KYC FATCA UBO

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KYC FATCA UBO - Registration

Customer ID :

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App Income Value :

Net Worth :

Net Worth Date:

PEP :

Occupation :

Source of Wealth :

Corporate Service :

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Foreign Nationality

DOB :

Address Type :

Data Source :

Email ID :

Country of Birth/Incorporation :

Place of Birth :

Tax Residency other than India :

Country of Tax Residency1 :

Tax Payer Identification No.1 :

Identification Type1 :

Country of Tax Residency2 :

Tax Payer Identification No.2 :

Identification Type2 :

Country of Tax Residency3 :

Tax Payer Identification No.3 :

Identification Type3 :

Country of Tax Residency4 :

Tax Payer Identification No.4 :

Identification Type4 :

FFI, NFFE and US Specified Person

FFI :

NFFE Category :

Nature of Business :

Active NFFE Sub Category :

Name of the Stock Ex-change :

Name of the Listed Company :

US Specified Person :

Exemption Code :

GIIN (Global Intermediary Identification Number)

GIIN Applicable :

GIIN :

Sponser Entity :

Name Of the Sponsor Entity :

GIIN Exem Category :

GIIN Not Applicable :

FATCA Declaration Received :

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Declaration:

Tax Regulations require us to collect information about each investor's tax residency. If you are a US citizen or resident, please indicate United States in the "Country of Tax Residency" along with your US Tax Identification Number. Foreign Account Tax Compliance provisions commonly known as FATCA are contained in the US Hire Act, 2010.

UBO Applicable :

UBO Applicable Count :

UBO Codes :

UBO PAN:

UBO Name :

UBO Holding % :

UBO CTR :

UBO COCN :

UBO Father Name :

UBO Gender :

Date Of Birth :

UBO Address Type :

UBO Address1 :

UBO Address2 :

UBO Address3 :

UBO Pincode :

UBO City :

UBO State :

UBO Country :

UBO Occupation :

UBO Country Of Birth :

UBO Phone Number :

UBO Mobile :

UBO TIN :

UBO Identification Type :

Declaration Form :

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ID	UBO PAN ID	UBO Name	UBO DOB	UBO TIN	UBO Country	Actions	UBO_CODE	UBO_HOLDING_PER	UBO_CTR	UBO_COCN	UBO_FATHER	UBO_GENDER	UBO_ADDRESSTYPE	UBO_ADDRESS1	UBO_ADDRESS2	UBO_ADDRESS3	UBO_PINCODE	UBO_CITY	UBO_STATE	UBO_COUNTRY	UBO_OCCUPATION	UBO_COB	UBO_Phone	UBO_Mobile	UBO_IDTYPE	UBO_DECLARE

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UBO Applicable :		UBO Applicable Count:
UBO Codes :		UBO PAN:
UBO Name :		UBO Holding % :
UBO CTR :		UBO COCN :
UBO Father Name :		UBO Gender :
Date Of Birth :		UBO Address Type :
UBO Address1 :		UBO Address2 :
UBO Address3 :		UBO Pincode :
UBO City :		UBO State :
UBO Country :		UBO Occupation :
UBO Country Of Birth :		UBO Phone Number :
UBO Mobile :		UBO TIN :
UBO Identification Type :		Declaration Form :

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KYC FATCA UBO - Confirmation

UBO - Not Applicable Confirmation

KYC FATCA UBO - Alert

UBO Details

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