Subject: Re: Team Member KYC Form - Md Ataulllah
From: Jotform <[email-masked]>
To: [email-masked], [email-masked], [email-masked], [email-masked]
Date: Mon, 20 Feb 2023 03:20:00 -0500

Team Member KYC Form

Full Name

Md Ataulllah

Father's Name

Md Imdadullah

Phone Number

(+91) 7037667652

Full Current
Address

Gaffar manzil, , street number 15,
Delhi, Delhi, 110025

Full Permanent Address

Nadi par sitla danga, Asansol, Asansol, WB, 713302,
India

Are you an Indian Citizen

Yes

PAN Number

CWMPA5257P

Upload Copy of PAN Card

MicrosoftTeams-image
(26).png

Aadhar Number

690030757731

Upload a Clear Selfie without any
headgear

MicrosoftTeams-image
(27).png

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