Subject: Re: Team Member KYC Form - Yarngam Makan
From: Jotform <[email-masked]>
To: [email-masked], [email-masked], [email-masked], [email-masked]
Date: Wed, 22 Feb 2023 09:27:13 -0500

Team Member KYC Form

Full Name

Yarngam Makan

Father's Name

Ringphami Makan

Phone Number

(91) 8448115363

Full Current
Address

128/c kilokari, Near Masjid, new delhi,
delhi, 110014

Full Permanent Address

Koso Village, Phungyar Block, kamjong, Manipur, 795142,
India

Are you an Indian Citizen

Yes

PAN Number

dkmpm4435c

Upload Copy of PAN Card

WhatsApp
Image 2023-02-22 at 7.54.42 PM.jpeg

Aadhar Number

251723025272

Upload a Clear Selfie
without any headgear

WhatsApp
Image 2023-02-22 at 7.54.53 PM.jpeg

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