Beruflich Dokumente
Kultur Dokumente
Day
Month
Customer ID
Year
Portfolio No.
NOTE: ALL FIELDS IN THE FORM ARE MANDATORY IF MENTIONED OTHERWISE
ANNEXURE I MUST BE FILLED BY EVERY INVESTOR
TYPE OF ACCOUNT
Single
Joint
Minor
MTPF
Male
Married
Nationality:
Muslim
Non Muslim
Female
Date of Birth:
Relationship:
CONTACT DETAILS (Providing at least one contact number along with other contact details is Mandatory)
Address:
City:
Country:
Email (optional):
Tel-Res:
Mobile:
Occupation:
Government Services
Source of Income:
Private Services
Business/ Self-owned
Salary
Self Employed
Pension
Retired
Inheritances
House Wife
Remittances
Student
Savings
Stocks/ Investment
Male
Married
Nationality:
Muslim
Non Muslim
Female
Date of Birth:
CONTACT DETAILS (Providing at least one contact number along with other contact details is Mandatory)
Address:
City:
Country:
Email (optional):
Tel-Res:
Mobile:
Occupation:
Government Services
Source of Income:
Private Services
Business/ Self-owned
Salary
Self Employed
Pension
Retired
Inheritances
House Wife
Remittances
Student
Savings
Stocks/ Investment
Male
Married
Nationality:
Muslim
Non Muslim
Female
Date of Birth:
CONTACT DETAILS (Providing at least one contact number along with other contact details is Mandatory)
Address:
City:
Country:
Email (optional):
Tel-Res:
Occupation:
Source of Income:
Mobile:
Government Services
Business/ Self-owned
Private Services
Salary
Self Employed
Pension
Inheritances
Retired
Remittances
House Wife
Savings
Student
Stocks/ Investment
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Mode of Contribution:
Self / Own
Please select any one Allocation Scheme of your choice & sign there against
High Volatility
Medium Volatility
Low Volatility
100% Debt
Lower Volatility
100% Equity
NOMINATION DETAIL
CNIC/NICOP/Passport:
Share %:
(Mandatory)
Bank Name:
Branch:
City:
DIVIDEND MANDATE
Cash Dividend:
Re-invest
Provide Cash
Stock Dividend:
Either or Survivor
SUBSCRIPTION REQUEST
Statement:
E statements are sent wherever email is provided. Hard Copy of Statement is sent on semi annual basis
Through SMS
Through email
Do not send
Do not send
10,000-25,000
25001-50,000
50,001- 100,000
Advertisement
Existing Investors
Meezan Bank
(Optional)
Website
Relatives
Friends
Education: (Optional)
Post Graduate
Graduate
Under Graduate
100,001 or above
Sales Team of Al Meezan
Professional
Others
OTHER INFORMATION
Target:
Low Risk
High Risk
Individual:
Copy of CNIC(s)
Copy of Form B (for minor)
Reporting Date
Salespersons Signatures
REMARKS
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Annexure I
SECTION A
(1) This section must be completed by any individual who wish to open an account.
(2) Please complete this form for Principal account holder only. In case of Minor, the form should be filled by Guardian for himself as well
as for the Minor.
A. Title of Account (IN BLOCK LETTERS):_____________________________________________________________________
B. CNIC#___________________________________________
C. Customer ID (for office use only):_____________________
D. Country of tax residence other than Pakistan: None
USA
Other _________________
E. Place of Birth: City_______________________ State_______________________ Country___________________________
Documentation Required
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If yes,
Please provide Form W-9, or
In case you claim to be a Non-US Person; please fill Section
B of this form and provide Non-US Passport and Certificate
of Loss of Nationality (i.e. Form I-407).
If yes,
Please provide Form W-9, or
In case you claim to be a Non-US Person; please fill Section
B of this form supported by other documentary evidence
establishing the non-US status.
If yes,
Please provide Form W-9, or
In case you claim to be a Non-US Person; please fill Section
B of this form and provide non-US Passport and other
documentary evidence establishing the non-US status.
SECTION B
This section must be filled by any individual who mark(s) any of the item number 4, 5, 6, 7 & 8 as Yes but claims to be a Non-US Person
along with documentary evidence.
I _________________________________ declare that I have examined the information on this form and to the best of my knowledge and
belief it is true, correct and complete. I further certify that I am not a US Person and will provide Form W-8BEN within 30 calendar days if
required by IRS through Al Meezan. I undertake to notify Al Meezan within 30 calendar days if this certification becomes incorrect.
Signature: __________________________________
Declaration:
I hereby confirm the information provided above is true, accurate and complete.
Subject to applicable local laws, I hereby consent for Al Meezan to share my information with domestic or overseas regulators or tax
authorities where necessary to establish my tax liability in any jurisdiction.
Where required by domestic or overseas regulators or tax authorities, I consent and agree that Al Meezan may withhold from my account(s)
such amounts as may be required according to applicable laws, regulations and directives.
I undertake to notify Al Meezan within 30 calendar days if there is a change in any information which I have provided to Al Meezan.
I will indemnify and hold harmless Al Meezan from any loss, action, cost, expense (including, but not limited to sums paid in settlement of
claims, reasonable attorneys and consultant fees, and expert fees), claim, damages, or liability which arises or is incurred by Al Meezan in
discharging its obligations under FATCA and/or as a result of disclosures to the US tax authorities.
Dated: ___________________
US Taxpayer Identification Number (in case of US Person):______________ Signature: _____________________________
Month
Portfolio No.
Year
Contact No.:
INVESTMENT DETAILS
Name of Fund
Type
Amount in Rs.
Amount in Words
Bank Name
Branch
100% Profit
Monthly
Quarterly
Semi Annually
Account Statement
Physical Units
NOTE:
For Name and Type of Funds please refer to the next page
Please prepare payment instrument CDC Trustee (fund name/plan name) . For details of filling of Cheque kindly refer to the next page
Please write your Porfolio no. (if any) or CNIC no. (in case of new investor) on the front of Cheque/Pay-order/Demand draft
In case where signatures on form and cheque are dierent, the form must be signed by the Cheque issuer
In any case cash will not be accepted. If the cheque is returned unpaid, the transaction of that day will be rejected
Signature of Principal / Joint Account Holder(s) (with rubber stamp in case of Institutional Clients)
Form Received By
Order Number
Reporting Date
Trade Authorized by
Order Authorized by
REMARKS:
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TYPE
Growth B
Income
Growth B
Income
Growth B
Income
Growth B, Growth C
Income
Monthly Income,
Growth C, Income
Monthly Income,
Growth C, Income
Growth B
Allocation Scheme
MIF (Equity)
MSF (Income)
65%*
25%*
45%*
45%*
20%*
70%*
*Minimum Allocation
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