BC Cloud: Apply for PNB

PNB Business Correspondent (BC) Application

1Personal & KYC

2Address & Area

3Bank Details

4References

👤 1. Personal & KYC Details

Title

First Name

Last Name

Father’s / Spouse’s Name

Gender

Marital Status

Date of Birth

Age (Auto Calculated)

Mobile Number

Email Address

PAN Card Number

Aadhaar (12 Digits)

Voter ID

Educational Qualification

Any Police Records?

Previous experience, if any

Languages Known

Telugu Hindi English Others

📍 2. Address & Proposed Area Details

Present Residential Address

House No.

Mohalla / Village / Town

Area Category

District

State

Pin Code

Staying at the address since (Years)

Present Occupation

Area Proposed to be Covered

Name of Block / Ward

CSC ID Number

Shop Full Address

🏦 3. Bank Details

PNB Branch Name

Branch IFSC Code

Circle Office

📋 4. Reference Details

1st Reference Details

Referee Full Name

Referee Mobile Number

Full Residential Address

2nd Reference Details

Referee Full Name

Referee Mobile Number

Full Residential Address

PNB BC APPLICATION

Acknowledgement Form

✓ SUCCESS!

Application Submitted

మీ అప్లికేషన్ PDF కాపీ

1 గంటలో మీ మెయిల్ కి వస్తుంది

⏱️ 60:00

Reference Number:

📌 తదుపరి చేయవలసిన పనులు:

📄 అప్లికేషన్ ప్రింట్ తీసుకోండి.

✍️ పత్రంపై Bank Manager, Applicant & References సంతకాలు చేయించండి.

📑 అదనంగా: Aadhaar, PAN, Education, IIBF, Police Verification, CIBIL జత చేయండి.

📂 అన్నీ కలిపి Single PDF గా స్కాన్ చేసి WhatsApp కు పంపండి:

👤 Bharath Kumar (Assistant Manager FI) 📞 9052128239 ✉️ bharath.kumar@csc.gov.in