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Paytm Wallet KYC upgrade form

All fields marked by * are mandatory

Wallet details
1. Wallet linked phone number*
2. Wallet linked email-id

Identity details
1. Name* (as in documentary proofs submitted)
Photograph

2. Gender*

Female

Male

3. Date of birth* d

m m

4. Proof of identity* (please tick )


Aadhar

Passport

Voter ID

Driving License

Please affix recent


passport sized photo
graph and cross sign

PAN Card

Others, specify (see


guidelines overleaf)

Government ID
cards with photo

Address details
1. Address for correspondence* (as in documentary proofs submitted)

City/Town/Vill.
State
Pin code
2. Proof of Address* (please tick )

Aadhar

Passport

Pension
order

Property tax
receipt

Driving
License
Letter of allotment by
government depts.

Voter ID

Utility Bill (not more


than 2 months old)

Bank Statement (not more


than 2 months old)

Others, specify (see


guidelines overleaf)

Declaration
I hereby declare that details furnished above are true and correct to the best of my
knowledge. Incase any of the above information is found to be incorrect, false or
misleading I am aware that I may be held liable for it
Date
Place

Signature

For office use only


IPV done on

m m

Originals seen and verified


Self-attested documents collected

Seal/Stamp of verifying agency

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

Instructions / checklist for filling form


A. IMPORTANT GUIDELINES
1. All fields marked by * are mandatory.
Incase mandatory details are not
filled, KYC upgrade application will be
rejected
2. Phone number and Email ID
mentioned on the form must match
with linked details in Paytm wallet
3. Copies of all documents submitted by
applicant should be self-attested.
4. Applicant has to show the original
documents for verification purpose to
the visiting representative
5. Name and address of application
should match with documentary
proofs submitted
6. Passport size photo should be self
attested
B. PROOF OF IDENTITY (POI): List of
documents admissible as identity proof
1.
2.
3.
4.
5.
6.
7.

C. PROOF ADDRESS (POA): List of


documents admissible as address proof
1.
2.
3.
4.
5.

Aadhar card
Passport
Driving License
Voter ID
Utility bills (electricity, telephone,
postpaid mobile phone, piped gas,
water bill) not more than 2 months old
6. NREGA Job Card
7. Property or municipal tax receipt
8. Bank account/Post office saving
account statement (not more than 2
months old)
9. Pension or family pension payment
order (PPOs) containing address
10. Letter of allotment of accommodation
issued by government departments,
statutory or regulatory bodies, PSUs,
and scheduled commercial banks

Aadhar card
Passport
Driving License
Voter ID
PAN card with photograph
NREGA Job card with photo
Identity card/document with applicant
photo issued by Central/State
government and its departments and
Public sector undertakings

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