KBL Securities Limited: TmsIndividuals

Open Your Meroshare, DEMAT & Trading Account

Step 1: Personal Information

ग्राहकको विवरण (Details of Clients)

Choose form (Please select one or more options)

TMS Account

Mero Share

DEMAT Account

K.B.L. Securities Limited Branch

Official Nepali Date

Official English Date

ग्राहकको विवरण (Details of Clients)

Name (In Block Letter) *

नाम *

जन्म मिति (बि.सं.)*

Date of Birth (A.D.)

Gender*

MaleFemaleOthers

PAN

Details of Nationality

Nationality* NepaliOthers

Citizenship No.*

Issue District*

Issue Date*

Passport No.

Passport Issue Place

Passport Issue Date

Passport Expiry Date

Country

City

Foreign Address

NRN Code No.

सेल्फी लिनुहोस् (Take a Selfie)

हालसालै खिचिएको फोटो अपलोड गर्नुहोस् (Upload your recent photo) *

Step 2: Contact Information

हालको ठेगाना (Current Address)

Country*

Province*

District *

Rural Municipality/Municipality/Sub-Metropolitan city/Metropolitan city*

Ward No.*

Tole*

Telephone No.

Mobile No. *

Email*

हितग्राहीको घर रहेको स्थानको नक्सा - Site Map of the Account Holder's Residence*

From main Road Street

The distance of the Residence is (in meters - appromimately)

स्थायी ठेगाना (Permanent Address)

Province

District

Rural Municipality/Municipality/Sub-Metropolitan city/Metropolitan city

Ward No.

Tole

Block No.

Telephone No.

Step 5: Minor Details

संरक्षकको विवरण (नाबालक/विक्षिप्तको हकमा मात्र) Guardian's Details (In case of Minor/Intellctually Disable only)

Is this account of minor?* YesNo

Guardian's Name/Surname (In Block Letters)

Relationship with applicant

Correspondence Address

Country

Province

District

Rural Municipality/Municipality/Sub Metropolitan city/Metropolitan city

Ward No.

Telephone No.

Fax No.

Mobile No.

Pan No.

Email Id

Guardian's Citizenship No.

Issue District

Issue Date

Guardian's Citizenship or Passport photo

Guardian's Passport No.

Issue Place

Issue Date

Expiry Date

Applicant's/Guardian's Signature

Guardian's Photo संरक्षकको फोटो (हालसालै खिचिएको)

हिताधिकारी व्यक्तिको हकमा

के तपाईको हिताधिकारी व्यक्ति छ?* छछैन

Name of Nominee (In Block Letters)

Relationship with applicant

Citizenship/Passport No.

Place of Issue

Issue date

Date of Birth

Country

Province

District

Rural Municipality/Municipality/Sub Metropolitan city/Metropolitan city

Ward No.

Tole

Block No.

Telephone No.

Mobile No.

Fax No.

Postbox No.

Pan No.

Email Id

Nominee's Signature

Thumb Print (Right)

Upload nominee's Citizenship

Nominee's Photo (हालसालै खिचिएको)

Thumb Print (Left)

बहालमा बस्नेको हकमा

Do you live in rent?* YesNo

Step 6: Additional Details

सम्पत्ति शुद्धीकरण तथा आतङ्गकारी क्रियाकलापमा वित्तीय निवारण सम्बन्धी थप विवरण :

के तपाईं राजनैतिक वा उच्च पदस्थ व्यक्ति हुनुहुन्छ ?*

होहोईन

के तपाईं राजनैतिक वा उच्च पदस्थ व्यक्ति सँग सम्बन्धित हुनुहुन्छ ?*

छछैन

सम्बन्धित राजनैतिक/उच्च पदस्थ व्यक्तिको नाम

तपाईंसँगको सम्बन्ध

के तपाई विगतमा कुनै सम्बद्ध कसुरमा दोषी प्रमाणित हुनुएको छ? सम्पत्ति शुद्धीकरण (मनी लाउण्डरिङ्ग) निवारण ऐन, २०६४ को दफा २ को खण्ड (श) बमोजिमका कसुरहरु*

छछैन

छ भने कृपया उल्लेख गर्नुहोस्‌

सिफारिस कर्ताको विवरण (Details of Referral)

सिफारिस कर्ताको नाम

फोन नं.

ग्राहक नं.

साक्षी (Witness)

साक्षीको नाम

साक्षीको फोन नं.

Applicant Sign *

Thumb Print (Right)*