RDO :: Nasabah Baru Individu

New Individual Customer Registration Form

1Input Profile
2Risk Profile
3Upload Document
4Confirmation
5Finish

Personal Information

Username *

Alphanumeric only

SID

First Name *

Middle Name

Last Name

Mother's maiden name *

Nationality *

Type ID *

ID Card Number *

Valid until

Lifetime format : dd-mm-yyyy

Tax Number *If Any

Place of birth *

Date of birth *

format : dd-mm-yyyy

Years Old

Gender

Male Female

Marital Status *

Education *

Religion *

Heirs

Name

Relationship

Address

Bank Account Information (Default)

Bank *

Branch *

Account Number *

Account Holder Name *

Currency *

Bank Account Information 2

Bank

Branch

Account Number

Account Holder Name

Currency

Bank Account Information 3

Bank

Branch

Account Number

Account Holder Name

Currency

Contact Information

E-mail *

Phone

Mobile Number *

Address Base on ID Card

Province *

City *

Sub *

Zip

Address *

Current Address Based on ID Card

Province *

City *

Sub 2 *

Zip

Address *

Job Data/Business Information

Occupation *

Business fields

Income (Annual) *

Fund Source *

Goal *

Investment Horizon

Company

Position

Length of work

Years Old

Company Phone

Address

* Required

Confirmation Form

Personal Information

Username :

SID :

First Name :

Middle Name :

Last Name :

Mother's maiden name :

Nationality :

Type ID :

ID Card Number :

Valid until :

Tax Number :

Place of birth :

Date of birth :

Gender :

Marital Status :

Education :

Religion :

Heirs

Name :

Relationship :

Address :

Bank Account Information

Bank :

Branch :

Account Number :

Account Holder Name :

Currency :

Bank Account Information 2

Bank :

Branch :

Account Number :

Account Holder Name :

Currency :

Bank Account Information 3

Bank :

Branch :

Account Number :

Account Holder Name :

Currency :

Contact Information

E-mail :

Phone :

Mobile Number :

Address Base on ID Card

Province :

City 1 :

Sub :

Zip 1 :

Address 1 :

Current Address

Province 2 :

City 2 :

Sub 2 :

Zip 2 :

Address 2 :

Informasi Data Pekerjaan/Usaha

Occupation :

Business fields :

Income (Annual) :

Fund Source :

Goal :

Investment Horizon :

Company :

Position :

Length of work :

Company Phone :

Address :

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