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Stock Account Form
Please afford me / us your special financial and stockbroking facilities by opening a stock account in my / our name.
Please upload Passport photographthis should not be more than 1mb
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Name
Contact Address
Office Address
Postal Address
Type of Business
Date of incorporation / Numberselect for corporate account
Mother's Madian name
Birthday
Telephone No
Initial Deposit
Cash / Cheque no:
Payment date
Monthly / Quarterly Investment
Tick the appropriate box(es)
B. INVESTMENT OBJECTIVES
C. CONDITION FOR PURCHASE
D. EQUITIES TO BE PURCHASED / SOLD INCLUDE THE FOLLOWING
Securities
Quantity
Price Range
Remarkmore details
0 /
Securities
Quantity
Price Range
Remarkmore details
0 /
E. SIGNATURE OF CLIENT
1. Individual
Nameyour full name
Signature
2. Joint / Corporate
Namefull name
Signature
Namefull name
Signature
Namefull name
Signature
Any special instruction
0 /
G. NEXT OF KIN (for individuals)
Name
Relationship
Name
Relationship
H. INTRODUCED BY
DECLARATION:
I / We do undertake that I / We am / are committed financially to the company for any deal done on our behalf in line with the terms and conditions specified above and the mandate has freely given
1. INDIVIDUAL
Name
Signature
2. JOINT / CORPORATE
Name
Signature
Name
Signature
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