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Self Declaration for Income Threshold

The document is a self-declaration form for customers to provide personal, occupational, income, and residence details. It includes sections for customer identification, occupation, annual income range, and residence type. The customer must sign and date the form, confirming the accuracy of the information provided.

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sparshenterprises24r
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67 views1 page

Self Declaration for Income Threshold

The document is a self-declaration form for customers to provide personal, occupational, income, and residence details. It includes sections for customer identification, occupation, annual income range, and residence type. The customer must sign and date the form, confirming the accuracy of the information provided.

Uploaded by

sparshenterprises24r
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

Self Declaration

1. Customer Details

Full Name: __________________________________________

Customer ID (Adhar number): ___________________________


Mobile no: ___________________________

2. Occupation Details

Occupation:
[ ] Salaried [ ] Self-Employed [ ] Business [ ] Student [ ] Retired [ ] Homemaker [ ] Other:

__________________________

Designation / Nature of Business:

_____________________________

Employer / Business Name & since how long doing : _______________________

Office / Business address: ________________________________________________

3. Annual Income (in INR)


(Please tick the appropriate range)

[ ] Below ₹1,00,000[ ] ₹1,00,001 – ₹5,00,000[ ] ₹5,00,001 – ₹10,00,000[ ] ₹10,00,001 – ₹25,00,000[ ] Above ₹25,00,000

----------------------------------------------
4. Residence Details
Residential Address: ___________________________________________
PIN Code: ____________________

Residence Type:
[ ] Owned [ ] Rented [ ] Parental [ ] Other:
________________________

5. Declaration

I hereby declare that the above information provided by me is true and correct to the best of my knowledge and belief. I
undertake to inform the bank of any change in the above details promptly.

Signature of Customer: ___________________________

Date: _______________

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