Securities Account Opening

Please complete the information below to open a securities account.
1. Nationality
Khmer
Foreigner
2. Type of Account
Individual
Corporate
3. Title
Mr.
Mrs.
Ms.
4. Name
5. Date of Birth dd/mm/yyyy
6. Identification Type
ID Card
Passport
7. Identification No.
8. Phone
9. E-mail
10. Contact Address
Only enter the blue characters

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