Full Name

Age

Email

Contact No.

Occupation
ID Proof
(Any of the below mentioned ID proofs)
Postal Address
(Provide copy of electricity bill / telephone
bill)
Nature of Relationship
(Mention type of transactions with PMC
along with Xerox copies (ex. depositer, loan-
holder, credit card holder, etc)
Amount Stuck in PMC Bank
(Copy of pass-book for past 1 year)

I-T Return of past 5 Yrs (Self-attested

xerox copy)

Hardships you are currently facing

List of ID and Address proofs:

1) PAN Card
2) Aadhaar card
3) Passport
4) Ration Card
5) Driving Licence
6) Utility bills like water bill, telephone bill, electricity bill
7) Voter ID card