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KYC Data Collection Form 2023

First name

Last name

Email

Phone

Address of USA

Address of Nepal

Education

Occupation

Spous's Name

Father's Name

Mother's Name

Children's Name

Children's Name

Children's Name

I can speak Limbu Language

Children's Name

Children's Name

Children's Name

I can write Limbu Language

I confirm that all the information is provided, and I am willing to undergo the necessary verification process as required by KYC USA regulations.

Thank you for submitting your data and supporting KYC USA. If you have any questions or need further assistance, please don't hesitate to contact us.

किरात याक्थुङ् चुम्लुङ अमेरिका

40-08 76th St,

Queens, NY 11373

+1-929-346-1635

kiratyakthungchumlungusa@gmail.com

© 2023 किरात याक्थुङ् चुम्लुङ अमेरिका

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