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Date

Personal Information – For Account Opening

Own Account

For Account

By Account

Joint Account (for Mutual Fund)

1. Personal Information – For Account Opening

1.1 Title

Mr.

Mrs.

Miss

Other

1.2 Name - Surname

THAI

ENGLISH

1.3 Nationality

1.4 Marital Status

Single

Married

Spouse Information Name - Surname

THAI

ENGLISH

1.5 Date of Birth

1.6 ID Type

ID Card No.

Passport No.

Issuing Country

Date of Expiry

Alien Registration Card No.

Date of Expiry

1.7 Current Address

Same as ID Card

Other (Please specify below)

Address No.

Moo No.

Building/Mooban

Floor

Soi

Road

Sub-district/Tambon

District/Amphur

Province

Postal Code

Country

1.8 Mailing Address

As an email in 1.9 (Contact Information)

(If you choose this option, your documents will be sent to your email address as a main contact channel.) Note : For sending E- Confirmation / E-Statement only

ID Card address

Current Address

Workplace Address (in 1.11)

Other (Please specify below)

Address No.

Moo No.

Building/Mooban

Floor

Soi

Road

Sub-district/Tambon

District/Amphur

Province

Postal Code

Country

1.9 Contact Information

Mobile Phone

Home Telephone

Fax

1.10 Occupation

Agriculturist

Investor

Housewife

Retirement

If you choose the following occupations, please also specify workplace address in item 1.11.

State Enterprise Employee

Corporate Employee

Family Business

Doctor/Nurse

Teacher

Politician

Government Employee

Business Owner

Student

Monk/Priest

Self-Employee

Other (Please specify)

1.11 Workplace Address

Company name

No.

Moo No.

Building/Mooban

Floor

Soi

Road

Sub-District/Tambon

District/Amphur

Province

Postal Code

Country

Position

1.12 Business Type (Only occupation Self-Employee , Business Owner , Family Business , Other)

Antique Trading

Hotel/Restaurant

Foreign Currency Exchange

Property/Real Estate

Jewelry/Gold Trading

Insurance/Assurance

Casino/Gambling

Entertainment Business

Travel Industry/Travel Agency

University/School/Education Center

Armament

Financial Service/Banking

Domestic or International Money Transfer

Foundation/Association/ Club/Temple/Mosque/Shrine

Foreign Worker Employment Agency

Other (Please specify)

1.13 Investment Objective

For Investment

Retirement Investment

For Tax Benefit

Other (Please specify)

1.14 Country’s Source of Income/Investment Fund

Thailand

Other countries (Please specify)

1.15 Source of Income (You can select more than 1 item.)

Salary

Savings

Investment

Retirement Fund

Own Business

Inheritance Please specify inheritance name

THAI

ENGLISH

Other

Source of Wealth (You can select more than 1 item.)

Employment

Own Business

Investment

Inheritance Please specify inheritance name

THAI

ENGLISH

Other

1.16 Monthly Income (Baht)

< 15,000

15,001 - 30,000

30,001 - 50,000

50,001 - 100,000

100,001 - 500,000

500,001 - 1,000,000

1,000,001 - 4,000,000

4,000,001 - 10,000,000

> 10,000,000

1.17 Asset Value

Please specify

บาท

(Assets include deposits, direct investments in securities or derivatives, net assets (not including residential real estate))

1.18 Are you a politician or family members or close associates of political persons?

Yes Please specify

1.19 End Beneficiary owner

Note : Fill in only when beneficiary from account opening or person with controlling authority relating to the transaction is another person, not oneself.

Relationship with the account’s owner

(1) Spouse, child or adopted child

(2) Relatives other than (1)

Others (Please specify)

Cancel

Name - Surname

Date of Birth

ID Card No.

Passport No.

Issuing Country

Date of Expiry

Alien Registration Card No.