BRAC EPL STOCK BROKERAGE

OPEN BO ACCOUNT

1 ACCOUNT DETAILS
2 BANK DETAILS
3 NOMINEE DETAILS

PROVIDE YOUR ACCOUNT DETAILS

Account Status *

1. Individual Account

For an Individual Account fill out only the Principal Account holder information.

Principal Applicant Name *

Date of Birth *

Gender *

Occupation

Father's/Husband's Name *

Mother's Name *

Present Address *

Permanent Address * Permanent address is same as above

Telephone Number

Mobile Number *

Email *

Nationality *

National ID Number

Upload Photocopy of National ID for Principal Applicant *

Upload Passport Size Photograph of Principal Applicant *

Upload Signature of Principal Applicant *

2. Joint Account

For a Joint Account, fill out both the Principal and Joint Account holders information.

Joint Applicant Name

Date of Birth

Gender

Occupation

Father's/Husband's Name

Mother's Name

Present Address

Permanent Address Permanent address is same as above

Telephone Number

Mobile Number

Nationality

National ID Number

Upload Photocopy of National ID for Joint Applicant

Upload Passport Size Photograph of Joint Applicant

Upload Signature of Joint Applicant

YOUR BANK DETAILS

Bank Routing Number *

Bank Account Number *

Name of Your Bank *

Branch Name *

Tin Number

NOMINEE DETAILS

Name of the Nominee of this Account

Address

Upload Passport Size Photo of Nominee

Relationship with Account Holder

Percentage of Account Holding

Upload signature of Nominee

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OPEN BO ACCOUNT

1. Individual Account

2. Joint Account

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