Facilon

+91 8976917026
facilon.services@facilonservices.com
Facilon Services Private Ltd. A102, Golden Square CHS, Kalina, Santacruz (E), Vidya Nagari, Mumbai - 400098, India.

Get in touch

Home
My Profile
- My Progress

Personal Information
Passport
Residential Status
Tax Information
Bank Details
Contact Details
Nomination
Risk Profile

Title

First Name

Middle Name

Last Name

Gender

Maritial Status

Maiden Name

Date Of Birth

City Of Birth

Country Of Birth

Citizenship

Country of Residence

Father's First Name

Father's Middle Name

Father's Last Name

Mother's First Name

Mother's Middle Name

Mother's Last Name

Spouse Name

Spouse Maiden Name

Nationality

Passport Number

Date of Issue

Place of Issue

Valid upto

Date of Becoming Non Resident

No of Years in Abroad

OCI Card No

Issue Date

Valid Upto

Type of Proof

Visa Type

Visa Number

Visa Issuer Date

Visa Expiry Date

Date Of Issue

Valid Upto

Do you have Aadhar Number?

Yes No

Aadhar Number

Tax Information

India Overseas

PAN Number

Name as per PAN Card

Father name as per PAN Card

Current Country of Residence for TAX

Taxpayer Identification Number in the country

Taxpayer Identification Number type

Tax Residency Certificate Number

Tax Residency Certificate Date

Are you a US Person as defined under FATCA?

Yes No

Do you have a NRE or NRO Bank Account for Service Provider to Consider for Settlement Purposes?

Yes No

Type of Account

Whether you have RBI approval for PIS

Yes No

RBI Approval Number

RBI Approval Date

Beneficiary's Name

Bank Name

Branch name

Bank Address (Branch Address)

Bank Account Number

IFSC Code

Email ID

Phone No

Address 1

Address 2

Address 3

City

State

Country

Postal/ Zip code

Correspondance Address is Same As Above

Yes No

Address 1

Address 2

Address 3

City

State

Country

postal/ zip code

Do you want to appoint a Nominee?

Yes No

Nominee 1

Name of the Nominee

Relationship with Applicant

Mobile Number of Nominee with ISD Code

Email Address of Nominee

Date of Birth of Nominee

Nominee Identification Document Type

Document Number

Nominee Share (%)

Name of Guardian

Guardian Identification Document Type

Document Number

Mobile Number of Guardian with ISD Code

Email Address of Guardian

PAN number of Guardian

Date of Birth of Guardian

Nominee 2

Name of the Nominee

Relationship with Applicant

Mobile Number of Nominee with ISD Code

Email Address of Nominee

Date of Birth of Nominee

Nominee Identification Document Type

Document Number

Nominee Share (%)

Name of Guardian

Guardian Identification Document Type

Document Number

Mobile Number of Guardian with ISD Code

Email Address of Guardian

PAN number of Guardian

Date of Birth of Guardian

Nominee 3

Name of the Nominee

Relationship with Applicant

Mobile Number of Nominee with ISD Code

Email Address of Nominee

Date of Birth of Nominee

Nominee Identification Document Type

Document Number

Nominee Share (%)

Name of Guardian

Guardian Identification Document Type

Document Number

Mobile Number of Guardian with ISD Code

Email Address of Guardian

PAN number of Guardian

Date of Birth of Guardian

Source of Funds

Source of Wealth

Education Qualification

Gross / monthly Annual Income (In INR)

Net Worth

Occupation

If Self Employed Professional

Line of Business / Industry

Nature of Organisation

Are you a politically exposed person?

Yes No

Are you related to a politically exposed person?

Yes No

Are you involved in any of the following activities?

Yes No

Foreign Exchange / Money Changer Services

Yes No

Gaming / Gambling / Lottery Services

Yes No

Money Lending / Pawning Services

Yes No

Any instance of violation or non-adherence to the securities laws, code of ethics / conduct, code of business rules

Yes No

No of Years of Investment Experience

Investment Experience in

© Copyright 2025 Facilon | Designed By Matrix Bricks. All Rights Reserved