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FJ (Hlgs Lgisfzg LWTF) KQ VL/B Tyf /SD /F) SSF CFJ) BG KMF/FD: Lgisfzgstf (SDKGLSF) GFD M LWTF) KQSF) LSL D M

This document is an application form for purchasing securities that will be issued from [date] to [date]. It contains information such as the name of the issuing company, type of security, applicant's name and signature, bank account number for blocking funds, C-ASBA registration number, number of securities to purchase, purchase price per security, and total purchase amount. The applicant requests that the specified amount be blocked from their bank account, and transferred to the issuer company's account through the lead manager's account if allotted securities during allotment. The applicant agrees for any application fees deducted from the account as notified by the bank.

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Sirjan ranabhat
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130 views1 page

FJ (Hlgs Lgisfzg LWTF) KQ VL/B Tyf /SD /F) SSF CFJ) BG KMF/FD: Lgisfzgstf (SDKGLSF) GFD M LWTF) KQSF) LSL D M

This document is an application form for purchasing securities that will be issued from [date] to [date]. It contains information such as the name of the issuing company, type of security, applicant's name and signature, bank account number for blocking funds, C-ASBA registration number, number of securities to purchase, purchase price per security, and total purchase amount. The applicant requests that the specified amount be blocked from their bank account, and transferred to the issuer company's account through the lead manager's account if allotted securities during allotment. The applicant agrees for any application fees deducted from the account as notified by the bank.

Uploaded by

Sirjan ranabhat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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cg';"rL – %

-bkmf & ;+u ;DaGwLt_


(“A” class Institution licensed by Nepal Rastra Bank)

========================================== -zfvf_ ldlt M ==========================


;fj{hlgs lgisfzg lwtf]kq vl/b tyf /sd /f]Ssf cfj]bg kmf/fd
ldlt ================================ b]lv ldlt =============================== ;Dd lgisfzg x'g] b]xfo cg';f/sf] lwtf]kq vl/b ug]{ OR5f ePsf]n] ;f] sf] nflu of] lgj]bg k]z u/]sf] 5' .

lgisfzgstf{ sDkgLsf] gfd M

lwtf]kqsf] lsl;d M

lxtu|fxL -l8Dof6_ vftf g+= M

cfj]bssf] k"/f gfd, y/ M


Name of Applicant (BLOCK LETTER)

zfvfsf] gfd, 7]ufgf M

/sd /f]Ssf /fVg] a}+s vftf g+= M

l;–cfZjf /lhi6«]zg g+=(C-ASBA Regd. No.) :

lwtf]kqsf] ;+Vof M c+sdfM cIf/dfM

k|lt lwtf]kq vl/b /sd M c+sdfM cIf/dfM

hDdf vl/b /sd M c+sdfM cIf/dfM

pko'{Qmfg';f/ lwtf]kq vl/bsf nflu cfjZos x'g] /sd d]/f] a}+s vftfdf df}Hbft /x]sf]n] pQm /sd /f]Ssf /flvlbg' x'g cg'/f]w ub{5' . lwtf]kq afF8kmfF8 ePkl5 d]/f] gfddf
lwtf]kq afF8kmfF8 x'g] ePdf pQm /sd d]/f] vftfaf6 lgisfzg tyf laqmL k|aGwssf] vftfdfkm{t\ lgisfzgstf{ sDkgLsf] vftfdf /sdfGt/sf nflu d]/f] d~h'/L /x]sf] 5 . ;fy},
To; a}+sn] ;fj{hlgs ?kdf pNn]v u/]sf] lwtf]kq vl/b lgj]bg z'Ns;d]t ;f]xL vftfaf6 s§f u/L c;'n pk/ ug{ d]/f]÷xfd|f] d~h'/L /x]sf] 5 .

===================================== =====================================
5fk -;+:yfsf] xsdf_ cfj]bssf] b:tvt
Stamp (For Institution) (Applicant’s Signature)

(“A” class Institution licensed by Nepal Rastra Bank) lwtf]kq vl/bsf nflu /sd /f]Ssf ;DaGwL cw{s§L -cfj]bgstf{sf] k|lt_
lwtf]kq vl/b ug]{ k|of]hgsf] nflu tkfO{+n] k]z ug'{ ePsf] lwtf]kq vl/b tyf /sd /f]Ssf cfj]bg kmf/fd cg';f/ b]xfo cg';f/ tkfO{+sf] a}+s vftfdf /sd /f]Ssf ul/Psf]
5 . lwtf]kq afF8kmfF8 ePkl5 tkfO{+sf] gfddf afF8kmfF8 x'g] lwtf]kq a/fa/sf] /sd tkfO{+sf] /f]Ssf /x]sf] /sdaf6 lgisfzg tyf laqmL k|aGwssf] vftf dfkm{t\ lgisfzgstf{
sDkgLsf] vftfdf /sdfGt/ ul/g]5 .
lgisfzgstf{ sDkgLsf] gfd M

lwtf]kqsf] lsl;d M

lxtu|fxL -l8Dof6_ vftf g+= M

cfj]bssf] k"/f gfd, y/ M

/sd /f]Ssf /fVg] a}+s vftf g+= M

lwtf]kqsf] ;+Vof M c+sdf M cIf/df M

k|lt lwtf]kq vl/b /sd M c+sdf M cIf/df M

hDdf vl/b /sd M c+sdf M cIf/df M

k|dfl0ft ug]{ clwsf/Lsf] gfd M


kb M
F25/CRNF- 2018

b:tvt M
ldlt M
a}+s÷ljQLo ;+:yfsf] gfd, 7]ufgf / 5fk M

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