Professional Documents
Culture Documents
ro vdkd {qqt ffictur 1rNur ud' qne' t wrqtrr vf6r{ dr{Lrdr t€fur ERtq rril' q,t6rrn
tfr'rr-6i mfttE &er r
Please complete all details and strike out the non-applicable fields/boxes. 5revr*
fufqq*f qtci
Sdrffi*atur.)fr. FP Size Photo
(Recent)
Sweta Securities (P.) Ltd.
(qTiw)
qrq
rr&q-n
Natio n alitv n m, Nepalese
qrtr fuk
Citizenship No. lssue District lssue Date
*q: ffiq;i.:
Tole : Telephone No.
'ifi-c :
*qrrq i.:
E-mail lD Mobile No.:
(Permanent Addressf
stqr k<r
Province District
etd rtT.qT. ,/{.qI. /g.q.q. gT. ,/q.q. gT.
Rural Municipality/Municipality/
Tole Sub Metropolitan city/
Metropolitan city
ffic;t.: zt-fi i'.: q+ d.:
Telephone No Ward No. Block No.
Page 1 of4
qk{rCrr ${Frff-+1 HTflr tat-i q5.r qWI QrT .rd qf+il (Details of Family Members)
gqrd fl-q
Father's Name
(ln Block Letter)
qrffi il-q
Gnand Fathe/s Name . .. .
Bil-CrdqH
Mothe/s Name
qfr/kffi qrq
:' : : : I i :
milq
Son's Name
rirt-+]mq
tqffiao)
Daughter's Name
garffi mr
Daughter's in Law's : : i
Name
Father in Law's
Name
':
Trrurat ers
lVother in Law's
lrla..a ;
t\ailte '
*+ qmr+r fdkq :
t-t q=rf, qrf,I q"-fr qrdr
Types of Bank Account LJ 5sv61g Account CurrentAccount
a? crcr rrq{.
BankAccount Number:
il+ qlfl \rd[ ffi m{ r }qj]- .
r-'l qrc|-t
u gusinessperson n
qTWT+I IZFR :
Page 2 ot 4
ilffi+ k+rur : slrq-+1 trqr taff:+ k*q / lncome Limit (Annual Details)
Financial Details
n t. {,oo,ooo (q n E. {,oo,oo1 tfu t. 1o,oo,ooo ffi
- Upto Rs. 5,00,000 - From Rs. 5,00,001 to Rs. 10,00,000
TrErt
n €. 1o,oo,ooo t1;q1
Above Rs. 10,00,000
ffic ktrr
{gr { ftsr+-s1frtA
s-{ i (ar€r*
teri[-+i k.l-{"r 1q5qK+7f{ftrcil+i FF'qr qH) Guardian's Derairs (rn case of Minor/tnteilectuaily Disabted onty} ffir
qTIT/SR :
Name/Surname : (ln Block letter)
ffie+vrrai' (rtffiI . ..
.
q-trqn arnqT : :
Correspondence Address :
tqr: gter: :
Country: Province :
d-rer-+-+l 6firq{-(
Guardian's Signature
1. q76{t& fffia qftffir eiitr gq}.r.r+ r+q qrq-fr tTkqrrlT t. q',/6rfr awf q+m a"T-+l Erdil
t-{Hr €+t ez*q r
frt+\'+i 6q-q f\T rt q r rg. F€q'ftqfg q1 qtr r{.nrt'l cqft qi6 rida} arturqlE
x. qr6.ftA ftrjiqr q-rE;di defl q"q g-qfeil hqq 4rfld{air inllar* ffitl-qr ar.q flahq *fli{ s-Fq-ffderr q-R-{ ft..€rgE-{
cl-qlT rrfq r qt' qtrqR a qfrq{ Tld i-tl,,6rt't r=qt q r
1. ffi mrric+-dt-$r a-oqr qrrfr+-dr+r e-rfiuTq-Tqt cltrffi r {. 3rrff +r aq wer* itrtri d-<r m
l. r.q tqr+1 qr.rft.fdr Fqrqr qrqr}i+}
sftffrft r
yiaftrfi r
qril.F-d 6QreR
Client's Signature
iTr[, elt :
iTq, q-{
Y(: rR:
ERTElt
6RT*l-t:
qH*rrffirtiler
fuqtrftK a.-dh Errrr: ....