Your application of

Normal Savings Account

Reference no. : NPR97-846 Application date: 06 APRIL 2020

Personal details Mailing address

First, middle, last name Pradita Shakya Same as permanent address Yes
Date of birth 16-09-1980 Same as residence address No
Gender Female District -
Citizenship number 12775 Municipality/VDC -
Issuing district Kathmandu Ward number -
Issued date (BS) 01/03/2054 Tole/Street/Road -
Passport number 06721050 House number -
Issuing district Kathmandu Phone number -
Issued date (AD) 25-09-2013 P.O. box number -
Expiry date (AD) 24-09-2023 Nearest landmark Koinonia Bhaktapur Church
Type of identification card Driving license Mobile 9851014370
Identification number 010600200970 Email ID pradita.shakya@gmail.com
Issuing authority Government of Nepal
Issued date (BS) 22/10/2058
Expiry date (BS) 17/10/2078
Pan number 0

Permanent address Associated profession / Business

District Bhaktapur Nature of employment Others
Municipality/VDC Suryabinayak Other nature of employment Diplomatic Mission
Ward number 5
Name of organization US Embassy in Nepal
Tole/Street/Road Manoram Tole
Full address Maharajgunj, Kathmandu,
House number 65 Nepal
Phone number 16611717 Designation Visa Assistant
Department Consular Section
Current residence address 0
Duration in years
Same as permanent address Yes Nature of business Diplomatic Mission
District -
Average monthly income -
Municipality/VDC -
Estimated annual/income -
Ward number -
Remuneration
Tole/Street/Road -
Annual estimated -
House number - transaction
Phone number -

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Your application of
Normal Savings Account

Reference no. : NPR97-846 Application date: 06 APRIL 2020

Single family details Transaction profile

Spouse Suresh Kumar Karki Source of fund Salary Income
Father Pushpa Ratna Shakya Other source of fund -
Mother Punneshori Shakya Purpose of account Payroll
Grand father Late Pancha Mani Shakya Other purpose of account -
Son Pranish Karki
Daughter -
Expected transaction
Daughter in law - Deposit

Father in law Ashok Kumar Karki Number of transactions 2

Total amount (NPR) 100000

Withdrawal
Account Opening Form AOF Supplement
Number of transactions 10
Name Pradita Shakya Total amount (NPR) 50000

Alias NA

Country of residence Nepal Electronic banking services

Country of birth You do not want to subscribe No
Nepal the online banking service
Nationality/Citizenship Nepalese You do not want to subscribe No
the eStatement service
Other nationality/citizenship -
held Paper statement

Are you a U.S. Resident? No Mode of delivery - Frequency -

Are you a U.S. Citizen? No Name on debit card Pradita Shakya

Are you holding U.S. permanent No Credit card link to online banking -
resident card (Green Card)?
Would you like the Bank to No
Is the residential address mentioned No inform you about new Products
in account opening form a care of
& Services?
address?

I have granted a power of Attorney No

to a person who has a U.S. address
Account opening branch
I have authorized a person who has Lazimpat, Kathmandu
No
a U.S. address to operate the
banking account (either physically
or electronically)
Documents uploaded
I have set up Payment Standing No
Instruction (s) for the banking
-
account and the beneficiary
accounts(s) is in U.S.

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