Online Account Opening

ACCOUNT OPENING FORM (BAL SURAKSHYA BACHAT)

Account Details :

Branch Name *

Account Type *

Existing Account

Statement Collection *

Applicant's Name :

Title *

First Name *

Middle Name

Last Name *

Gender *

Male Female Others

Birth Certificate No.*

Date of Birth AD (YYYY-MM-DD) *

Parent’s Name*

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 *

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 :

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

Account Holder (Minor)’s Photograph * Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

Citizenship / Passport of Parent’s * Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

Photograph of Parent’s * Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

Birth Certificate of Account Holder (Minor)* Maximum file size: 2 MB
Allowed Extension: jpg, jpeg, png, pdf, doc and docx

Please tick after reading all the Terms and Conditions.