Fixed Deposit Account Opening

Fixed Deposit Request Form

Account Details :

Branch Name *

Account Type *

Existing Account

Statement Collection *

Fixed Deposit Duration (In Months) *

Fixed Deposit Amount (Rs) *

Applicant's Name :

Title *

First Name *

Middle Name

Last Name *

Gender *

Male Female Others

Citizenship/Passport Number *

Citizenship Issue Date (YYYY-MM-DD) *

Occupation *

Father's Name :

First Name *

Middle Name

Last Name *

Mother's Name :

First Name *

Middle Name

Last Name *

Grand Father's Name :

First Name *

Middle Name

Last Name *

Spouse's Name : Please click check box if required

Permanent Address :

Country *

Province *

District *

City/VDC *

Street *

House Number

Temporary Address : If same permanent address select this box.

Country *

Province *

District *

City/VDC *

Street *

House Number

Contact Information :

Cell Number *

Residence Telephone

Office Telephone

Fax Number

Email Address *

Document Upload :

Signature * Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

Passport Size Photographs * Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

CitizenShip/Passport * Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

Please tick after reading all the Terms and Conditions.