Kodur Service Co-operative bank Ltd
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0483 2868692
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kodurscbmain@gmail.com
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KYC/Customer Information
Customer ID
Date
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Name* (In BLOCK letters)
Father's Name
Mother's Name
Gender
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Others
Date of Birth
Age
Occupation
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ID Proof*
No*
Address Proof*
No*
Permanent Address
House Number
House Name
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Landmark
Post Office
District
State
Pincode
Panchayath/Muncipality/Corporation
same as permanent
Communication Address
House Number
House Name
Locality
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Post Office
District
State
Pincode
Panchayath/Muncipality/Corporation
Declaration
I hereby declare that the above particulars furnished by me are true to the best of my Knowledge and belief.
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