Individual Account Opening Form – Kassah Capital Services

Prefix

First Name *

Middle Name

Last Name *

Marital StatusSingleMarriedDivorcedWidowed

GenderMaleFemale

Street Address *

Apartment, suite, etc

City *

State/Province/Region *

ZIP / Postal Code

Country *

Mobile Phone 1 *

Mobile Phone 2

Email *

Residential StatusResident GhanaianNon-Resident GhanaianResident ForeignerNon-Resident Foreigner

Date of Birth *

Place of Birth *

Proof of Identity *PassportNational ID

Passport/ID Number *

Place of Issue *

Date of Issue *

Date of Expiry *

Upload your Passport/ID bio-data page *

No file chosen

Upload your Profile Picture *

No file chosen

Account Username *

Account Password *

Investment Objective *

Risk Tolerance *LowMediumHigh

Investment Knowledge *LowMediumHigh

Investment Horizon *Short TermMedium TermLong Term

Total Net Monthly Income Range *Below USD 100Within USD 100 - USD 500Within USD 500 - USD 1,000Above USD 1,000NOTE: Income includes salary and/or other earnings

Initial Investment Amount *

USD

Regular Top Up Amount(Expected) *

USD