Broker BO 2 – United Financial Trading Company Limited

1CREATE ACCOUNT

2BANK DETAILS

3NOMINEE

4KYC Profile

5POA AND TERMS & CONDITION

BO Account Form

Client Category:

Cash
Margin

BO Type:

UFTCL Branch:

Account Type:

Account Details

Title:

Name of the Customer/Account Holder:

Gender:

Father's Name:

Mother's Name:

Spouse Name:

Profession:

Primary Mobile Number:

Primary Email:

Secondary Mobile Number:

Secondary Email:

Date of Birth:

Nationality:

Present Address:

Permanent Address:

Upload Your Photo:

Upload Your Signature:

Contact Details

Country:

Division:

City:

Post Code:

Upload TIN/TAX Certificate:

Mailing Address:

Supporting Documents:

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

Joint Account Details

Title:

Name of the Joint Customer/Account Holder:

Spouse Name:

Father's Name:

Mother's Name:

Primary Mobile Number:

Primary Email:

Secondary Mobile Number:

Secondary Email:

Date of Birth:

Nationality:

Present Address:

Permanent Address:

Upload Your Photo:

Upload Your Signature:

Supporting Documents:

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

Bank Details

Bank Name:

Branch Name:

Routing Number:

Account Number:

BIC/IBAN/SWIFT CODE:

TIN/TAX ID:

Upload Cheque Leaf/Bank Statement/Certificates:

Other Details

Introducing person:

Special Instruction (if any):

Special Instructions on operation of Joint Account:

Residency:

Yes
No

Would you like to create a link to your existing depository account?

Yes
No

Statement Cycle Code:

Daily
Weekly
Fortnightly
Monthly
Others

Nominee1 Details

(Is nominee1 Minor?)

Title:

Full Name:

Relationship with A/C Holder:

Percentage(%):

Address:

Post Code:

Country:

Residency:

Yes
No

State/Division:

City:

Date of Birth:

Nationality:

Primary Mobile Number:

Primary Email:

Secondary Mobile No:

Secondary Email:

Upload Nominee's Picture:

Upload Nominee's Signature:

Supporting Documents:

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

Nominee 1 Guardian's Details:

Title:

Full Name:

Relationship with A/C Holder:

Percentage(%):

Address:

Post Code:

Country:

Residency:

Yes
No

State/Division:

City:

Date of Birth:

Nationality:

Primary Mobile Number:

Primary Email:

Secondary Mobile No :

Secondary Email :

Upload Nominee's Picture:

Upload Nominee's Signature:

Supporting Documents:

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

(Add Nominee2 Info?)

Nominee2 Details:

(Is nominee2 Minor?)

Title:

Full Name:

Relationship with A/C Holder:

Percentage(%):

Address:

Post Code:

Country:

Residency:

Yes
No

State/Division:

City:

Date of Birth:

Nationality:

Primary Mobile Number :

Primary Email:

Secondary Mobile No:

Secondary Email:

Upload Nominee's Picture:

Upload Nominee's Signature:

Supporting Documnets :

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

Nominee 2 Guardian's Details:

Title:

Full Name:

Relationship with A/C Holder:

Percentage(%) :

Address:

Post Code:

Country:

Residency:

Yes
No

State/Division:

City:

Date of Birth:

Nationality:

Primary Mobile Number:

Primary Email:

Secondary Mobile No:

Secondary Email:

Upload Nominee's Picture:

Upload Nominee's Signature:

Supporting Documnets:

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

KYC Profile

Name of the Account Holder (s):

B.O. Account Number:

Customer Account Number:

Occupation:

Name of MD/CSO (in case of Company or Institution or Firm):

Name of Business (in case of Company or Institution or Firm):

Source of funds and nature of business:

Approximate amount of Daily/Monthly/Annual transactions:

Describe in detailed, how source of the fund was verified:

Details of Information/Documents of the Account Holder's:

National ID:

Upload NID:

Passport:

Upload Passport:

Visa/Residential Permit and Work Permit:

No
Yes

Upload Visa/Residential Permit and Work Permit:

Birth Certificate:

Upload Birth Certificate:

Driving License:

Upload Driving License:

Bank Account with supporting document:

Upload Bank Account with supporting document:

NID/Birth Certificate/Passport:

Upload NID/Birth Certificate/Passport:

NID/Birth Certificate/Passport:

Upload NID/Birth Certificate/Passport:

Registration Certificate:

Upload Registration Certificate:

Date of Incorporation:

Upload Date of Incorporation:

Memorandum of Association:

Upload Memorandum of Association:

Articles of Association:

Upload Articles of Association:

Trade License:

Upload Trade License:

TIN:

Upload TIN:

VAT Registration:

Upload VAT Registration:

Particular of Directors:

Upload Particular of Directors:

1. What is the net worth/sales turnover of the customer?

Amount(1-50 lacs), Risk Level(Low), Risk Rating(0)
Amount(50 L - 200 L), Risk Level(Medium), Risk Rating(1)
Amount(Above 2 Crores), Risk Level(High), Risk Rating(3)

2. How was the A/C opened?

Mode(RM/Affiliate), Risk Level(Low), Risk Rating(0)
Mode(DSA), Risk Level(Medium), Risk Rating(1)
Mode(Internet), Risk Level(High), Risk Rating(3)
Mode(Walk-in/Unsolicited), Risk Level(High), Risk Rating(3)

3. Expected value of transactions on a monthly basis.

Value for Buy(0 - 50 lacs), Value for Sale(0 - 50 lacs), Risk Level(Low), Risk Rating(0)
Value for Buy(50 - 100 Lacs), Value for Sale(50 - 100 Lacs), Risk Level(Medium), Risk Rating(1)
Value for Buy(Above 100 lacs), Value for Sale(Above 100 lacs), Risk Level(High), Risk Rating(3)

4. Expected number of transactions on a monthly basis.

Value for Buy(0 - 100 lacs), Value for Sale(0 - 50 lacs), Risk Level(Low), Risk Rating(0)
Value for Buy(101 - 200 Lacs), Value for Sale(51 - 100 Lacs), Risk Level(Medium), Risk Rating(1)
Value for Buy(Above 200 lacs), Value for Sale(Above 100 lacs), Risk Level(High), Risk Rating(3)

5. Expected value of cash transactions on a monthly basis.

Value for Withdraw(0 - 5 lacs), Value for Deposit(0 - 5 lacs), Risk Level(Low), Risk Rating(0)
Value for Withdraw(6 - 10 Lacs), Value for Deposit(6 - 10 Lacs), Risk Level(Medium), Risk Rating(1)
Value for Withdraw(Above 10 lacs), Value for Deposit(Above 10 lacs), Risk Level(High), Risk Rating(3)

6. Expected number of cash transactions on a monthly basis.

Number for Withdraw(0 - 5 lacs), Number for Deposit(0 - 5 lacs), Risk Level(Low), Risk Rating(0)
Number for Withdraw(6 - 10 Lacs), Number for Deposit(6 - 10 Lacs), Risk Level(Medium), Risk Rating(1)
Number for Withdraw(Above 10 lacs), Number for Deposit(Above 10 lacs), Risk Level(High), Risk Rating(3)

Reviewed By:

Regional Manager/Branch Operation Head

POA Details and Terms & Condition

(Please click here if you assign someone as Power of Attorney)

Title:

Name of the Power of Attorney(POA):

Primary Mobile No:

Primary Email:

Secondary Mobile No:

Secondary Email:

Address:

Post Code:

Country:

Nationality:

State/Division:

City:

Date of Birth:

POA Effective From:

Yes
No

POA Effective From:

POA Effective To:

POA Picture:

POA Signature:

Supporting Documents:

NID No:

Upload NID Part 1:

Upload NID Part 2:

Passport No:

Issue Place:

Issue Date:

Expiry Date:

Upload Passport:

Email