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sri star gold, 2nd floor, overlay road, new delhi, 234434

Application Form

OUR BRANCHES ALL OVER INDIA

www.stargoldcompany.com

MUST BE FILLED USING CAPITAL LETTERS BY THE CUSTOMER

Application Form

For Office Use Only

BR Code
Ref Code
Photo
Mandatory

Basic Details

Customer Name
Mobile Number
Mob 2
Landline Number
Office
Email ID
Source Of Ornaments
Employment Status
Your Organisation Status
Your Annual Income
Details Of Jewelry
Total Number Of Items Offered To Sell
Nature of Ornaments
Jewellery Bought From/Pledged Place Name & Address
Date Of Purchase/Pledge
Bill/Pawn Ticket Original Copy
Gender
DOB                                 
Marital Status

Verification Details

Current Residential Address
City Pin
Office/Business Name & Address
City Pin
Landmark
Residential Status
Pan Card Details
Passport No(Mandatory if the customer is not a resident indian)
Date Of Expiry
Place Of Issue
ID Proof Self Attested Photo Copy
ID roof Numbers
Address Proof Numbers
Address Proof Numbers

Bank
Details

Bank Name
Account Number
IFSC Code / MICR
MICR
Branch Name/Address

Source

ID Proof How Did you come to know about us?
IF TV/News Paper Name It

Verification
For office Use Only

IS Verification Required?
Verified By Name
Type(s) of Verification
Verification Status
Date Time
Verification Remarks