i-Broker

 
 

BO Account Open Form

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Client Track Code
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Applicant Basic Information

Please tick whichever is applicable
Operation Type:


Account Type:

Client Type:

First applicant information
Title
Account Holder
Father Name
Mother Name
Spouse
Mobile
Phone
Fax
Email  
e-tin
NID
Occupation
Date of Birth
Gender
Nationality
Residency
Present address details
Present Address  
Country
City
PostCode
State/Division
Permanant address details
 
Address  
Country
City
PostCode
State/Division
Bank details
Bank
Branch
Routing No
Account No
Passport details
Passport No
Issue Place
Issue Date
Expiry Date
Introducer Deatils
Introducer Code
Introducer Name
Introducer No
Value added service
 
 
 
 
 
 
Upload First Applicant photo signature,NID
 
First Applicant Photo
First Applicant Signature
First Applicant NID
 
 

Authorized Person Information
Name of Authorized Person
Father's/Husband's Name Is Father
Date of Birth
Sex
Nationality
Present Address
Permanent Address
Mobile
Telephone
Email  
Occupation
E-Tin
Officer or Director of any Stock Exchange Listed Company ?
 
Name of the Stock Exchange/Listed Company
 
Photo
 
Signature
 
NID
 
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Nominee

Nominee-1
Title
Full Name
Address
Post Code
Country
City
State/Division
Date of Birth
National ID
ETin
Telephone
Fax
Mobile
Email
Nationality
Gender
Residency
Percentage
Relation with Client
Passport No.
Passport Issue Place
Passport Issue Date
Passport Exp Date
Upload Nominee-1 photo, signature and NID
 
NOM-1 Photo
NOM-1 Signature
NOM-1 NID
 
If nominee is minor
 

Gurdian Upload photo and signature
 
Gurdian-1 Photo
Gurdian-1 Signature
Gurdian-1 NID
 
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Nominee-2
Title
Full Name
Address
Post Code
Country
City
State/Division
Date of Birth
National ID
ETin
Mobile
Email
Telephone
Fax
Nationality
Gender
Residency
Percentage
Relation with Client
Passport No.
Passport Issue Place
Passport Issue Date
Passport Exp Date
Upload Nominee-2 photo, signature and NID
 
NOM-2 Photo
NOM-2 Signature
NOM-2 NID
 
If nominee is minor
 

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Power of Attorney

Power of attorney details
Title
Full Name
Address
Post Code
Country
Date of Birth
National ID
E-Tin
Nationality
Gender
Residency
Percentage
Relation with Client
City
State/Division
Telephone
Fax
Mobile
Email
Passport No
Passport Issue Place
Passport Issue Date
Passport Exp Date
Power Of Attorny Upload photo and signature
 
Photo
POA Signature
POA NID
 
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