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C-ASBA Application Form

This document is an application form for purchasing securities through a public issue in Nepal. It contains fields for the applicant's details like name, bank account number, number of securities to purchase and total purchase amount. It also contains sections for signature of the applicant and bank representative to acknowledge the funds blocked for securities purchase.

Uploaded by

ANKIT
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
25 views

C-ASBA Application Form

This document is an application form for purchasing securities through a public issue in Nepal. It contains fields for the applicant's details like name, bank account number, number of securities to purchase and total purchase amount. It also contains sections for signature of the applicant and bank representative to acknowledge the funds blocked for securities purchase.

Uploaded by

ANKIT
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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;fj{hlgs lgisfzg lwtf]kq vl/b tyf /sd /f]Ssf cfj]bg kmf/fd
>L g]kfn a¨nfb]z a}+s ln= kmf/d g+= M
=================================
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 gDa/ M
(Write In English)
cfj]bssf] k"/f gfd, y/ M
Name of Applicant
(BLOCK Letter)
/sd /f]Ssf /fVg] a}+s vftf gDa/ M
zfvfsf] gfd, 7]ufgf
/lhi6«]zg gDa/ M
(C-ASBA Registration Number)
lwtf]kqsf] ;+Vof M c+sdf M cIf/df M
k|lt lwtf]kq vl/b /sd M
hDdf vl/b /sd M c+sdf M
cIf/df M
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 /flv lbg' x'g cg'/f]w
ub{5' . lwtf]kq afF8kmfF8 ePkl5 d]/f] gfddf lwtf]kq afF8kmfF8x'g] ePdf pQm /sd d]/f] vftfaf6 lgisfzg tyf laqmL k|aGwssf]
vftf dfkm{t\ lgisfzgstf{ sDkgLsf] vftfdf /sdfGt/sf nflu d]/f] dGh'/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] dGh'/L /x]sf] 5 .

============================ =============================
5fk -;+:yfsf] xsdf_ cfj]bgsf] b:tvt
Stamp (For Institution) (Applicant's Signature)
============================================================================================================================= =================================================
lwtf]kq vl/bsf nflu /sd /f]Ssf ;DaGwL cw{s§L
kmf/d g+= M
-cfj]bgstf{ 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 gDa/ M
(Write In English)
cfj]bssf] k"/f gfd, y/ M
/sd /f]Ssf /fVg] a}+s vftf gDa/ M
lwtf]kqsf] ;+Vof M c+sdf M cIf/df M k|lt lwtf]kq vl/b /sd M
hDdf vl/b /sd M c+sdf M cIf/df M
k|dfl0ft ug]{ clwsf/Lsf] gfd M
kb M b:tvt M ldlt M a}+s÷ljQLo ;+:yfsf] gfd, 7]ufgf / 5fk M

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