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He form) Receipt No. (To be filled by POP-SP) 1 1 6 2 5 5 9 9 To affix recent Coloured photograph (3.5 cm 2.5 cm) 2 Permanent Retirement Account Number : (To be filled by CRA-FC after PRAN generation) Note: 1. This form is to be used by a subscriber opening a fresh Tier I and Tier II account 2. Pre-existing NPS account holders with a valid PRAN card need to fill up only the NPS Tier II form (Annexure UOS-S10) Sir/Madam, Signature/Thumb Impression* of Subscriber in black ink I her.

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