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Bank Account Opening Request Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date Of Birth
*
MM
/
DD
/
YYYY
Email ID
*
Your answer
Phone Number
*
Your answer
Father's Name
*
Your answer
Mother's Name
*
Your answer
Permanent Address
*
Your answer
Communication Address
*
Your answer
PIN Code
*
Your answer
Aadhar Number
*
Your answer
Pan Number
*
Your answer
Aadhar Registered Mobile Number
*
Your answer
Bazar24 Membership ID
*
Your answer
Select Bank Name
*
RBL Bank 0 Balance Account
Kotak Bank 0 Balance Account
Icici Bank Minimum Deposit Account
RBL Bank Minimum Deposit Account
Required
Referral ID
*
Your answer
Distributor Name
Your answer
Distributor ID
Your answer
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