Online Account Form – Gulrez Securities Pvt. Ltd

Please provide as much as information is available right now. After submition of following form our representative will call you and get the remaining information. If u find any difficulties please call at +92 323 8810706

Account Type

First Name

Last Name

Father/Husbend Name

Permanent Address

Mailing Address

LandLine Number

Mobile Number

Email Id

Residential Status

Occupation

CNIC/NICOP/Passport

Expire

Issue Date

Bank Account Title

Bank Account IBAN

Bank Name

Bank Branch Name

Nominee Note

Pariculars of Nominee only Require in case of Single Account

First Name

Last Name

Select Relation with Main Applicant

CNIC/NICOP/Passport/ARC/POC

Joint 1

CNIC/NICOP/Passport

Date of Expiry

Joint 2

CNIC/NICOP/Passport

Date of Expiry

Joint 3

CNIC/NICOP/Passport

Date of Expiry