Open Account | Equity Capital Resources PLC

Select Account Type

Investor Details (1/ 5)

Full name and title (Required)

Name of institution (if applicable, optional)

Contact person (if Name of institution applicable, optional)

Identity / Registration number (Required)

TPIN (Optional)

Date of birth (Required)

Postal address (Required)

Physical address (Required)

Telephone number (Required)

Email address (Required)

Occupation (Required)

Source of funds (Required)

Investment amount (ZMW) (Required)

Investment amount in words (Required)

Next of Kin Details (2/ 5)

First Name

Last Name

Relationship

Phone Number

Instructions for Dividend Payments (3/ 5)

Account Holder

Bank Name

Bank Address

Branch

Sort Code

Swift Code

Account Number

Upload Required Documents (4/ 5)

Copy of NRC/Passport/Driver’s License

Passport size photo

Please select one of the following

Proof of residence

Reference letter

Certificate of Incorporation (if applicable)

Declaration (5/ 5)

I/we hereby apply for the opening of a brokerage account...

Signature

Date

Individual Investor (1.0/ 5) (If Applicable)

Full name and title (Required)

Identity / Registration number (Required)

TPIN (Optional)

Date of birth (Required)

Postal address (Required)

Physical address (Required)

Telephone number (Required)

Email address (Required)

Occupation (Required)

Source of funds (Required)

Name Of Employer

Employer Phone Number

Investment amount (ZMW) (Required)

Investment amount in words (Required)

Institutional Investor Details (1.1/ 5) (If Applicable)

Name Of Institution

Contact Person

Company Registration Number

Postal Address

Physical Address

Telephone Number

Email Address

Signature Mandate Card (2/ 5) (If Applicable)

Select Signatory Type:

Signatory A

Full Names

Title

ID No.

Date of Birth

Address

Phone

Signatory B

Full Names

Title

ID No.

Date of Birth

Address

Phone

Signatory C

Full Names

Title

ID No.

Date of Birth

Address

Phone

Next of Kin Details (3/ 5) (If Applicable)

First Name

Last Name

Relationship

Phone Number

Upload Required Documents (4/ 5)

Copy of NRC/Passport/Driver’s License

Passport size photo

Please select one of the following

Proof of residence

Reference letter

Certificate of Incorporation (if applicable)

Declaration (5/ 5)

I/we hereby apply for the opening of a unit trust account...

Signature

Date

Select Account Type