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Account Application

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Personal Information
Applicant Title
First Name*
Father’s name*
E-Mail*
Place of birth Register number
Register Place Education
Spouse’s full maiden name Age of children
Family Name*
Mother’s full maiden name
Applicant education Date of birth
Nationality Marital status
No. of children
No. of dependants
Home Address
Bldg. name Street
Home Phone Apartment is
Floor no
City
Mobile Number
Banking Relationships
Name of Bank Branch
Type of Account Name of Bank 2
Branch 2 Type of Account 2
Type of Loan Are a personal loan gauarator
Current Loan Bank Monthly Loan Payment
Current Loan Branch
Employment
Employment Status
Company/Employer Name
Time spent at company (years)
Company/Employer Phone number
Account Request
Account type
Name of Joint Account Holder (If any)
Currency
Amount of account
Deposit Period (for Time Deposit Account only)
At which FRANSABANK branch
How did you know about the account Relationship between Applicants
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No.1 on the list of banks. BDL Authorization No. 11/438 dated 21.09.2006. Designed and developed by Borninteractive