test pan card

    First Name
    Last Name
    Date of Birth

    Mobile No. (OTP & Alerts will be sent on this number)
    Address Proof

    PassportAadhar CardDriving LicenseVoter ID
    ID Number

    Current Address as per ID

    Address Line 1
    Address Line 2
    Pin Code


    I declare, confirm and agree: Terms and Conditions

    That all the particulars and information are given in this Application Form (and all documents referred or provided therewith) are true, correct, complete and up-to-date in all respects and I have not withheld any information. I understand that certain particulars given by me are required by operational guidelines governing the issuance of Pre-Paid Instruments (PPI). I agree and undertake to provide further information and documents that Transcorp International Limited may require. I hereby give my consent to use all the information and KYC documents provided by me for the purpose of issuing the PPI to me. I hereby undertake to follow all the terms and conditions which are applicable to the issuance of PPI. I further declare that I am neither a Politically Exposed Person (PEP) nor a relative of PEP (please contact at cards@transcorpint.com if you are a PEP or a relative of a PEP).

    Today's Date:
    Customer Signature: _________________________
    Kit Number
    Upload Front Side of ID Proof (Upload file only jpeg and png 350x350)

    Upload Back Side of ID Proof (Upload file only jpeg and png 350x350)

    Upload Your Pan Card (Upload file only jpeg and png 350x350)

    Upload Your Photo (Upload file only jpeg and png 150x150)

    For Transcorp use only (Originally Seen and Verified)




    Auth. Officer Code
    Auth. Officer Signature: _________________________