs jvB‡mÝ b¤^i t ............................................. †gqv` t ..............

P) Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) t .........................................................

[K n‡Z M b¤^i µwg‡K ewY©Z `wjjvw` n‡Z Avewk¨Kfv‡e †h †Kvb GKwU `wjj cÖ`vb Ki‡Z n‡e| Z‡e Rb¥ wbeÜb mb`

cÖ`v‡bi †ÿ‡Î Rb¥ wbeÜb mb`c‡Îi AwZwi³ bwgwbi Av‡jvKwPÎmn Ab¨ †h †Kvb cwiwPwZ cÎ cÖ`vb Ki‡Z n‡e| bb-

†iwm‡W›U Ges we‡`kx bvMwiK‡`i †¶‡Î cvm‡cv‡U©i Kwc Avewk¨Kfv‡e cÖ`vb Ki‡Z n‡e| Av‡jvKwPÎmn cwiwPwZ cÎ bv

bwgwbi

Av‡jvKwPÎ

(MÖvnK KZ©„K

mZ¨vwqZ)

(÷¨vcj Kiæb)

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ..................

(e¨vs‡Ki e¨env‡ii Rb¨)

Page 15: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

15

_vK‡j †m wel‡q e¨vs‡Ki mš‘wó mv‡c‡ÿ Zv‡`i wbKU MÖnY‡hvM¨ mgv‡Ri MY¨gvb¨ e¨w³1 KZ…©K cÖ`Ë cwiP‡qi cÖZ¨qbcÎ

cÖ`vb Ki‡Z n‡e| D³ cwiwPwZ cÎ ev cÖZ¨qbcÎ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn (Av‡jvKwP‡Îi Dc‡ii c„‡ô

mZ¨vwqZmn) n‡Z n‡e| GQvov, cÖ‡Z¨K e¨vsK h_vh_fv‡e MÖvn‡Ki cwiwPwZi wel‡q wbwðZ nIqvi j‡ÿ¨ e¨vs‡Ki mš‘wó

mv‡c‡ÿ Dc‡ii N n‡Z P b¤^i µwg‡K ewY©Z `wjjvw`mn AwZwi³ Av‡iv ‡Kvb `wjjvw` Ges GB di‡g DwjøwLZ Z_¨vw`i

AwZwi³ Z_¨ msMÖn Ki‡Z cvi‡e|]

12. wnmveavixi mv‡_ m¤úK© t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

13. kZKiv nvi t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

14. bwgwb bvevjK n‡j Zvi/Zv‡`i bvevjK _vKv Ae¯’vq wnmveavix/wnmveavixM‡Yi g„Z¨yi †¶‡Î

e¨vsK †Kv¤cvwb AvBb, 1991 Gi 103 (2) aviv Abyhvqx Avgvb‡Zi UvKv M ÖnYKvixi Z_¨ t

K) bvg t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

L) wcZv/ ¯vgx Gi bvg t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

M) Rb¥ ZvwiL t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

N) eZ©gvb wVKvbv t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

O) ’vqx wVKvbv t.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

S) µwgK 11 Abymv‡i •ea Awffve‡Ki cwiwPwZcÎ msµvšÍ Z_¨ t

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

T) bwgwbi mv‡_ m¤cK© t .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

(‡Kvb Awbevmx‡K bwgwb Kiv n‡j Ges H Awbevmx mswkøó wnmv‡ei A_© cÖvß n‡j cÖvß A_© we‡`‡k †cÖi‡Yi †ÿ‡Î we`¨gvb ‣e‡`wkK gy`ªv

wbqš¿Y AvB‡bi wewa weavb cÖ‡hvR¨ n‡e|)

......................................................................

bwgwbi ¯v¶i I ZvwiL (Hw”QK)

....................................................................... ......................................................................

1g Av‡e`bKvixi ¯vÿi, bvg I ZvwiL 2q Av‡e`bKvixi ¯vÿi, bvg I ZvwiL

......................................................................

MÖvn‡Ki ¯v¶i hvPvBKvix e¨vsK Kg©KZ©vi bvghy³ wmjmn ¯^v¶i

1 MY¨gvb¨ e¨w³ ej‡Z msm` m`m¨, wmwU K‡c©v‡ik‡bi †gqi, †WcywU †gqi I KvDwÝjiMY, †M‡R‡UW Kg©KZ©v, cvewjK wek¦we`¨vj‡qi wkÿK,

Dc‡Rjv cwil‡`i †Pqvig¨vb I fvBm †Pqvig¨vb, BDwbqb cwil‡`i †Pqvig¨vb, †c․imfvi †gqi I †c․i KvDwÝjiMY, †emiKvix

wek¦we`¨vj‡qi Aa¨vcK, †emiKvix K‡j‡Ri Aa¨ÿ, †emiKvix D”P we`¨vj‡qi cÖavb wkÿK, RvZxq •`wbK cwÎKvi m¤úv`K, †bvUvwi cvewjK

Ges AvavmiKvix/¯^vqËkvwmZ/ivó ªvqZ¡ ms ’vi RvZxq †eZb †¯‥‡ji 7g ev Z`~aŸ© †MÖ‡Wi Kg©KZ©vMY‡K eySv‡e|

Page 16: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

16

cwiwkó-3

wnmve †Lvjvi dig t m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile)

e¨w³K I Ae¨w³K wnmve

1. wnmv‡ei bvg t

2. gvwmK m¤¢ve¨ Avqt

3. gvwmK m¤¢ve¨ Uvb©Ifvi (cÖwZôv‡bi †¶‡Î)t

weeiY

gvwmK m¤¢ve¨

Rgvi msL¨v

gvwmK m¤¢ve¨ ‡gvU

Rgvi cwigvY

GKK m‡ev©”P Rgvi

cwigvY

Rgvt

bM` (AbjvBb I GwUGgmn)

UªvÝdvi/ BÝUªy‡g›U Gi gva¨‡g

d‡ib BbIqvW© †iwgU¨vÝ

ißvwb eve` cÖvß

BO (cuywR evRvi) wnmve n‡Z Rgv/ ’vbvšÍi

Ab¨vb¨ (wbw`©ófv‡e)...........................

me©‡gvUt

weeiY

gvwmK m¤¢ve¨

D‡Ëvjb msL¨v

gvwmK m¤¢ve¨ ‡gvU

D‡Ëvj‡bi cwigvY

GKK m‡ev©”P

D‡Ëvj‡bi cwigvY

D‡Ëvjbt

bM` (AbjvBb I GwUGgmn)

UªvÝdvi/BÝUªy‡g›U Gi gva¨‡g cwi‡kva

d‡ib AvDUIqvW© †iwgU¨vÝ

Avg`vwb eve` cwi‡kva

BO (cuywR evRvi) wnmv‡e Rgv/ ’vbvšÍi

Ab¨vb¨ (wbw`©ófv‡e)...........................

me©‡gvUt

......................... e¨vsK / e¨vsK wjt

....................kvLv

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ..................

(e¨vs‡Ki e¨env‡ii Rb¨)

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17

Avwg/Avgiv wbgœ¯vÿiKvix (MY) G g‡g© wbðqZv cÖ`vb KiwQ †h, m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv

Avgvi/cÖwZôv‡bi ¯vfvweK cÖK…Z †jb‡`b| Avwg/Avgiv Av‡iv wbðqZv cÖ`vb KiwQ †h, cÖ‡qvRb‡ev‡a Avwg/Avgiv

m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv ms‡kvab/nvjbvMv` Kie|

1| MÖvnK/wnmve cwiPvjbvKvix 2| MÖvnK/wnmve cwiPvjbvKvix

¯^vÿi t ¯^vÿi t

bvg t

ZvwiL t

bvg t

ZvwiL t

e¨vs‡Ki e¨env‡ii Rb¨

evsjv‡`k dvBb¨vwÝqvj B‡›Uwj‡RÝ BDwb‡Ui wb‡ ©kbv †gvZv‡eK MÖvn‡Ki m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile) ch©v‡jvPbv Kiv n‡jv|

MÖvn‡Ki m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile) cwieZ©b Kiv/ bv Kivi KviYt

........................................................................

cÖZ¨qbKvix e¨vsK Kg©KZ©vi bvghy³ wmjmn ¯v¶i I ZvwiL

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18

............e¨vsK/ e¨vsK wjt

.............kvLv

MÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)

(we‡kl w¯‥g/ ’vqx Avgvb‡Zi †¶‡Î cÖ‡hvR¨)

1. wnmv‡ei bvg t

2. wnmv‡ei cÖK…wZ t

3. MÖvn‡Ki †ckv (we ÍvwiZ) t

4. MÖvn‡Ki gvwmK m¤¢ve¨ Avq t

5. A‡_©i Drm/Drmmg~n (we ÍvwiZ) t

6. A‡_©i Drm wbwðZ Kivi †¶‡Î †hme `wjjvw` msMÖn Kiv n‡q‡Q t

1| .................

2| ..................

3| ..................

msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv t nu¨v bv

7. wnmveavixi wVKvbv wKfv‡e hvPvB Kiv n‡q‡Q (we ÍvwiZ)? ....................................................

8. wnmv‡ei cÖK…Z myweav‡fvMx (Beneficial Owner) wba©viY Kiv n‡q‡Q wK-bvt

nu¨v bv

DËi nu¨v n‡j cÖ‡Z¨K cÖK…Z myweav‡fvMx m¤úwK©Z Z_¨vw` cwiwkó-1(K) †gvZv‡eK msMÖn Ki‡Z n‡e t

(‡Kv¤úvwbi †ÿ‡Î wbqš¿YKvix †kqvi †nvìvi A_ev 20% ev Z yaŸ© GKK †kqvi †nvìvi‡K wnmv‡ei cÖK„Z myweav‡fvMx we‡ePbvq

Zvi/Zv‡`i cwiwPwZi Z_¨ cwiwkó-1(K) †gvZv‡eK msMÖn I msiÿY Ki‡Z n‡e| e¨w³K wnmv‡ei †ÿ‡ÎI cÖK…Z myweav‡fvMx

wPwýZKiZt †KIqvBwm m¤úv`b Ki‡Z n‡e)

9. cwiwPwZcÎ t

Kwc M„nxZ hvPvBK…Z [wUK (√) w`b]

K) cvm‡cvU© b¤^i t ........................................ (cÖ‡hvR¨ †¶‡Î)

L) RvZxq cwiPqcÎ b¤i t ............................. (cÖ‡hvR¨ †¶‡Î)

M) Rb¥ wbeÜb mb`cÎ b¤^i t ............................ (cÖ‡hvR¨ †¶‡Î)

N) B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤i t ....... (cÖ‡hvR¨ †¶‡Î)

O) f¨vU †iwRt b¤^i t ...................................... (cÖ‡hvR¨ †¶‡Î)

P) cÖwZôv‡bi wbeÜb b¤^i t ................................ (cÖ‡hvR¨ †¶‡Î)

Q) WªvBwfs jvB‡mÝ b¤^i t ................................. (cÖ‡hvR¨ †¶‡Î)

R) Ab¨vb¨ t ...............................................................................................

10. Awbevmx (Non-resident) Ges we‡`kx‡`i †ÿ‡Î wnmve †Lvjvi D‡Ïk¨t

...................................................................................................................

(K) wfmvi cÖK…wZ.......................................... †gqv` DËx‡Y©i ZvwiLt.............................

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ............

Page 19: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

19

(L) Kg©vbygwZ (Work Permit) cÖv߇`i wnmve †Lvjvi †ÿ‡Î Kg©vbygwZ (Work Permit) cÎ I e¨vsK

wnmve †Lvjvi Rb¨ h_vh_ KZ©„c‡ÿi Aby‡gv`b i‡q‡Q wKbv? t n¨uv / bv (cÖ‡hvR¨ †ÿ‡Î)

..................................................................................................................................

(Awbevwm evsjv‡`kx‡`i †¶‡Î Avewk¨Kfv‡e cvm‡cv‡U©i Kwc Ges we‡`kx‡`i †¶‡Î Avewk¨Kfv‡e wfmvmn cvm‡cv‡U©i Kwc msMÖn Ki‡Z n‡e)

11. MÖvnK Politically Exposed Person (PEP)/cÖfvekvjx e¨w³ (IP)/ AvšÍR©vwZK ms ’vi cÖavb ev

D”P ch©v‡qi Kg©KZ©v Ges Zv‡`i cwiev‡ii m`m¨ ev close assosiates wK bv (weGdAvBBD

KZ©…K RvixK…Z mvK©yjv‡i ewY©Z msÁv Abymv‡i)? t

n¨vu bv

DËi nu¨v n‡j t

K. wmwbqi g¨v‡bR‡g›U n‡Z Aby‡gv`b †bqv n‡q‡Q wK bv? n¨uv bv

L. MÖvn‡Ki gy‡LvgywL mvÿvrKvi †bqv n‡q‡Q wK bv? n¨uv bv

12. mswkøó AvBb, wewagvjv I mvKz©jv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡`i wewfbœ

†iRjy¨k‡bi AvIZvq mš¿vmx Kv‡h©, mš¿vmx Kv‡h© A_©vq‡b I e¨vcK aŸsmvZ¥K A ¿ we Ív‡ii A_©vq‡b

RwoZ m‡›`‡n ZvwjKvfy³ †Kvb e¨w³ ev mËv Ges evsjv‡`k miKvi KZ©„K ZvwjKvfy³ ‡Kvb e¨w³ ev

wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvPvBevQvBc~e©K †Kvbiƒc wgj cvIqv wM‡q‡Q wKbv ?

n¨uv bv

K) DËi nu¨v n‡j G welqK M„nxZ e¨e ’vi weeiY t

13. wi¯‥ †MÖwWs t

D”P wb¤œ

(gšÍe¨ As‡k Subjective we‡ePbvq MÖvn‡Ki SuywK m¤ú‡K© Avewk¨Kfv‡e gšÍe¨ Ki‡Z n‡e| MÖvn‡Ki SuywK wbiæc‡Yi †ÿ‡Î MÖvn‡Ki

†ckvi we¯ÍvwiZ aviYv we‡kølYKiZt e¨emv‡qi †ÿ‡Î e¨emv‡qi cÖK…wZ, A‡_©i gvÎv, e¨emv‡qi GjvKv, e¨emv‡qi AvKvi, wnmv‡ei cÖK…Z

myweav‡fvMx BZ¨vw`mn Ab¨vb¨ we‡kl w`K we‡ePbvq wb‡q MÖvnK‡K D”P ev wb¤œ SyuwK m¤úbœ wn‡m‡e †kªYxKiY Ki‡Z n‡e| PvKzwii †ÿ‡ÎI

Abyiƒcfv‡e we¯ÍvwiZ aviYv jvf KiZt we‡kl K‡i PvKzwii cÖK…wZ I `vq `vwq‡Z¡i wbwi‡L SzuwK wbiæcY Ki‡Z n‡e| MÖvnK D”P SzuwKc~Y© n‡j

wbqwgZ Z`viwK Ki‡Z n‡e)

cÖ ‘ZKvix t

(wnmve †Lvjvi Kg©KZ©v/wi‡jkbwkc

g¨v‡bRvi)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

ch©v‡jvPbv I wbwðZKvix Kg©KZ©v t

(kvLv gvwbjÛvwis cÖwZ‡iva cwicvjb

Kg©KZ©v)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

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20

.................................................................

(PEP/IP/AvšÍR©vwZK ms ’vi EaŸ©Zb Kg©KZ©v Gi †ÿ‡Î Aby‡gv`bKvix EaŸ©Zb Kg©KZ©v)

bvghy³ wmjmn ¯vÿi I ZvwiL

16. wnmve I MÖvnK msµvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` (Review & Update ) Kivi ZvwiLt

................................................................................................................................

ch©v‡jvPbv Ges nvjbvMv`Kvix Kg©KZ©vi

bvg (wmjmn) ¯v¶i I ZvwiL

Page 21: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

21

............e¨vsK/ e¨vsK wjt

.............kvLv

MÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)

(e¨w³K wnmve †Lvjvi †ÿ‡Î e¨envh©)

1. wnmv‡ei bvg t

2. wnmv‡ei cÖK…wZ t

3. MÖvn‡Ki †ckv (we ÍvwiZ) t

4. MÖvn‡Ki gvwmK m¤¢ve¨ Avq t

5. A‡_©i Drm/Drmmg~n (we ÍvwiZ) t

6. A‡_©i Drm wbwðZ Kivi †¶‡Î †hme `wjjvw` msMÖn Kiv n‡q‡Q t

1| .................

2| ..................

3| ..................

msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv t nu¨v bv

7. wnmveavixi wVKvbv (mg~n) wKfv‡e hvPvB Kiv n‡q‡Q (we ÍvwiZ)? .............................................

...............................................................................................................................

8. wnmv‡ei cÖK…Z myweav‡fvMx (Beneficial Owner) wba©viY Kiv n‡q‡Q wK-bvt

n¨uv bv cÖ‡hvR¨ bq

(DËi n¨uv n‡j cÖ‡Z¨K cÖK…Z myweav‡fvMx m¤úwK©Z Z_¨vw` cwiwkó-1(K) †gvZv‡eK msMÖn Ki‡Z n‡e|)

9. cwiwPwZcÎ t

Kwc M„nxZ hvPvBK…Z

K) cvm‡cvU© b¤^i t ........................................ (cÖ‡hvR¨ †¶‡Î)

L) RvZxq cwiPqcÎ b¤i t ............................. (cÖ‡hvR¨ †¶‡Î)

M) Rb¥ wbeÜb mb`cÎ b¤^i t ............................ (cÖ‡hvR¨ †¶‡Î)

N) B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤i t ....... (cÖ‡hvR¨ †¶‡Î)

O) WªvBwfs jvB‡mÝ b¤^i t ................................. (cÖ‡hvR¨ †¶‡Î)

P) Ab¨vb¨ t ...............................................................................................

10. Awbevmx (Non-resident) Ges we‡`kx‡`i †ÿ‡Î wnmve †Lvjvi D‡Ïk¨t

...............................................................................................................................

(K) wfmvi cÖK…wZ............................................. †gqv` DËx‡Y©i ZvwiLt.............................

(L) Kg©vbygwZ (Work Permit) cÖv߇`i wnmve †Lvjvi †ÿ‡Î Kg©vbygwZ (Work Permit) cÎ I e¨vsK

wnmve †Lvjvi Rb¨ h_vh_ KZ©„c‡ÿi Aby‡gv`b i‡q‡Q wKbv? (cÖ‡hvR¨ †ÿ‡Î)

n¨uv bv

(Awbevwm evsjv‡`kx‡`i †¶‡Î Avewk¨Kfv‡e cvm‡cv‡U©i Kwc Ges we‡`kx‡`i †¶‡Î Avewk¨Kfv‡e wfmvmn cvm‡cv‡U©i Kwc msMÖn Ki‡Z n‡e)

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ............

Page 22: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

22

11. MÖvnK Politically Exposed Person (PEP)/cÖfvekvjx e¨w³ (IP)/ AvšÍR©vwZK ms ’vi cÖavb ev

D”P ch©v‡qi Kg©KZ©v Ges Zv‡`i cwiev‡ii m`m¨ ev close assosiates wK bv (weGdAvBBD

KZ©…K RvixK…Z mvK©yjv‡i ewY©Z msÁv Abymv‡i)? t

n¨vu bv

DËi nu¨v n‡j:

K. wmwbqi g¨v‡bR‡g›U n‡Z Aby‡gv`b †bqv n‡q‡Q wK bv? n¨uv bv

L. MÖvn‡Ki gy‡LvgywL mvÿvrKvi †bqv n‡q‡Q wK bv? n¨uv bv

12. mswkøó AvBb, wewagvjv I mvKz©jv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡`i wewfbœ

†iRyjyk‡bi AvIZvq mš¿vmx Kv‡h©, mš¿vmx Kv‡h© A_©vq‡b I e¨vcK aŸsmvZ¥K A ¿ we Ív‡ii A_©vq‡b

RwoZ m‡›`‡n ZvwjKvfy³ †Kvb e¨w³ ev mËv Ges evsjv‡`k miKvi KZ©„K ZvwjKvfy³ ‡Kvb e¨w³ ev

wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvPvBevQvBc~e©K †Kvbiƒc wgj cvIqv wM‡q‡Q wKbv ? t

n¨uv bv

K) DËi nu¨v n‡j G welqK M„nxZ e¨e¯’vi weeiY t

13. wi¯‥ †MÖwWst

K) MÖvnK Kx K‡ib/Kx ai‡Yi ‡ckvq wb‡qvwRZ i‡q‡Q?

µwgK bs cÖK…wZ wi¯‥ ‡¯‥vi

1. Ry‡qjvwi/¯‡Y©i e¨emv /g~j¨evb avZzi e¨emv 5

2. gvwb †PÄvi /Kzwiqvi mvwf©m/‡gvevBj e¨vswKs G‡R›U 5

3. wi‡qj G‡÷U †Wfjcvi/ G‡R›U 5

4. wbg©vY cÖKí †cÖv‡gvUvi/ wVKv`vi 5

5. wPÎKjv/A¨vw›U‡Ki wWjvi 5

6. ‡iu‡ Íviv/evi/bvBU K¬ve /AvevwmK †nv‡Uj/cvj©vi e¨emv 5

7. Avg`vwb/ißvwb 5

8. Rbkw³ ißvwb e¨emv 5

9. A‡¯¿i e¨emv 5

10. Mv‡g©›Um e¨emv/ Mv‡g©›Um G‡·mwiR/ evwqs nvDR 5

11. cvBjU / d¬vBU G‡Ub‡W›U 5

12. Uªvw÷ 5

13. ‡kqvi/÷K e¨emvq wewb‡qvMKvix 5

14. mdU&Iq¨vi e¨emv/ Z_¨ I cÖhyw³i e¨emv 5

15. GKm&c¨vUwiAvU (evsjv‡`‡k Kg©iZ we‡`kx e¨w³) 5

16. Uªv‡fj G‡R›U 4

17. evwl©K 1 †KvwU UvKvi AwaK A_© jMœxKvix e¨emvqx 4

18. ‡d«BU/wkwcs/Kv‡Mv© G‡R›U 4

19. A‡Uv e¨emv (bZzb/wiKwÛkvb Mvox) 4

20. e¨emv ( Pvgov I PvgovRvZ cY¨) 4

21. evox wbgv©Y mvgMÖxi e¨emv 4

Page 23: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

23

µwgK bs cÖK…wZ wi¯‥ ‡¯‥vi

22. ‡ckvRxex (mvsevw`K , AvBbRxex, Wv³vi, BwÄwbqvi, PvU©vW©

GKvDb‡U›U)

4

23. wW‡i±i ( cÖvB‡fU/ cvewjK wjwg‡UW †Kv¤úvwb ) 4

24. eûRvwZK cÖwZôv‡bi EaŸ©Zb Kg©KZ©v 4

25. M„wnYx 4

26. Z_¨-cÖhyw³ ‡ÿ‡Î PvKzwi 4

27. †L‡jvqvo/ wgwWqv †mwj‡eªwU/ cÖwWDmi/wbg©vZv 4

28. wd«j¨vÝ mdU&Iq¨vi ‡W‡fjcvi 4

29. e¨emv-G‡R›U 3

30. miKvix PvKzix 3

31. evoxIqvjv 3

32. myZv e¨emvqx / SzU e¨emvqx 3

33. cwienb Acv‡iUi 3

34. ZvgvK I wmMv‡i‡Ui e¨emv 3

35. we‡bv`bKvix cÖwZôvb/cvK© 3

36. ‡gvUi cvU©m / IqvK©mc Gi e¨emv 3

37. cÖvB‡fU mvwf©m g¨v‡bRvwiqvj 3

38. wkÿK (miKvwi/‡emiKvwi/¯vqËkvwmZ wkÿv cÖwZôvb) 2

39. PvKzix (‡emiKvix) 2

40. ¶z`ª e¨emvqx (evwl©K Uvb©Ifvi 50 jÿ UvKvi bx‡P) 2

41. ¯D‡`¨vMx †ckvRxex 2

42. Kw¤úDUvi/†gvevBj †dv‡bi wWjvi 2

43. Drcv`bKvix (A ¿ e¨ZxZ) 2

44. QvÎ 2

45. PvKzix n‡Z Aemi MÖnYKvix 1

46. K…wlRxex/kÖgRxex/grmRxex 1

47. Ab¨vb¨ (mywbw`©ófv‡e D‡jøL Kiæb) 1-5

(MÖvn‡Ki SuywK wbiæc‡Yi †ÿ‡Î MÖvn‡Ki †ckvi we ÍvwiZ Z_¨ we‡kølYKiZt e¨emv‡qi †ÿ‡Î e¨emv‡qi cÖK…wZ, A‡_©i gvÎv, e¨emv‡qi

GjvKv, e¨emv‡qi AvKvi, wnmv‡ei cÖK…Z myweav‡fvMx BZ¨vw`mn Ab¨vb¨ we‡kl w`K we‡ePbvq wb‡q MÖvnK‡K D”P ev wb¤œ SyuwK m¤úbœ

wn‡m‡e †kªYxKiY Ki‡Z n‡e| PvKzwii †ÿ‡ÎI Abyiƒcfv‡e we ÍvwiZ Z_¨ jvf KiZt we‡kl K‡i PvKzwii cÖK…wZ I `vq `vwq‡Z¡i wbwi‡L

SzuwK wbiæcY Ki‡Z n‡e| Gme welqmg~n we‡ePbvq wb‡q MÖvnK †f‡` 16-46 bs †ÿ‡Î ewY©Z †¯‹vi A‡cÿv D”PZi †¯‹vi cÖ`vb Ki‡Z

cvi‡e|)

L) MÖvn‡Ki gvwmK Av‡qi (Monthly Income) cwigvY t

cwigvY (UvKvq) wi¯‥ ‡¯‥vi

1 j¶ ch©šÍ 0

>1 n‡Z 3 jÿ ch©šÍ 1

3 j¶vwaK 3

Page 24: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

24

M) wnmve †Lvjvi aiY t

aiY wi¯‥ ‡¯‥vi

wi‡jkbwkc g¨v‡bRvi/kvLv KZ©„K 0

WvB‡i± †mjm& G‡R›U KZ©„K 3

B›Uvi‡bU/ Non Face to Face 3

¯cÖ‡Yvw`Zfv‡e/Walk-In 3

N) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi cwigvY t

PjwZ wnmv‡e †jb‡`‡bi

cwigvY (j¶ UvKvq)

mÂqx wnmv‡e †jb‡`‡bi

cwigvY (j¶ UvKvq)

wi¯‥ ‡¯‥vi

0-10 0-5 0

>10-20 >5-10 1

>20 >10 3

O) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi msL¨v t

PjwZ wnmv‡e †jb‡`‡bi msL¨v mÂqx wnmv‡e †jb‡`‡bi msL¨v wi¯‥ ‡¯‥vi

0-15 0-10 0

16-25 11-20 1

>25 >20 3

P) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi cwigvY t

PjwZ wnmv‡e †jb‡`‡bi

cwigvY (jÿ UvKvq)

mÂqx wnmv‡e †jb‡`‡bi

cwigvY (jÿ UvKvq)

wi¯‥ ‡¯‥vi

0-5 0-2 0

>5-10 >2-5 1

>10 >5 3

Q) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi msL¨v t

PjwZ wnmv‡e †jb‡`‡bi

msL¨v

mÂqx wnmv‡e †jb‡`‡bi

msL¨v

wi¯‥ ‡¯‥vi

0-10 0-5 0

11-20 6-10 1

>20 >10 3

14. mvgwMÖK SzuwK/wi¯‥ †iwUs wbiƒcY (Dc‡ii K n‡Z Q µwgK ch©šÍ wi¯‥ ‡¯‥v‡ii †hvMdj) t

wi¯‥ ‡¯‥v‡ii †hvMdj mvgwMÖK wi¯‥ †iwUs

>=14 D”P

<14 wbgœ

gšÍe¨ t

(* wi¯‥ †iwUs 14 Gi Kg n‡jI Beneficial Owner -Gi D”P SuywK we‡ePbvq wb‡q KviY D‡jøLc~e©K Subjective we‡ePbvq

MÖvnK‡K D”P SuywK m¤úbœ wn‡m‡e wbiƒcY Kiv †h‡Z cv‡i)

Page 25: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

25

cÖ ‘ZKvix t

(wnmve †Lvjvi Kg©KZ©v/wi‡jkbwkc

g¨v‡bRvi)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

ch©v‡jvPbv I wbwðZKvix Kg©KZ©v t

(kvLv gvwbjÛvwis cÖwZ‡iva cwicvjb

Kg©KZ©v)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

.................................................................

(PEP/IP/AvšÍR©vwZK ms ’vi EaŸ©Zb Kg©KZ©v Gi †ÿ‡Î Aby‡gv`bKvix EaŸ©Zb Kg©KZ©v)

bvghy³ wmjmn ¯vÿi I ZvwiL

15. wnmve I MÖvnK msµvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` (Review & Update ) Kivi ZvwiLt

ch©v‡jvPbv Ges nvjbvMv`Kvix Kg©KZ©v t

¯^v¶i (wmjmn) t

bvg t

ZvwiL t

Page 26: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

26

............e¨vsK/ e¨vsK wjt

.............kvLv

MÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)

(cÖwZôv‡bi wnmve †Lvjvi †ÿ‡Î e¨envh©)

1. wnmv‡ei bvg t

2. wnmv‡ei cÖK…wZ t

3. cÖwZôv‡bi cÖK…wZ (we ÍvwiZ) t

4. cÖwZôv‡bi wbU m¤ú` (Net Worth) t 5. A‡_©i Drm/Drmmg~n (we ÍvwiZ) t

6. A‡_©i Drm wbwðZ Kivi †¶‡Î †hme `wjjvw` msMÖn Kiv n‡q‡Q t

1| .................

2| ..................

3| ..................

msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv t n¨uv bv

7. cÖwZôv‡bi wVKvbv (mg~n) wKfv‡e hvPvB Kiv n‡q‡Q (we ÍvwiZ)? .............................................

...............................................................................................................................

8. wnmv‡ei cÖK…Z myweav‡fvMx (Beneficial Owner) wba©viY Kiv n‡q‡Q wK-bvt

n¨uv bv

DËi n¨uv n‡j cÖ‡Z¨K cÖK…Z myweav‡fvMx m¤úwK©Z Z_¨vw` cwiwkó-1(K) †gvZv‡eK msMÖn Ki‡Z n‡e t

(‡Kv¤úvwbi †ÿ‡Î 20% ev Gi AwaK GKK †kqvi †nvìvi Gi we¯ÍvwiZ Z_¨vw` cwiwkó-1(K) †gvZv‡eK msMÖnc~e©K †KIqvBwm

m¤úv`b Ki‡Z n‡e| GQvovI †Kv¤úvwbi wbqš¿YKvix †kqvi‡nvìvi Gi we¯ÍvwiZ Z_¨vw` msMÖnc~e©K †KIqvBwm m¤úv`b Ki‡Z

n‡e|)

Kwc M„nxZ hvPvBK…Z

9. B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤^i t ....... (cÖ‡hvR¨ †¶‡Î)

10. f¨vU †iwRt b¤i t ...................................... (cÖ‡hvR¨ †¶‡Î)

11. cÖwZôv‡bi wbeÜb b¤i t .............................. (cÖ‡hvR¨ †¶‡Î)

12. Ab¨vb¨ bw_ t ---------------------------------- (cÖ‡hvR¨ †¶‡Î)

13. we‡`kx †Kv¤úvwb/cÖwZôv‡bi wnmve †Lvjvi D‡Ïk¨t (cÖ‡hvR¨ †ÿ‡Î)

...............................................................................................................................

(K) mswkøó wbqš¿YKvix KZ…©c‡ÿi bvg t ............................................................................

(L) Aby‡gv`b msµvšÍ Z_¨ t ..........................................................................................

14. MÖvnK cÖwZôv‡bi mv‡_ ‡Kvb Politically Exposed Person (PEP)/cÖfvekvjx e¨w³ (IP)/ AvšÍR©vwZK ms ’vi cÖavb ev D”P ch©v‡qi Kg©KZ©v Ges Zv‡`i cwiev‡ii m`m¨ ev close

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ............

Page 27: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

27

assosiates mswkøó wK bv (weGdAvBBD KZ©…K RvixK…Z mvK©yjv‡i ewY©Z msÁv Abymv‡i)? (cÖ‡hvR¨

†ÿ‡Î)t

n¨uv bv

DËi n¨uv n‡j-

K. wmwbqi g¨v‡bR‡g›U n‡Z Aby‡gv`b †bqv n‡q‡Q wK bv? n¨uv bv

L. MÖvn‡Ki gy‡LvgywL mvÿvrKvi †bqv n‡q‡Q wK bv? n¨uv bv

15. mswkøó AvBb, wewagvjv I mvKz©jv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡`i wewfbœ

†iRjy¨k‡bi AvIZvq mš¿vmx Kv‡h©, mš¿vmx Kv‡h© A_©vq‡b I e¨vcK aŸsmvZ¥K A ¿ we Ív‡ii A_©vq‡b

RwoZ m‡›`‡n ZvwjKvfy³ †Kvb e¨w³ ev mËv Ges evsjv‡`k miKvi KZ©„K ZvwjKvfy³ ‡Kvb e¨w³ ev

wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvPvBevQvBc~e©K †Kvbiƒc wgj cvIqv wM‡q‡Q wKbv ? t

n¨uv bv

K) DËi nu¨v n‡j G welqK M„nxZ e¨e ’vi weeiY t

16. wi¯‥ †iwUst

K) cÖwZôvb wK ai‡bi e¨emv/Kg©Kv‡Û wb‡qvwRZ i‡q‡Q?

µwgK bs cÖK…wZ wi¯‥ ‡¯‥vi

1. Ry‡qjvwi/¯‡Y©i e¨emv /g~j¨evb avZzi e¨emv 5

2. gvwb †PÄvi /Kzwiqvi mvwf©m/‡gvevBj e¨vswKs G‡R›U 5

3. wi‡qj G‡÷U †W‡fjcvi/ G‡R›U 5

4. wbg©vY cÖKí †cÖv‡gvUvi/ wVKv`vi 5

5. Ad‡mvi / bb †iwm‡W›U K‡c©v‡ikb 5

6. ‡iu‡ Íviv/evi/bvBU K¬ve /AvevwmK †nv‡Uj/cvj©vi e¨emv 5

7. Avg`vwb/ißvwb I Avg`vwb/ißvwb G‡R›U 5

8. Mv‡g©›Um e¨emv/ Mv‡g©›Um G‡·mwiR/c¨v‡KwRs/evwqs nvDR 5

9. ‡kqvi/÷K wWjvi, †eªvKvi, †cvU©‡dvwjI g¨v‡bRvi, gv‡P©›U e¨vsKvi 5

10. GbwRI/GbwcI 5

11. Rbkw³ ißvwb e¨emv 5

12. Pjw”PÎ cÖ‡hvRbv/cwi‡ekbv ms ’v 5

13. A‡¯¿i e¨emv 5

14. †gvevBj †dvb Acv‡iUi/B›Uvi‡bU A_ev K¨vej wUwf Acv‡iUi 5

15. Rwg/evox †Kbv‡ePvi †eªvKvi (cÖvwZôvwbK) 5

16. e¨vsK/wjwRs/dvBb¨vÝ †Kv¤úvwb 5

17. cwienb Acv‡iUi 5

18. BÝy¨‡iÝ/†eªvKv‡iR G‡RwÝ 5

19. agx©q cÖwZôvb/ms¯’v I wkÿv cÖwZôvb 5

20. Uªv÷ 5

21. e¨emv (†c‡Uªvj cv¤ú/ wmGbwR †÷kb) 5

22. ZvgvK I wmMv‡i‡Ui e¨emv 5

Page 28: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

28

µwgK bs cÖK…wZ wi¯‥ ‡¯‥vi

23. mdU&Iq¨vi e¨emv 5

24. wkc †eªwKs e¨emv 5

25. e¨emv (wK¬qvwis I diIqvwW©s G‡R›U) 4

26. e¨emv ( wWjvi/wWw÷ªweDUi/G‡R›U ) 4

27. e¨emv (Bb‡Ww›Us) 4

28. e¨emv (AvDU‡mv©wms) 4

29. B‡f›U g¨v‡bR‡g›U 4

30. PvU©vW© GKvDb‡U›U 4

31. K‡cv©‡iU Kv÷gvi 4

32. j dvg©/BwÄwbqvwis dvg©/KÝvj‡UwÝ dvg© 4

33. R¡vjvbx I we`¨yr Drcv`b †Kv¤úvwb 4

34. wcÖ›U/ B‡jKUªwbK wgwWqv 4

35. Uªv‡fj G‡R›U/Uz¨wiRg †Kv¤úvwb 4

36. A‡UvwWjvi (wiKwÛkÛ Mvox) 4

37. ‡d«BU/wkwcs/Kv‡Mv© G‡R›U/wmGbGd G‡R›U 4

38. A‡Uv cÖvBgvwi (bZzb Mvox) e¨emv 4

39. evox wbgv©Y mvgMÖxi e¨emv 4

40. e¨emv (Pvgov I PvgovRvZ cY¨) 4

41. ‡UwjKwgDwb‡Kkb †Kv¤úvwb 4

42. ‡PBb †÷vi/kwcs gj 4

43. ‡U·UvBj/w¯úwbs 3

44. we‡bv`bKvix cÖwZôvb/cvK© 3

45. ‡gvUi cvU©m/ IqvK©mc Gi e¨emv 3

46. e¨emv-G‡R›U 3

47. e¨emv ( Jla cÖ ‘Z I evRviRvZKiY) 3

48. wngvwqZKiY e¨emv ( †Kvì †÷v‡iR ) 3

49. e¨emv ( wngvwqZ Lv`¨ ) 3

50. e¨emv (nvW©Iqvi) 3

51. e¨emv (weÁvcY) 3

52. mvwf©m †cÖvfvBWvi 3

53. Kw¤úDUvi/†gvevBj †dv‡bi wWjvi 2

54. ‡cvwëª /†WBwi/wdwks dvg© 2

55. G‡MÖv weR‡bm/ivBm wgj weR‡bm/†efv‡iR 2

56. Drcv`bKvix (A ¿ e¨ZxZ) 2

57. ‡`vKvb (LyPiv e¨emv) 2

58. Ab¨vb¨ (mywbw`©ófv‡e D‡jøL Kiæb) 1-5

(MÖvn‡Ki SuywK wbiæc‡Yi †ÿ‡Î MÖvn‡Ki †ckvi we ÍvwiZ Z_¨ we‡kølYKiZt e¨emv‡qi †ÿ‡Î e¨emv‡qi cÖK…wZ, A‡_©i gvÎv, e¨emv‡qi

GjvKv, e¨emv‡qi AvKvi, wnmv‡ei cÖK…Z myweav‡fvMx BZ¨vw`mn Ab¨vb¨ we‡kl w`K we‡ePbvq wb‡q MÖvnK‡K D”P ev wb¤œ SyuwK m¤úbœ

wn‡m‡e †kªYxKiY Ki‡Z n‡e| Gme welqmg~n we‡ePbvq wb‡q MÖvnK †f‡` 25-57 bs †ÿ‡Î ewY©Z †¯‹vi A‡cÿv D”PZi †¯‹vi cÖ vb

Ki‡Z cvi‡e|)

Page 29: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

29

L) cÖwZôv‡bi wbU m¤ú‡`i (Net Worth) cwigvY t

cwigvY (UvKvq) wi¯‥ ‡¯‥vi

0-1†KvwU 0

>1†KvwU - 3 †KvwU 1

> 3 †KvwU 3

M) wnmve †Lvjvi aiY t

aiY wi¯‥ ‡¯‥vi

wi‡jkbwkc g¨v‡bRvi/kvLv KZ©„K 0

WvB‡i± †mjm G‡R›U KZ©„K 3

B›Uvi‡bU/ Non Face to Face 3

¯cÖ‡Yvw`Zfv‡e/ Walk In 3

N) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi cwigvY t

PjwZ wnmv‡e †jb‡`‡bi

cwigvY (j¶ UvKvq)

mÂqx wnmv‡e †jb‡`‡bi

cwigvY (j¶ UvKvq)

wi¯‥ ‡¯‥vi

0-10 0-5 0

>10-50 >5-20 1

>50 >20 3

O) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi msL¨v t

PjwZ wnmv‡e †jb‡`‡bi msL¨v mÂqx wnmv‡e †jb‡`‡bi msL¨v wi¯‥ ‡¯‥vi

0-100 0-20 0

101-250 21-50 1

>250 >50 3

P) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi cwigvb t

PjwZ wnmv‡e †jb‡`b

(jÿ UvKvq)

mÂqx wnmv‡e †jb‡`b

(jÿ UvKvq)

wi¯‥ ‡¯‥vi

0-10 0-2 0

>10-25 >2-7 1

>25 >7 3

Q) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi msL¨v t

PjwZ wnmv‡e †jb‡`‡bi msL¨v mÂqx wnmv‡e †jb‡`‡bi msL¨v wi¯‥ †¯‥vi

0-15 0-5 0

16-30 6-10 1

>30 >10 3

17. mvgwMÖK SzuwK/wi¯‥ †iwUs wbiƒcY (Dc‡ii K n‡Z Q µwgK ch©šÍ wi¯‥ ‡¯‥v‡ii †hvMdj) t

wi¯‥ ‡¯‥v‡ii †hvMdj mvgwMÖK wi¯‥ †iwUs

>=14 D”P

<14 wbgœ

Page 30: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

30

gšÍe¨ t

(*wi¯‥ †iwUs 14 Gi Kg n‡jI Beneficial Owner -Gi D”P SuywK we‡ePbvq wb‡q KviY D‡jøLc~e©K Subjective we‡ePbvq

MÖvnK‡K D”P SuywK m¤úbœ wn‡m‡e wbiƒcY Kiv †h‡Z cv‡i)

cÖ ‘ZKvix t

(wnmve †Lvjvi Kg©KZ©v/wi‡jkbwkc

g¨v‡bRvi)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

ch©v‡jvPbv I wbwðZKvix Kg©KZ©v t

(kvLv gvwbjÛvwis cÖwZ‡iva cwicvjb

Kg©KZ©v)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

.................................................................

(PEP/IP/AvšÍR©vwZK ms ’vi EaŸ©Zb Kg©KZ©v Gi †ÿ‡Î Aby‡gv`bKvix EaŸ©Zb Kg©KZ©v)

bvghy³ wmjmn ¯vÿi I ZvwiL

18. wnmve I MÖvnK msµvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` (Review & Update ) Kivi ZvwiLt

ch©v‡jvPbv Ges nvjbvMv`Kvix Kg©KZ©v t

¯^v¶i (wmjmn) t

bvg t

ZvwiL t

Page 31: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

31

............e¨vsK/ e¨vsK wjt

.............kvLv

MÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)

(miKvix cÖwZôv‡bi wnmv‡ei †ÿ‡Î e¨envh©)

1. wnmv‡ei bvg t

2. wnmv‡ei cÖK…wZ t

3. cÖwZôv‡bi cÖK„wZ (we ÍvwiZ) t

4. A‡_©i Drm/Drmmg~n (we ÍvwiZ) t

5. A‡_©i Drm wbwðZ Kivi †¶‡Î †hme `wjjvw` msMÖn Kiv n‡q‡Q t

1| .................

2| ..................

3| ..................

msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv t n¨uv bv

6. cÖwZôv‡bi wVKvbv (mg~n) wKfv‡e hvPvB Kiv n‡q‡Q (we ÍvwiZ)? ...........................

...............................................................................................................................

7. cÖwZôvb msµvšÍ bw_mg~nt

Kwc M„nxZ hvPvBK…Z

(K) B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤i t ....... (cÖ‡hvR¨ †¶‡Î)

(L) f¨vU †iwRt b¤i t .................................. (cÖ‡hvR¨ †¶‡Î)

(M) e¨vs‡K wnmve cwiPvjbv msµvšÍ wm×všÍ t........ (cÖ‡hvR¨ †¶‡Î)

(N) Ab¨vb¨ bw_ t ...................................... (cÖ‡hvR¨ †¶‡Î)

8. wi¯‥ †MÖwWst

D”P SuywK/wb¤œ SuywK

(* Subjective we‡ePbvq MÖvn‡Ki SuywK wbiƒcY Ki‡Z n‡e)

cÖ ‘ZKvix t

(wnmve †Lvjvi Kg©KZ©v/wi‡jkbwkc

g¨v‡bRvi)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

ch©v‡jvPbv I wbwðZKvix Kg©KZ©v t

(kvLv gvwbjÛvwis cÖwZ‡iva

cwicvjb Kg©KZ©v)

¯vÿi (wmjmn) t

bvg t

ZvwiL t

wnmve b¤it ............................

BDwbK Kv÷gvi AvBwW †KvWt ............

Page 32: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

32

9. wnmve msµvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` (Review & Update ) Kivi ZvwiLt

ch©v‡jvPbv Ges nvjbvMv`Kvix Kg©KZ©v t

¯^v¶i (wmjmn) t

bvg t

ZvwiL t

Page 33: e¨vsK/e¨vsK wjt kvLv wnmve Lvjvi Ave`b dig · 7 5| wnmve Lvjvi DÏk t. 6| MÖvnKi Ab Kvb evsK cwiPvwjZ wnmve AvQ wK (wUK . w`b)? n. u¨v. bv (DËi nu¨v nj wbgœiƒgc wee„Z Kiæb)

33

Ae¨w³K wnmv‡ei Rb¨ cÖ‡qvRbxq Z_¨vw`i wb‡`©kK (Indicative) ZvwjKv|

(cÖ‡Z¨K e¨vsK h_vh_fv‡e MÖvn‡Ki cwiwPwZ I Customer Due diligence m¤úv`b Kivi D‡Ï‡k¨ e¨vs‡Ki mš‘wó mv‡c‡ÿ G ZvwjKvq

ewY©Z Z‡_¨i AwZwi³ Z_¨ I `wjjvw` msMÖn Ki‡Z cvi‡e| Ôe¨vs‡Ki mš‘wó mv‡c‡ÿÕ Gi e¨vL¨v weGdAvBBD mvK©zjvi bs-10 Gi 3.2 (3)

Aby‡”Q‡` cÖ`vb Kiv n‡q‡Q|)

(K) K‡c©v‡iU ev e¨emvwqK cÖwZôv‡bi wnmve t

(1) e¨w³ gvwjKvbvaxb cÖwZôvb t †UªW jvB‡mÝmn wnmve cwiPvjbvKvixi (cÖwZôv‡bi ¯^Z¡vwaKvixi) wel‡q cwiwkó-1(K)

†gvZv‡eK Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

(2) cvU©bviwkc t cvU©bviwkc wWW, †UªW jvB‡mÝmn Askx`viM‡Yi cwiwPwZi wel‡q cwiwkó-1(K) †gvZv‡eK Òe¨w³ msµvšÍ

Z_¨vejxÓ dig h_vh_fv‡e c~iYmn †ewbwdwkqvj Ibvi Gi msÁv Abyhvqx cÖ‡Z¨K cvU©bvi/‡kqvi‡nvìv‡ii dig c~iY

Ki‡Z n‡e|

(3) wjwg‡UW †Kv¤úvwb t mvwU©wd‡KU Ae BbK‡c©v‡ikb, AvwU©‡Kjm Ae G‡mvwm‡qkb, †g‡gv‡iÛvg Ae G‡mvwm‡qkb,

†ev‡W©i mfvq M„nxZ AvbyôvwbK wm×všÍ (resolution), cwiPvjK m¤úwK©Z †NvlYv Ges wnmve cwiPvjbvKvixi wel‡q

cwiwkó-1(K) †gvZv‡eK Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iYmn †ewbwdwkqvj Ibvi Gi msÁv Abyhvqx

cÖ‡Z¨K cwiPvj‡Ki/‡kqvi‡nvìv‡ii cwiwkó-1(K) †gvZv‡eK Òe¨w³ msµvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e|

(†Kv¤úvwb ev Zvi cwiPvjKM‡Yi wel‡q cÖ‡qvR‡b Z_¨vw`i mwVKZv hvPvB‡qi j‡ÿ¨ †iwR÷ªvi Ae R‡q›U ÷K

†Kv¤úvwbR GÛ dvg©m& Gi mvnvh¨ MÖnY Kiv †h‡Z cv‡i| evsjv‡`‡ki evB‡i wbewÜZ †Kv¤úvwbi †ÿ‡Î wbeÜb `wjjvw`

†h ¯’vb n‡Z Bmy¨K…Z n‡q‡Q, cÖ‡qvR‡b ‡mLv‡b †hvMv‡hvM K‡i `wjjvw`i h_v_©Zv m¤ú‡K© wbwðZ nIqv ‡h‡Z cv‡i)|

†Kv¤úvwbi †ÿ‡Î m‡e©v”P †kqviavix by¨bZg 5 Rb cwiPvjK ev †hme †ÿ‡Î 5 R‡bi Kg †m‡ÿ‡Î mK‡ji/Ab¨vb¨

cÖ‡hvR¨ †ÿ‡Î wbe©vnx KwgwUi m`m¨M‡Yi e¨w³ msµvšÍ Z_¨ msMÖn Ki‡Z n‡e|

(L) miKvix wnmve (wewfbœ gš¿Yvjq, wefvMmn), miKvix gvwjKvbvaxb cÖwZôvb, Avav miKvix ev ¯^vqËkvwmZ cÖwZôv‡bi

wnmve, wewfbœ gš¿Yvj‡qi Aax‡b cwiPvwjZ cÖK‡íi wnmve t wnmve †Lvjv I cwiPvjbvi Rb¨ mswkøó Dchy³ KZ©„cÿ

KZ©„K cÖ`Ë AbygwZ cÎmn wnmve cwiPvjbvKvixi Òe¨w³ msµvšÍ Z_¨vejxÓ c„_K dig {cwiwkó-1 (L)} h_vh_fv‡e

c~iY Ki‡Z n‡e|

(M) Ab¨vb¨ msMV‡bi wnmve t

(1) K¬ve/†mvmvBwU t cwiPvjbv cl©`, evB-jR ev msweavb, wnmve †Lvjvi †iRjy¨kb, †iwR÷vW© n‡j miKvix Aby‡gv`bcÎ

BZ¨vw`mn mswkøó mfvcwZ, m¤úv`K, †Kvlva¨ÿ I Ab¨vb¨ wnmve cwiPvjbvKvixi Rb¨ cwiwkó-1(K) †gvZv‡eK Òe¨w³

msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

(2) mgevq mwgwZ/wjwg‡UW †mvmvBwU t †Kv-Acv‡iwUf Kg©KZ©v KZ©„K mZ¨vwqZ evB-jR, Awdm Kg©KZ©v‡`i (office

bearers) weeiY, wnmve ‡Lvjvi wel‡q wm×všÍ (resolution), mvwU©wd‡KU Ae †iwR‡÷ªkb BZ¨vw`mn mswkøó wnmve

cwiPvjbvKvixi wel‡q cwiwkó-1(K) †gvZv‡eK Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

(3) ‡emiKvix ¯‥zj, K‡jR, gv`ªvmv t Mfwb©s ewW ev g¨v‡bwRs KwgwUi m`m¨M‡Yi c~Y© cwiwPwZ, wnmve ‡Lvjvi wel‡q wm×všÍ

(resolution) BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi wel‡q cwiwkó-1(K) †gvZv‡eK Òe¨w³ msµvšÍ Z_¨vejxÓ

dig h_vh_fv‡e c~iY Ki‡Z n‡e|

(4) Uªvw÷ t wWW Ae Uªv÷ Gi mvwU©dvBW Kwc, Uªvw÷ †evW© Gi m`m¨M‡Yi c~Y© cwiwPwZ, wnmve ‡Lvjvi wel‡q wm×všÍ

(resolution) BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi wel‡q cwiwkó-1(K) †gvZv‡eK Òe¨w³ msµvšÍ Z_¨vejxÓ dig

h_vh_fv‡e c~iY Ki‡Z n‡e|