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FBO Change of Status Form

Santosh Singh is requesting to change details in his FBO account, including [1] correcting his name, [2] updating his address, [3] updating his contact information like mobile number and email, [4] correcting his Permanent Account Number, and [5] correcting his spouse information. He understands he must follow company rules and policies. The form requires his signature and submission of identity documents to process the requested changes.

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gwalpriya2000
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166 views2 pages

FBO Change of Status Form

Santosh Singh is requesting to change details in his FBO account, including [1] correcting his name, [2] updating his address, [3] updating his contact information like mobile number and email, [4] correcting his Permanent Account Number, and [5] correcting his spouse information. He understands he must follow company rules and policies. The form requires his signature and submission of identity documents to process the requested changes.

Uploaded by

gwalpriya2000
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Change of Status

Form Date:

Mailing Address: Forever Plaza, 74, Hill Road, Opp. St. Stanislaus High School, Bandra (W), Mumbai 400 050.

I, bearing FBO ID#* would like to add/change/delete the following details in the system:
Please tick the applicable boxes of the information that you would like to change:

1. NAME CORRECTION:
Last SINGH First SANTOSH Middle 7898652114

Last SINGH First SANTOSH Middle

Previous FBO Name:*


(as per system)

New FBO Name:

2. ADDRESS CORRECTION:
(Please submit copy of Aadhar/Passport/Election Card/Bank Statement/ Driving License/Voter ID/Light Bill or Electricity
) Bill showing address page.

Previous Address:
(as per system
)

New Address:

`
3. CONTACT INFORMATION CORRECTION:
(Please note that either the Mobile or Alternative Contact can be deleted
) and not both.

Previous Information:
(as per system
) Delete Delete
Mobile:
* Alternative Contact* No:

Email Address:
* Delete

New Information:

Mobile:
* Alternative Contact* No:

Email Address
*:

4. PERMANENT ACCOUNT NUMBER (PAN) CORRECTION: (Please submit copy of PAN Card. PAN has to be of the applicant in who’s name the FBO ID is in.)

PAN Number:*

5. SPOUSE INFORMATION CORRECTION: (Applicable only for the applications which contains Primary and Secondary name)
Last First Middle

Spouse Name:

Make Primary Applicant Delete Spouse Correct Name SPOUSE SIGNATURE:

6. ANY SPECIAL REQUESTS:


I understand that requesting the above mentioned changes me/or my spouse will adhere to the rules, regulations and current policies set forth by the Company.

DETAILS OF PERSON SUBMITTING THIS FORM: FBO SIGNATURE:

Name:

FBO ID#: SIGNATURE:

* Marked fields are mandatory


Quick Tip: To have your information updated faster, submit a scanned copy of this form with signatures via email to flpcare@flpindia.net
Ver 10/29/20

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