Know Your Client Form 1

(Application form for individual only)

Application No:……………..
Affix a recent
passport size
color photo

Sign Across the

photo graph

Stock Brokers Maldives Pvt Ltd, 3rd Floor, STO Trade Centre, Male', Maldives

Tel: +960 333 4451, Fax: +960 333 4453

Email:info@stockbrokersmaldives.com

Website: www.stockbrokersmaldives.com

In an effort to serve you (our client) better, we would like to know the following about you to enable us help
you make informed investment decisions. The information provided will be kept private and confidential.
Please fill this form (All information is applicable from sections 1, 2,…..and … is mandatory)

Applicant’s Information

1. Name of Applicant- Mr/Mrs (As appearing in supporting identification document):

Aminath
First Name:------------------------------------
Eshal
Middle Name: --------------------------------
Mohamed
Last Name: -----------------------------------

2. Date of Birth: /02 / 06 / 2008 Marital Status No. of Children/ Dependents

3. Status (please tick in appropriate box): Resident Non Resident
Maldives
4. Nationality: -------------------------------------------------------------------------

5. Proof of Identity to be provided by applicant. Please Submit copy of any valid documents.
(Please fill in appropriate box) NIC No. A368122 Passport No.
M.DayStar, First Floor, 5/25 Fareedhee Magu
6. Present Address: -------------------------------------------------------------------------------------------------------------
Male' 20256
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State…………………. Country…………………………………………. Maldives Postal Code 20256
Same as above
7. Permanent Address: ---------------------------------------------------------------------------------------------------------
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State…………………. Country…………………………………………. Postal Code
8. Contact Details:
Tel (Office no) -------------------------------------------- Tel (Home) -------------------------------------------------
777 7725 7954115
Mobile --------------------------------------------------------- Fax:----------------------------------------------------------
aminath.eshal.mohamed@gmail.com
E-mail -------------------------------------------------------------------
9. Proof of present address to be provided by applicant. Please provide any one of following latest documents
and tick the attached document

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 Latest land Line Tel Bill Latest Mobile Phone Bill Latest Electricity Bill Latest Water Bill
Latest Bank Pass Book Latest Bank Account Statement Latest MSD Account Statement
Rental Agreement of residence Any other proof of current address
10. Monthly Income (Please tick the relevant box) Not Applicable
Up to MRF 5,000 MRF 5,001 to MRF 10,000 MRF 10,001 to MRF 20,000
MRF 20,001 to MRF 30,000 MRF 30,001 to MRF 50,000 MRF 50,001 & above
11. Occupation Details (Please tick the relevant box)
Private Sector Service Public/Government Sector Service Politically Exposed Person Retired
Business Professional Housewife Student ✓ Other (Please specify) -----------------------------
12. Name and Nature of the Business? Not Applicable
13. Are you politically exposed person? Yes (Attached supporting documents) No
14. Bank Account Details

• MVR - Savings
Type of Account : ----------------------------------
• Aminath Eshal Mohamed
Account name : --------------------------------
• 7730 000 511 096
Account number: ----------------------------------
BML
• Bank name: --------------------------------------------
msd acct no 6174 042790 101
15. Security Deposit Account no:-------------------------------------

16. Your Annual Gross Income:

Not Applicable
MRF. …………………………..

17. Your Annual Net Income

Not Applicable
MRF…………………………….

18. What investment time horizon is most appropriate for your investment programme?

Less than 1 year

1yr – 3yrs
4yrs – 10yrs
More than 10 yrs

19. What Is The Projected Use Of The Money In Your Investment Programme?

(Rank the following according to order of importance on scale of 1 to 5, with 1 being the most important)

(1) To fund retirement………………………………………………………………………

(2) To finance college education of children……………………………………………….
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(3) To fund the purchase of a home (improvements)………………………………………
(4) To build wealth…………………………………………………………………………. 1
(5) Other (please explain)…………………………………………………………………..

20. What Is Your Overall Knowledge Of Investment?

Low: I have very little investment experience outside of bank savings

Medium: I have some experience investing in shares and bonds
High: I have been an active participant in the stock market
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21. What Is Your Investment Objective?

Different types of investments generate returns in different ways. Aggressive investments such as shares tend to
generate returns through dividend payments and capital gains. How would you characterize your investment
objective for this portfolio?

Emphasis on income generating investments

Emphasis on income generating investment and some capital growth

22. What Is Your Attitude Towards Risks?

The process of investing requires careful consideration of risk. There is a trade-off between the risk associated
with an investment and its expected return over time. Typically, one must endure greater risk in order to pursue
higher returns. Each investor has different attitude towards risks. Which statement describes your attitude
towards risks?

I cannot accept any loss of principal

Conservative: I am more concerned with preserving the value of my account then maximizing capital
growth, and can tolerate some decline in value through market cycle
Moderate: I am comfortable with fluctuations in my portfolio, and the possibility of large declines in value,
in order to grow my portfolio over time.
Aggressive: I am comfortable taking on high levels if risk, and the possibility of large fluctuations and
substantial declines in the value of my portfolio, in pursuit of higher level of appreciation in my portfolio
over time.

23. Is There Any Additional Information You Would Like Us To Know About You?

24.Settlement Instructions

Cheques
Collected by client
Account Transfer

I hereby declare that the information given in this application is true and correct.

1. Client’s Name:…Aminath Eshal Mohamed

……………………. Signature………………………
17 July 2024
2. Date:……….. 02 July 2024

Witnesses

Mohamed Ahmed Naseem

1. Name:……………………….. Mussida Mohamed Didi
Name:…………………………………
H.Remsees, Male'
Address:..…………………… M.DayStar, Male'
Address:………………………………
……………………………… ………………………………..
……………………………….. ………………………………..

Signature:……………………. Signature:…………………….

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FOR OFFICE USE ONLY

ALL RELEVANT DOCUMENTS ATTACHED

[YES / NO]

Introduced By…………………………………..
Approved By…………………………………...
Designation…………………………………….
Date…………………………………………….

Signature……………………………………….

Check List
Please ensure the following while submitting KYC application form
KYC form is complete
KYC form is signed by the applicant as well as witnesses
Signature with KYC must match with that on the identity proof submitted
Photograph is pasted on the form and the investor has signed across the photograph
Photo copy of Identity card/Passport
Photo copy of Birth Certificate for minor (under the age of 18 years)
Power of Attorney (if represent an agent)
Address mention in the form is matching with the address proof submitted
Documentation for Politically exposed person
Supporting documents providing evidence of current work place