Subject: Re: Team Member KYC Form - Pritish Nandi
From: Jotform <[email-masked]>
To: [email-masked], [email-masked], [email-masked], [email-masked]
Date: Mon, 20 Feb 2023 07:24:40 -0500

Team Member KYC Form

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Full Name | Pritish Nandi
Father's Name | Jyotish Chandra Nandi
Phone Number | (+91) 9711265886
Full Current Address | Old Police Line, Near PHE Pump House, Jalpaiguri, West Bengal, 735101
Full Permanent Address | Old Police Line, Near PHE Pump House, Jalpaiguri, West Bengal, 735101, India
Are you an Indian Citizen | Yes
PAN Number | AFRPN1145H
Upload Copy of PAN Card | Pan Card.jpg
Aadhar Number | 266729215547
Upload a Clear Selfie without any headgear | IMG_20210314_160320.jpg

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