Sajilo Broker | TMS Online Registration

TMS Registration - Personal Information

First Name*

Middle Name

Last Name*

Nationality*

Date of Birth (BS)*

Date of Birth (AD)*

Gender*

Beneficial Owner Account No*

Types of Account*

Individual

Is this Minor Account*

Yes No

Citizenship Number*

Citizenship Issue District*

Citizenship Issued Date (in BS)*

Citizenship Issued Date (in AD)*

Passport Number

Place of Passport Issue

Passport Issued Date (in BS)

Passport Issued Date (in AD)

Passport Expiry Date (in BS)

Passport Expiry Date (in AD)

Country*

Province*

District*

Municipality*

Ward No*

Village/Tole/Street*

Block No.

Phone No.

Mobile No.*

Fax No.

Email*

Nearest Landmark*

Is your Correspondence Address is different than your Permanent Address*

Yes No

Types of Bank Account*

Saving Current

Name of Bank*

Bank Account Number*

Branch*

Occupation*

PAN Number*

Type of Business

Organization Name

Organization Address

Designation

Financial Details

Account Statement

ID No.

Standing instruction for the automatic transactions:

Yes No

Are you Non Resident Nepalese?*

Yes No

Do you want to keep nominee ?*

Yes No

Are you a political or high-ranking person? *

Yes No

Are you related to a political or high-ranking person? *

Yes No

Have you been convicted of any related offence in the past? *

Yes No

Offences referred to in clause (sh) of Section 2 of the Prevention of Money Laundering Act, 2064

Photo*