Aartha

Registration

Investor Information Questionnaire and Registration

Last/Family Name
First Name
Given Name
Father’s Name:
Current Address
Email Address
Phone No
Home
Work
Mobile
Date of Birth
Nationality
Occupation
Details of Accompanying Family Members (Children younger than 21 yrs. and Unmarried)
Spouse’s Full Name
Date of Birth
Child’s Name
Age
Child’s Name
Age
Child’s Name
Age
Child’s Name
Age
Net Worth Declaration (Optional)
1) My Net Worth is US $(Excluding my Current resident)
2) My Average Annual Income is in excess of US $in the last two years
3) My Spouse’s Average Annual Income is in excess of US $in the last two years
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