Digital Account Opening Form
Account Type
 Account Type:                                           SAVINGS
ID Details
 Aadhaar and PAN Consent:                       Yes
 Aadhaar Number:                                XXXXXXXX3025
 Aadhaar Verification                           Successful
 DOB:                                           13-02-2005
 Name As Per PAN:                               ROSHAN KUMAR PODDAR
 PAN Number:                                    HBHPP6590K
 PAN Verification                               Successful
Personal Details
 Title:                     Mr.
 Full Name:                 ROSHAN KUMAR PODDAR
 DOB:                       13-02-2005
 Gender:                    Male
 Father Spouse Name:        MANOJ KUMAR PODDAR
 Mother Maiden Name:        RANJAN DEVI
 Marital Status:            Unmarried
 Email:                     amritapoddar1709@gmail.com
 Permanent Address 1:       LALPATTI SUKHASHAN WARD NO 02 SINGHESHWAR
 Permanent State:           BIHAR
 Permanent District:        MADHEPURA
 Permanent City:            SINGHESHWAR
 Permanent Pincode:         852128
 Present Address 1:         BASISTHA NAGAR KALIBARI ROAD BYLANE 7 HOUSE NO
Present State:                  ASSAM
Present District:               KAMRUP METROPOLITAN
Present City:                   GUWAHATI
Present Pincode:                781029
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Additional Information
Education:                                                       Post Graduate
Religion:                                                        HINDU
Category:                                                        GENERAL
Occupation:                                                      Self Employed
Line Of Business:                                                Agriculture
Employed With:                                                   Pvt Ltd
Gross Annual Income:                                             5 Lac to 15 Lakh
Source Of Income:                                                Business/ Profession
Provide Nominee Details:                                         Yes
Nominee Name:                                                    RANJAN DEVI
DOB:                                                             01-01-1970
Relationship:                                                    MOTHER
Contact Number:                                                  8102683693
Is Minor Nominee:                                                No
Consent For Banking Services:                                    Yes
                           PDF Generation Time: 2024-12-19 17:24:13.686544
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