NRN Term Deposit Online Application

NRN ID Card Details

Please choose your ID type*

Front Face of NRN ID Card*
.pdf, .jpg, .png, .jpeg (Max 3MB) Choose a file

Back Face of NRN ID Card*
.pdf, .jpg, .png, .jpeg (Max 3MB) Choose a file

Upload a recent Passport Size Photo*
.pdf, .jpg, .png, .jpeg (Max 3MB) Choose a file

Photo of Nepali/Foreign passport*
.pdf, .jpg, .png, .jpeg (Max 3MB) Choose a file

ID number*

Issued By*

ID Validity Date*

Nominated - Personal Email Address*

Supporting document

Upload the document's photo*
.pdf, .jpg, .png, .jpeg (Max 3MB) Choose a file

**Instructions/requests received from this nominated personal email address in relation to NRN term deposit will be acted upon by the bank as authorised without prejudice.

Your Overseas Bank Account Details*

You are required to inform us about any changes to your bank account details.

Account Name*

Account Number*

Bank Name*

Swift Code*

Term Deposit Details

Currency *

Amount (Minimum amount is USD 1,000 or equivalent) *

Tenure*

Interest Payment Modality*

Interest earned (Total interest net of applicable tax and bank charges) to be remitted back to your overseas account*

Maturity Instruction

You can change this before the maturity of your contract by sending us a request email from your nominated personal email address.

Personal Information

Salutation*

First Name *

Middle Name

Last Name *

Nationality*

Gender *

Date of Birth *

Contact Number*

Grandfather's Name*

Father's Name*

Mother's Name

Spouse's Name

Permanent Address*

Current Address*

Projected Annual Income (USD equivalent)*

Source of Fund*

Nominee Details

Would you like to add a Nominee? * YesNo

Salutation

First Name

Middle Name

Last name

Relationship with the nominee

Contact Number

Date of Birth

Nominee Details

Referral Via:* SelfFriends and FamilySocial MediaMarketing Representative

Self Declaration

I confirm the information provided above are correct, the source of fund is not from terrorism, drug trafficking, human trafficking, and/or organised crime, and agree with the terms and conditions of Laxmi Bank Limited's account opening and any current and future prevailing local laws governing this service.

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NRN Term Deposit Online Application

NRN ID Card Details

Your Overseas Bank Account Details*

Term Deposit Details

Maturity Instruction

Personal Information

Nominee Details

Nominee Details

Self Declaration

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