Request edit access
Associates.com/SamratInvestments
Form for membership of Samrat Investments .
Email address *
Way of Samratians to inspire.
Employee Name / Branch Name
( Optional ) , For office use only .
Associates Id / Form No
For office use only .
Customer type *
Employee option for those who works in company.
Required
Associates Full Name *
Your father's name will be act as Nominee, We assure you that we will pay your Investments in right hand at any cost, Because our motto is to serve you and it will be served at its best.
Name of Father / Husband *
If not possible then please include the name of Guardian .As mentioned on Id . It also acts as Nominee.
Address ( Permanent ) *
Include details with postal code .
Address ( Temporary )
Include details with postal code . ( Optional )
Mobile No *
Personal/ To secure your account from fraud& required for login.
E-Mail Id
Personal/ To secure your account from fraud& required for login.
Service Name *
Any one type of account can be registered at a time. Check website to know more about account type& plans.
Nationality
Date of Submission *
MM
/
DD
/
YYYY
Proof of Identity *
For online users,Send scan of proof on investmentssamrat@gmail.com for verification.
Referral ID/ Coupon Code *
If account open by Company representative then Employee ID or If referred by friends or offer then respected Associates ID / Coupon code.
Proof of Address *
Send scan of proof on investmentssamrat@gmail.com .
Qualification *
Occupation Type *
Required
Profession *
Income
PAN Card Number
Pan Card scan if available, we can ask further if need.
UIDAI No *
Enter aadhaar no.
Term Of Deposit *
Choose according to your plan or feel free to contact us.
Mode Of Account *
Group when two or more person wants to connect their account or for family members, loved ones.
Required
Add account *
You can choose multiple payment gateway. Your money will be transferred on provided details. Neither mention account details here nor invest money on unauthorized account. You will have to submit details while ID verification .
Saving period Type *
Required
I want to Suggest to improve few modes .
If any idea for the growth of human race or which helps in making world a better place through our company or for the improvement of our services.
How many point will you add for our services out of 10? *
On which service you think we need to improve for your better experience? *
Must mention the field or category on which we need to make improvement to experience you even better and easy.
How would you like to suggest about Samrat Investments? *
Is there anything you think we should add to make more innovative, profitable& easy? *
We always value your feedback. You have opportunity to win prize if your plan is selected. Type "NO" if nothing.
Is there something you want to tell which is not mentioned? *
Any improvements or something else which is not mentioned in form. Type "NO", If nothing.
Don't forget to send your ID proof, Photo& your autograph on same mail using your C ID/ Phone no/ mail any of these.
Use mail investmentssamrat@gmail.com you can also submit your proof after getting your C ID.
I agree the terms and conditions of company . *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms