Create Account - BlueChip Securities

Please check the required Account Services

TMS

DEMAT

MEROSHARE

Personal Information

"*" indicates required fields

Applicant's Photo is required.

Upload applicant's recent photo *

Selfie Identity is required.

Upload a Selfie carrying your National Identity Card *

Customer Name *

The firstname is required.

Middle Name

Last Name *

The lastname is required.

Contact No. *

Phone Number is required.

Email Address *

Invalid email

Gender *

Male Female Other

Date of Birth (in B.S.)*

The date of birth is required.

Date of Birth (in A.D.)*

The date of birth is required.

Nationality *

Citizenship No. *

The citizenship number is required

Citizenship Issued From *

The citizenship issued address is required

Citizenship Issued Date (in B.S.) *

The issued date is required

Citizenship Issued Date (in A.D.) *

The issued date is required

Upload Citizenship's front side

Upload Citizenship's Front Side *

Upload Citizenship's back side

Upload Citizenship's Back Side *

PAN No.

If you have PAN no. only

Upload PAN Card

Are you Residing Outside Nepal? *

Yes: No:

Your Residing Country *

Your Abroad Identification No. *

The abroad identification number is required

Current Residence's Address(Abroad) *

The current abroad address is required

Full Name of Close Relative (in Nepal) *

The relative fullname (Nepal) is required

Address of Relative (In Nepal) *

The relative address is required

National Identity Card Number of Relative(In Nepal) *

The national identification number of relative is required

Contact No. of Relative(In Nepal) *

The relative contact number required

Relationship With Close Relative *

The relation with relative is required

Please Input your Skype or any other IM for Video Verification *

The skypeId/any verificationId is required

Proof of Residence *

Upload Residency card

Please upload your Permanent or Temporary Residency card.

DEMAT Information

Demat Number

If you have Demat no. already

Upload DEMAT confirmation letter

Don't you have demat account? Register Now

Type of Account

Account Type is required

Standing Instruction for the automatic transactions

Yes No

Account Statement

Daily Weekly 15 days Monthly

Permanent Address

Country *

The permanent country is required

Province *

The permanent Province is required

District *

The permanent District is required

Municipality *

The permanent Municipality is required

Ward No. *

The permanent WardNo is required

Tole

Is Permanent Address same as Current Address? *

Yes: No:

Current Address

Country *

The country is required.

Province *

The province is required

District *

The district is required

City/Municipality *

The city is required

Street Address 1 *

The street address is required

Street Address 2

Family Information

Father's Name *

The father name is required

Grand Father's Name *

The grandmother name is required

Mother Name *

The mother name is required

Marital Status*

Single Married

Bank Account Details

Type of Bank Account *

Saving Account Current Account

Bank Account No. *

The account number is required

Name of Bank *

The bank name is required and cannot be empty

Branch *

The bank address is required

Occupation Details Information

Occupation *

The occupation is required

Types of Business

Organization's Name

Address

Designation

ID no. of Employee

Estimated Annual Income *

Income details is required

Involvement in Investment Companies which are established for securities trading *

Yes: No:

Minor Information

Does this account belong to Minor? *

Yes: No:

Birth Certificate No *

Minor birth certificate number is required

Birth Certificate Issued Place *

Minor birth certificate issued place is required

Birth Certificate Issued Date *

Minor birth certificate issued date is required and cannot be empty

Country *

Guardian's Full Name *

The guardian full name is required

Relationship with Applicant *

The relation with applicant is required

Correspondence PAN No

Telephone/Mobile No. *

The contact number of guardian is required

Email ID

Upload Minor's recent photo *

Upload Minor's Recent Photo

Minor's Birth Certificate*

Upload Minor's Birth Certificate

Money Laundering Prevention

ARE YOU A POLITICIAN OR A HIGH-RANKING OFFICIAL? *

Yes No

ARE YOU RELATED TO A POLITICIAN OR A HIGH-RANKING OFFICIAL? *

Yes No

NAME OF THE CONCERNED POLITICAL / HIGH RANKING OFFICIAL *

The name of high ranking official is required

Relation *

The relation with high ranking official is required

DO YOU HAVE A BENEFICIARY? *

Yes No

BENEFICIARY NAME *

The benificiary name is required

Relation *

The relation with beneficiary is required

HAVE YOU BEEN CONVICTED OF A FELONY IN THE PAST? *

Yes No

I consent to open my online account and have provided all the genuine information to blue Chip Securities Company Limited by filling this form. I will be responsible solely for all the documents and details provided by me. Also, I will provide further verification if required and comply with Terms & Conditions.

* I have read and understood the condition above and agree to proceed forward. User Agreement

Please check the terms and conditions of Blue Chip Securities Limited

Thumb Print

Left Thumb is required.

Left *

Right Thumb is required.

Right *

Signature is required.

Signature *

Applicant's Name*

The applicant name is required

Referred By