‫‪Know Your Customer Form‬‬

‫‪21568486-1-1863253‬‬ ‫ﻣﻌﺮﻑ ﺍﻟﻨﻤﻮﺫﺝ‬ ‫ﻧﺸﻂ‬ ‫ﺣﺎﻟﺔ ﻧﻤﻮﺫﺝ ﺍﻋﺮﻑ ﻋﻤﻴﻠﻚ‬

‫‪2021-06-10 07:10:38.034‬‬ ‫ﺗﻢ ﺣﻔﻆ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺑﺘﺎﺭﻳﺦ‬

‫‪21568486‬‬ ‫ﺭﻗﻢ ﺍﻟﻌﻤﻴﻞ‬ ‫ﺭﻧﻴﻢ*ﺧﺎﻟﺪ*ﺑﻦ ﺍﺣﻤﺪ ﺍﻟﻐﻨﻴﻢ‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻴﻞ‬

‫ﻓﺮﺩ‬ ‫ﺗﺼﻨﻴﻒ ﺍﻟﻌﻤﻴﻞ‬

‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬ ‫‪1115303073‬‬ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ ‪ /‬ﺍﻹﻗﺎﻣﺔ‬

‫ﺟﻨﺴﻴﺎﺕ ﺃﺧﺮﻯ‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

‫ﺭﻗﻢ ﺍﻟﺘﻌﺮﻳﻒ ﺍﻟﻀﺮﻳﺒﻲ‬ ‫ﻧﻌﻢ‬ ‫ﺍﺣﺘﺴﺎﺏ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬

‫ﻣﻼﺣﻈﺎﺕ‬

‫ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﺸﺨﺼﻴﺔ‬
‫‪09/03/2002‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﻣﻜﺎﻥ ﺍﻟﻤﻴﻼﺩ‬

‫‪0‬‬ ‫ﻋﺪﺩ ﺃﻓﺮﺍﺩ ﺍﻷﺳﺮﺓ‬ ‫ﺃﻋﺰﺏ‬ ‫ﺍﻟﺤﺎﻟﺔ ﺍﻻﺟﺘﻤﺎﻋﻴﺔ‬

‫ﺑﺮﻳﺪﺓ‬ ‫ﻣﺪﻳﻨﺔ ﺍﻟﻤﺮﺍﺳﻠﺔ‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺩﻭﻟﺔ ﺍﻟﻤﺮﺍﺳﻠﺔ‬

‫ﺍﻟﺤﻤﺮ‬ ‫ﺍﻟﺤﻲ‬ ‫ﻋﻨﻮﺍﻥ ﺍﻟﻤﺮﺍﺳﻠﺔ‬

‫ﻃﺮﻳﻖ ﺍﻟﻤﻠﻚ ﻓﻬﺪ‬ ‫ﺍﻟﺸﺎﺭﻉ‬

‫ﻻ ﻳﻮﺟﺪ ﻟﺪﻱ ﻫﺎﺗﻒ ﺛﺎﺑﺖ‬ ‫ﺭﻗﻢ ﺍﻟﻬﺎﺗﻒ‬

‫‪+966 (58)3516970‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ‬

‫‪rkaled78@gmail.com‬‬ ‫ﺍﻟﺒﺮﻳﺪ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ‬

‫ﻣﻌﻠﻮﻣﺎﺕ ﺟﻬﺔ ﺍﻟﻌﻤﻞ‬

‫ﻣﻬﻨﺔ ﺃﺧﺮﻯ‬ ‫ﻃﺎﻟﺐ‬ ‫ﺍﻟﻤﻬﻨﺔ ﺍﻟﺤﺎﻟﻴﺔ‬

‫ﺍﺳﻢ ﺍﻟﻤﻨﺸﺄﺓ‬

‫ﻣﺪﻳﻨﺔ ﺍﻟﻤﻨﺸﺄﺓ‬ ‫ﻣﺴﻤﻰ ﺍﻟﻮﻇﻴﻔﺔ‬

‫ﺭﻗﻢ ﻫﺎﺗﻒ ﺍﻟﻤﻨﺸﺄﺓ‬

‫ﻣﺪﺓ ﺍﻟﺨﺪﻣﺔ‬

‫ﻧﻮﻉ ﺍﻟﻌﻤﻞ‬

‫ﻣﻌﻠﻮﻣﺎﺕ ﺍﻟﺒﻨﻚ‬
‫ﺍﻟﺮﺍﺟﺤﻲ‬ ‫ﺍﺳﻢ ﺍﻟﺒﻨﻚ‬

‫ﻋﻠﻲ ﺑﻦ ﺍﺑﻲ ﻃﺎﻟﺐ ‪663‬‬ ‫ﺍﻟﻔﺮﻉ‬

‫‪192000010006086013326‬‬ ‫ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ ﺍﻟﺠﺎﺭﻱ‬

‫ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﻤﺎﻟﻴﺔ‬
‫ﺻﺎﻓﻲ ﺍﻟﺜﺮﻭﺓ ﺍﻟﺘﻘﺮﻳﺒﻲ )ﺑﺎﺳﺘﺜﻨﺎﺀ ﺍﻟﻤﻨﺰﻝ( ‪100,001 - 500,000‬‬ ‫‪25,001 - 100,000‬‬ ‫ﺍﻟﺪﺧﻞ ﺍﻟﺴﻨﻮﻱ ﺍﻟﺘﻘﺮﻳﺒﻲ )ﺑﺎﻟﺮﻳﺎﻝ‬
‫‪) -‬ﺑﺎﻟﺮﻳﺎﻝ ﺍﻟﺴﻌﻮﺩﻱ(‬ ‫ﺍﻟﺴﻌﻮﺩﻱ(‬
‫ﻣﻜﺎﻓﺌﺔ‬ ‫ﺩﺧﻞ ﺁﺧﺮ‬ ‫ﺃﺳﻬﻢ‪ ,‬ﺗﻮﺯﻳﻌﺎﺕ ﻧﻘﺪﻳﺔ‪ ,‬ﺩﺧﻞ ﺁﺧﺮ‪ ,‬ﺩﺧﻞ ﺗﺠﺎﺭﻱ‪ ,‬ﺭﺍﺗﺐ‬ ‫ﻣﺼﺎﺩﺭ ﺍﻟﺪﺧﻞ‬

‫ﺍﺳﻢ ﺍﻟﺸﺮﻛﺔ‬ ‫ﻻ‬ ‫ﻫﻞ ﺍﻟﻌﻤﻴﻞ ﻋﻀﻮ ﻣﺠﻠﺲ ﺇﺩﺍﺭﺓ ﺃﻭ ﻣﺴﺆﻭﻝ ﻓﻲ ﺷﺮﻛﺔ ﻣﺪﺭﺟﺔ ؟‬

‫ﻣﺴﻤﻰ ﺍﻟﻤﻨﺼﺐ‬ ‫ﻫﻞ ﺍﻟﻌﻤﻴﻞ ﺃﻭ ﺃﺣﺪ ﺃﻗﺮﺑﺎﺋﻪ ﻣﻦ ﺍﻟﺪﺭﺟﺔ ﺍﻷﻭﻟﻰ ﻳﺸﻐﻞ ﺃﻭ ﻛﺎﻥ ﻳﺸﻐﻞ ﻣﻨﺼﺐ ﺣﻜﻮﻣﻲ ﺃﻭ ﻻ‬
‫ﻋﺴﻜﺮﻱ ﺭﻓﻴﻊ ؟‬
‫ﻧﻌﻢ‬ ‫ﻫﻞ ﺃﻧﺖ ﺍﻟﻤﺴﺘﻔﻴﺪ ﺍﻟﺤﻘﻴﻘﻲ ﻣﻦ ﺍﻟﺤﺴﺎﺏ ؟‬

‫‪2021-06-10 07:11:04.15‬‬
‫ﺷﺮﻛﺔ ﺍﻟﺮﺍﺟﺤﻲ ﺍﻟﻤﺎﻟﻴﺔ ﻫﻲ ﺷﺮﻛﺔ ﻣﺴﺎﻫﻤﺔ ﺳﻌﻮﺩﻳﺔ ﻣﻘﻔﻠﺔ ﻣﺮﺧﺺ ﻟﻬﺎ ﻣﻦ ﻗﺒﻞ ﻫﻴﺌﺔ ﺍﻟﺴﻮﻕ ﺍﻟﻤﺎﻟﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ ﺑﺘﺮﺧﻴﺺ ﺭﻗﻢ ‪07068/37‬‬
‫ﻭﻋﻨﻮﺍﻥ ﻣﻘﺮﻫﺎ ﻫﻮ‪ :‬ﻃﺮﻳﻖ ﺍﻟﻤﻠﻚ ﻓﻬﺪ ‪ -‬ﺹ‪.‬ﺏ ‪ 5561‬ﺍﻟﺮﻳﺎﺽ ‪ - 11432‬ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‪.‬‬
‫ﺍﻟﻬﺎﺗﻒ ﺍﻟﻤﺠﺎﻧﻲ ‪ 920005856‬ﺍﻟﻤﻮﻗﻊ ﺍﻻﻟﻜﺘﺮﻭﻧﻲ ‪www.alrajhi-capital.com‬‬
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 ‫‪Know Your Customer Form‬‬
‫‪21568486-1-1863253‬‬ ‫ﻣﻌﺮﻑ ﺍﻟﻨﻤﻮﺫﺝ‬ ‫ﻧﺸﻂ‬ ‫ﺣﺎﻟﺔ ﻧﻤﻮﺫﺝ ﺍﻋﺮﻑ ﻋﻤﻴﻠﻚ‬

‫‪2021-06-10 07:10:38.034‬‬ ‫ﺗﻢ ﺣﻔﻆ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺑﺘﺎﺭﻳﺦ‬

‫‪21568486‬‬ ‫ﺭﻗﻢ ﺍﻟﻌﻤﻴﻞ‬ ‫ﺭﻧﻴﻢ*ﺧﺎﻟﺪ*ﺑﻦ ﺍﺣﻤﺪ ﺍﻟﻐﻨﻴﻢ‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻴﻞ‬

‫ﻓﺮﺩ‬ ‫ﺗﺼﻨﻴﻒ ﺍﻟﻌﻤﻴﻞ‬

‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬ ‫‪1115303073‬‬ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ ‪ /‬ﺍﻹﻗﺎﻣﺔ‬

‫ﺟﻨﺴﻴﺎﺕ ﺃﺧﺮﻯ‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

‫ﺭﻗﻢ ﺍﻟﺘﻌﺮﻳﻒ ﺍﻟﻀﺮﻳﺒﻲ‬ ‫ﻧﻌﻢ‬ ‫ﺍﺣﺘﺴﺎﺏ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬

‫ﻣﻼﺣﻈﺎﺕ‬

‫ﻣﻌﻠﻮﻣﺎﺕ ﺃﻣﻴﻦ ﺍﻟﺤﻔﻆ‬

‫ﺷﺎﺭﻉ ﺍﻟﻌﻠﻴﺎ‬ ‫ﻋﻨﻮﺍﻥ ﺃﻣﻴﻦ ﺍﻟﺤﻔﻆ‬ ‫ﺍﻟﺮﺍﺟﺤﻲ ﺍﻟﻤﺎﻟﻴﺔ‬ ‫ﺍﺳﻢ ﺃﻣﻴﻦ ﺍﻟﺤﻔﻆ‬

‫ﺃﻳﻦ ﺗﺮﻏﺐ ﺍﺭﺳﺎﻝ ﺍﻵﺗﻲ‬

‫ﺃﺧﺮﻯ‬ ‫ﺃﻣﻴﻦ ﺍﻟﺤﻔﻆ‬ ‫ﺍﻟﺸﻬﺎﺩﺍﺕ‬

‫ﺃﺧﺮﻯ‬ ‫ﺃﻣﻴﻦ ﺍﻟﺤﻔﻆ‬ ‫ﺣﺼﺺ ﺍﻷﺭﺑﺎﺡ ﺃﻭ ﺃﻱ ﺩﺧﻞ ﺁﺧﺮ‬

‫ﺃﺧﺮﻯ‬ ‫ﺃﻣﻴﻦ ﺍﻟﺤﻔﻆ‬ ‫ﻋﺎﺋﺪﺍﺕ ﺍﻟﻤﺒﻴﻌﺎﺕ‬

‫ﻣﻌﻠﻮﻣﺎﺕ ﺍﻻﺳﺘﺜﻤﺎﺭ‬
‫ﺍﻟﻨﺴﺒﺔ ﺍﻟﻤﺌﻮﻳﺔ )‪(%‬‬ ‫ﺍﻟﻘﻴﻤﺔ ﺑﺎﻟﺮﻳﺎﻝ ﺍﻟﺴﻌﻮﺩﻱ‬ ‫ﺍﻷﺻﻮﻝ‬

‫‪0‬‬ ‫ﺍﻷﺳﻬﻢ‬

‫‪0‬‬ ‫ﺍﻻﺟﻤﺎﻟﻲ‬

‫ﺍﻟﻤﻌﺮﻓﺔ ﻭﺍﻟﺨﺒﺮﺍﺕ ﺍﻻﺳﺘﺜﻤﺎﺭﻳﺔ‬

‫ﻣﻤﺘﺎﺯﺓ‬ ‫ﺍﻟﻤﻌﺮﻓﺔ ﻭﺍﻟﺨﺒﺮﺍﺕ ﺍﻻﺳﺘﺜﻤﺎﺭﻳﺔ‬

‫ﻋﺎﻟﻴﺔ‬ ‫ﻗﺪﺭﺓ ﺍﻟﻌﻤﻴﻞ ﻋﻠﻰ ﺗﺤﻤﻞ ﺍﻟﻤﺨﺎﻃﺮﺓ‬

‫ﻧﻤﻮ ﺭﺃﺱ ﺍﻟﻤﺎﻝ‬ ‫ﻣﺎﻫﻲ ﺍﻷﻫﺪﺍﻑ ﺍﻻﺳﺘﺜﻤﺎﺭﻳﺔ ﺍﻟﻌﺎﻣﺔ‪:‬‬

‫ﺭﻳﺎﻝ ﺳﻌﻮﺩﻱ‬ ‫ﻣﺎ ﻫﻲ ﺍﻷﺻﻮﻝ ﺍﻻﺳﺘﺜﻤﺎﺭﻳﺔ ﺍﻟﻤﻔﻀﻠﺔ ﻟﻠﻌﻤﻴﻞ‪:‬‬

‫ﻣﻌﻠﻮﻣﺎﺕ ﻋﻦ ﺍﻟﻤﺤﻔﻈﺔ ﺍﻻﺳﺘﺜﻤﺎﺭﻳﺔ ﺍﻟﻤﺜﺎﻟﻴﺔ ﻟﻠﻌﻤﻴﻞ‬

‫ﺍﻻﺟﻤﺎﻟﻲ‬ ‫ﻣﺨﺎﻃﺮ ﻋﺎﻟﻴﺔ‬ ‫ﻣﺨﺎﻃﺮ ﻣﺘﻮﺳﻄﺔ‬ ‫ﻣﺨﺎﻃﺮ ﻣﺘﺪﻧﻴﺔ‬ ‫ﺃﺩﺍﺓ‬

‫‪100 %‬‬ ‫‪100 %‬‬ ‫‪0%‬‬ ‫ﺍﻷﺳﻬﻢ‬

‫‪100 %‬‬ ‫‪100 %‬‬ ‫‪0%‬‬ ‫‪0%‬‬ ‫ﺍﻻﺟﻤﺎﻟﻲ‬

‫‪2021-06-10 07:11:04.15‬‬
‫ﺷﺮﻛﺔ ﺍﻟﺮﺍﺟﺤﻲ ﺍﻟﻤﺎﻟﻴﺔ ﻫﻲ ﺷﺮﻛﺔ ﻣﺴﺎﻫﻤﺔ ﺳﻌﻮﺩﻳﺔ ﻣﻘﻔﻠﺔ ﻣﺮﺧﺺ ﻟﻬﺎ ﻣﻦ ﻗﺒﻞ ﻫﻴﺌﺔ ﺍﻟﺴﻮﻕ ﺍﻟﻤﺎﻟﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ ﺑﺘﺮﺧﻴﺺ ﺭﻗﻢ ‪07068/37‬‬
‫ﻭﻋﻨﻮﺍﻥ ﻣﻘﺮﻫﺎ ﻫﻮ‪ :‬ﻃﺮﻳﻖ ﺍﻟﻤﻠﻚ ﻓﻬﺪ ‪ -‬ﺹ‪.‬ﺏ ‪ 5561‬ﺍﻟﺮﻳﺎﺽ ‪ - 11432‬ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‪.‬‬
‫ﺍﻟﻬﺎﺗﻒ ﺍﻟﻤﺠﺎﻧﻲ ‪ 920005856‬ﺍﻟﻤﻮﻗﻊ ﺍﻻﻟﻜﺘﺮﻭﻧﻲ ‪www.alrajhi-capital.com‬‬
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 ‫‪Know Your Customer Form‬‬
‫‪21568486-1-1863253‬‬ ‫ﻣﻌﺮﻑ ﺍﻟﻨﻤﻮﺫﺝ‬ ‫ﻧﺸﻂ‬ ‫ﺣﺎﻟﺔ ﻧﻤﻮﺫﺝ ﺍﻋﺮﻑ ﻋﻤﻴﻠﻚ‬

‫‪2021-06-10 07:10:38.034‬‬ ‫ﺗﻢ ﺣﻔﻆ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺑﺘﺎﺭﻳﺦ‬

‫‪21568486‬‬ ‫ﺭﻗﻢ ﺍﻟﻌﻤﻴﻞ‬ ‫ﺭﻧﻴﻢ*ﺧﺎﻟﺪ*ﺑﻦ ﺍﺣﻤﺪ ﺍﻟﻐﻨﻴﻢ‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻴﻞ‬

‫ﻓﺮﺩ‬ ‫ﺗﺼﻨﻴﻒ ﺍﻟﻌﻤﻴﻞ‬

‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬ ‫‪1115303073‬‬ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ ‪ /‬ﺍﻹﻗﺎﻣﺔ‬

‫ﺟﻨﺴﻴﺎﺕ ﺃﺧﺮﻯ‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

‫ﺭﻗﻢ ﺍﻟﺘﻌﺮﻳﻒ ﺍﻟﻀﺮﻳﺒﻲ‬ ‫ﻧﻌﻢ‬ ‫ﺍﺣﺘﺴﺎﺏ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬

‫ﻣﻼﺣﻈﺎﺕ‬

‫ﺍﺗﻔﺎﻗﻴﺔ ﻓﺘﺢ ﺣﺴﺎﺏ ﺍﺳﺘﺜﻤﺎﺭﻱ‬

‫ﺍﻟﺮﺍﺟﺤﻲ ﺍﻟﻤﺎﻟﻴﺔ ﺗﻄﻠﺐ ﻣﻨﻜﻢ ﻗﺮﺍﺀﺓ ﺍﺗﻔﺎﻗﻴﺔ ﻓﺘﺢ ﺍﻟﺤﺴﺎﺏ ﺍﻻﺳﺘﺜﻤﺎﺭﻱ ﻭ ﺍﻟﻤﻮﺍﻓﻘﺔ ﻋﻠﻰ ﺍﻟﺸﺮﻭﻁ ﻭﺍﻷﺣﻜﺎﻡ ﺍﻟﻤﻜﺘﻮﺑﺔ‪.‬‬

‫ﺃﻭﺍﻓﻖ ﻋﻠﻰ ﺍﻟﺸﺮﻭﻁ ﻭﺍﻷﺣﻜﺎﻡ ﺍﻟﺨﺎﺻﺔ ﺑﺈﺗﻔﺎﻗﻴﺔ ﻓﺘﺢ ﺍﻟﺤﺴﺎﺏ ﺍﻻﺳﺘﺜﻤﺎﺭﻱ‬

‫ﺗﻮﻗﻴﻊ ﺍﻟﻌﻤﻴﻞ‬

‫ﺍﻻﻗﺮﺍﺭ ﻭﺍﻟﺘﻌﻬﺪ‬
‫ﺃﻗﺮ ﺑﺄﻥ ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﺘﻲ ﺗﻢ ﺗﺰﻭﻳﺪﻛﻢ ﺑﻬﺎ ﺻﺤﻴﺤﺔ‪.‬‬

‫ﺗﻮﻗﻴﻊ ﺍﻟﻌﻤﻴﻞ‬

‫‪2021-06-10 07:11:04.15‬‬
‫ﺷﺮﻛﺔ ﺍﻟﺮﺍﺟﺤﻲ ﺍﻟﻤﺎﻟﻴﺔ ﻫﻲ ﺷﺮﻛﺔ ﻣﺴﺎﻫﻤﺔ ﺳﻌﻮﺩﻳﺔ ﻣﻘﻔﻠﺔ ﻣﺮﺧﺺ ﻟﻬﺎ ﻣﻦ ﻗﺒﻞ ﻫﻴﺌﺔ ﺍﻟﺴﻮﻕ ﺍﻟﻤﺎﻟﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ ﺑﺘﺮﺧﻴﺺ ﺭﻗﻢ ‪07068/37‬‬
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