5/23/2018 KYC FORM

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CRIMSON GROUP OF PROFESSIONALSTUDIES & RESEARCH

KYC cum Declaratio Form

Po!itio A""lie# For $ ___________________________________

Per!oal Detail!

Name : ___________________________________________________________Date of Birth/Age : _ _/_ _/_ _ _ _ ______________ years

Marital Status : ___________________________________________________________

Fathers Name : ___________________________________________________________

Mothers Name : ___________________________________________________________ Permanent Address : ___________________________________________________________

___________________________________________________________

___________________________________________________________Correspondene Address : ___________________________________________________________

___________________________________________________________

___________________________________________________________Nationality : ___________________________________________________________

E#ucatioal Detail!

Degree/Diploma/Certifiate Shool/College Board/!ni"ersity Su#$ets %ear &f Passing '

Additional Certifiation : ___________________________________________________________

(anguage )no*n : ___________________________________________________________

%ori' E("eriece Detail!

Name of &rgani+ation %ears of ,or-ing .otal Duration (ast Salary Dra*n ef

Declaratio

01 ___________________________________1 here#y1 onfirm that a#o"e information furnished #y me

true in e"ery aspet and 0 *ill #e held lia#le for any misrepresentation2 0t has #een ommuniated to me that 0 *ill

lia#le to pay s __________ or ____ days salary *ithin ___ days of $oining to Crimson 3roup of ProfessioStudies 4 esearh2

Agreed 4 Aepted

__________________________ Date: ______________

5Name of Candidate6 Plae: ______________

5/23/2018 KYC FORM

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