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Checklist to Fill Form - India Infoline Finance Limited

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Detail of Pension Fund Manager (put cross with pen) on Pg No. 2<br />

<br />

<br />

Father name is compulsory. (plz reject if any female subscriber fill up Husband<br />

name)<br />

Name Of Nominee: 1 ST<br />

N A V I N<br />

NOMINEE 2ND<br />

C H O R D I A<br />

NOMINEE: Can be more than ONE ( PLZ MENTION PERCENTAGE SHARE (%) )<br />

1st Nominee 5 0 % 2ND Nominee 5 0 %<br />

3rd Nominee %<br />

IF SINGLE<br />

NOMINEE<br />

1ST Nominee 1 0 0 %<br />

BRANCH SEAL & Branch Manager Signature on Pg No. 3<br />

Name of Aggrega<strong>to</strong>r : INDIA INFOLINE FINANCE LTD – ( <strong>Fill</strong> up on pg no. 3)<br />

2 Xerox copies of ID & Address proof (Xerox should be clear)

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