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Regular Omnibus Clearing

Individual Company Joint Holder

First Applicant

 [Up to 99 Characters]

 [In case of a Company/Firm]

Male Female None[Company/Firm]

Contact Details:

 [someone@example.com]

Passport Details(Mandatory NRB Account)

Bank Details

Yes No

Yes No

Other Information

Resident Non Resident

Daily Weekly Fortnightly Monthly

 [In Case of Company]

 [DD/MM/YYYY]

Joint Applicant(Second Holder Name)

 [Up to 99 Characters]

Male Female None[Company/Firm]

Account Link Request

YES NO

 [Last 8 Digits]

Nominee 1

 [Up to 99 Characters]

 [someone@example.com]

Resident Non Resident

Guardian’s Details (if Nominee is a Minor)

 [Up to 99 Characters]

 [someone@example.com]

Resident Non Resident

Nominee 2

 [Up to 99 Characters]

 [someone@example.com]

Resident Non Resident

Guardian’s Details (if Nominee is a Minor)

 [Up to 99 Characters]

 [someone@example.com]

Resident Non Resident

Special instructions on operation of Joint Account

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

Customer Account Information Form

Cash Margin

Yes No