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:

Choose Preferred Branch
Preferred Branch
First applicant information
Title
Account Holder
Father's/Husband's Name
Is Father
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
Routing No
Bank
Branch
Account No
Passport details
Passport No
Issue Place
Issue Date
Expiry Date
Introducer Deatils
Introducer Code
Introducer Name
Introducer No
Introducer Email/Dealer Email
 
Value added service
 
 
 
 
 
 
Upload First Applicant photo signature,NID
 
First Applicant Photo
 
 
First Applicant Signature
 
 
First Applicant NID
 

N.B: Photo must be less than 80KB! and Signature must be less than 50KB! and File extension should be JPG..


Authorized Person Information (Optional)
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
Authorization type:

 
Photo
 
 
Signature
 
 
NID
 

N.B: Photo must be less than 80KB! and Signature must be less than 50KB! and File extension should be JPG.

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
 

N.B: Photo must be less than 80KB! and Signature must be less than 50KB! and File extension should be JPG..

If nominee is minor


Gurdian Upload photo and signature
 
Gurdian-1 Photo
 
 
Gurdian-1 Signature
 
 
Gurdian-1 NID
 

N.B: Photo must be less than 80KB! and Signature must be less than 50KB! and File extension should be JPG..

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

N.B: Photo must be less than 80KB! and Signature must be less than 50KB! and File extension should be JPG..

If nominee is minor
 

Power of Attorney (if Any)

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

N.B: Photo must be less than 80KB! and Signature must be less than 50KB! and File extension should be JPG..

terms & conditions