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FORM 11 PART I KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals) [Name and address of intermediary (preprinted)] Photograph Please affix the recent passport size photograph and sign across
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Write your full name in the 'Name' field
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Enter your complete address including street, city, state, and zip code in the 'Address' field

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Companies, organizations, or individuals who require accurate identification and location information
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The 'name and address of' refers to the identification details required for reporting purposes, typically including the full name and address of an individual or entity involved in a legal or financial context.
Individuals or entities that meet certain criteria established by regulatory authorities or tax agencies are required to file their name and address for compliance purposes.
To fill out the 'name and address of', one needs to provide the complete legal name, street address, city, state, and postal code in the designated sections of the form or report.
The purpose of collecting the name and address is to ensure proper identification, facilitate communication, and maintain compliance with regulatory requirements.
Typically, the report must include the full legal name, street address, city, state, zip code, and any additional identifying information required by the specific regulatory framework.
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