KYC Form | GSCOS

Personal Information

Provide your basic identity details

Membership Number

Full Name *

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Date of Birth *

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National ID / Citizenship No. *

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Citizenship Issue Date *

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Issuing District *

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Gender *

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Religion

Education *

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Occupation *

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PAN No.

Marital Status *

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Family Details

Father, mother, grandparents & spouse

Father's Name *

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Mother's Name *

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Grandfather's Name *

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Grandmother's Name

Spouse (Husband/Wife) *

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Politically Exposed Person

Are you or your family a high-profile / politically exposed person?

PEP Status

Name

Relation

Position

Nominee Details

Optional nominee information

Nominee Full Name

Relation with Nominee

Permanent Address

Enter your permanent residential address

Province *

District *

Local Body Type

Local Body (Municipality) *

Ward No. *

Village/Tole *

House No.

Contact No. *

Email

Temporary address is the same as permanent address

Temporary Address

Enter your current temporary address

Province

District

Municipality

Ward No.

Village/Tole

Contact No.

Email

Residence Type *

Duration of Stay

Corporate Membership

Tell us about your cooperative membership

Purpose of Membership *

Member Status *

Income Details

Provide your annual income information

Annual Income *

Transaction Details

Estimated deposit and loan details

Estimated Deposit Amount

Estimated Loan Amount *

Other Information

Review Your Information

Please verify all details before submitting

Personal Information

Full Name{{ form.personal.fullName || '—' }}

Date of Birth{{ form.personal.dateOfBirth || '—' }}

National ID{{ form.personal.nationalId || '—' }}

Gender{{ form.personal.gender || '—' }}

Education{{ form.personal.education || '—' }}

Occupation{{ form.personal.selfOccupation || '—' }}

Marital Status{{ form.personal.maritalStatus || '—' }}

Father's Name{{ form.personal.fathersName || '—' }}

Mother's Name{{ form.personal.mothersName || '—' }}

Nominee{{ form.personal.nomineeFullName || '—' }} ({{ form.personal.nomineeRelation || '—' }})

Address

Province{{ getProvinceLabel(form.address.permanentProvince) }}

District{{ getDistrictLabel(form.address.permanentDistrict) }}

Municipality{{ getMunicipalityLabel(form.address.permanentMunicipality) }}

Ward / Village{{ form.address.permanentWodaNo || '—' }}, {{ form.address.permanentVillage || '—' }}

Contact No.{{ form.address.permanentContactNo || '—' }}

Email{{ form.address.permanentEmail || '—' }}

Residence Type{{ form.address.residenceType || '—' }}

Corporate & Income

Purpose{{ purposeLabel || '—' }}

Member Status{{ form.corporate.memberStatus || '—' }}

Income Range{{ incomeLabel || '—' }}

Transaction

Est. Deposit{{ form.transaction.estimatedDepositAmount || '—' }}

Est. Loan{{ form.transaction.estimatedLoanAmount || '—' }}

Documents & Signature

Attach required documents before submitting

Citizenship Document * Image or PDF (required) Preview

Photo * Passport-size photo (required) Preview

Nominee Document (optional)

Signature * Upload scanned signature (required) Preview

I confirm that the signature provided is for verification only. To change signature permanently, the member must physically visit any service center.

Ready to Submit

Please review your information on the previous step. You will receive a confirmation email if an email address was provided.

GANDAKI SAVINGS AND CREDIT COOPERATIVE SOCIETY LTD.

KYM Form

Personal Information

Family Details

Politically Exposed Person

Nominee Details

Permanent Address

Temporary Address

Corporate Membership

Income Details

Transaction Details

Review Your Information

Personal Information

Address

Corporate & Income

Transaction

Documents & Signature

Ready to Submit

Form Submitted Successfully!