1
Annexure A1 City / Town / Village District Pin / Post Code State / U.T Code ISO 3166 Country Code Address No of yrs at above address no of years at current city Residence type Owned Rented Others Correspondence / Local Address Details Same as Current / Permanent / Overseas Address details Contact Details Tel. (Off) Tel. (Res) FAX Mobile Email ID Annexure B1 Details Of Related Person Addition of Related Person Deletion of Related Person KYC Number of Related Person (if available) Related Person Type Guardian of Minor Assignee Authorized Representative Name Prefix First Name Middle Name Last Name PAN No. Aadhaar No. Voters ID Passport No. if passport, passport expiry date Driving License if DL, DL expiry date NREGA Job Card Others (any document notified by the central government) Proof of Identity (PoI) of Related Person HOME/VER1 /OCT/2017/ABC adityabirlacapital.com Contact Us: 1-800-270-7000 Aditya Birla Housing Finance Limited Registered Office: Indian Rayon Compound, Veraval, Gujarat - 362 266 Corporate Office: One Indiabulls Centre, Tower 1, 15th Floor, 841, Senapati Bapat Marg, Elphinstone Road, Mumbai 400 013 | www.adityabirlahousingfinance.com (O) +91 22 4356 1300 | (F) +91 22 4356 1398 | CIN: U65922GJ2009PLC083779

Prefix First Name Middle Name Last Name - Aditya Birla Capital

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Page 1: Prefix First Name Middle Name Last Name - Aditya Birla Capital

Annexure A1

City / Town / Village

District Pin / Post Code State / U.T Code ISO 3166 Country Code

Address

No of yrs at above address no of years at current city Residence type Owned Rented Others

Correspondence / Local Address Details

Same as Current / Permanent / Overseas Address details

Contact Details

Tel. (Off) Tel. (Res)

FAX Mobile

Email ID

Annexure B1

Details Of Related Person

Addition of Related Person Deletion of Related Person KYC Number of Related Person (if available)

Related Person Type Guardian of Minor Assignee Authorized Representative

NamePrefix First Name Middle Name Last Name

PAN No. Aadhaar No.

Voters ID

Passport No. if passport, passport expiry date

Driving License if DL, DL expiry date

NREGA Job Card Others(any document notified by the central government)

Proof of Identity (PoI) of Related Person

HO

ME/

VER

1 /O

CT/

2017

/AB

C

adityabirlacapital.com

Contact Us:1-800-270-7000

Aditya Birla Housing Finance LimitedRegistered Office: Indian Rayon Compound, Veraval, Gujarat - 362 266Corporate Office: One Indiabulls Centre, Tower 1, 15th Floor, 841, Senapati Bapat Marg,Elphinstone Road, Mumbai 400 013 | www.adityabirlahousingfinance.com(O) +91 22 4356 1300 | (F) +91 22 4356 1398 | CIN: U65922GJ2009PLC083779