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ELITE NRI Application Form Sept 2023 Final 589833e78b

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bijayk2510
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21 views10 pages

ELITE NRI Application Form Sept 2023 Final 589833e78b

Uploaded by

bijayk2510
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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SECOND APPLICANT PERSONAL DETAILS

PREFIX FIRST NAME MIDDLE NAME LAST NAME

*Mother’s Maiden Name: Father’s Name:


*  PAN Card No /  Form 60 (Fill Annexure - Page ii) DOB Gender  Male  Female  TG
*Passport No. Issuing country
*Passport Date of Issue *Place of Issue: *Expiry Date:
*Type of Visa: *Place of Issue *Visa Issue Date: *Visa Expiry Date:
(Visitor & Business Visas are not allowed)

*OCI Card Number : Date of Issue : Place of Issue :


*For Seafarers CDC No : Place of Issue : Issued Date :
*Status NRI  Foreign Citizen of Indian Origin(PIO)  Foreign Citizen of Non Indian Origin(Foreigner)
*Marital Status: Married Single Spouse Name Minor: Yes No

*Are you U.S. Person?  Yes, I am  USA Citizen  Green Card Holder  Born in USA  No, I am not U.S. Person (As required under FATCA)
*Country of Residence *Nationality Social Security No. (US Resident) :

Aadhaar No. I don’t have Aadhaar Card  Relationship with 1st Applicant
In case the applicant is a minor please mention guardians name in the 2nd applicant’s name. (Minor declaration need to be filled seperately)

SECOND APPLICANT INDIAN ADDRESS


Address :
Landmark:
*City: *State:

*Country: *Postal/Zip Code:

*Indian Mobile No: +91 Number Indian Land Line No: +91 Area Code Number

SECOND APPLICANT CURRENT OVERSEAS ADDRESS


• For Seafarers, Overseas address to be filled as per Offer / Appoinment letter issued by the Foreign company.

Address :
Landmark:
*City: *State:

*Country: *Postal/Zip Code:

*Overseas Mobile No: + Country Code Number Overseas Land Line No: + Country Code Area Code Number

*SMS/OTP Alerts to be sent only 1st Applicant Mobile No only. *Email ID


ADD ITIO N A L D EC LRAT ION S ( PLEA SE FILL IF A P L IC A B L E )
TEMPORARY ENTRY/WORK/RESIDENCE VISA DECLARATION
Equitas Small Finance Bank

Branch

MERCHANT NAVY DECLARATION FORM

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