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Full Name

Company Name

Phone Number

Official Email ID

Facebook Profile / Page

Address

Identity Proof (scanned)

Individual/Group/Makerspace: 1 or more from the list - Passport/ PAN Card/ Voter ID Card
Company: 1 or more from the list - Certificate of Incorporation/ PAN Card

Address Proof (scanned)

Individual/Group/Makerspace: 1 or more (Passport/ Driving License/ 6 months Bank Statement/ Landline Telephone Bill/ Electricity Bill)
Company: 1 or more (6 months Bank Statement/ Landline Telephone Bill/ Electricity Bill/ Memorandum of Association)

Bank's Name

Bank's Branch

Account Holder's Name

Account Number

Account Type

IFSC Code

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