Create an account – SHYAMOL EQUITY MANAGEMENT LIMITED

First Applicant
Fill up all fields
Joint Applicant
Information of Joint Applicant
Nominee 1
Your Nominee Details
Nominee Guardian
Nominee Guardian Details
Power of Attorney
(POA) Form

Account type *

Cash Margin

Client Name *

Name of contact person *

In Case of Individual *

Male Female

Occupation *

Father’s Name/ Husband Name *

Mothers Name *

Date of birth *

Address *

City *

Post Code *

State/Division *

Country *

Telephone

Mobile Phone

Fax

Email

If Company

Bank Name

Branch Name

Account No

Routing No

circle

Zone

Division

TIN/Tax ID

Nationality

National ID No:

Passport No

Passport Issue Place

Passport Issue Date

Expiry Date

Electronic Dividend Credit

Yes No

Residency

Resident Non resident

Name *

Father’s Name/ Husband Name *

Mothers Name

Date of birth

Sex

Male Female

Nationality

Address

Third Signatory

Telephone

Name in Full *

Short Name of Nominee *

Relationship with Account holder *

Percentage (%)

Address

City

Post Code

State/Division

Country

Nationality

Telephone

Mobile Phone

Fax

Email

Passport No/NID No

Passport Issue Place

Passport Issue Date

Expiry Date

Residency

Resident Non resident

Date of birth

Name in Full *

Short Name of Nominee *

Relationship with Nominee *

Date of birth of minor

Maturity Date of minor

Address

City

Post Code

State/Division

Country

Nationality

Telephone

Mobile Phone

Fax

Email

Passport No/NID No

Passport Issue Place

Passport Issue Date

Expiry Date

Residency

Resident Non resident

Date of birth

Name of CDBL Participant *

Name of POA Holder

Short Name of POA

Address

City

Post Code

State/Division

Country

Residency

Resident Non resident

Nationality

Date of birth

Telephone

Mobile Phone

Fax

Email

Passport No/NID No

Passport Issue Place

Passport Issue Date

Expiry Date

Effective from

Effective To