Personal Detail


Personal Detail


Personal Financial Data

Initial Deposit


Custodian Bank


Bank Account


Information of Parent or Husband/Wife


Filled By Client


Do you or your member family, work in
PT. NH KORINDO SEKURITAS INDONESIA *

Do you or members of your family, work in Securities Company, Stock Exchange, company controlled by Stock Exchange/Financial Service Authority (OJK)(Formerly) Financial Institution and Superisory Agency, Bank, Insurance Company or other similar financial institution *
Are you or members of your family, a corporate office, a director or having other control at a public company or illegal securities*

Payment Instruction