SRI SAI SHARE & STOCK , Patel Colony,Sandalpur More,PATNA-6
Form for subscribing to our recomendatios
-----------------------------------------
Please Fill The Following Details:-
--------------------------------------------------
1. Name of Applicant (IN Full Capitals) :-
2. Fathers Name :-
3. Permanent Address:-
4. Address for Correspondence:-
5. E-mail Address:-
6. TelePhone No.:- Day ............ Night ...........
7. Mobile no.:-
8. Field of Interest:- (Please tick at least any one of the following)
(a)Share Market operations( i.e Buying/Selling of Shares)
(i) Investorfor Short/Medium/Long term
(ii)Daily Trader(specultive Trading)
(b)Derrivatives Trading
(c)Mutual funds
(d)Any Other(Please specify)
9. Plan no.and name of Subscription Plan,for which applid for:-(1)Monthly (2)H/Yearly (3).Yearly
10. Cheque/ D.D No. ................ Dated................ Amount.............
or
Details of any other mode of Payment (if any)
11. Medium of getting Recommendations (strike out which is not applicable).
(a) Internet(Logging to site) (b) SMS (c)POST/Courier (d) Phone
12. Declaration:-
I am ready to subscribe the services of SRI SAI SHARE & STOCK, Patel Colony, Sandalpur
More,PATNA-800006 I am fully aware of the fact that recommendations provided by SRI SAI SHARE
& STOCK, Patel Colony,Sandalpur More,PATNA-800006 ,may not be correct always and a loss may
occur to me.In that case also,nobody will be responsible for my losses except me.
Also,I accept that I shall be bound to the terms and conditions offered by SRI SAI SHARE
& STOCK,Patna-6 from time to time. I have read and understood the TERMS and CONDITIONS of
SRI SAI SHARE & STOCK,PATNA-6 carefully and accept it.
Name:- Signature
Place:-
Date:-
-------------------------------------------------------------------------------------------------
Space for office use only.
-------------------------------------------------------------------------------------------------