NASDAQ Dubai Account Opening Form
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Instructions for filling out the form
Application Date:
Investor Type:
Account Type:
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INDIVIDUAL DETAILS
 
Name(As on passport) *:
 
Occupation/Position*:
 
Employer & Business Address*:
   
Passport No.* : Driving License No.:  
Marital Status* : Date of Birth* :  
 
Nationality *:
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Full Address
 
Physical Address *:
 
Country *:
   
City *: P. O. Box *:
   
Mobile *: Fax:
   
Res Telephone *: Office Tel *:
 
Email Id *:
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Settlement account Details
 
USD Mashreq Account No.* :
Financial Worth & Investment Goals
 
Previous Investment Experience *
Expected duration of securities trading *
Monthly Income :
Statement which appropriately describes your risk appetite and investment return:
FINANCIAL LIABILITIES DETAILS
Do you have Financial Liabilities?
Loans /finances/ Mortgage* Name of Lender* Amount* Currency*
     
     
     
To add more liabilities, please attach a signed separate sheet to the application form
DECLARATION
Open Declaration
BROKERAGE SERVICES AGREEMENT
Open Brokerage Services Agreement
 
How did you hear about us?
 
Investor Name* : Signature & Stamp: ............................................
 
 
Mashreq Securities L.L.C.
7th Floor, Al-Ghurair Office Tower No. 4, Deira, Dubai, United Arab Emirates P.O. Box 1250, Dubai – U.A.E., Telephone:+971 4 363 2222, Fax. +9714 424 7322, Email. info@mashreqsecurities.com. www.mashreqsecurities.com.
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