Central KYC Registry | Know Your Customer (KYC) Application Form | Legal Entity/Other than Individuals
Important Instructions:
A. Fields marked with ‘*’ are mandatory fields. F. List of State/U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.
B. Tick ‘✓’ wherever applicable. G. List of two-character ISO 3166 country codes is available at the end.
C. Please fill the date in DD-MM-YYYY format. H. Please read section wise detailed guidelines/instructions at the end.
D. Please fill the form in English and in BLOCK letters. I. For particular section update, please tick (✓) in the box available before the section
number and strike off the sections not required to be updated.
E. KYC [KIN] number of applicant is mandatory for
update application.
For office use only Application Type* New Update
(To be filled by financial institution) KYC Number [KIN] (Mandatory for KYC update request)
1. Entity Details* (Please refer instruction A at the end)
Name*
Entity Constitution Type* Others (Specify) (Please refer instruction B at the end)
Date of Incorporation/Formation* D D - M M - Y Y Y Y Date of Commencement of Business D D - M M - Y Y Y Y
Place of Incorporation/Formation* Country of Incorporation/Formation* TIN or Equivalent Issuing Country
PAN*
TIN/GST Registration Number
2. PROOF OF IDENTITY (POI)* (Please refer instruction B at the end)
Officially valid document(s) in respect of person authorised to transact
Certificate of Incorporation/Formation Registration Certificate Regn Certificate No.
Memorandum and Articles of Association Partnership Deed Trust Deed
Resolution of Board/Managing Committee Power of Attorney granted to its manager, officers or employees to transact on its behalf
Activity proof – 1 (For Sole Proprietorship Only) Activity proof – 2 (For Sole Proprietorship Only)
3. ADDRESS (Please see instruction C at the end)
3.1 Registered Office Address/Place of Business*
Proof of Address* Certificate of Incorporation/Formation Registration Certificate Other Document
Line 1*
Line 2
Line 3 City/Town/Village*
District* Pin/Post Code* State/U.T Code* ISO 3166 Country Code*
3.2 Local Address in India (If different from above)*
Line 1*
Line 2
Line 3 City/Town/Village*
District* Pin/Post Code* State/U.T Code* ISO 3166 Country Code*
4. Contact Details (All communications will be sent to Mobile number/Email-ID provided may be used) (Please refer instruction D at the end)
Tel. (Off) - Fax -
Mobile - Email ID
Mobile - Email ID
5. Number of Related Persons (Please fill Annexure A-2 for each related persons & also refer instruction E at the end)
6. Remarks (If any)
7. Applicant Declaration (Please refer instruction G at the end)
▪ I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to
inform you of any changes therein, immediately. Incase any of the above information is found to be false or untrue or
misleading or misrepresenting. I am aware that I may be held liable for it.
▪ I hereby declare that I am not making this application for the purpose contravention of any Act, Rules, Regulations or any
statute of legislation or any notifications/directions issued by any governmental or statutory authority from time to time
▪ I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email
address. I also providing consent to MF/AMC/KRA to share this KYC data with CKYCR, download the information from [Signature/Thumb Impression]
CKYCR and other participating intermediaries as mandated by PMLA Act/Rules/SEBI guidelines.
Date: D D - M M - Y Y Y Y Place: Signature/Thumb Impression of Authorised Person(s)
8. Attestation / For Office Use only
Documents Received Certified Copies Equivalent e-document
KYC documents verification carried out by Institution details
Identity Verification Done Date: D D - M M - Y Y Y Y Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch
[Institution Stamp]
[Employee Signature]
Annexure A2 I Legal Entity I Other than Individuals
Central KYC Registry | Know Your Customer (KYC) Application Form | Related Person
Important Instructions:
A. Fields marked with ‘*’ are mandatory fields. F. List of State/U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.
B. Tick ‘✓’ wherever applicable. G. List of two-character ISO 3166 country codes is available at the end.
C. Please fill the date in DD-MM-YY format. H. Please read section wise detailed guidelines/instructions at the end.
D. Please fill the form in English and in BLOCK letters. I. For particular section update, please tick (✓) in the box available before the section
E. KYC [KIN] number of applicant is mandatory for number and strike off the sections not required to be updated.
update application.
For office use only Application Type* New Update Delete
(To be filled by financial institution) KYC [KIN] Number (Mandatory for KYC update and delete request)
1. Details of Related Person* (Please refer instruction E at the end)
Addition of Related Person Deletion of Related Person Update Related Person Details
KYC Number of Related Person (if available*) (If KYC number is available, only ‘Related Person Type’ & ‘Name’ is mandatory
Related Person Type* Director Promoter Karta Trustee Partner Court Appointment Official Proprietor
Beneficiary Authorised Signatory Beneficial Owner Power of Attorney Holder Other ( Please specify )
DIN (Director Identification Number) (Mandatory if Related Person Type is Director)
1.1 Personal Details (Please refer instruction E at the end)
Prefix First Name Middle Name Last Name
Name* (Same as ID proof)
Maiden Name
Father / Spouse Name*
Mother Name
Date of Birth* D D - M M - Y Y Y Y
Gender* M- Male F- Female T- Transgender
Nationality* IN- Indian Others (ISO 3166 Country Code )
PAN*
1.2 Proof of Identity and Address* (Please refer instruction E at the end)
I Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (anyone of the following OVDs)
A-Passport Number
PHOTO*
B-Voter ID Card
C-Driving Licence Driving Licence Expiry Date D D - M M - Y Y Y Y
D-NREGA Job Card
E-National Population Register Letter
F-Proof of Possession of Aadhaar
II E-KYC Authentication
III Offline verification of Aadhaar
Address
Line 1*
Line 2
Line 3 City/Town/Village*
District* Pin/Post Code* State/U.T Code* ISO 3166 Country Code*
1.3 Current Address Details (Please refer instruction E at the end)
Same as above mentioned address (In such cases address details as below need not be provided)
I. Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (anyone of the following OVDs)
A-Passport Number
B-Voter ID Card
C-Driving Licence
D-NREGA Job Card
E-National Population Register Letter
F-Proof of Possession of Aadhaar
II E-KYC Authentication
III Offline verification of Aadhaar
IV Deemed PoA
V Self-Declaration
Address
Line 1*
Line 2
Line 3 City/Town/Village*
District* Pin/Post Code* State/U.T Code* ISO 3166 Country Code*
1.4 Contact Details (All communications will be sent on provided Mobile no. / Email-ID provided) (Please refer instruction D at the end)
Tel. (Off) - Tel. (Res) - Mobile -
Email ID
2. Applicant Declaration
▪ I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to
inform you of any changes therein, immediately. Incase any of the above information is found to be false or untrue or
misleading or misrepresenting, I am aware that I may be held liable for it.
▪ I hereby declare that I am not making this application for the purpose contravention of any Act, Rules, Regulations or any
statute of legislation or any notifications/directions issued by any governmental or statutory authority from time to time
▪ I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email
address. I also providing consent to MF/AMC/KRA to share this KYC data with CKYCR, download the information from [Signature/Thumb Impression]
CKYCR, and other participating intermediaries as mandated by PMLA Act/Rules/SEBI guidelines
Date: D D -M M - Y Y Y Y Place: Signature/Thumb Impression of Applicant
6. Attestation / For Office Use only
Documents Received Certified Copies E-KYC data received from UIDAI Data received from Offline verification
Digital KYC Process Equivalent e-document
KYC documents verification carried out by Institution details
Date: D D - M M - Y Y Y Y Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch
[Institution Stamp]
[Employee Signature]
