Mega Bank Nepal for Consumer Banking, Corporate Banking, SME Banking, Micro Banking and Direct Banking

Mega Nagarik Samridhi Bachat Khata Opening Form

ACCOUNT OPENING FORM (INDIVIDUAL - SINGLE/JOINT)

“All the * Fields are mandatory.”

“If you have any Saving Account in Bank, Please do not process for same account type.”

Select Branch *

Please open my/our account with your bank as follows

Your Required Account Type

Account Type

Currency

Would you like to open a Minor Account?

Would you like to open a Joint Account?

Would you like to add nominee?

Required For Minor Account

Minor Information

Title

First Name

Middle Name

Last Name

Date Of Birth

Guardian's Information

Title

First Name

Middle Name

Last Name

Relationship

Guardian's Telephone

Office

Fax

Mobile

Home

Home Details

Country *

Country Zone*

Zone District*

Country Province *

Province District*

Current Municipality *

City *

Ward No *

Permanent Country *

Permanent Zone*

Permanent District*

Permanent Country Province *

Permanent Province District*

Permanent Municipality *

House No.

Tole

Please attach your latest identification document along with photograph

Passport Size Photo (Latest) *

Select or Drag a File

Citizenship Certificate / Passport *

Select or Drag a File

Birth certificate

Select or Drag a File

Sole Applicant / Joint Applicant (A)

Your Information

Title

First Name

Middle Name

Last Name

Gender

Family Information

Grandfather's Name *

Father's Name *

Mother's Name *

Spouse Name

Personal Details

Nationality

Date Of Birth *

Identification Document

Citizenship No.

Passport No.

Place Of Issue

Document Issued Date

Marital Status

Occupation Details

Job Type *

Others Specify *

Annual Income

Contact Information

Contact No (Home)

Contact No (Office)

Fax

Mobile

Email Address

Home Details

Country *

Country Zone*

Zone District*

Country Province*

Province District*

Current Municipality *

City *

Ward No *

Permanent Country *

Permanent Zone*

Permanent District*

Permanent Country Province*

Permanent Province District*

Permanent Municipality *

House No.

Tole

Joint Applicant (B)

Your Information

Title

First Name

Middle Name

Last Name

Gender

Family Information

Grandfather's Name *

Father's Name *

Mother's Name *

Spouse Name

Personal Details

Nationality

Date Of Birth *

Identification Document

Citizenship No.

Passport No.

Place Of Issue

Document Issued Date

Marital Status

Occupation Details

Job Type *

Others Specify *

Annual Income

Contact Information

Contact No (Home)

Contact No (Office)

Fax

Mobile

Email Address

Home Details

Country *

Country Zone*

Zone District*

Country Province*

Province District*

Current Municipality *

City *

Ward No *

Permanent Country *

Permanent Zone*

Permanent District*

Permanent Country Province*

Permanent Province District*

Permanent Municipality *

House No.

Tole

Joint Applicant (C)

Your Information

Title

First Name

Middle Name

Last Name

Gender

Family Information

Grandfather's Name *

Father's Name *

Mother's Name *

Spouse Name

Personal Details

Nationality

Date Of Birth *

Identification Document

Citizenship No.

Passport No.

Place Of Issue

Document Issued Date

Marital Status

Occupation Details

Job Type *

Others Specify *

Annual Income

Contact Information

Contact No (Home)

Contact No (Office)

Fax

Mobile

Email Address

Home Details

Country *

Country Zone*

Zone District*

Country Province*

Province District*

Current Municipality *

City *

Ward No *

Permanent Country *

Permanent Zone*

Permanent District*

Permanent Country Province*

Permanent Province District*

Permanent Municipality *

House No.

Required for Non-resident Customer

Local Contact Person

Title

First Name

Middle Name

Last Name

Address

City

Phone No.

Other Services Required

Statement

Frequency

Statement Print

Mode of Delivery

Debit Card

For Sole / Joint Applicant (A)

For Joint Applicant (B)

For Joint Applicant (C)

E-Banking

Online Banking

Mobile Banking

Nominee Details

Your Nominee

Title

First Name

Middle Name

Last Name

Citizenship / Passport Number

Date Of Birth

Contact No.

Nominee Details

Relation To Me

Relation

Citizenship / Address

Place Of issue

Country *

Country Zone *

Zone District *

Country Province *

Province District *

Current VDC/Municipality *

Permanent Country *

Permanent Zone *

Permanent District *

Permanent Province *

Permanent Province District *

Permanent VDC/Municipality *

Please attach your latest identification document along with photograph

Passport Size Photo (Latest) *

Select or Drag a File

Citizenship Certificate / Passport *

Select or Drag a File

Birth certificate

Select or Drag a File

Please attach your latest identification document along with photograph

Passport Size Photo (Latest) *

Select or Drag a File

Citizenship Certificate / Passport *

Select or Drag a File

Notarized NRN Card

Select or Drag a File

Source of FCY earning certificate - MANDATORY - FCY A/c for Nepalese

Select or Drag a File

Authority for Disclosure of the Bank account information

Are you united state resident?

Are you United State citizen?

Do you hold United State green card?

Do you have a company/proprietership firm/ partnership/private firm registered in United State?

If either of the above answers is 'yes' please fill the below details

I/We,....................................................,passport number..........................................place of issue..............................................place of birth.......................................having social security number ....................................residence of .......................................authorize Mega Bank Nepal LImited to disclose my account transaction of information with domestic of overseas regulators or overseas tax authority where neccessary

I/We understand that when disclosed, the said information or account transcation is used for overseas of domestic tax purpose only. Terms and Condition

Terms and Condition

I confirm the information provided above are correct and my own. I also hereby declare that the account at Mega Bank Nepal Limited is opened with the money obtained from legitimate source. All transaction in the a/c shall not be used for the purpose of money laundering or terrorist financing activities. If the Bank identifies or suspects that the account is being used to process illegal proceeds, Bank reserves its right to act as per country’s prevailing rules and regulations on money laundering and financing of terrorism. I hereby agree to the above Terms & Conditions.