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Wallet

Upgrade Form

Name:
Date of Birth (DD/MM/YYYY):

Photo

Mobile no.:
E-mail ID:
Address:



City:
State:
PIN Code:

ID Proof:

Document No.:

Address Proof:

Document No.:

I herby confirm that the above information is correct and accurate to the best of my knowledge. I have
attached the copies of the original documents as mentioned below. I allow One97 Communications Ltd
to use my KYC details for the purpose of making my paytm wallet KYC conformed.

[Signature]

List of accepted documents for Identity proof:

[Date]

List of accepted documents for Address proof:

Passport
Driving License
Voter Card
Aadhar Card
PAN Card
NREGA Card

Passport/Driving License/Voter Card/Aadhar


Card
Telephone Bill/ Electricity Bill (Last 3 months)
Ration Card
Bank statement (less than 6 months old)
Letter from public authority
Registered rent agreement

Confirmation by the person collecting documents:


I confirm that I have verified address proof and identity proof with the original documents, and
photographs collected match with the photograph on ID proof. The photocopies are self-attested:
Name of Agency:

Signed and confirmed:

Employee ID:

Employee Name:

Date:

Paytm wallet is a semi-closed wallet service operated by One97 Communications Ltd.