Pathivara Holding
Group of Companies
Step
of 4
Account & Share Details
Date
DP ID
Client ID
Bank Account No
Bank Name
Total Kittas
Price per Kitta
Total
Total in Words
Payment Type
Cheque
Online
Bank Transfer
Cheque Number
Cheque Bank Name
Cheque Amount
Cheque Photo
Paid Amount
Transaction / Reference ID
Payment Screenshot
Transferred Amount
Sender Bank Name
Transaction / Voucher Number
Transfer Receipt
Personal Details
Investor Type
Main Investor
Secondary Investor
Referred By
Referred By
Applicant Name (English)
Applicant Name (Nepali)
Mobile
Email
PAN
NID
Citizenship No
Issued District
Issue Date
Permanent Address
Current Address
Applicant Photo
Family Details
Husband / Wife Name
Father Name
Mother Name
Grandfather Name
Son Name
Daughter Name
Daughter-in-law Name
Father-in-law Name
Mother-in-law Name
Nominee Details
Nominee Name
Relationship
Nominee Address
Nominee Citizenship No
Nominee Citizenship Issue Date
Nominee Citizenship Issue District
Nominee Signature
Applicant Signature
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