Individual KYC Form - VacraDima

KNOW YOUR CUSTOMER / SUPPLIER FORM
FOR INDIVIDUALS

(Please fill up all information in capital letters)

Full Name *

Full Address *
(Please enter fulladdress with pincode, city and state)

Phone *

Email id *

Adhar No. *

PAN *

GSTIN

Reference (1 references require compulsory):

Company Name*	Person Name*	Address	Contact No*	Email id	Type of Relation

Upload Adhar Card *

Upload Pan Card *

Upload GSTN

I HEREBY CONFIRM THE FOLLOWING:

The details mentioned above are true and correct.
I will update you on any changes regarding the aforementioned details

I do here by accept all the terms & conditions

Notes:

Copy of Aadhar Card and PAN Card is compulsory

Design & Created by Vacradima Ventures LLP