Details of Natural Person: Dilip Kumar Rathi AD: 1978-02-13 M 0403044/2149 Jhapa 2007-03-07 1301510000264913

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

Date: 2021/3/10

Details of Natural person

Details of Client

Name dilip kumar rathi


Date of Birth AD : 1978-02-13
Gender M
Citizenship 0403044/2149 Issue District Jhapa Issue Date 2007-03-07
No:
Beneficiary 1301510000264913
ID No.
Permanent -
Account No.
(PAN)
Identification -
No. and
address(In
case of
NRN)

Current Address

Permanent Address:
Country: Nepal Province: Province_1
District: Jhapa
Municipality Birtamod Ward No: 5
Tole: jatrubari Telephone No: 9852682403
Email ID: [email protected] Mobile No: 9852682403

Details of Family Members

Grand Father's Name rameshwardas rathi


Father's Name ramnewas rathi
Mother's Name kamla devi rathi
Spouse's Name dipti rathi
Son's Name -
Daughter's Name -
Daughter in-law's Name -
Father in-law's Name -
Mother in-law's Name -

Bank Account Details

Type of Bank Account Saving


Bank Account Number 023004201S
Name & Address of Bank Nepal Bangladesh Bank Ltd, Birtamode Branch

Details of Occupation

Occupation Business Person


Types of -
Business
Organization's - Address -
Name
Designation - ID No of -
Employee
Financial Details Income Limit(Annual Details)
5,00,001 - 10,00,000
Involvement in Investment companies which were established for securities No
trading
Name of the -
Company
Designation -

Documents
Agreement

Sumeru Securities Pvt. Ltd. Branch

I consent to open my online account and have provided all the genuine information to Sumeru
Securities Pvt. Ltd. by filling this form. I will be responsible solely for all the documents and details
provided by me.Also, I will provide further verification if required and comply with Terms &
Conditions.

* I have read and understood the condition above and agree to create Online Trading Account.

* I have read and understood the condition above and agree to proceed forward.

Applicant's Name:

Referred By: Self

Signature

You might also like