Subject: Re: Team Member KYC Form - Manish Kumar
From: Jotform <[email-masked]>
To: [email-masked], [email-masked], [email-masked], [email-masked]
Date: Tue, 21 Feb 2023 04:14:13 -0500

Team Member KYC Form

Full Name

Manish Kumar

Father's Name

Ram Bilas Mahto

Phone Number

(+91) 7053774097

Full Current
Address

C/O - Pramod Chaudhary , Vill - Chaura,
Behind RD Public School , Sector 22, Noida, UP, 201301

Full Permanent
Address

Vill + PO - Kancha, Via -
Vidyapattinagar,, Samastipur , Bihar , 848503, India

Are you an Indian
Citizen

Yes

PAN Number

FGYPK1150C

Upload Copy of PAN
Card

IMG-20230221-WA0000.jpg

Aadhar Number

552668622533

Upload a Clear Selfie without any
headgear

16769708085634574018277897115747.jpg

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