{"id":5476,"title":"CENTRAL KYC REGISTRY   | Know Your Customer (KYC) Application Form | Individual","purpose":"service","insurer":{"slug":"zurich-kotak-general-insurance","name":"Zurich Kotak General Insurance Company (India) Limited"},"source_pdf":"https://www.zurichkotak.com/docs/default-source/default-document-library/kyc_template_individual.pdf?sfvrsn=5939d5ab_0","sha256":"94775d4906f98e1fc321dad187ac32f55edd3c9d03f85a8a722d073cb3c33250","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals to apply for or update their KYC (Know Your Customer) details with financial institutions in India.","notes":["Fields marked with ‘*’ are mandatory.","Fill the form in English and in BLOCK letters.","Fill all dates in DD-MM-YYYY format.","Use two-digit state/U.T codes as per Indian Motor Vehicle Act, 1988.","Use two-character ISO 3166 country codes as per list provided.","KYC number is mandatory for update applications.","For particular section update, tick the box before the section number and strike off sections not required to be updated.","Self-certification of documents is mandatory.","Attach certified copies of documents as proof of identity and address.","For mobile number, mention country code and 10 digit number without leading zero.","In case of multiple correspondence/local addresses, fill ‘Annexure A1’.","In case of additional related persons, fill ‘Annexure B1’.","If driving license or passport is used as PoI, expiry date must be provided.","PoA is required only if PoI does not have a valid address or address is invalid or not in force."],"title":"CENTRAL KYC REGISTRY   | Know Your Customer (KYC) Application Form | Individual","submit":{"to":"","how":"","address":""},"purpose":"service","sections":[{"title":"1. PERSONAL DETAILS","fields":[{"help":"Select whether this is a new application or an update","type":"choice","label":"Application Type*","options":["New","Update"],"required":true,"pdf_field":""},{"help":"Enter your full name exactly as in your ID proof","type":"text","label":"Name* (Same as ID proof)","options":[],"required":true,"pdf_field":""},{"help":"Enter maiden name if applicable","type":"text","label":"Maiden Name (If any*)","options":[],"required":true,"pdf_field":""},{"help":"Enter either father's or spouse's name","type":"text","label":"Father / Spouse Name*","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Mother Name*","options":[],"required":true,"pdf_field":""},{"help":"Use DD-MM-YYYY format","type":"date","label":"Date of Birth*","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender*","options":["M- Male","F- Female","T- Transgender"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status*","options":["Married","Unmarried"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Citizenship*","options":["Resident Individual","Foreign National","Non Resident Indian","Person of Indian Origin"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Prefix","options":["S-Service","O-Others","B-Business"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"First Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Middle Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Last Name","options":[],"required":false,"pdf_field":""},{"help":"Refer to ISO 3166 country codes list at the end","type":"choice","label":"ISO 3166 Country Code of Birth*","options":["IN- Indian","Others (ISO 3166 Country Code)"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place / City of Birth*","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Occupation Type*","options":["Professional","Self Employed","Retired","Housewife","Student","Private Sector","Public Sector","Government Sector"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Residential Status*","options":["Resident Individual","Foreign National","Non Resident Indian","Person of Indian Origin"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Account Type*","options":["Normal","Simplified (for low risk customers)","Small"],"required":true,"pdf_field":""},{"help":"Mandatory for KYC update request","type":"text","label":"KYC Number","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"2. TICK IF APPLICABLE","fields":[{"help":"","type":"checkbox","label":"Addition of Related Person","options":[],"required":false,"pdf_field":""},{"help":"","type":"checkbox","label":"Deletion of Related Person","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"3. PROOF OF IDENTITY (PoI)*","fields":[{"help":"Attach certified copy of one document; if 'Z' ticked, mention identification/reference number","type":"choice","label":"Proof of Identity*","options":["A- Passport Number","B- Voter ID Card","C- PAN Card","D- Driving Licence","E- UID (Aadhaar)","F- NREGA Job Card","Z- Others (any document notified by the central government)"],"required":true,"pdf_field":""},{"help":"Enter number of selected PoI document","type":"text","label":"Identification Number","options":[],"required":true,"pdf_field":""},{"help":"Mandatory if Passport is selected as PoI","type":"date","label":"Passport Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"Mandatory if Driving Licence is selected as PoI","type":"date","label":"Driving Licence Expiry Date","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"4. PROOF OF ADDRESS (PoA)*","fields":[{"help":"Attach certified copy of one document; PoA required only if PoI does not have valid address","type":"choice","label":"Proof of Address*","options":["Passport","Driving Licence","UID (Aadhaar)","Voter Identity Card","NREGA Job Card","Others"],"required":true,"pdf_field":""},{"help":"Enter number of selected PoA document","type":"text","label":"Identification Number","options":[],"required":true,"pdf_field":""},{"help":"Address line 1","type":"text","label":"Line 1*","options":[],"required":true,"pdf_field":""},{"help":"Address line 2","type":"text","label":"Line 2","options":[],"required":false,"pdf_field":""},{"help":"Address line 3","type":"text","label":"Line 3","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City / Town / Village*","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"District*","options":[],"required":true,"pdf_field":""},{"help":"Refer to state/U.T codes list at the end","type":"choice","label":"State / U.T Code*","options":["AN","AP","AR","AS","BR","CH","CG","DN","DD","DL","GA","GJ","HR","HP","JK","JH","KA","KL","LD","MP","MH","MN","ML","MZ","NL","OR","PY","PB","RJ","SK","TN","TS","TR","UP","UA","WB","XX"],"required":true,"pdf_field":""},{"help":"Postal code","type":"number","label":"Pin / Post Code*","options":[],"required":true,"pdf_field":""},{"help":"Refer to ISO 3166 country codes list at the end","type":"choice","label":"ISO 3166 Country Code*","options":["IN","Others (ISO 3166 Country Code)"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Address Type*","options":["Residential","Business","Registered Office Address","Residential / Business","Unspecified"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS*","fields":[{"help":"Tick if correspondence address is same as current/permanent/overseas address","type":"checkbox","label":"Same as Current / Permanent / Overseas Address details","options":[],"required":false,"pdf_field":""},{"help":"Correspondence address line 1","type":"text","label":"Line 1*","options":[],"required":true,"pdf_field":""},{"help":"Correspondence address line 2","type":"text","label":"Line 2","options":[],"required":false,"pdf_field":""},{"help":"Correspondence address line 3","type":"text","label":"Line 3","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"City / Town / Village*","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"District*","options":[],"required":true,"pdf_field":""},{"help":"Refer to state/U.T codes list at the end","type":"choice","label":"State / U.T Code*","options":["AN","AP","AR","AS","BR","CH","CG","DN","DD","DL","GA","GJ","HR","HP","JK","JH","KA","KL","LD","MP","MH","MN","ML","MZ","NL","OR","PY","PB","RJ","SK","TN","TS","TR","UP","UA","WB","XX"],"required":true,"pdf_field":""},{"help":"Postal code","type":"number","label":"Pin / Post Code*","options":[],"required":true,"pdf_field":""},{"help":"Refer to ISO 3166 country codes list at the end","type":"choice","label":"ISO 3166 Country Code*","options":["IN","Others (ISO 3166 Country Code)"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES*","fields":[{"help":"Tick if same as current/permanent/overseas address","type":"checkbox","label":"Same as Current / Permanent / Overseas Address details","options":[],"required":false,"pdf_field":""},{"help":"Tick if same as correspondence/local address","type":"checkbox","label":"Same as Correspondence / Local Address details","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"State*","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"ZIP / Post Code*","options":[],"required":true,"pdf_field":""},{"help":"Refer to ISO 3166 country codes list at the end","type":"choice","label":"ISO 3166 Country Code*","options":["IN","Others (ISO 3166 Country Code)"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"5. CONTACT DETAILS","fields":[{"help":"Office telephone number","type":"phone","label":"Tel. (Off)","options":[],"required":false,"pdf_field":""},{"help":"Fax number","type":"phone","label":"FAX","options":[],"required":false,"pdf_field":""},{"help":"Residential telephone number","type":"phone","label":"Tel. (Res)","options":[],"required":false,"pdf_field":""},{"help":"Email address","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Enter mobile number with country code (e.g. 91-9999999999), no leading zero","type":"phone","label":"Mobile","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"6. DETAILS OF RELATED PERSON","fields":[{"help":"Provide if available","type":"text","label":"KYC Number of Related Person (if available*)","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Related Person Type*","options":["Guardian of Minor","Assignee","Authorized Representative"],"required":true,"pdf_field":""},{"help":"Name of related person","type":"text","label":"Name*","options":[],"required":true,"pdf_field":""},{"help":"Attach certified copy; if 'Z' ticked, mention identification/reference number","type":"choice","label":"Proof of Identity [PoI] of Related Person*","options":["A- Passport Number","B- Voter ID Card","C- PAN Card","D- Driving Licence","E- UID (Aadhaar)","F- NREGA Job Card","Z- Others (any document notified by the central government)"],"required":true,"pdf_field":""},{"help":"Enter number of selected PoI document","type":"text","label":"Identification Number","options":[],"required":true,"pdf_field":""},{"help":"Mandatory if Passport is selected as PoI","type":"date","label":"Passport Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"Mandatory if Driving Licence is selected as PoI","type":"date","label":"Driving Licence Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Prefix","options":["S-Service","O-Others","B-Business"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"First Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Middle Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Last Name","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"7. REMARKS (If any)","fields":[{"help":"Any additional information","type":"text","label":"Remarks","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"8. APPLICANT DECLARATION","fields":[{"help":"Sign or provide thumb impression to declare correctness of information","type":"signature","label":"Signature / Thumb Impression","options":[],"required":true,"pdf_field":""}],"filled_by":"applicant"}],"deadlines":[],"applies_to":"Individual KYC application and update for financial services","attachments":["Certified copy of any one of the following Proof of Identity [PoI]","Certified copy of any one of the following Proof of Address [PoA]"],"declarations":["I declare that the details furnished are true and correct to the best of my knowledge and belief.","I undertake to inform you of any changes immediately.","I am aware that if any information is false or misleading, I may be held liable.","I consent to receiving information from Central KYC Registry through SMS/Email on the registered number/email address."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"care@zurichkotak.com","label":"Email Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"in\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibility\nZoom in page\nZoom out page\nIncrea","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 2120","label":"Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"age claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is cha","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91-22-69417220","label":"Toll Number (INDIA And Overseas)","level":null,"hours":"IST 8 am to 8 pm","applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"Download policy\nManage policy\nManage claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"whatsapp","value":"7998879988","label":"WhatsApp Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"t\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibilit","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"grievanceofficer@zurichkotak.com","label":"Grievance Officer","level":1,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"om .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at grievanceofficer@zurichkotak.com . In case if the I nsured is not satisfied with the solution the\nGrievance Officer has provided, | I nsured | can write","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Unit no. 401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East) Mumbai- 400063. Maharashtra, India.","label":"Registered & Corporate Office","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/","quote":"ker\nHealth portability\nResearch & Reports\nCorrespondence Address\nZurich Kotak General Insurance Company (India) Limited\nUnit no. 401, 4th Floor, Silver Metropolis,\nJai Coach Compound, Off Western Express Highway,\nGoregaon (East) Mumbai- 400063. Maharashtra, India.\nConnect with us\n: 022 - 69417220 (Toll number)\n: 1800 2120 (Toll free)\n+91-22-69417220 (IST 8 am to 8 pm)\nwww.zurichkot","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"care@zurichkotak.com","label":"Customer Care Email","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"may contact the respective branch office of the ZKGI or may call toll free number 1800 2120 or may write an e - mail at care@zurichkotak.com .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at gr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"www.zurichkotak.com","label":"Grievance Redressal Process","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"nder.\nThe details of the Insurance Ombudsman/ complete Grievance Redressal Process is also available at ZKGI’s website: www.zurichkotak.com\nThe updated details of Insurance Ombudsman offices are also available on the website of | Council for\nInsurance Ombudsm","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/zurich-kotak-general-insurance/5476-central-kyc-registry-know-your-customer-kyc-application-form-individual"}