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Screen No.:
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Dear Sir/Madam, KYC:
s[kof tn pNn]lvt gfddf vftf vf]lnlbg' xf]nf . Client Code:
Please open in your book an account with undermentioned title.
Account No.:
vftfsf] lsl;d -pko'Qm 7fp“df [ü] lrGx nufpg'xf]; ._ / Nature of Accounts (Mark [ü] as Appropriate)
art ;+o'Qm vftf gfaflnu ;+:yfut cGo
Saving Account Joint Account Minor Institutional Others ______________
Types of Account:
b]jgfu/LdfM
lnËM dlxnf k'?if cGo a}jflxs l:yltM ljjflxt clajflxt
Gender: Female Male Other Marital Status Married Unmarried
....................
hGd ldlt -lj=;+=_M /fli6«otfM
Date of Birth (B.S.): Nationality:
k]zfM Kofg g+=M
Occupation: PAN No.:
Mr./Mrs./Ms/Others
(in BLOCK Letters
1
>Ldfg\÷>LdtL÷;'>L÷cGo
Mr./Mrs./Ms/Others 2
(in BLOCK Letters
>Ldfg\÷>LdtL÷;'>L÷cGo
/lhi68{ 7]ufgf
Registered Address
:yfoL 7]ufgf÷Permanent Address xfnsf] 7]ufgf÷Present Address kqfrf/ ug]{ 7]ufgf÷Communication Address
kmf]6f]
Photo
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Photo
For Manjushree Finance use only / d~h'>L kmfOgfG;sf] k|of]hgsf] nflu dfq
Initial Initial Account opened by
Opened Date: Documentation Completed Name: ...................................................................
Specimen Signature Card Introduction confirmed Signature: ..............................................................
Nominee A/C Verified & Approved by
Name: ...................................................................
Identification copies
verified against originals Signature: ..............................................................
pk/f]Qm vftf ;+rfng ;DaGwL d~h'>L kmfO{gfG; lnld6]8sf] zt{x? k9]+÷k9\of]}+ / pQm lgodx?sf] kfngf ug{ d]/f]÷xfd|f} d~h'/L 5 .
lgod / ;t{x¿
8]la6 sf8{
!= d~h'>L kmfOgfG; lnld6]8sf] 8]la6 sf8{ ;w}+ d~h'>L kmfOgfG; lnld6]8sf] ;DklQ x'g]5 .
@ pQm sf8{ cGo s;}nfO{ x:tfGt/0f ug{ kfO{b}g .
#= olb sf8{ wf/sn] k]z u/]sf] hfgsf/L em'§f kfOPdf jf sf8{sf] b'?kof]u ePdf d~h'>Ln] sf8{ wf/snfO{ hf/L u/]sf] sf8{ hkmt jf /2 ug{ ;Sg]5 .
$= sf8{ k|of]u u/L /sd lgsfNg] ;lxt ul/Psf ;Dk"0f{ sf/f]jf/sf] nflu sf8{ wf/sn] tf]s]sf] vftfx?jf6 s§f ug]{5 . o; k|of]hgsf] nflu sf8{ wf/s ;+:yfnfO{
cfgf] tf]lsPsf] vftfjf6 sf8{sf] k|of]u u/L ul/Psf] /sd s§f ug{ ckl/jt{lgo 9Ëjf6 clVtof/ k|bfg ub{5 .
%= sf8{ / To;n] k|bfg ug{] ;]jfx¿ ;DaGwL] tf]s] adf]lhdsf] ;a} z'Nsx? tf]lsPsf] vftfx?jf6 o; lalQo ;+:yfn] s§f ug]{5 .
^= tf]lsPsf] ;+o'Qm vftfx?sf] ;DjGwdf sf8{åf/f ul/Psf] ;Dk"0f{ sf/f]jf/sf] nflu ;j} ;b:ox? ;+o'Qm / Psn ?kdf lhDd]jf/ x'g]5g\ .
&= s'g} klg ;dodf ;b:otf vf/]h ug{], sf8{df k|bfg ul/Psf ;'lawfx? lkmt{f lng] jf Dofb ;lsPsf] sf8{nfO{ s'g} klg ;dodf gjLs/0f gug{] / sf8{ wf/snfO{
sf8{ ;dk{0f ug{ cfXjfg ug{] clwsf/ o;} ;+:yfdf lglxt /xg]5 .
*= ;'ljwfx? al~rt u/]sf] jf ;b:otf vf/]h u/]sf] ;"rgf kl5 sf8{sf] k|of]u wf]vfw8L xf] / k|rlnt sfg"g cg';f/ ;+:yfn] sfg'gL sf/afxL ug{ ;Sg]5 .
(= sf8{df tf]lsPsf] Dofb ;lsg] ldlteGbf cufl8 sf8{ wf/sn] ;+:yfnfO{ sf8{ /2 jf gljs/0f ug{sf nflu lnlvt lgb{]zg lbg' kg{]5 .
!)= sf8{ wf/snfO{ hf/L ul/Psf] sf8{ / JolQmut kl/rofTds gDj/ -o;kl5 lkg elgg]5_ k"0f{ ¿kdf sf8{ wf/ssf] hf]lvd / bfloTjdf /xg]5g . sf8{ wf/sn]
cGo s'g} klg JolQmnfO lkg JoQm ug]{ 5}g jf sf8{sf] :jfldTj cGo s'g} JolQmnfO{ u|x0f ug{ cg'dlt lbg] 5}g . sf8{ wf/snfO{ yfxf jf clVtof/ eO{ geO{
sf8{sf] k|of]u u/L ul/Psf] ;Dk"0f{ sf/f]jf/sf] bfloTj sf8{ wf/sn] lng]5 .
!!= x/fPsf]÷rf]/L ePsf], ljlu|Psf] sf8{ / AoQm ul/Psf] lkg ;DjGwdf ;+:yfnfO{ lnlvt ¿kdf hfgsf/L lbg sf8{ wf/s d~h'/ ub{5 . o;/L lbO{Psf] hfgsf/Lk"j{sf]
;Dk"0f{ sf/f]jf/x? k|lt sf8{ wf/s g} lhDd]jf/ 7xl/g]5 .
!@= gub lemSg] / vl/b ;lxtsf] b}lgs sf/f]jf/ ;Ldf lgwf{/0f ug]{ / ;+:yfsf] cfgf] Automated Teller Machine -o;kl5 Pl6Pd elgg]5_ jf6 k|bfg ul/g]
gf]6sf] b/ lgwf{/0f ug]{ clVtof/ o; ;+:yfdf lglxt /xg]5 .
!#= sf8{sf] jf Pl6Pd jf Point of Sale Terminal -o; kl5 lkcf]P; elgg]5_ sf] v/fjLn] To:tf d]lzgdf ckof{Kt /sd ePsf]n], oflGqs jf laB'lto k|jfxsf]
v/fjLn] jf cGo sf/0fn] pTkGg s'g} klg jf h'g;'s} sf/0fn] Pl6Pd jf laqm]tfsf] :yndf /x]sf lkcf]P;jf6 ;]jfx? k|fKt ug{ g;lsPdf ;+:yf s'g} klg k|sf/n]
hjfkmb]xL x'g] 5}g .
!$= sf8{ dfkm{t ul/Psf] sf/f]jf/ ;DalGw s'g} klg ljjfb ;+:yfnfO{ sf/f]jf/ ePsf] #) lbgleq rfh{Aofssf] k|lqmof yfNgsf] nflu ;"lrt ug'{kg]{5 .
!%= sf/f]jf/sf] ;Totf olsg ug{ ;do ;dodf sf/f]jf/sf] ljj/0f hfFrug]{ bfloTj sf8{ wf/ssf] x'g]5 .
!^= oxfF pNn]lvt zt{ tyf aGb]hx?sf] kfngf sf8{ wf/sjf6 x'g g;s]/ pTkGg ePsf] / ;+:yfn] a]xf]/]sf] ;Dk"0f{ Iflt xhf{gf vr{ jf Aook|lt ;+:yfnfO{ s'g} bfjL ug]{
5}g egL sf8{ wf/s d~h'/ ub{5 .
!&= oL zt{ tyf aGb]hx? / z'Ns tyf b:t'/x? sf8{ wf/snfO{ k"j{ ;"rgf glbO{ kl/dfh{g ug{] clwsf/ ljlQo ;+:yf;Fu lglxt /xg]5 / To:tf kl/dfh{g tyf ;+zf]wgx¿
sf8{ wf/snfO{ dfGg afWosf/L x'g]5 .
!*= ;a} ljjfbx¿ sf7df8f}+, g]kfnsf cbfntx¿sf] sfo{If]qdf kg]{5g\ .
df]afOn a}+lsË
!= df]afOn a}+lsª ;]jf s]jn JolQmut k|of]hgsf] nflu dfq xf] . of] c? s;}nfO{ x:tfGt/0f ul/g] 5}g . o;sf] k|of]u ljQLo ;+:yfn] O+uLt u/]sf] k|of]hgsf] nflu
dfq ul/g] 5 .
@= u|fxsn] o; ;+:yfjf6 sf/f]jf/sf nfuL lbOPsf ;'/lIft uf]Ko gfd, kf;j8{, lkg cflb hfgsf/Lx?sf] uf]klgotf sfod ug]{5 / oL hfgsf/Lx? s'g}klg cj:yfdf,
s;}nfO{ slxn] klg lbg] 5}g .
#= olb cfgf uf]Ko kf;j8{, gDj/, lkg x/fPsf] cyjf ;f]sf] hfgsf/Lx? st} sf]xL c;DjlGwt JolQmsf] hfgsf/Ldf cfPsf] yfxf ePdf t'?Gt ;+:yfnfO{ hfgsf/L
u/fO{ /2 u/fpg'kg]{5 / ltgsf] kl/jt{g ug'{kg]{5 .
$= df]afOn a}+lsË ;]jfsf] k|of]uaf6 x'g] ;a} sf/f]af/sf] k"0f{ lhDd]jf/L u|fxs :jo+sf] x'g]5 .
%= u|fxssf] hfgsf/L jf hfgsf/L ljgf g}, u|fxsnfO{ pknJw lkg, kf;j8{ cflbsf] k|of]ujf6 ul/Psf] ;Dk"0f{ sf/f]jf/ cfb]znfO{ sfof{Gjog ug]{ xs ;+:yf ;+u ;'/lIft
/x]sf] x'g]5 .
^= df]afOn a}+lsË k|0ffnL dfkm{t lbO{Psf cfb]zx? k|ToIf ?kdf u|fxsjf6 gcfPsf] z+sf nfu]df ;+:yfn] o:tf cfb]znfO{ cl:jsf/ ug]{ xs cfkm";+u ;'/lIft /fv]sf]
x'g]5 .
&= ljlQo ;+:yfn] ;]jf k|bfg u/] jfkt cfgf] cfGt/Ls lgod cg';f/sf] sldzg jf ;]jf z'Ns nufpg ;Sg]5 . ;+:yfn] ;do ;dodf lgwf{/0f yk jf kl/dfh{g u/]
cg';f/sf] z'Ns u|fxssf] vftfdf nfu" ug{ ;Sg]5 . s'g} klg z'Ns, vr{, sldzg dflh{g hl/jfgf / ;/sf/sf] laefu jf lgsfojf6 c;'n ug]{ s/ e'QmfgLsf]
nflu u|fxsnfO{ ;"rgf ;lxt jf ljgf ;"rgf u|fxssf] vftfjf6 c;'n pk/ ug{ a}+snfO{ ;b}j clVtof/L x'g]5 . uNtL clen]v ePsf] cj:yfdf To;nfO{ ;Rofpg]
clwsf/ a}+snfO{ x'g]5 .
*= df]afOn a}+lsË k|0ffnLdf x'g cfPsf] l9nfO{, c8\rg, jfwf jf cGo s'g} k|fljws sf/0fj; u|fxssf] cfb]zsf] sfof{Gjogdf x'g uPsf] l9nfO{ jf afwfjf6 u|fxsnfO{
x'g uPsf] c;'ljwf, Iflt jf xfgL gf]S;fgLsf] nflu ;+:yf s'g} klg lsl;dn] lhDd]jf/ x'g] 5}g .
(= u|fxfssf] vftfdf kof{Kt /sdsf] cefjx'g] u/L s'g}klg cfb]z df]afOn a}+lsË k|0ffnL dfkm{t ljlQo ;+:yfnfO{ lbg] 5}g . o:tf cfb]z ;+:yfn] kfpbfv]/L vftfdf
kof{Kt /sdsf] cefj ePdf oL cfb]zsf] kfngf ug{ ;+:yf afWo x'g] 5}g .
!) u|fxsn] ;+:yfsf] clen]v cg';f/ u|fxfssf] vftfdf bh{ u/]sf clen]vx?nfO{ ;b}j :jLsf/ ug]{5 / s'g}klg k|of]hgsf] nflu lg0ff{os x'g]5 .
!!= df]afOn a}+lsË k|0ffnLsf] k|of]u ;w}+ k|rlnt lgod / ljlgodx?sf] clwgdf /xg]5 .
!@= pNn]lvt lgod Pj+ zt{x?nfO{, s'g} klg ;dodf, u|fxsnfO{ ;'lrt u/L jf gu/L ;+zf]wg, kl/jt{g jf yk ug]{ clwsf/ ;+:yfnfO{ /xg]5 / oL kl/jt{gx? ;b}j
u|fxsn] :jLsf/ ug'{kg]{5 .
!#= sfg"g cg';f/ cfjZos ePsf] v08df jf s'g} lgodgsf/L ;/sf/L lgsfojf6 cg'/f]w ePsf] cj:yfdf jfx]s u|fxssf] vftf ;DaGwL ;"rgfx? uf]Ko /flvg]5 .
!$= u|fxsnfO{ ;'lrt u/L jf gu/Lsg, df]afOn a}+lsË ;'ljwfnfO{ /2 ug{], lkmt{f lng] jf gjLs/0f ug{] k"0f{ clwsf/ ;+:yfdf lglxt x'g]5 .
!%= ;a} ljjfbx¿ sf7df8f}+, g]kfnsf cbfntx¿sf] sfo{ If]qdf kg]{5g\ .
:jM3f]if0ff
d÷xfdL of] 3f]if0ff ub{5'÷5f}+ ls dfly pNn]lvt ;Dk'0f{ ljj/0fx? ;fFrf] x'g\ . olb pNn]lvt ljj/0fx? s'g} sf/0faz unt ePsf] cyjf unt k|dfl0ft ePsf]
cj:yfdf To;jf6 l;h{gf x'g] ;Dk"0f{ kl/l:yltsf] lhDd]jf/ d÷xfdL :jo+ x'g]5' ÷5f}+ . df]jfO{n a}lsË / 8]lj6 sf8{ ;]jf pkef]u ug]{ ;DjGwdf o; ljQLo ;+:yfåf/f
hf/L ul/Psf df]afO{n a}lsË ;]jf / 8]lj6 sf8{ ;]jf ;Fu ;DjlGwt dfly pNn]v ul/Psf ;Dk"0f{ lgod, zt{x? /fd|/L k9La'emL :jLsf/ ub{5'÷5f}+ . ;fy} df]jfOn
a}lsË / sf8{ ;]jf pkof]u u/]jfkt ljQLo ;+:yfn] ;do ;dodf lgwf{/0f u/] adf]lhdsf] ;]jf z'Ns d]/f]÷xfd|f] gfddf /x]sf] dfly pNn]lvt vftfjf6 c;'n ug{x'g
d]/f]÷xfd|f] dGh'/L 5 .
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