Annexure Form Nl-S2 - Application For Allotment Of Permanent Retirement Account Number (Pran) Under Nps Lite
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4Annexure NL-S2
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Application for Allotment of Permanent Retirement Account Number (PRAN) under NPS Lite
(To be filled by FC)
Acknowledgement No.
To affix recent
Coloured photograph of
the subscriber
Permanent Retirement Account Number : (To be filled after PRAN generation )
(3.5 cm × 2.5 cm)
Sir/Madam,
I hereby request that a NPS-Lite account be opened in my name and Permanent Retirement Account number
(PRAN) be allotted based on the particulars given below:
(To avoid mistake, please follow the accompanying instructions carefully before filling up the form. * indicates
Mandatory Field)
Signature/Left Thumb Impression
of Subscriber in black ink
1. Full Name (Full expanded name: initials are not permitted): Shri
Smt.
Kumari
(Please Tick
as applicable)
First Name *
Middle Name
Last Name
I would like my PRAN card to be printed in HINDI:
Yes
No
(If Yes, please provide the details on Page No. 2)
2. Gender* Please tick as applicable, Male
Female
3. Date of Birth*
(DD/MM/YYYY)
4. Father’s Full Name:
First Name *
Middle Name
Last Name
5. Subscriber Mobile Number:
6. Membership Number
allotted by Aggregator (if any):
7. Subscriber’s Address (OPTIONAL. If provided details marked with * are
mandatory):
Flat/Unit No, Block no. *
Name of Premise/Building/Village
Area/Locality/Taluka
District/Town/City *
State / Union Territory*
Country *
Pin Code *
8
Subscribers Bank Details: (OPTIONAL. If provided details marked with * are mandatory)
Savings A/c
Current A/c
Bank A/c Number *
Bank Name *
Bank Branch *
Bank Address *
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