Asuja eServ Private Limited

*State

*Name of Applicant as per Aadhar

*Father Name

DOB Date *:

Applicant Passport Size Clear Photo* (jpg , jpeg , png Formate File Only)

Gender*

*Email

*Mobile as per Aadhar

*Alternate Mobile

*Address As Per Aadhaar

*Pin Code

* Shop rent agreement/Electricity bill

Applicant Qualification*

10th Certificate *

Required Qualification Intermediate (10+2) Certificate or (10 Plus 2 years of ITI Certificate Or 2 Years Polytechnic Diploma Certificate)*

If Higher Qualification

*Aadhar Card Number

AadharCard Image *

IIBF Certificate Issued Status *

IIBF Certification Issue Date *:

IIBF Certification Document* If IIBF Certification Document not available then Provide Acknowledgement for Preparing in Exams

*Pan Card

Applicant Pan Card Document *

Police Clearance Certificate Issued Status *

Police Clearance Certificate (PCC) Issue Date:

Police Clearance Certificate (PCC)

Kindly apply Police Clearance Certificate (PCC), after that you can submit the form

CIBIL Report *

Applicant Signature Image* (jpg , jpeg , png Formate File Only)

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