Know Your Customer(Kyc) Form Page 2

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Instructions for Filling KYC Form
Fields marked with * are mandatory and must be filled in by person submitting KYC
1 a)
Name
Name to be entered as given in Photo ID Proof
1 b)
Gas Consumer
Mandatory for consumers already using LPG from IOC/BPC/HPC
Number
1 c)
Date of Birth
Mandatory to provide Date of Birth
Details of Close
1 d)
Father or Spouse and Mother’s name is mandatory. Please strike off whichever
Relative
is not applicable.
2
Proof Of Address
At least copy of one of the documents listed below should be attached and
( POA)
category mentioned in the form. The Address to be entered against the
relevant fields exactly as it appears in the POA. Person submitting KYC is
required to produce the original of document for verification by the distributor.
List of documents
Category Code
Aadhaar (UID)
POA01
Driving License
POA02
Lease agreement
POA03
Voter ID
POA04
Telephone/Electricity /Water bill
POA05
Passport
POA06
Self-declaration attested by a Gazetted officer.
POA07
Ration Card
POA08
Flat allotment/possession letter
POA09
House registration document
POA10
LIC Policy
POA11
Bank/Credit Card Statement
POA12
Proof of Identity
3 a)
At least copy of one of the documents listed below should be attached and
(POI)
category mentioned in the form. Consumer is required to produce the original
of the document for verification by the distributor.
List of documents
Category Code
Aadhaar Number (UID)
POI01
Passport Number
POI02
PAN Card Number
POI03
Voter ID Card
POI04
ID card Issued By Central/State
POI05
Driving License
POI06

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