Individual Application Form

Fund Type*

SECTION A - PERSONAL DETAILS

Title*

Initials

First Name*

Last Name*

Postal Address*

Date of Birth*

NIC*

Passport

Nationality*

Country*

District*

Postal Code

Tel

Mobile*

Fax

Email*

Bank Details :

Bank*

Branch*

Type of Acc*

Acc No*

Investment Details :

Investment Amount*

Upload Documents:

Attach NIC/DL or Passport

Choose file

SECTION B - ADDRESS VERIFICATION

Attach Proof of Address

Choose file

SECTION C - SOURCE OF FUNDS (TICK ALL APPLICABLE)

SECTION D - ANTICIPATED VOLUMES OF DEPOSITS FROM ABOVE SOURCE (IN RUPEES)

SECTION E - EMPLOYEEMENT DETAILS

Occupation*

Company Name

Postal Address

Tel

Fax

SECTION F - POLITICALLY EXPOSED PERSON

Are you or any of your immediate family is a politically exposed person(PEP)?

If yes please explain the relationship

Definition PEP

An Individual who is or has been entrusted with prominent public functions , domestically or by foreign country or is related to a Politically exposed person(PEP)either directly(Consanguinity) or through marraige or similar(Civil) forms of partnerships.An individual who is closely connected to a PEP,either socially or professionally.

SECTION G - NOMINEE DETAILS

Status

Nominee's Name

Nominee's Address

Relationship to Nominee

SECTION H - SECONDARY APPLICANT’S DETAILS

Title

Name of Applicant

Postal Address

NIC

Passport

Date of Birth

Nationality

Country

District

Tel

Mobile

Attach Signature*

Choose file

KNOW YOUR CUSTOMER (KYC) FORM

Fund Type*

KYC SECTION A - PERSONAL DETAILS

Title*

Full Name of Applicant*

Date of Birth / Incorporation*

Permanent Address*

Corresponding Address*

NIC / Passport / Company Reg. No*

Nationality*

Citizenship*

Country*

District*

Postal Code*

Mobile*

Tel*

Fax

E-mail*

Citizenship Type*

Client Type*

Name & Nationality Verification*

Name & Nationality Verification Other*

KYC SECTION B - ADDRESS VERIFICATION

Permanent Address*

Address Verification*

Address Verification Other / Utility Bill Specify*

Ownership of Residence*

Ownership Other*

KYC SECTION C - SOURCE OF FUNDS

Source of Funds*

Source of Funds Other*

KYC SECTION D - APPLICANT'S / BUSINESS' OWNERSHIP OF WEALTH AND ESTIMATED VALUE

Ownership of Wealth*

Estimated Value Rs.*

Ownership of Wealth Other*

KYC SECTION E - ANTICIPATED VOLUMES OF DEPOSITS FROM ABOVE SOURCE

Anticipated Volume*

KYC SECTION F - POLITICALLY EXPOSED PERSON

Are you or any immediate family member a PEP?*

If yes, explain relationship*

Definition PEP
An Individual who is or has been entrusted with prominent public functions, domestically or by a foreign country or is related to a Politically Exposed Person (PEP) either directly or through marriage or similar forms of partnerships. An Individual who is closely connected to a PEP, either socially or professionally.

KYC SECTION G - COMPANY USE ONLY

Company Use Client Type*

Other Details / Remarks / Notes

All fields marked as * are Mandatory.

Declaration

I/We hereby confirm that the above information provided to you is true and correct to the best of our knowledge. I/We acknowledge that if the information provided is found to be false or misleading then the business relationship may be annulled anytime at your discretion. I/We hereby agree to provide any additional information/documentation that may be required.

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