Edit Bo Form Fillup

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Please Tick whichever is applicable

BO Category * Regular Omnibus Clearing

BO Type * Individual Company Joint Holder

First Applicant

Full Name * [Up to 99 Characters]

Title *

Contact Person * [In case of a Company/Firm]

Sex * Male Female None[Company/Firm]

Occupation *

Father's/Husband's Name *

Mother's Name *

Contact Details:

Address *

City *

Post Code *

State/Division *

Country *

Telephone *

Mobile Phone *

Fax *

E-mail * [someone@example.com]

Passport Details(Mandatory NRB Account)

Passport No *

Issue Place *

Issue Date *

Expiry Date *

Bank Details

Bank Name *

Branch Name *

Account No *

Electronic Credit * Yes No

Tax Exemption * Yes No

TIN / Tax ID *

Other Information

Residency * Resident Non Resident

Nationality *

Date of Birth *

Power Of Attorney *

Statement code * Daily Weekly Fortnightly Monthly

Registration No * [In Case of Company]

Date of Registration * [DD/MM/YYYY]

Joint Applicant(Second Holder Name)

Joint Holder Name * [Up to 99 Characters]

Title *

Address *

Date of Birth *

Telephone *

Nationality *

Sex * Male Female None[Company/Firm]

Father's/Husband's Name *

Mother's Name *

Account Link Request

Create Depository Account * YES NO

Depository Account Code * [Last 8 Digits]

Nominee 1

Nominee Full Name * [Up to 99 Characters]

Title *

Relationship with A/C Holder *

Percentage(%) *

Address *

City *

Post Code *

State/Division *

Country *

Telephone *

Mobile Phone *

Fax *

E-mail * [someone@example.com]

Passport No *

Issue Place *

Issue Date *

Expiry Date *

Residency * Resident Non Resident

Nationality *

Date of Birth *

Guardian’s Details (if Nominee is a Minor)

Full Name * [Up to 99 Characters]

Title *

Relationship with Nominee*

Percentage(%) *

Address *

City *

Post Code *

State/Division *

Country *

Telephone *

Mobile Phone *

Fax *

E-mail * [someone@example.com]

Passport No *

Issue Place *

Issue Date *

Expiry Date *

Residency * Resident Non Resident

Nationality *

Date of Birth *

Nominee 2

Nominee Full Name * [Up to 99 Characters]

Title *

Relationship with A/C Holder *

Percentage(%) *

Address *

City *

Post Code *

State/Division *

Country *

Telephone *

Mobile Phone *

Fax *

E-mail * [someone@example.com]

Passport No *

Issue Place *

Issue Date *

Expiry Date *

Residency * Resident Non Resident

Nationality *

Date of Birth *

Guardian’s Details (if Nominee is a Minor)

Full Name * [Up to 99 Characters]

Title *

Relationship with Nominee*

Percentage(%) *

Address *

City *

Post Code *

State/Division *

Country *

Telephone *

Mobile Phone *

Fax *

E-mail * [someone@example.com]

Passport No *

Issue Place *

Issue Date *

Expiry Date *

Residency * Resident Non Resident

Nationality *

Date of Birth *

Special instructions on operation of Joint Account

Either or survivor Any one can operate Any two will operate jointly Account will be operated by

Name operated by*

Customer Account Information Form

Account Type * Cash Margin

Special Remarks if any *

Name of Authorized person *

Address *

Officer/Director of any stock exchange/company * Yes No

If Yes name of the stock or company *

Name & address of the introducing person,if any *

Name of the Introducer *

BO ID 12028500 *

Address *

Special Instruction if any *