Subject: Re: Team Member KYC Form - Sandeep Nir
From: Jotform <[email-masked]>
To: [email-masked], [email-masked], [email-masked], [email-masked]
Date: Tue, 21 Feb 2023 09:45:29 -0500

Team Member KYC Form

Full Name

Sandeep Nir

Father's Name

Vijay Nair

Phone Number

(91) 8860163776

Full Current
Address

M 92, 3rd floor, Mavi Mohalla,, Tekhand
village, Okhla phase 1, Delhi, Delhi, 110020

Full Permanent
Address

Kezhukutt, Mallessery House,, Moothrdath
mana Lane, Viyyur PO, Thrissur, 680010, India

Are you an Indian
Citizen

Yes

PAN Number

ASXPN6430A

Upload Copy of PAN
Card

Pan.jpg

Aadhar Number

6943 9698 6501

Upload a Clear Selfie
without any headgear

20221222_145945.jpg

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