KTrade Securities Ltd
(Formerly Khadim Ali Shah Bukhari Securities Ltd)
SAHULAT KNOW YOUR CLIENT (KYC) APPLICATION FORM
AND SAHULAT ACCOUNT OPENING FORM
APPLICATION FORM
(Please use BLOCK LETTERS to fill the form)
A. IDENTITY DETAILS OF APPLICANT
1. Full Name of Applicant (As per CNIC/SNIC/NICOP/ARC/POC/Passport) ) Mr./Mrs./Ms. MR MUHAMMAD RIZWAN ALI
2. Father’s / Husband’s Name: SAFDAR ALI
3. a. Nationality: Pakistan b.Marital status: ☑Single ☐ Married
4. a. CNIC/ SNIC/NICOP/ARC/POC No: 3620194395821 ☐Life Time validity
b. Expiry date 2027-05-07
5. Passport details: Passport Number: Place of Issue:
(For a foreigner or a non-resident Pakistani) Date of Issue: Date of Expiry:
Date of Birth: 1999-04-04
B. ADDRESS DETAILS OF APPLICANT
1.(a)Mailing Address: CANDORI DAKKHANA ADHA ZAKHIRA CHAK -NO 235 W B TEHSIL DANIYA PUR ZILA -LODHRAN
(Address should be different from authorized intermediary business address except for employees of authorized intermediary)
City/Town/Village: LODHRAN Province/State: PUNJAB Country: Pakistan
(b) Tel. (off.)*: (c) Tel. (Res.)*: (d) Mobile*: 03043334235 (e) Email*:
[email protected] (f) Fax*:
Specify the proof of address submitted for mailing address:
2.(a)Permanent Address: CANDORI DAKKHANA ADHA ZAKHIRA CHAK -NO 235 W B TEHSIL DANIYA PUR ZILA -LODHRAN
(if different from above or overseas address, mandatory for Non-Resident Applicant)
City/Town/Village: LODHRAN Province/State: PUNJAB Country: Pakistan
(b) Tel. (off.)*: (c) Tel. (Res.)*: (d) Mobile: 03043334235 (e) Fax*: (e) Email(if any):
Specify the proof of address submitted for permanent address:
C.OTHER DETAILS
1. Gross Annual Income Details (please specify): ☐
UP TO 100,000 ☐ 250,001 - 500,000
☑ 100,001 - 250,000 ☐ Above 500,000
2. Source of Income: SALARIED
3. Shareholder’s/ Unit Holder’s Category: INDIVIDUAL
4(a) Occupation:
[Please tick () the appropriate box]
☐ Agriculturist ☐ Business ☐ Housewife ☐ Household
☐ Retired Person ☐ Student ☐ Business Executive ☐ Industrialist
☐ Professional ☑ Service ☐ Govt. /Public Sector ☐ Others(Specify)
(b) Name of Employer / Business: UNITED ENGINEERING CONTRACTORS PVT
(c) Job Title / Designation:
LIMITED (d) Department: CIVIL
SITE ENGINEER
(Include symbol if employer listed company)
(e) Address of Employer / Business: H 92 NEAR MINI MARKET BLOCK P GULBERG 2 LAHORE PUNJAB
D. BANK DETAILS
Bank Name: MEEZAN BANK IBAN No.: PK21MEZN0098110106623303
Branch Name: Branch Address:
E. FOR OFFICE USE ONLY
Seal/Stamp of the Authorized
Intermediary
MUZAFFAR IQBAL MUHAMMAD SHABBIR
CFO & COMPANY HEAD OF SETTLEMENT
SECRETORY (Ktrade (Ktrade Securities Ltd)
Securities Ltd)
* Optional
** For NICOP/ARC/POC/Passport, Email is mandatory and Mobile Number is Optional. Whereas for CNIC/SNIC, Mobile Number is Mandatory and
Email is Optional. Incase of SNIC where country of stay is not Pakistan, email will be mandatory.
*** IBAN shall be mandatory for all Customers subject to any exception available under applicable laws, rules, regulations etc.
