Account Opening Form

Salary Saving

Personal Information

Basic Details (आधारभूत विवरणहरू)

Account Branch (खाता शाखा): Baglung
Full Name (पूरा नाम): Md Jauwad Husain
Account Category (खाता कोटि): Saving
Account Currency (खाता मुद्रा): Nepalese Rupees
Purpose of A/C (खाताको उद्देश्य): Saving
Gender (लिङ्ग): Male
Marital Status (वैवाहिक स्थिति): Un-Married
Nationality (राष्ट्रियता): Nepalese
Passport Size Photo:

Pan Details (प्यान विवरणहरू)

Pan Number (प्यान नम्बर): 141656443

Permanent Address (स्थाई ठेगाना)

Country (देश): Nepal
Province (प्रदेश): Lumbini
District (जिल्ला): Nawalparasi West
Local Body (स्थानीय निकाय): Sunawal Municipality
Ward No. (वडा नं.): 06
Tole (टोल): bisasaya
House No. (घर नं.):
Post Box (पोस्ट बक्स):
Phone No. (फोन न.): 9869138968
Mobile No. (मोबाइल न.): 9829019954
Email ID(इमेल): jauwadalam0095@gmail.com

Current Address (हालको ठेगाना)

Country (देश): Nepal
Province (प्रदेश): Lumbini
District (जिल्ला): Nawalparasi West
Local Body (स्थानीय निकाय): Sunawal Municipality
Ward No. (वडा नं.): 06
Tole (टोल): bisasaya
House No. (घर नं.):
Post Box (पोस्ट बक्स):
Phone No. (फोन न.): 9869138968
Mobile No. (मोबाइल न.): 9829019954
Email ID (इमेल): jauwadalam0095@gmail.com

Family Details (पारिवारिक विवरण)

Fathers Name (बुवाको नाम): Tulsi parsad kafle
Mother's Name (आमाको नाम): mina kafle
Grandfather's Name (हजुरबुबाको नाम): umapate kafle
Grandmother's Name (हजुरआमाको नाम):
*Note:

Check all the fields you have filled up before proceeding further. You can still correct the data submitted till now.

Date:2025-06-25

Professional Details

For Business / Professionals (व्यवसाय / पेशेवरहरूको लागि)

Education Qualification (शैक्षिक योग्यता): Intermediate Level
Occupation (पेशा): Salaried Govt./Pvt./Other
Copy of ID:
Source of Income (आम्दानीको स्रोत): Salary
Detail of Related Profession/Business (सम्बन्धित पेशा/व्यवसायको विवरण)

For Student

Detail of Related College / Institution (सम्बन्धित कलेज/संस्थाको विवरण)

Anticipated Volume Of Transaction (लेनदेन को अनुमानित मात्रा)

Anticipated Annual Transaction (Debit/Credit) NPR (अनुमानित वार्षिक लेनदेन (डेबिट/क्रेडिट) NPR)
Above 2.5 to 5 million (25 देखि 50 लाख सम्म )
Anticipated Number Of Annual Transaction (वार्षिक कारोबारको अनुमानित संख्या)
Above 50 to 100 (50 देखि 100 माथि)

Other Bank Details (अन्य बैंक विवरणहरू)

Have you maintained account/s in other banks? (के तपाईंले अन्य बैंकहरूमा खाता/हरू राख्नुभएको छ?)
No (होइन)
Name Of Bank (बैंकको नाम):
Type of Account (खाताको प्रकार):
*Note:

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Date:2025-06-25

Identity Verification

Basic Identification

National ID No.:
National ID Issued Country: -
National ID Issued Place: -
National ID Issue Date BS.:
National ID Issue Date AD.:
Front side of National ID Card:
Back side of National ID Card:
Citizenship
Citizenship No.: 34-01-73-01583
Issued District: Parsa
Issued Date (B.S.) (जारी मिति (वि.सं)): 2073-02-04
Issued Date (A.D.) (जारी मिति (ए.डी.)): 2016-05-17
Front Side Of Citizenship: Click Here To View
Back Side Of Citizenship: Click Here To View
Valid Visa/Labour Permit/Remit Receipt:
Valid Visa:
Remit Recipt:
Labor Recipt:
Work Permit:
Signature Upload:
Thumb Upload:
Residency Card/Employee ID/Agreement:
Other Document:
*Note:

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Date:2025-06-25

Other Details

Location Details (स्थान विवरण)

Bank Branch (बैंक शाखा) (बैंक शाखा) : Baglung
Current Address Map (हालको ठेगाना नक्सा) :

Nominee Not Declared"

Required Services (आवश्यक सेवाहरू)

Debit Card (डेबिट कार्ड), Cheque Book (चेक बुक), Internet Banking (इन्टरनेट बैंकिङ), Mobile Banking (मोबाइल बैंकिङ)

Are You Interested In Other banking Products? (के तपाइँ अन्य बैंकिंग उत्पादनहरूमा रुचि राख्नुहुन्छ?)

Account Statement

Frequency: Monthly
Frequency: On Ask

Self Declaration (स्वघोषणा)

Convicted/Non Convicted for any crime in Past (विगतमा कुनै पनि अपराधको लागि दोषी / गैर-दोषी): Not Convicted
Are you Politician or relative of Politician? (तपाई राजनीतिज्ञ हो कि राजनीतिज्ञको आफन्त ?) No
Do you hold residential permit of foreign country? (के तपाई विदेशी देशको आवासीय अनुमति लिनुहुन्छ?) No
*Note:

Check all the fields you have filled up before proceeding further. You can still correct the data submitted till now.

Date:2025-06-25