SAGARMATHA FINANCE LIMITED
;u/dfyf kmfOgfG; lnld6]8
s]Gb«Lo sfof{noM dfgejg, nlntk'/
kmf]g M %%$&*$!, %%#%!%*, %))**))
art ÷ rNtL ÷sn vftf vf]Ng] b/vf:t kmf/d
(Application Form for Opening Saving / Current / Call Account)
ldlt M
Date: DD MM
dxfzo,
Customer No. :
Dear Sir,
s[kof tn pNn]lvt ljj/0f cg';f/ vftf vf]lnlbg' xf]nf .
Please open an account in your company with the following details.
Vfftfdf
pNn]v x'g]
gfd
Account No:
-
-
g]kfnLdf
In English
:yfoL 7]ufgf
lhNnf
gu//uf=lj=;
j8f g+=
6f]n
(Permanent Address)
(District)
(Municipality/VDC)
(Ward No.)
(Tole)
c:yfoL 7]ufgf
lhNnf
gu//uf=lj=;
j8f g+=
6f]n
(Temporary Address)
(District)
(Municipality/VDC)
(Ward No.)
(Tole)
;Dks{ kmf]g
3/
sfof{no
Dff]jfOn
(Contact Telephone)
(House)
(Office)
(Mobile)
Od]n 7]ufgf
Kff]=a=g+
(Email Address)
(P.O Box
No.)
j}jflxs l:ylt
(Marital Status)
ljjflxt
cljjflxt
(Married)
(Unmarried)
k]zf
hGd ldlt
(occupation)
(Date Of
Birth)
pd]/
(Age)
afj'sf] gfd
(Father’s Name)
Affh]sf] gfd
(Grand Father’s Name)
klt/kTgLsf] gfd
(Husband/Wife’s name)
;+/Ifssf] gfd
(Guardian’s Name)
kl/ro kqsf] k«sf/
g+
(Type Of Identity)
(No)
vftfsf] k|sf/ (Type of Account)
;d[l4 art(samridi Bachat)
:jl0f{d art(Swornim Bachat)
o'jf art (Yuba Bachat)
z]o/ wgL art(Share Dhani Bachat)
Gff/L art(Nari bachat)
;u/dfyf art(Sagarmatha Savings)
h]i7 gful/s art(Jestha Nagarik Bachat)
v'q's] art (khutruke Bachat)
cGo (others)
Vfftf ;+rfng ug]{ tl/sf (Mode of Account Operation)
PSn} (Single)
;+o'Qm (Joint)
cGo (others)
sd{rf/L art
(Karmachari Bachat)
Affn art (Bal Bachat)
YY
lgIf]k ;DalGw ljj/0f (Description of Deposit)
z'? lgIf]k /sd (Initial Deposit amount) ?=(Rs)
cIf/]kL (In Words)
gub (Cash)
Aofhb/ (Intrest Rate)
r]s(Cheque)
kmf]6f](photo)
vftf ;+rfnsx?sf] gfd
b:tvt gd'gf
(Name of Authorized Signatures)
(Signature Specimen)
1.
2.
3.
4.
ljz]if lgb]{zg
(Special Instruction)
z]ifkl5 OR5fOPsf] JolQmsf] ljj/0f
(Name Of Nominee)
gfd (Name) :
gftf (Relationship) :
kl/ro kqsf] k|sf/ (Type of ID) :
kl/ro kq g+= (ID No.) :
To; ;+:yf4f/f ;+rflnt lgIf]k of]hgf ;DaGBL lgodx? a'em]sf] 5' ÷ 5f} . d ÷xfdL To; ;+:yf o; lgIf]k of]hgfsf ;DaGBdf
xfnsf] tyf kl5 aGg] ;Dk'0f{ lgodx? k'0f{ ?kn] kfngf ug{ d~h'/ ub{5' ÷ ub{5f} . vftf vf]Ng k]; u/]sf] ;Dk{0' f sfuhftx?,
b:tvtx? gd'gf tyf ljj/0fx? b'?:t ePsf] Joxf]/f k|dfl0ft ub{5' ÷ ub{5f} .
lgj]bssf] b:tvt
(Applicant’s Signature)
Account Opened By
Name:
Scanned By
Name:
Approved By
Name: