Central Office:

cg';"rL–$ -bkmf ( sf] pkbkmf -@_ ;Fu ;DalGwt

sfdgf ;]jf ljsf; a}+s ln= Pokhara-8, Srijanachowk, Kaski

Kamana Sewa Bikas Bank Ltd.

P.O. Box.: 71, Ph.: 061-539672, 539673, Fax: 061-537499
URL: www.kamanasewabank.com, Email: [email protected]
-g]kfn /fi6« a}+saf6 ‘v’ ju{sf] /fli6«o :t/sf] Ohfht kq k|fKt ;+:yf_ -sfdgf ljsf; a}+s ln= / ;]jf ljsf; a}+s ln= Ps cfk;df ufleP/ ag]sf] ;+:yf_
l;= g+=M ===================================================================
zfvf sf]8M =======================================================
>L sfdgf ;]jf ljsf; a}+s ln= ldltM ======================================================================
======================================== zfvf .
>L ================================================================================ sf] ldlt ============================ b]lv ldlt ============================ -l9nf]df ============================_
;Dd lgisf;g x'g] b]xfo cg';f/sf] lwtf]kq vl/b ug]{ OR5f ePsf]n] ;f]sf] nflu of] b/vf:t k]z u/]sf] 5' .
lwtf]kq lgisfzgstf{ lwtf]kqsf] vl/b ug{ rfx]sf] k|lt lwtf]kq a}+ssf] gfd, 7]ufgf tyf BANK ACCOUNT NO.
sDkgLsf] gfd lsl;d lwtf]kqsf] ;+Vof vl/b d"No vftfsf] lsl;d (IN ENGLISH LATER)
Demat Account No. DP ID
(IN ENGLISH LATER) Client ID

plNnlvt ljj/0f cg';f/ lwtf]kq vl/bsf] nflu cfjZos kg]{ /sd ?= ============================== -cIf/]kL ======================================================================dfq_
To; a}+sdf /x]sf] d]/f] rNtL÷art vftf g+=M ========================================================================================================= df df}Hbft /x]sf] x'gfn] pQm /sd /f]Ssf
/flvlbg' x'g cg'/f]w ub{5' . lwtf]kq afF8kmfF6 ePkl5 d]/f] gfddf sfod x'g cfPsf] lwtf]kqsf] ;+Vof cg';f/ ;f] afkt d}n] ltg{÷a'emfpg' kg]{ /sd d]/f] pQm vftfaf6 s§f
u/L laqmL k|aGwssf] vftf dfkm{t lgisf;gstf{ sDkgLsf] vftfdf :yfgfGt/0f -6«fG;km/_ ug{ d]/f] d~h'/L 5 .
cfj]bssf] g]kfnLdf
k"/f gfd In(InEnglish
Block)
k"/f :yfoL 7]ufgf c~rn lhNnf dxf÷pkdxf÷g=kf=÷uf=kf=
-g]kfnLdf_ j8f g+= ;8s÷dfu{÷6f]n 3/ g+=
Metropolitan/Sub-Metro
Zone District
Permanent Address Muncipality/Rural Municipality
(In English)
Ward No. Street House No.

xfnsf] k"/f 7]ufgf c~rn lhNnf dxf÷pkdxf÷gkf÷uf=kf=

-g]kfnLdf_ j8f g+= ;8s÷dfu{÷6f]n 3/ g+=
Metropolitan/Sub-Metro
Zone District
Current Address Muncipality/Rural Municipality
(In English)
Ward No. Street House No.

gful/stf g+= hf/L ePsf] :yfg hf/L ePsf] ldlt

kfg g+= (PAN No.) ;Dks{ kmf]g g+= df]afOn
O{–d]n 7]ufgf (E-mail Address) M
cfj]bssf] g]kfnLdf
a'jfsf] gfd In English
(In Block)

cfj]bssf] g]kfnLdf
afh]sf] gfd In English
(In Block)
cfj]bssf] g]kfnLdf
klt jf In English
kTgLsf] gfd (In Block)
cfj]bs g]kfnLdf
gfafns eP In English
;+/Ifssf] gfd (In Block)

=========================================
cfj]bs -vftfjfnf_ sf] x:tfIf/

-b/vf:tstf{ k|lt_
======================================================================== ;+:yfn] hf/L u/]sf] lwtf]kq vl/b ug{ tkfO{n] k]z ug{' ePsf] b/vf:t cg';f/ tkfO{sf] gfddf /x]sf]
b]xfo cg';f/sf] a}+s vftfdf /x]sf] /sd ?= ================================== -cIf/]kL ==========================================================================dfq_ plNnlvt
lwtf]kqsf] afF8kmfF6 sf/f]af/ ;DkGg geP;Ddsf] nflu /f]Ssf /flvPsf] 5 . lwtf]kq afF8kmfF6 ePkl5 tkfO{sf] gfddf sfod x'g cfpg] lwtf]kqsf] c+lst d"No
a/fa/sf] /sd tkfO{+sf] vftfaf6 laqmL k|aGwssf] vftf dfkm{t lgisf;gstf{ sDkgLsf] vftfdf :yfgfGt/0f -6«fG;km/_ ul/g]5 .
lwtf]kq lgisf;gstf{ lwtf]kqsf] vl/b ug{ rfx]sf] k|lt lwtf]kq BANK ACCOUNT NO.
cfj]bssf] gfd (IN ENGLISH LATER)
sDkgLsf] gfd lsl;d lwtf]kqsf] ;+Vof vl/b d"No
Demat Account No. DP ID
(IN ENGLISH LATER) Clien ID

k|dfl0ft ug]{ clwsf/Lsf] gfdM ============================================================= kb =========================== b:tvtM ==================== ldltM ======================
b/vf:t lng] a}+s tyf ljQLo ;+:yfsf] gfd, 7]ufgf / 5fkM