Fatca Declaration
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Client code
DP ID
Pan Card
Generate OTP
Fatca Declaration
Submit OTP
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Disclaimer
Client Code
Client name
Pan No.
DP ID
Mobile No.
Email
Addreess 1
Addreess 2
Addreess 3
City
State
Country
Pin
Country of Birth
*
Place of Birth
*
Nationality
*
Address for Tax Purpose :
Same as Mailing Address
Same as Permanent Address
Type of Address Given in KRA :
Residential or Business
Residential
Registerred Office
Business
Are you also resident in any other country(ies) for tax purpose ?
Yes
No
If Yes,
No. of Countries
*
Country of Tax Residency
*
Tax Identification No
*
Identification Type
*
Certification: I/We have understood the information requirements of this Form as per the CBDT notified Rules 114F to 114H and hereby confirm that the information provided
Agreed
