Account Open Form

FSIB Account Opening Request Form

Customer Information :

A/C Open Br :

A/C Type :

Account Holder Name :

Gender :

Father's Name :

Mother's Name :

Date of Birth :

Occupation :

Mobile(Whatsapp enable no) :

Email :

Nationality :

Address :
Permenant Address :
Present Address :Same as above:

ID front(NID/Passport) :

ID Back(NID/Passport) :

Customer Photo :

Customer Signature :

Nominee Information :

Name :

Relation :

Nominee ID Front(NID/Passport) :

Nominee ID Back(NID/Passport) :