Wallet KYC Form

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Government ID cards with photo City/Town/Vill. State Pin code Seal/Stamp of verifying agency 1. Wallet linked phone number* 2. Wallet linked email-id Wallet details 1. Name* (as in documentary proofs submitted) Identity details 2. Gender* Male Female Please affix recent passport sized photo graph and cross sign Photograph 4. Proof of identity* (please tick ) 1. Address for correspondence* (as in documentary proofs submitted) 2. Proof of Address* (please tick ) Paytm Wallet KYC upgrade form I hereby declare that details furnished above are true and correct to the best of my knowledge. Incase any of the above information is found to be incorrect, false or misleading I am aware that I may be held liable for it Signature 3. Date of birth* d d m m y y y y Aadhar Passport Voter ID Driving License PAN Card Others, specify (see guidelines overleaf) Address details Aadhar Passport Voter ID Driving License Utility Bill (not more than 2 months old) Bank Statement (not more than 2 months old) Pension order Property tax receipt Letter of allotment by government depts. Declaration Place Date For office use only Originals seen and verified Self-attested documents collected IPV done on d d m m y y y y Others, specify (see guidelines overleaf) Paytm Wallet is a semi-closed wallet service operated by One97 Communications Ltd All fields marked by * are mandatory

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Wallet KYC Form

Transcript of Wallet KYC Form

Page 1: Wallet KYC Form

Government ID cards with photo

City/Town/Vill.

State

Pin code

Seal/Stamp of verifying agency

1. Wallet linked phone number*

2. Wallet linked email-id

Wallet details

1. Name* (as in documentary proofs submitted)

Identity details

2. Gender* Male Female Please affix recent passport sized photo graph and cross sign

Photograph

4. Proof of identity* (please tick )

1. Address for correspondence* (as in documentary proofs submitted)

2. Proof of Address* (please tick )

Paytm Wallet KYC upgrade form

I hereby declare that details furnished above are true and correct to the best of my knowledge. Incase any of the above information is found to be incorrect, false or misleading I am aware that I may be held liable for it Signature

3. Date of birth* d d m m y y y y

Aadhar Passport Voter ID Driving License PAN Card

Others, specify (see guidelines overleaf)

Address details

Aadhar Passport Voter ID Driving License

Utility Bill (not more

than 2 months old)Bank Statement (not more

than 2 months old)

Pension order

Property tax receipt

Letter of allotment by government depts.

Declaration

Place Date

For office use only

Originals seen and verified

Self-attested documents collected

IPV done on d d m m y y y y

Others, specify (see guidelines overleaf)

Paytm Wallet is a semi-closed wallet service operated by One97 Communications Ltd

All fields marked by * are mandatory

Page 2: Wallet KYC Form

Instructions / checklist for filling form

A. IMPORTANT GUIDELINES

1. All fields marked by * are mandatory.

Incase mandatory details are not

filled, KYC upgrade application will be

rejected

2. Phone number and Email ID

mentioned on the form must match

with linked details in Paytm wallet

3. Copies of all documents submitted by

applicant should be self-attested.

4. Applicant has to show the original

documents for verification purpose to

the visiting representative

5. Name and address of application

should match with documentary

proofs submitted

6. Passport size photo should be self

attested

B. PROOF OF IDENTITY (POI): List ofdocuments admissible as identity proof

1. Aadhar card

2. Passport

3. Driving License

4. Voter ID

5. PAN card with photograph

6. NREGA Job card with photo

7. Identity card/document with applicant

photo issued by Central/State

government and its departments and

Public sector undertakings

C. PROOF ADDRESS (POA): List ofdocuments admissible as address proof

1. Aadhar card

2. Passport

3. Driving License

4. Voter ID

5. Utility bills (electricity, telephone,

postpaid mobile phone, piped gas,

water bill) not more than 2 months old

6. NREGA Job Card

7. Property or municipal tax receipt

8. Bank account/Post office saving

account statement (not more than 2

months old)

9. Pension or family pension payment

order (PPOs) containing address

10. Letter of allotment of accommodation

issued by government departments,

statutory or regulatory bodies, PSUs,

and scheduled commercial banks

Paytm Wallet is a semi-closed wallet service operated by One97 Communications Ltd