Prime Bank

Account Opening Form For Individual Benificial Owner

Type Of Account *

Individual
Non Resident Nepalese

Minor *

YES
NO

Mero Share Service*

YES

Maritial Status *

Married
Unmarried

Foreign Employement *

YES
NO

Detail Of Benificial Owner

First Name *

Middle Name

Last Name *

Father's Name *

Grandfather's Name *

Mother's Name *

Citizenship No.*

Citizen Issue District *

Citizen Issue Date (AD) *

DOB (AD) *

Gender *

PAN No.

Correspondence Address

Province *

District*

Zone*

VDC-Municipality*

Tole*

Ward No*

Block No

Phone No

Mobile No*

Email *

Permanent Address (Write Address Same As Citizenship)

Same as Correspondence Address

Province *

District *

Zone *

VDC-Municipality*

Tole *

Ward No *

Block No

Phone No

Mobile No *

Bank Account Detail

Types Of Bank Account *

Bank Account Number*

Name Of Bank*

Details Of Occupation

Occupation Type *

Type Of Business

Organization Name

Address

Designation

Financial Details

Nominee Detail

YES No

Guardian Details

First Name*

Middle Name

Last Name*

Relation With Applicant *

Father Name*

Grandfather Name *

Spouse Name

Citizenship No. *

Address

Country*

District *

Zone *

VDC-Municipality *

Block No *

Ward *

Phone No

Mobile No*

PAN No

Email *

Citizenship Issued District *

Citizenship Issue Date(BS)*

Citizenship Issue Date(AD)*

DOB(BS) *

DOB(AD) *

For Non Resident Nepalese

Foreign Address

City

State

Country

NRN Code No.

NRN Document Upload

Other Document

Applicant

Applicant Photo *

Citizenship of Applicant (Front) *

Citizenship of Applicant (Back) *

Location Map of Applicant Residence*

Applicant Signature *

Applicant Thumb Print *

Applicant with Citizenship *

Sample Image*

Guardian

Guardian Photo*

Guardian Signature *

Guardian Citizenship (Front)*

Guardian Citizenship (Back)*

Proof of Relationship With Applicant *

Guardian Thumb Print*

Nominee

Nominee Photo*

Nominee Thumb Prints*

Nominee Signature*

Nominee Birth Certificate / Citizenship (Front)*

Nominee Birth Certificate / Citizenship (Back)*

Re-Verify Data

Applicant First Name*

Applicant Middle Name*

Applicant Last Name*

Citizenship Number*

Citizenship Issue Date (AD) *

Citizenship Issue District*

Please make sure all Re-Verify feilds are correct as changing them will incur a penalty of Rs. 100 / BOID
Meroshare Registration is compulsary. Your Meroshare account will be automatically created.

Account Opening Form For Individual Benificial Owner

Detail Of Benificial Owner

Correspondence Address

Permanent Address (Write Address Same As Citizenship)

Bank Account Detail

Details Of Occupation

Nominee Detail

Guardian Details

For Non Resident Nepalese

Other Document

Applicant

Foreign Documents

Guardian

Nominee

Re-Verify Data