Cds 1(A) - Depository Account Application Form - Individual printable pdf download

Cds 1(A) - Depository Account Application Form - Individual

CDS 1(a)

DAR ES SALAAM STOCK EXCHANGE PLC

DEPOSITORY ACCOUNT APPLICATION FORM - INDIVIDUAL

Please use CAPITAL LETTERS

Title (Prof/Dr/Hon/Rev/Mr/Mrs/miss/ms):

Full Name:

(First, Middle, Last Name)

Address:

Client’s Occupation:

Nationality:

Telephone Number:

Email Address:

Bank Account Number:

Bank Name:

Branch:

Identity Type:

Number:

First Applicant Signature:

Date:

I/We hereby apply to open and maintain a depository account at the DSE Central Depository System

JOINT APPLICANTS:

The first applicant should fill in the above details. Other persons, applying to hold the account jointly with the applicant,

should insert their names in CAPITAL LETTERS and sign in the box below.

I/We join in this application as joint holder(s).

Title

Full Name

Nationality

Signature

(First, Middle, Last Name)

I/We understand that the securities to be deposited in the CDS account to be opened pursuant to this application

will be held by Dar es Salaam Stock Exchange in Trust for me (us).

This application was lodged through

Stamp and Authorized Signature of Authorized CDS Operator

Date

Subject to the Rules and Practices of the DSE

Cds 1(A) - Depository Account Application Form - Individual