“d]/f] z]o/”sf] ;]jf lngsf] nflu lgj]bg kmf/fd
ldlt:
>L k|d'v Ho",
====================================================================
ljifoM “d]/f] z]o/”sf] ;]jf k|bfg ul/lbg] ;DaGwdf .
dxf]bo,
d÷xfdLn] To; lnld6]8df vf]n]sf] lxtu|fxL vftf ;DaGwL ljj/0f OG6/g]6 dfkm{t\ x]g{ tyf “d]/f] z]o/” df pknAw ;Dk"0f{
;]jfx? k|of]u ug{ rfx]sf]n] pQm ;]jf k|bfg ul/lbg' x'g xflb{s cg'/f]w ub{5'÷ub{5f}+ .
lgj]bssf] gfd ÷y/
Name of Applicant
(BLOCK LETTER)
lgIf]k ;b:o gDa/ (DPID) 1 3 0 1 1 0 0 0
lxtu|fxL gDa/ (Client ID)
O{d]n
(Email ID)
;Dks{ kmf]g g+ clkm; lgjf; df]afO{n
(Telephone No.)
7]ufgf
(Address)
Applicant’s Signature -vftfjfnfsf] x:tfIf/_
“d]/f] z]o/” dfkm{t Psf3/ kl/jf/sf] lxtu|fxL vftfsf] ljj/0f
Ps} ;fy k|fKt ug{sf nflu lgj]bg
ldlt:
>L k|d'v Ho",
====================================================================
ljifoM “d]/f] z]o/” dfkm{t Psf3/ kl/jf/sf] lxtu|fxL vftfsf] ljj/0f Ps} ;fy k|fKt ug]{ Joj:yf ul/lbg] ;DaGwdf .
dxf]bo,
d÷xfdLn] To; lnld6]8df vf]n]sf] lxtu|fxL vftf ;DaGwL ljj/0f OG6/g]6 dfkm{t\ x]g{ tyf “d]/f] z]o/” sf] ;]jf k|fKt
ul/;s]sf]df Psf3/ leqsf ;b:ox?sf] lxtu|fxL vftfx?sf] ljj/0f Ps} :yfgaf6 x]g{ ldNg] ;]jf k|of]u ug{ rfx]sf]n] pQm ;]jf
k|bfg ul/lbg' x'g xflb{s cg'/f]w ub{5'÷ub{5f}+ .
;]jf lng rfx]sf] lgj]bssf] ljj/0f
lgj]bssf] gfd ÷y/
Name of Applicant
lxtu|fxL gDa/
(Client ID)
kl/jf/sf] ;b:osf] lxtu|fxL vftfsf] ljj/0f
gfd ÷y/
Account Holder’s
Name
lxtu|fxL gDa/
(Client ID)
x:tfIf/
Account Holder’s
Signature
lgj]bs;Fusf] ;DaGw
(Relation With Applicant)
d÷xfdL dfly pNn]lvt ;Dk"0f{ ljj/0f ;fFrf] /x]sf] 3f]if0ff ub{5'÷ub{5f}+ . olb pNn]lvt ljj/0fx? s'g} sf/0fjz unt ePsf]
cyjf unt k|dfl0ft ePsf] cj:yfdf To;af6 l;h{gf x'g] ;Dk"0f{ kl/l:yltsf] lhDd]jf/ d÷xfdL :jo+ x'g]5'÷x'g5 ] f}+ .
lgj]bssf] x:tfIf/ kl/jf/sf] ;b:osf] b:tvt ldlt