To Edit
After successful submission of this form visit nearest NIBL branch with 1 latest passport size photo and other stated documents to sign KYC form
Identity Details
Title Currency    
Account Number        Customer ID
Name of the Applicant
Father's Name
Grand Father's Name
Husband's / Wife's Name
Guardian's Name
(in case of minor)
Marital Status Date of Birth  (dd/mm/yyyy)
Status
Occupation  
Total Annual Income
(for individual)
If self employed
(Tick appropriate box)
 
Citizenship Number Nationality  
Passport Number Driving Lisence Number  
Religion    
Education Qualification    
Are you availing Debit/Credit Card facility
If Yes, select the type of card
Name of card Issuance Bank/s
NRN Details
Is account of a non resident or a foriegn national?    
If Yes,Date of Becoming NRN Country
Visa No Date of issue
Validity    
Contact Person (In Nepal)
Name
Zone  
Municipality/VDC
Phone Number
Fax No.
Relationship To Me
Address
District
Ward No
Mobile Number
Email
Business Details (For Business)
Nature of Business  
Total Annual turnover
(for corporate business house)
Whether Income Tax Assessee?  (If yes, please furnish PAN/VAT number)
Constitution
PAN No VAT No
Registered In Registration No
Whether dealing with any other bank or already have an account with this bank, if yes, please give details:
Name of the Bank & Branch Facilities/services being availed
  Saving Account Current Account Overdraft Term Loan Others
Permanent Address
Country District Zone
Tole Block No P.Box. No
Municipality/VDC Ward No Email
Phone Number Mobile No Fax No
Temporary Address  
Country District Zone
Tole Block No P.Box. No
Municipality/VDC Ward No Email
Phone Number Mobile No Fax No
 Correspondence Address   
Country District Zone
Tole Block No P.Box. No
Municipality/VDC Ward No Email
Phone Number Mobile No Fax No
 
Additional Details of Family Members    
Relation Full Name Citizenship No. Issued By Issued On
Spouse
Father
Mother
Grandfather
Grandmother
Son 1
Son 2
Son 3
Daughter 1
Daughter 2
Daughter 3
Daughter-in-law 1
Daughter-in-law 2
Daughter-in-law 3
Additional Address Proof Documents (Optional)
In Case of Permanent Address:




In Case of Temporary Address:

In Case of residing in a rented house:
In Case of Indian Citizen:
   
In Case of Refugee: