TANMIA

Personal Details

Full Name ^*

Nationality ^*

Date of Birth ^*

Proof of Identity

Passport No. ^*

Issue Date ^*

Expiry Date ^*

ID No. ^*

Issue Date ^*

Expiry Date ^*

CR No. ^*

Issue Date ^*

Expiry Date ^*

US Indicia (FATCA)

Applicant Information

ID No ^*

Representative (If Applicable)

Agency No.

Politically Exposed Person (PEP)/ Prominent Position

PEP means currently or was formerly entrusted with a prominent public function in any country. This Includes currently or formally serving. Direct relative or “family members” includes Parent, Child, Spouse, Sibling, In law and in case of step parent- spouse, adopted child, step- child, adopted sibling, step-sibling and in laws. “Close associates” means colleagues, personal advisors, or business partners with a business relationship with a PEP.

Head of Government, President, Prime Minister, Minister and their deputies or any other equivalent position
Advisors/Consultants of the head of state, prime ministers, minister and other equivalent position or bodies affiliated to Head of Governmen
Head and Assistant of religious groups outside the Sultanate
Important political party officials (Head, Secretary General)
Any appointment based on Royal Decree - Member of the Royal Family
Rank of Colonel and above (Army, Navy, Air force, ROP, intelligence, investigation or law enforcement agency)
Board members, President, Senior executive upwards (i.e. Vice President) of Central Banks - Board members, Directors (CEO), Deputy Directors of government owned company
Ambassador, Counselor, First Secretary, Charges d' affairs or Embassy Attache’
Member of parliament, Shura Council, Oman Council, State council; or any equivalent body
Judges of all Court level - Board members, Directors (CEO), Deputy Director of an international organization (such as UN, WHO, UNESO..etc.)

	Declaration	Primary Applicant	Second Applicant
1	Are you a current or former PEP?	Yes No	Yes No
2	Are you a “family member” of a current or former PEP?	Yes No	Yes No
3	Are you a “close associate” of current or former PEP?	Yes No	Yes No

Subscription

Amount ^*

Currency

Note: Subscription (Amount of subscription in multiple of 100 units) minimum 100 units

Account No. at Muzn Islamic Bank (NBO): 100000000111

Redemption

Number of Unit ^*

Investment Details

Investor No. ^*

Bank Account No. ^*

Bank Name ^*

Branch ^*

Attach Files

ID Card ^*

Passport ^*

Bank Transfer Receipt ^*

I hereby apply for the above stated transaction in accordance with the fund's terms and conditions, which I have received, read, understood, and accepted. I also accept any fees or commissions that are specified in the terms and conditions.

Investor Information Form

Personal Details

Proof of Identity

US Indicia (FATCA)

Applicant Information

Politically Exposed Person (PEP)/ Prominent Position

Subscription

Redemption

Investment Details

Attach Files