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Personal Information Form for Distributors

The document is a Personal Information Form (PIF) for a distributor with ID 26458828, filled out by Ms. Gita Kumari Kunwar. It includes personal details such as name, date of birth, address, spouse's name, and contact information. Additionally, it notes that if a nominee is not specified, the spouse will serve as the nominee.

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2 views1 page

Personal Information Form for Distributors

The document is a Personal Information Form (PIF) for a distributor with ID 26458828, filled out by Ms. Gita Kumari Kunwar. It includes personal details such as name, date of birth, address, spouse's name, and contact information. Additionally, it notes that if a nominee is not specified, the spouse will serve as the nominee.

Uploaded by

manishlambo66
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

Distributor Id : 26458828

PERSONAL INFORMATION FORM (PIF)

Introduced by_______________________________________________________________________________
Ms. GOMA KUMARI UPRETI

No. ________________________________________________________________________________________
26446304

PLEASE FILL YOUR DETAILS IN CAPITAL LETTERS FIRST NAME SURNAME DATE OF BIRTH

NAME Mr./Ms. (Please fil your name as in your bank records)

____________________________________________________________________
Ms. GITA KUMARI KUNWAR ______________________
22/04/1970

Name in Devanagari____________________________________________________________________________

PAN______________________________ Address________________________________________________
SAPAHI 9

_____________________________________________________________________________________________

District _________________________
Bara Province _____________________
Janakpur Pin _____________________________
44400

Name of Spouse ______________________________________________________________________________


DHRUB KUNWAR

Name of Nominee _____________________________________________________________________________

Telephone____________________________________________________________________________________

Mobile_____________________________________
9779865515440 e-mail_____________________________________________
SOBITK60@[Link]

Note : If nominee is not filled, the spouse will be nominee

BANK DETAILS

Bank Name___________________________________________________________________________________

Account No.__________________________________________________________________________________

Branch_______________________________________________________________________________________

Signature

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