Corporate Application Form
SECTION A - INVESTOR’S DETAILS
Name of the Applicant
*
Nature of the Entity
Limited Liability Company
Public Limited Company
Global & Regional Fund
Local Fund
Statutory Body
A Body established under an Act of Parliament
Other
Status
Local
Foreign
List Method
Whether Listed on CSE
Whether Listed on Other Stock Exchange
N/A
Nature of Business
*
Date and Place of Incorporation
*
Company Registration No
*
Registered Address
*
Corresspondent Address
*
Bank Details
Bank
*
Branch
*
Type of A/C
*
A/C No
*
Investment Details
Investment Amount
*
Invested Date
*
Invested Unit Price
*
No.of Unit
*
Source of Fund
*
Business Income
Donation
Membership Fee
Collection
Return on Investment
Other
Anticipated Volume of Investment
*
Less than Rs.1000000
Rs.1000000-5000000
Rs.5000000-10000000
Above Rs.10000000
SECTION B - CONTACT DETAILS OF THE INVESTOR
Name of the Key Contact Person
*
Telephone No(Office)
*
Mobile No
Fax
Email
All fields marked as
*
are Mandatory.
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