A Reliance Capital Company

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Other Details

Annual Income(INR) Lacs*:
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Bank Details

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DEMAT DETAILS

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Nominee Details

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GUARDIAN DETAILS

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Personal Details

Name Pan Number
Date of Birth Gender
Martital Status Telephone Number
Email Address Mobile Number
UID Number Mother’s Name
Father’s Name (As per relation)    
Corespondence Address    
Nearest Landmark    
Proof of Address    
Education    
Occupation    
Annual Income    
Politically Exposed Person (PEP)    
Bank Detail 1    
Bank Detail 2    
Demat Account Type    
Nominee’s Name Nearest Landmark
Nominee’s Address Date of Birth
Mobile Number
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