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

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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