FOS Liability AOF
Primary Customer
Lead Id 0401051742505281934
Salutation MR
First Name RISHI
Middle Name SURENDRA
Last Name UPADHYAY
Gender MALE
Date Of Birth 2002/03/19
Marital Status SINGLE
Fathers Name SURENDRA
Mother's Maiden Name ANJU
Mobile Number 9167537360
Email ID UPADHYAYRISHI420@GMAIL.COM
Educational Status GRADUATE
Employment Details SALARIED
Annual Income Turnover 1-5 LAKHS
Politically Exposed Person NO
Door Number / Building / Road MAHARAJ CHAWAL
Street RETIBUNDER ROAD
Area/Locality/Sector RETIBUNDER
Pin Code 401107
Village / Town / City MIRA-BHAYANDER
State MAHARASHTRA
District THANE
Landmark NEAR SHANKAR MANDIR
Present Address (Same As Permanent Address) YES
Door Number / Building / Road MAHARAJ CHAWAL
Street RETIBUNDER ROAD
Area/Locality/Sector RETIBUNDER
Pin Code 401107
Village / Town / City MIRA-BHAYANDER
State MAHARASHTRA
District THANE
Landmark NEAR SHANKAR MANDIR
Correspondence Address Same as PRIMARY APPLICANT
Select any one PERMANENT ADDRESS
Door Number / Building / Road MAHARAJ CHAWAL
Street RETIBUNDER ROAD
Area/Locality/Sector RETIBUNDER
Pin Code 401107
Village / Town / City MIRA-BHAYANDER
State MAHARASHTRA
District THANE
Landmark NEAR SHANKAR MANDIR
Customer met at? BRANCH
Is Customer Place Verification(CPV) done? NO
Self-Declaration for AOC YES
Tax Resident ONLY INDIA
Proceed YES
Lead Generator Code 96146
Product 1
Product Name Metro Savings
Mode of Operation PRIMARY HOLDER
Initial Deposit Type CHEQUE
Initial Deposit Amount 5000
Cheque Number 474806
Re-enter Cheque Number 474806
Cheque Image 1
Drawee Branch IFSC Code UTKS0001001
Drawee Bank Name UTKARSH SMALL FINANCE BANK
Drawee Bank Branch ASHOK VIHAR
Nomination Facility To Be Availed NO
Services Required PAPER STATEMENT,CHEQUE BOOK 10
Insta Kit NO
Personalized Card YES
Name On Debit Card (Charges: Rs.200.00) RISHI S UPADHYAY
Campaign Code CASA007
Are you interested in Health Insurance? NO