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    )5 53 M;-

    )6 33 M

    )? 33 -

    33 -

    ) Cit" ; Ton ; Eilla!e 3 -

    PIN Code ) M

    0 'tate M

    1 'tate (-t#ers$ 53 M;-3 Countr" 0 M

    2 M

    5 53 M;-

    6 - Tel I'D Numer )1 -

    ? - Tel 'TD Numer ) -

    0 - Tel Numer 1 -

    0) &es Tel I'D Numer )1 -

    0 &es Tel 'TD Numer ) -

    00 &es Tel Numer 1 -

    01 Moile I'D Numer )1 -

    03 Moile No. Numer )3 -

    02 Fa Tel I'D Numer )1 -

    05 Fa Tel 'TD Numer ) -

    06 Fa No. 1 -

    0? @mail ID 2 -

    1 ) M 4Y4 ; 4N4

    1) Permanent :ddress (7ine )$ 33 M;-

    1 Permanent :ddress (7ine $ 33 -

    10 Permanent :ddress (7ine 0$ 33 -

    11 Cit" ; Ton ; Eilla!e 3 -

    13 PIN Code Earc#ar ) M;-

    12 'tate Numer M;- &eer '#eet or 'tatic Codes

    15 'tate (-t#ers$ 53 M;-

    16 Countr" Numer 0 M;-

    1? Numer M;-

    3 53 M;-

    3)

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    30 Net Gort# as on Date Date )) M;-

    31 Numer M

    33 -ccupation Numer M

    32 -ccupation Details (For :ll$ 53 M;-

    35 :n" -t#er Inormation ) -

    36 Date o Declaration Date )) M 4DD/M-N/YYYY4

    3? ) M :la"s 4Y4

    2 ) M :la"s 4Y4

    2) Date )) - 4DD/M-N/YYYY4

    2 No - Documents 'umitted Numer M

    20 'ender reerence numer ) 03 -

    21 'ender reerence numer 03 -

    23 KYC :pplication No Earc#ar -

    22 KYC :pplication Date Date )) - 4DD/M-N/YYYY4

    25Earc#ar -

    26 Branc# Code Earc#ar ) -

    2? IPE Fla! ) M 4Y4 4

    5 IPE Date Date )) - 4DD/M-N/YYYY4

    5) IPE Name )3 -

    5 IPE Desi!nation 3 -

    50 IPE -r!anisation )3 -

    51 TM Code 3 -

    53 Client Code ) -

    52 Filler / ) Date 3 -

    55 Filler / Numer 3 -

    56 Filler / 0 3 -

    5? Filler / 1 3 -

    4DD/M-N/YYYY4Mandator" i 4Net Gort#4 isspecifed.

    Politicall" @posed Person(P@P$

    Refer Sheet for Static Codes

    Refer Sheet for Static CodesC#aracter

    Mandator" i -ccupation is4??4C#aracte

    r

    (-ri!inals erifed$ True copieso documents receied C#aracter

    ('el/:ttested$ 'el CertifedDocument copies receied

    C#aracter

    Document receied Date atIntermediar"

    C#aracterC#aracter

    Intermediar" Internal&erence No

    C#aracter

    C#aracterC#aracterC#aracterC#aracterC#aracte

    r

    C#aracterC#aracter

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    m )

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    File Structure for Succeful KYC record in le upload - In

    File Name HIntermediar" ID_KYC_I_YYYYYMMDD.'nnn

    File Format Pipe delimited fle

     YYYYYMMDD Business date

    ' File indicator ( or successul records$nnn Batc# numer

    Record Identier

    *eader +), -ne (First$

    Detail +,

    Header Record (10)

    Sr.no Decription Statu

    ) &ecord T"pe Numer M

    Batc# Numer Numer 0 M

    0 Intermediar" T"pe Numer M

    1 Intermediar" ID 2 M

    3 Branc# Code 1 M

    2 Numer 5 M

    5 Create Date Date )) M

    6 Filler 3 -

    Detail Record (#0)

    Sr.no Decription Statu

    ) &ecord T"pe Numer M

    7ine Numer Numer 5 M

    0 8pdate 9a! Numer M

    1 Name o t#e :pplicant )3 M

    3 Fat#er4s;*usand4s Name )3 M

    2

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    )1 Nationalit" M

    )3 Nationalit" (For -t#er$ 3 M;-

    )2 Proo o Identit" sumitted M

    )5 53 M;-

    )6 33 M

    )? 33 -

    33 -

    ) Cit" ; Ton ; Eilla!e 3 -

    PIN Code ) M

    0 'tate M

    1 'tate (-t#ers$ 53 M;-

    3 Countr" 0 M

    2 M

    5 53 M;-

    6 - Tel I'D Numer )1 -

    ? - Tel 'TD Numer ) -

    0 - Tel Numer 1 -

    0) &es Tel I'D Numer )1 -

    0 &es Tel 'TD Numer ) -

    00 &es Tel Numer 1 -

    01 Moile I'D Numer )1 -

    03 Moile No. Numer )3 -

    02 Fa Tel I'D Numer )1 -

    05 Fa Tel 'TD Numer ) -

    06 Fa No. 1 -

    0? @mail ID 2 -

    1 ) M

    1) Permanent :ddress (7ine )$ 33 M;-

    1 Permanent :ddress (7ine $ 33 -

    10 Permanent :ddress (7ine 0$ 33 -

    11 Cit" ; Ton ; Eilla!e 3 -

    13 PIN Code Earc#ar ) M;-

    12 'tate Numer M;-

    C#aracter

    C#aracter

    C#aracter

    Proo o Identit" sumitted(-t#ers$

    C#aracter

    Correspondence :ddress (7ine)$

    C#aracterCorrespondence :ddress (7ine

    $C#aracterCorrespondence :ddress (7ine

    0$C#aracterC#aracterC#aracterC#aracter

    C#aracte

    r

    C#aracter

    Proo o :ddress sumitted orcorrespondence address

    C#aracter

    Proo o :ddress sumitted orcorrespondence address(-t#ers$

    C#aracter

    C#aracterC#aracter

    Fla! indicatin! i Permanent:ddress is same ascorrespondence :ddress

    C#aracter

    C#aracter

    C#aracterC#aracterC#aracte

    r

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    15 'tate (-t#ers$ 53 M;-

    16 Countr" Numer 0 M;-

    1? Numer M;-

    3 53 M;-

    3)

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    5? Filler / 1 3 -

    6 Client &eerence No Earc#ar )1 M

    File Structure for re'ected KYC record in le upload - Indivi

    File Name HIntermediar" ID_KYC_I_YYYYYMMDD.&nnn

    File Format Pipe delimited fle

     YYYYYMMDD Business date

    & File indicator ( or reJected records$

    nnn Batc# numer

    Record Identier

    *eader +), -ne (First$

    Detail +,

    Header Record (10)

    Sr.no Decription Statu

    ) &ecord T"pe Numer M

    Batc# Numer Numer 0 M

    0 Intermediar" T"pe Numer M

    1 Intermediar" ID 2 M

    3 Branc# Code 1 M

    2 Numer 5 M

    5 Create Date Date )) M

    6 Filler 3 -

    Detail Record (#0)

    Sr.no Decription Statu

    ) &ecord T"pe Numer M

    7ine Numer Numer 5 M

    0 8pdate 9a! Numer M

    1 Name o t#e :pplicant )3 M

    3 Fat#er4s;*usand4s Name )3 M

    2

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    )) Numer M;-

    ) 8ID N8MB@& ) -

    )0 'tatus (Indiidual$ M

    )1 Nationalit" M

    )3 Nationalit" (For -t#er$ 3 M;-

    )2 Proo o Identit" sumitted M

    )5 53 M;-

    )6 33 M

    )? 33 -

    33 -

    ) Cit" ; Ton ; Eilla!e 3 -

    PIN Code ) M

    0 'tate M

    1 'tate (-t#ers$ 53 M;-

    3 Countr" 0 M

    2 M

    5 53 M;-

    6 - Tel I'D Numer )1 -

    ? - Tel 'TD Numer ) -

    0 - Tel Numer 1 -

    0) &es Tel I'D Numer )1 -

    0 &es Tel 'TD Numer ) -

    00 &es Tel Numer 1 -

    01 Moile I'D Numer )1 -

    03 Moile No. Numer )3 -

    02 Fa Tel I'D Numer )1 -

    05 Fa Tel 'TD Numer ) -

    06 Fa No. 1 -

    0? @mail ID 2 -

    1 ) M

    1) Permanent :ddress (7ine )$ 33 M;-

    @idence ; Documentsproided in case o P:Neemption

    C#aracter

    C#aracte

    r

    C#aracter

    C#aracter

    Proo o Identit" sumitted(-t#ers$

    C#aracter

    Correspondence :ddress (7ine)$

    C#aracterCorrespondence :ddress (7ine

    $C#aracterCorrespondence :ddress (7ine

    0$

    C#aracte

    rC#aracterC#aracterC#aracter

    C#aracter

    C#aracter

    Proo o :ddress sumitted orcorrespondence address

    C#aracter

    Proo o :ddress sumitted orcorrespondence address(-t#ers$

    C#aracter

    C#aracterC#aracter

    Fla! indicatin! i Permanent:ddress is same ascorrespondence :ddress

    C#aracter

    C#aracte

    r

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    1 Permanent :ddress (7ine $ 33 -

    10 Permanent :ddress (7ine 0$ 33 -

    11 Cit" ; Ton ; Eilla!e 3 -

    13 PIN Code Earc#ar ) M;-

    12 'tate Numer M;-

    15 'tate (-t#ers$ 53 M;-

    16 Countr" Numer 0 M;-

    1? Numer M;-

    3 53 M;-

    3)

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    51 TM Code 3 -

    53 Client Code ) -

    52 Filler / ) Date 3 -

    55 Filler / Numer 3 -

    56 Filler / 0 3 -

    5? Filler / 1 3 -

    6 &eJection reason C#aracte M

    C#aracterC#aracter

    C#aracterC#aracte

    r

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    ividual

    record per fle

    Re!ar"

    ) / *eader

    44

    4DD/M-N/YYYY4

    Re!ar"

    / Detail &eocrd

    +M, = Male> +F, = Female

    4DD/M-N/YYYY4

      > . 

    &unnin! 'e%uenceNumer 'tarts rom )

    ) / Ne &ecord> /8pdate it#documents > 0 8pdateit#out documents

    +', = 'in!le> +M, =Married

    Mandator" in case oP:N eemption

    Refer Sheet for Static Co

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    4Y4 ; 4N4

    &eer '#eet or 'tatic Codes

    Refer Sheet for Static Co

    Mandator" i Nationalit"is 4??4

    Refer Sheet for Static Co

    Mandator" i Identit"Proo is 4??4

    Refer Sheet for Static Co

    Mandator" i 'tate Code

    is 4??4

    Refer Sheet for Static Co

    Refer Sheet for Static Co

    Mandator" i :ddressProo is 4??4

    I dierent romcorrespondenceaddress. Mandator" orNon/&esident applicantto speci" oerseasaddress.

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    4DD/M-N/YYYY4

    :la"s 4Y4

    :la"s 4Y4

    4DD/M-N/YYYY4

    4DD/M-N/YYYY4

    4Y44

    4DD/M-N/YYYY4

    Mandator" i 'tate Codeis 4??4

    Refer Sheet for Static Co

    Refer Sheet for Static Co

    Mandator" #en:ddress Proo is 4??4

    Refer Sheet for Static Co

    Mandator" i 4

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    dual

    record per fle

    Re!ar"

    ) / *eader

    44

    4DD/M-N/YYYY4

    Re!ar"

    / Detail &eocrd

    +M, = Male> +F, = Female

    4DD/M-N/YYYY4

      > . 

    &unnin! 'e%uenceNumer 'tarts rom )

    ) / Ne &ecord> /8pdate it#documents > 0 8pdateit#out documents

    +', = 'in!le> +M, =Married

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    4Y4 ; 4N4

    Mandator" in case oP:N eemption

    Refer Sheet for Static Co

    Refer Sheet for Static Co

    Mandator" i Nationalit"is 4??4

    Refer Sheet for Static Co

    Mandator" i Identit"Proo is 4??4

    Refer Sheet for Static Co

    Mandator" i 'tate Codeis 4??4

    Refer Sheet for Static Co

    Refer Sheet for Static Co

    Mandator" i :ddressProo is 4??4

    I dierent romcorrespondenceaddress. Mandator" or

    Non/&esident applicantto speci" oerseasaddress

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    &eer '#eet or 'tatic Codes

    4DD/M-N/YYYY4

    :la"s 4Y4

    :la"s 4Y4

    4DD/M-N/YYYY4

    4DD/M-N/YYYY4

    4Y4

    4DD/M-N/YYYY4

    Mandator" i 'tate Code

    is 4??4

    Refer Sheet for Static Co

    Refer Sheet for Static Co

    Mandator" #en:ddress Proo is 4??4

    Refer Sheet for Static Co

    Mandator" i 4

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    ara!eter ater co

    Inter!ediar% $%pe

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    ,vidence Docu!entprovided in cae of *+

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    State

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    Countr%

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    2?

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    5)

    550

    51

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    )))

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    )32

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    )

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    Statu(Individual)

    Statu(+on Individual)

    ro *nnual Inco!eRane(Individual)

    ro *nnual Inco!eRane(+on Individual)

    Relation2ip 3it2*pplicant(i.e. pro!oter4 32oleti!e director etc.)

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    8pdate Fla!

    )

    0

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    Decription

    'tocL BroLer

    Depositor" Participant

    Mutual Fund

    &e!istrar Transer :!ent

    Portolio Mana!erCollectie Inestment 'c#eme

    Eenture Capital Fund

    -t#er

    8ni%ue Identifcation Numer (8ID$ (:ad#aar$

    Passport

    Eoter ID Card

    Driin! 7icense

    P:N Card it# P#oto!rap#

    ID Card it# p#oto issued " Central ; 'tate

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    ID Card it# address issued " Pulic 'ector 8ndertaLin!s

    ID Card it# address issued " 'c#eduled Commercial BanLs

    ID Card it# address issued " Pulic Financial Institutions

    ID Card it# address issued " Colle!es aliated to 8niersities

    Proo o address in t#e name o t#e spouse

    -t#ers

     Transactions undertaLen on e#al o Central

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    Boliian

    Bosnia/#erOe!oina

    Botsana

    BraOil

    Brunei

    Bul!aria

    BurLina FasoBurundi

    Cameroon &epulic

    Canada

    Cape Eerde

    Ca"man Islands

    Central :rican &epulic

    C#ad

    C#ile

    C#ina

    ColomiaComodia

    Comoros

    Con!o

    CooL Islands

    Costa &ica

    Cote D4ioire

    Croatia

    Cua

    C"prus

    COec# &epulic

    DenmarL

    DJiouti

    Dominica

    Dominican &epulic

    @ast Timor

    @cuador

    @!"pt

    @l 'alador

    @%uatorial

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    Mala"sia

    Maldies

    Mali

    Malta

    Mauritania

    Mauritius

    MeicoMoldoa

    Monetar" :ut#orities

    Mon!olia

    Montserrat

    Morocca

    MoOami%ue

    M"anmar

    Namiia

    Nepal

    Net#erlandsNet#erlands :ntilles

    Ne Caledonia

    Ne Qealand

    Nicara!ua

    Ni!er

    Ni!eria

    No 'pecifc Countr"

    Nort# Korea

    Nora"

    -man

    PaListan

    Panama

    Papua Ne

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    'loenia

    'olomon Islands

    'omalia

    'out# :rica

    'out# Korea

    'pain

    'ri 7anLa't. *elena

    't. Kitts :nd Neis

    't. Eincent :nd

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    &esident Indiidual

    Non &esident

    Forei!n National

    Priate 7imited Co.

    Pulic 7td. Co.

    Bod" Corporate Trust

    C#arities

    N

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    Ne

    8pdate it# documents

    8pdate it#out documents

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     " Courts

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