You are on page 1of 4

Registration Request Details

AL RAJHI CAPITAL
Tel:800 124 5858/920005856,Fax:
Request Number : 265837 Request type : Individual

Personal Information

1. Title : Mr
2. First Name : omar
3. Middle Name :
4. Family Name : alshammari
5. Gender : Male
6. Civil Status : Single 7.No Of Dependents : 0
8. Nationality : SAUDI ARABIA

9.Date of Birth : 20/04/1995 10.Place of Birth : SAUDI ARABIA


11.Passport No : 12.Issue Date :
13.Expiry Date :
14.Identification Type : National ID 15.Identification No : 1092018868

16.Expiry Date : 15/07/2024


17.Products : Equities FX, CFDs
18.Category : Professional NonProfessional

Contact Information

19.Mobile Number : +966561765506 20.Secondary Mobile :


21.Land Line : 22.Secondary Land Line :
23.Email Address : i.omar9@hotmail.com
24.Address : Hail-Alkhamasiah, null
25.Country : SAUDI ARABIA
26.Mailing Address is same as Permanent address : YES NO

Please sign below to verify the information given above;

May 31, 2021


Signature Date
Employment Information

29.Employment Status : Self Employed 30.Job Title :


31.Nature of business :
32.Employer :
33.Years with Employer :
34.Employer Address :
35.City : 36.Zip Code :
37.Country :

38.Are you an employee of a brokerage or an asset management company? : YES NO


39.Are you a director or an office in a public limited company? : YES NO
40.If the answer is YES, please state the name of the company :

Login Information

41.Username : iOmar
42.Preferred Language : Arabic

Bank Information

43.Bank Name : Al Rajhi


44.Account Number : 420000010006080321091
45.Bank Currency : SAR
46.Trading Currency: : AED

Please sign below to verify the information given above;

May 31, 2021


Signature Date
Finance and Investment Information

47.Approximate Annual Income (In thousands) : 0 - $49K


48.Approximate net worth excluding principal of residence : $100 - $499K
49.Initial Deposit Amount : 4
50.Source of funds : Buseniss
51.Percentage of capital will you invent in capital markets : Between 25%-50%
52.General Investment Objectives : Capital Protection
Income Balanced
Growth Speculation
53.Do you have experience in Bonds : YES NO
54.Do you have experiences in Share Trading : YES NO
55.Do you have experience in investment funds : YES NO
56.Do you have experiences in FX or other derivatives : YES NO
57.How Active : Less than 10 per month
10-100 per month
Over 100 per month
58.Did you attend any course related to investment businesses : NA

Please sign below to verify the information given above;

May 31, 2021


Signature Date
Filling Person Information

59.Are you a filling this form on behalf of someone else? : YES NO


60.Capacity (If no) :

Terms and Conditions

Al Rajhi Capital is a Saudi Joint Stock Company, licensed by the Saudi Arabian Capital Market Authority (No.
07068/37) Head Office, King Fahad Road – P.O. Box 5561, Riyadh 11432, KSA. Toll Free: 800 124 5858.
Website: www.alrajhi-capital.com

Please sign below to verify the information given above;

May 31, 2021


Signature Date

You might also like