Employee Information form

Welcome to our Netultimate team

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Kindly fill the following details.

Note: Please provide right information to avoid any delay in transactions

Full Name*

Date of Birth (dd/mm/yyyy)*

Address with Postal code*

Email*

Phone Number*

Emergency Contact*

Upload your Photo*

Your Account Number
( Your Account number should be in 15 digits)

Bank Name

Branch Code

Branch Address with postal code

SWIFT/IFSC number

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