Online Account Opening Form

Full Name of Applicant *

Gender *

Marital Status *

Date of Birth (B.S) *

Year *

Month *

Day *

Date of Birth (A.D)

Year

Month

Day

Father's Name *

Mother's Name *

Grand Father's Name *

Spouse Name

Identification Document *

ID No. *

Issued District *

Occupation *

Name of Organization

Temporary Address *

Permanent Address *

Contact Number *

Email Address

Nominee's Name (हकवाला) *

Relation with Nominee *

Account Type *

Applicant's PP Size Photo (less than 5 MB) *

No file chosen

Applicant's Citizenship or Identity Card (less than 5 MB) *

No file chosen

Nominee's PP Size Photo (less than 5 MB) *

No file chosen