FCSL Online BO Form ► First Capital Securities Limited

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Home
About Us
Our Services
Market Info
Research
- Fundamental Analysis
Puji OMS
Forms and Payments
More

Home
About Us
Our Services
Market Info
Research
- Fundamental Analysis
Puji OMS
Forms and Payments
More

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BO Type *IndividualJoint

Preferred Branch *

First Applicant

Title

Name of Account Holder *

Profession *

Father's Name *

Mother's Name *

Spouse Name

Present Address/Mailing Address *

City *

ZIP / Postal Code *

Country *

Permanent Address *

City *

ZIP / Postal Code *

Country *

Date of Birth *

Gender *

Nationality *

National ID: *

Passport

Issue Date

Expiry

Mobile No *

Email *

Photo *

No file chosen

Signature *

No file chosen

NID *

No file chosen

TIN

No file chosen

Others

No file chosen

Joint Applicant

Title

Joint Applicant's Name *

Profession *

Father's Name *

Mother's Name *

Spouse Name

Present Address *

City *

ZIP / Postal Code *

Country *

Permanent Address *

City *

ZIP / Postal Code *

Country *

Date of Birth *

Gender *

Nationality *

National ID *

Passport Number

Issue Date

Expiry

Mobile *

Email Address *

Photo *

No file chosen

Signature *

No file chosen

NID *

No file chosen

TIN

No file chosen

Others

No file chosen

Would you like to create a link to your existing Depository Account? *

Existing BO ID *

OLD BO Acknowledgement or Portfolio *

No file chosen

Internal Reference No

Bank Information

Bank Name *

Branch Name *

Account Number *

Routing Number *

Cheque Page *

No file chosen

Bank Statement

No file chosen

Nominee

Number of Nominee(s)? *OneTwo

Is Nominee 1 Minor? *YesNo

Nominee 1

Title

Nominee Name *

Father's Name *

Mother's Name *

Street Address *

City *

ZIP / Postal Code *

Country *

Gender *

Date of Birth *

Nationality *

Phone

Email Address

NID/Passport Number *

Issue Date

Expiry

Relation with Applicant *

Percentage(%) of Nomination *

Photo *

No file chosen

Signature *

No file chosen

NID/Passport *

No file chosen

Guardian's Details of Minor Nominee 1

Title

Guardian's Name *

Relation with Nominee *

Maturity Date of Minor *

Father's Name *

Mother's Name *

Street Address *

City *

ZIP / Postal Code *

Country *

Gender *

Date of Birth *

Nationality *

Phone *

Email Address

NID/Passport Number *

Issue Date

Expiry

Photo *

No file chosen

Signature *

No file chosen

NID/Passport *

No file chosen

Is Nominee 2 Minor?YesNo

Nominee 2

Title

Nominee Name *

Father's Name *

Mother's Name *

Street Address *

City *

ZIP / Postal Code *

Country *

Gender *

Date of Birth *

Nationality *

Phone *

Email Address

NID/Passport Number *

Issue Date

Expiry

Relation with Applicant *

Percentage(%) of Nomination *

Signature *

No file chosen

Photo *

No file chosen

NID/Passport *

No file chosen

Guardian's Details of Minor Nominee 2

Title

Guardian's Name *

Relation with Nominee *

Maturity Date of Minor *

Father's Name *

Mother's Name *

Street Address *

City *

ZIP / Postal Code *

Country *

Gender *

Date of Birth *

Nationality *

Phone *

Email Address

NID/Passport Number *

Issue Date

Expiry

Photo *

No file chosen

Signature *

No file chosen

NID/Passport *

No file chosen

Want to Authorize? *YesNo

Power of Attorney

Title

POA Name *

Father's Name *

Mother's Name *

Street Address *

City *

ZIP / Postal Code *

Country *

Gender *

Date of Birth *

Nationality *

Phone *

Email Address *

NID/Passport Number *

Issue Date

Expiry

Power of Attorney Effective From *

Effective To *

Photo *

No file chosen

Signature *

No file chosen

NID/Passport *

No file chosen

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Our Address

Room # 422, DSE Annex Building (3rd Floor), 9/E Motijheel- C/A, Dhaka-1000

Our Mailbox

Email: fcsl.dhaka@gmail.com
info@fcslbd.com

Our Phone

Phone: +88 0222 3352096

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