01730062182

Simpletree Lighthouse (9th Floor), 53, Kemal Ataturk Avenue, Banani, Dhaka-1213.

New Investor Registration

Name

Father/Husband Name

Mother's Name

Date of Birth

Occupation

Gender

Marital Status

Nationality

NID No

NID Issue Date

Passport No

Passport Issue Place

Passport Issue Date

Passport Expire Date

State/Division

City

ZIP/Post Code

Contact Address

Present Address (Same as Contact Address)

Permanent Address

TIN (if any)

Mobile Number

Email Address

Name

Father/Husband Name

Mother's Name

Date of Birth

Occupation

NID No

Nationality

Gender

Mobile Number

Email Address

Present Address

Permanent Address (Same as Present Address)

Registration No

Registration Date

Name of the Authorized person

Address of the Authorized person of the costomer

Bank

Bank Branch

Routing Number

Account Number

POA Name

Relationship with Investor

Date Of Birth

NID/Passport

Contact Address

Mobile Number

Email Address

Effective Date From

Effective Date To

Investor Photo

Investor Signature

Investor Cheque Book

Investor NID

First Nominee Photo

First Nominee Signature

First Nominee NID

Secound Nominee Photo

Secound Nominee Signature

Secound Nominee NID

First Nominee Guardian Photo

First Nominee Guardian Signature

Secound Nominee Guardian Photo

Secound Nominee Guardian Signature

Power Of Attorney Photo

Power Of Attorney Signature