Bank Name

CSP ZONE Select KOLAKATA PATNA

STATE Select Andra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttaranchal Uttar Pradesh West Bengal UNION Territories Andaman and Nicobar Islands Chandigarh Dadar and Nagar Haveli Daman and Diu Delhi Lakshadeep Pondicherry

District Select

Regional Office Name (RO)

BRANCH NAME

BRANCH CODE

SOL ID

IFSC CODE

CSP AGENT NAME

MOBILE NO

DOB

AADHAR NO

PAN NO

POPULATION CATEGORY Select Rural URBAN

CSP Location (Only Location Name)

CSP Business Address (As Per Shop)

CSP EMAIL ID

SAVING ACCOUNT NO

CSP ADDRESS (As Per Aadhar)

Date

Team Lead

RM NAME

IIBF STATUS

IIBF Certificate No

Police Verification Select Yes No