Form for membership of Samrat Investments .
Email address *
Way of Samratians to inspire and serve as well.
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.
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.
Proof of Identity *
For online users,Send scan of proof on 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 .
Occupation Type *
Profession *
PAN Card Number
Pan Card scan if available, we can ask further if need.
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.
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 *
How would you like to suggest about Samrat Investments? *
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 you can also submit your proof after getting your C ID.
I agree the terms and conditions of company . *
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