Founder Share Application

Apply to subscribe to founder / promoter shares of Prosperity Holdings Limited. Complete every section, and submit.

A Applicant Type

I am applying as: *

B Share Application

Number of Shares *

Price per Share

Total Amount (NPR) *

Amount in Words *

C Payment Details

Payment Method *

Bank / Branch *

Transaction Code / Cheque No. *

Payment Date *

D Applicant Details

Full Name *

Email *

Phone *

Date of Birth

National ID / Citizenship *

PAN

E Permanent Address

Province *

District *

Municipality *

Ward *

Tole / Street

F Nominee Information (Optional)

Nominee Name

Relationship

Nominee Mobile

G Declaration

I certify that the information provided is true and accurate, and I understand the terms and conditions of share subscription.