Suraj Khatri Membershift Form

Membership Application Form

STATE BANK OF COMMERCE

MEMBERSHIP APPLICATION FORM

Form Code: SBC-MEM-2024-A / Status: Confidential

AFFIX PASSPORT SIZE PHOTO HERE

DETAILS OF APPLICANT

Full Name

Date of Birth

Gender

Marital Status

Father's Name

Mother's Name

Citizenship No.

National ID / PAN

Nationality

CONTACT DETAILS

ADDRESS DETAILS

OCCUPATION AND EDUCATION

MEMBERSHIP DETAILS

DOCUMENTS UPLOAD

DECLARATION

I hereby solemnly declare that all information furnished in this online membership form is true, correct, and complete to the best of my knowledge. I authorize State Bank of Commerce to run standard background checks and verify the credentials provided here. I understand that any discrepancy found may lead to immediate revocation of membership rights.

FOR OFFICE USE ONLY

APPLICATION CODE: SBC-____________________ | DATE RECEIVED: ______/______/20____ VERIFICATION CHECK: [ ] IDENTITY SCANS VERIFIED [ ] BACKGROUND CHECK COMPLETED AUTHORIZED OFFICIAL SIGNATURE: ____________________________ DECISION: [ ] APPROVED [ ] REJECTED