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Sr. No.

Particulars
1 WHICH DEMAT TRADING A/C WISH TO OPEN (NRE / NRO OR BOTH )
2 NAME (AS PER PASSPORT OR PAN CARD)
3 GENDER
4 DATE OF BIRTH
5 MARITIAL STATUS
6 NRE ACCOUNT NUMBER (MANDATORY FOR EXSTING CUSTOMER)
7 NRO ACCOUNT NUMBER (MANDATORY FOR EXSTING CUSTOMER)
8 CUSTOMER ID (MANDATORY FOR EXSTING CUSTOMER)
9 PAN NUMBER (MANDATORY)
10 AADHAR NUMBER (IF AVAILABLE)
11 PASSPORT ISSUED BY (COUTRY NAME)
12 PASSPORT EXPIRY DATE
13 PASSPORT NO
14 MOTHERS NAME
15 FATHERS NAME
16 SPOUSE NAME (IF APPLICABLE)
17 CITY OF BIRTH
18 COUNTRY OF BIRTH
19 NATIONALITY (INDIAN/OCI/PIO)
20 TAX IDENTIFICATION NUMBER (OTHER THAN INDIA)
21 TAX IDENTIFICATION TYPE (For eg PAN in India)

22 COMMUNICATION ADDRESS (INDIA OR OVERSEAS)

23 INDIAN ADDRESS (AS PER ADDRESS PROOF)

24 OVERSEAS ADDRESS (AS PER ADDRESS PROOF)

25 EMAIL ID
26 MOBILE NUMBER
27 OCCUPATION
28 IF SALARIED EMPLOYED WITH
29 SELF EMPLOYED PROFESSIONAL
30 SELF EMPLOYED SINCE
31 NATURE OF BUSINESS
32 TYPE OF COMPANY/FIRM
33 RESIDENCE TYPE
34 NAME OF CURRENCY (FCY)
35 GROSS ANNUAL INCOME
36 EXP REMITTANCE IN NR ACCOUNT (INR) ANNUALLY
37 NOMINEE REQUIRED (YES/NO)
38 NOMINEE NAME
39 NOMINEE ADDRESS

40 RELATION WITH NOMINEE


41 DATE OF BIRTH OF NOMINEE
42 NOMINEE PANCARD NUMBER
Details
NRE
MOHAMMAD JAMSHED ALAM
MALE
5/1/1984
MARRIED
1861060010399
NO
48724506
BTJPA3177P
456123860745
JEDDAH KSA
10/12/2023
L4900619
HADISUN NISA
ABDUL RASHED KHAN
RUHI JAWAID ANWAR KHAN
BIHAR
INDIA
INDIAN
NO
BTJPA3177P
MOHAMMAD JAMSHED ALAM , GULF INDUSTRIAL & MARINE
SERVICES CO. PO BOX NO. TEL +974 44272525, FAX +974
44272626 MOB: +974 31159931
S/O ABDUL RASHED KHAN, MURAUWATPUR, NEAR URDU
NAKHTAB WARD NUMBER -14, MAHNAR VAISHALI BIHAR.

MOHAMMAD JAMSHED ALAM , GULF INDUSTRIAL & MARINE


SERVICES CO. PO BOX NO. 33157, BULDING NUMBER 178 ,STREET
NO 230 ZONE NO 26, 2ND FLOOR UNIT NO. 8

jamshedkhan040@gmail.com
00974-31159931
ENGINEER
YES
NO
NO
NO
CONSTRUCTION COMPANY
RESIDENCE PERMIT/WORK
QATAR RIYAL (QAR)
2000000
500000 TO 800000
YES
RUHI JAWAID ANWAR KHAN
MOHAMMAD JAMSHED ALAM , GULF INDUSTRIAL & MARINE
SERVICES CO. PO BOX NO. 33157, BULDING NUMBER 178 ,STREET
NO 230 ZONE NO 26, 2ND FLOOR UNIT NO. 8

WIFE
28/08/1990

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