Date: 2022/06/16

Personal Information
Full Name Narendra Shahi
Contact No. 9824558814
Alternative Contact No. 9745304444
Email shahinarendra.56@gmail.com
Date of Birth 1999/12/08 AD
2056/08/22 BS
Gender Male
Nationality Nepali
Citizenship No. 62‐01‐74‐03260
Citizenship Issued From Jajarkot
Citizenship Issued Date 2018/01/17 AD
2074/10/03 BS
Passport No.
Passport Issued From
Passport Issued Date
Passport Expiry Date
Beneficiary No. 1301370005382761
PAN No. 122710131
Is Minor Account? NO
Are you Residing Outside Nepal? NO

Family Information
Grandfather's Name Sher Bahadur Shahi
Father's Name Karna Bahadur Shahi
Mother's Name Taradevi Shahi
Marital Status Single

Permanent Address

Country Nepal
Province Province 6 ﴾Karnali﴿
District Jajarkot
Municipality Kuse
Ward No. 8
Tole Dadakhet
House/Block Number
Phone Number 9824558814
Fax

Current Address

Country Nepal
 Fax

Current Address

Country Nepal
Province Province 3 ﴾Bagmati﴿
District Lalitpur
Municipality Lalitpur
Ward No. 15
Tole
House/Block Number
Phone Number 9824558814
Fax

Bank Account Details

Type of Bank Account Saving Account
Bank Account No. 4102002023252401
Name of Bank Nepal Industrial & Commercial Bank Ltd.
Address of Bank Satdobato Branch

Occupation

Occupation Type Student

Business Type Others

Organization's Name National College of Engineering

Address Talchhikhel Lalitpur

Designation Others

ID no. of Employee

Estimated Annual Income Upto Rs. 1 Lakhs

Involvement in NO
Investment Companies

Are You A Politician Or A High‐Ranking Official? False

Are You Related To A Politician Or A High‐ False

Ranking Official?

Do You Have A Beneficiary? False

Have You Been Convicted Of A Felony In The False

Past?

Naasa Securities Branch Kathmandu

I consent to open my online account and have provided all the genuine information to Naasa Securities Company
Limited by filling this form. I will be responsible solely for all the documents and details provided by me. Also, I will
provide further verification if required and comply with Terms & Conditions.

* I have read and understood the condition above and agree to create Online Trading Account.
* I have read and understood the condition above and agree to proceed forward.

Applicant's Name Narendra Shahi

Referred By Manoj Chand
 Involvement in NO
Investment Companies

Are You A Politician Or A High‐Ranking Official? False

Are You Related To A Politician Or A High‐ False

Ranking Official?

Do You Have A Beneficiary? False

Have You Been Convicted Of A Felony In The False

Past?

Naasa Securities Branch Kathmandu

I consent to open my online account and have provided all the genuine information to Naasa Securities Company
Limited by filling this form. I will be responsible solely for all the documents and details provided by me. Also, I will
provide further verification if required and comply with Terms & Conditions.

* I have read and understood the condition above and agree to create Online Trading Account.
* I have read and understood the condition above and agree to proceed forward.

Applicant's Name Narendra Shahi

Referred By Manoj Chand

Selfie carrying your National Identity Card

Citizenship Front
Citizenship Front

Citizenship Back

Signature Image
Signature Image