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Address Verification Report

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0% found this document useful (0 votes)

25 views1 page

Address Verification Report

AV

Uploaded by

Copyright

© © All Rights Reserved

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

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Merchant Address Verification Report

Merchant Name :___________________________________________________________________

CIF ID:_____________________________________________________________________________

Communication Address as per system__________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

City:_________ Pin Code

Is communication address verified - Yes/No

If No,

New Verified Communication Address:_________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

City:_________ Pin Code

Nature of Business:

Kirana Chemist Hardware

Electronics Travel Other: _________________

I hereby confirm that I have personally visited & confirm the presence of the merchant at the
verified address.

Employee Name:________________________________

Employee ID:___________________________________

Employee Location:______________________________

Employee Signature

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