In

NAME

MOTHER NAME

DOB

ANNUAL INCOME
—Please choose an option—below 1 lakh1 to 5 lakh5 to 10 lakh10 to 25 lakh25 to 1 croreabove 1 crore

OCCUPATION
—Please choose an option—Private SectorGovt. SectorBusinessRetiredHouse WifeStudent

NOMINEE NAME- 1 NOMINEE 1 DOB RELATIONSHIP WITH NOMINEE 1

NOMINEE NAME- 2 NOMINEE 2 DOB RELATIONSHIP WITH NOMINEE 2

LUMP SUM INVESTMENT

SIP INVESTMENT AMOUNT
SIP DATE

MOBILE

EMAIL ID

AADHAR NO.

PAN NO.

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UPLOAD ADHAR CARD (optional)

UPLOAD PASSPORT SIZE PHOTO (optional)

UPLOAD BANK PROOF (Copy of Passbook Front Page)(optional)