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Investor Information Form

This document is an investor information form for NTechPoultry. It collects personal details such as name, address, contact information, gender, age, nationality, bank account information, nominee details, investment amount, and signature of the investor. The form has fields for one photograph of the investor and codes the application with a unique identification number.

Uploaded by

Aminul Islam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
37 views1 page

Investor Information Form

This document is an investor information form for NTechPoultry. It collects personal details such as name, address, contact information, gender, age, nationality, bank account information, nominee details, investment amount, and signature of the investor. The form has fields for one photograph of the investor and codes the application with a unique identification number.

Uploaded by

Aminul Islam
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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NTechPoultry

Hagradi, Shikaripara, Nawabganj, Dhaka-1322, Bangladesh


Phone: 01836699270, 01836699350; Email: [email protected]

Investor’s Information Form


Code: 2 4 1 1 0 1 2 0 2

Name of the Investor: ……………………………………………………….. One copy


photograph
Father’s/Husband’s Name: …………………..………………………………

Mother’s Name: ……………………………………………………………...

Present Address: ………………………………………………………………

…………………………………………………………………………………

Permanent Address: ……………………………………………………………………………

………………………………………………………………………………….

Email Address: ………………………………………. Phone: ………………………….

Gender: Male Female Age: ……… years

Nationality: ………………………. Resident Non-Resident

Nominee Info
SL Name Age Relation % share
1
2
3

Bank Account Info (Please provide an active local bank account information)
Bank & Branch A/C Title A/C Type A/C Number

Other Payment Method: BKash …………………………. Rocket ……………………………


(Please provide personal BKash/Rocket number)

Investment Amount (BDT)

Amount: …………….. (in word ………………………………………..……………………..)

Date: ………………………. …………………………………


Signature of the Investor

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