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
Birth Registration
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
  • Photo height must not exceed 708px(7.37 inch) and width must not exceed 590px(6.13 inch), size should be less than 80KB
  • Signature height must not exceed 80px(0.82 inch) and width must not exceed 300px(3.12 inch), size should be less than 50KB
  • All 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
  • Photo height must not exceed 708px(7.37 inch) and width must not exceed 590px(6.13 inch), size should be less than 80KB
  • Signature height must not exceed 80px(0.82 inch) and width must not exceed 300px(3.12 inch), size should be less than 50KB
  • All 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
  • Photo height must not exceed 708px(7.37 inch) and width must not exceed 590px(6.13 inch), size should be less than 80KB
  • Signature height must not exceed 80px(0.82 inch) and width must not exceed 300px(3.12 inch), size should be less than 50KB
  • All file extension should be JPG
If nominee is minor
Gurdian Upload photo and signature
Gurdian-1 Photo
Gurdian-1 Signature
  • Photo height must not exceed 708px(7.37 inch) and width must not exceed 590px(6.13 inch), size should be less than 80KB
  • Signature height must not exceed 80px(0.82 inch) and width must not exceed 300px(3.12 inch), size should be less than 50KB
  • All 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
  • Photo height must not exceed 708px(7.37 inch) and width must not exceed 590px(6.13 inch), size should be less than 80KB
  • Signature height must not exceed 80px(0.82 inch) and width must not exceed 300px(3.12 inch), size should be less than 50KB
  • All file extension should be JPG
If nominee is minor
 
terms & conditions