Subject: Re: Team Member KYC Form - Shahbaz Khan
From: Jotform <[email-masked]>
To: [email-masked], [email-masked], [email-masked], [email-masked]
Date: Tue, 21 Feb 2023 05:49:01 -0500

Team Member KYC Form

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Full Name | Shahbaz Khan
Father's Name | Md Akhtar Khan
Phone Number | (+91) 9123092635
Full Current Address | 5, Karim Hussain Lane , Circus Avenue, Kolkata, West Bengal, 700017
Full Permanent Address | 5, Karim Hussain Lane, Circus Avenue, Kolkata, West Bengal, 700017, India
Are you an Indian Citizen | Yes
PAN Number | CTJPK6559G
Upload Copy of PAN Card | PAN.jpg
Aadhar Number | 459934833418
Upload a Clear Selfie without any headgear | IMG_20221211_031541.jpg

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