| Annexure-I Download Form |
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| SCHÖN CAPITAL MARKETS LIMITED |
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| Broker, Pakistan Stock Exchange |
| Room No. 3, 5th Floor, Schön Centre |
| I.I. Chundrigar Road, Karachi |
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| Broker Registration No. BRK-265 |
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| ACCOUNT OPENING FORM |
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| NOTE 1: |
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EACH AND EVERY COLUMN MUST BE FILLED IN |
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| NOTE 2: |
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EACH PAGE OF THIS FORM WILL BE DULY SIGNED BY THE ACCOUNT HOLDER(S) AND THE BROKER |
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| NATURE OF ACCOUNT: |
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| SINGLE: |
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JOINT: |
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CLIENT ID / ACCOUNT NO. |
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| COMPANY: |
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FIRM: |
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CDC ACCOUNT NO. |
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| ACCOUNT HOLDER |
JOINT ACCOUNT HOLDER |
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| ACCOUNT TITLE/NAME: __________________________ |
ACCOUNT TITLE/NAME: __________________________ |
| ADDRESS: ____________________________________ |
ADDRESS: ____________________________________ |
| _____________________________________________ |
_____________________________________________ |
| TEL: _________________________________________ |
TEL: _________________________________________ |
| E-MAIL: ______________________________________ |
E-MAIL: ______________________________________ |
| FAX NO. _____________________________________ |
FAX NO. _____________________________________ |
| PERMANENT/REGISTERED ADDRESS: ______________ |
PERMANENT ADDRESS: _________________________ |
| _____________________________________________ |
_____________________________________________ |
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| For Individuals only: |
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| DATE OF BIRTH: _______________________________ |
DATE OF BIRTH: _______________________________ |
| NATIONALITY: ________________________________ |
NATIONALITY: ________________________________ |
| STATUS: _______ RESIDENT _______ NON-RESIDENT |
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STATUS: ________ RESIDENT ________ NON-RESIDENT |
| GENDER: _________ MALE __________ FEMALE |
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GENDER: _________ MALE __________ FEMALE |
| FATHER'S/HUSBAND'S NAME: ____________________ |
FATHER'S/HUSBAND'S NAME: ____________________ |
| NATIONAL IDENTITY CARD NO. (IN CASE OF NON- |
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NATIONAL IDENTITY CARD NO. (IN CASE OF NON- |
| RESIDENT PASSPORT NO.) ______________________ |
RESIDENT PASSPORT NO.) ______________________ |
| OCCUPATION: ________________________________ |
OCCUPATION: ________________________________ |
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| For Companies or Firms only: |
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| COMPANY REGISTRATION NO. __________________ |
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| STATUS: _______ RESIDENT _______ NON-RESIDENT |
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Declaration of Solvency |
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The Account Holder hereby declares that: |
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a) |
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It has not applied to be adjudicated as an insolvent and that it has not suspended payment and that |
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we have not compounded with our creditors; |
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b) |
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It is not un-discharged insolven; and |
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c) |
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It has not been declared defaulter in repayment of loan of a bank/financial institutions. |
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Name of Authorized Persons to Operate the Account |
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The account shall be operated by the following: |
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Names |
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Specimen Signature |
Single/Jointly |
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a) |
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__________________ |
_____________ |
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b) |
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__________________ |
_____________ |
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c) |
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__________________ |
_____________ |
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The authority of the person(s) authorized to operate the account to be clearly spelled out in the letter of |
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authorization from the Account Holder. |
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