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-: Business Associate Registration Form :-

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Personal Details

Title *

Gender *

Marital Status *
Information Update (Via) *

Residential Address

State *
Country *

Permanent Address

State
Country

Additional Information

Tax Status *
Date of Birth*

Bank Details

Account Type *

AMFI Ceritification Details

Passed On
Valide Upto

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Proof Of Identity

Proof Of Address
Bank Details

AMFI Certification Details

Personal Details

Name

: Nikhil Adhar Patil

Pan

: BWXPB2966G

Aadhar No

: 123 4566 789 456

Gender

: Male

Marital Status

: Married

Mobile No

: 9689450887

Email ID

: dipikshadb@gmail.com

Information Update

: Email,SMS

Residential Address

Address : 152, Radhabai Niwas, Kumbhar wada marg, Near Bhujale Talav, Malad (W), Mumbai - 400064.

Permanent Address

Address : 152, Radhabai Niwas, Kumbhar wada marg, Near Bhujale Talav, Malad (W), Mumbai - 400064.

Other Details

Tax Status

: Individual

Date of Birth

: 17 Sep 1988

EUIN No.

: 171988

Tax Status

: Non-Individual

Date of Incorporation

: 17 Sep 1988

Country

: India

Bank Details

Bank Name

: KOTAK MAHINDRA BANK

Account Number

: 5712017896

Type of Account

: Saving

MICR

: 1234567890

Branch Name

: Malad Branch

AMFI Certification Details

ARN No.

: NA

Passed on

: NA

Valid UPto

: NA

YOUR APPLICATION HAS BEEN SUBMITED SUCCESSFUL

Dear Applicant,
Nikhil Adhar Patil


Thank you for the application. We are delighted that you are interested in working with us. Your Acknowledgement No. is MH145001213. Our team has received your application and will review it within 48hrs and update you with the status of the same.
If you have any questions, please reach out to us.

Email ID : cs@moneyhoney.co.in

Contact : 7738032704