Roshan Digital Accounts - Faysal Islami

Please fill all mandatory fields (marked with red asterisk * ) to submit a Complete Form

*Account Nature Individual Joint Joint–Minor/Guardian

*Account Type Current Saving Select Account Type

Personal and Identity Information

*Full Name Enter Full Name Please enter a maximum of 120 characters Characters allowed	*Mother Maiden Name Enter Mother Maiden Name Please enter a maximum of 30 characters Characters allowed	*Father / Spouse Name Enter Father / Spouse Name Please enter a maximum of 50 characters Characters allowed	*Place of Birth (City) Enter Place Of Birth Please enter a maximum of 50 characters Characters allowed	*Date of Birth Enter Date of Birth Invalid Date Format	*Nationality multiple nationalities can be selected Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic (Czechia) Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic DR Congo Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts & Nevis Saint Lucia Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka St. Vincent & Grenadines State of Palestine Sudan Suriname Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe Hong Kong
*Identity Type CNIC NICOP POC Select Identity Document Type	*CNIC/NICOP/POC Number Enter CNIC/NICOP/POC	*CNIC/NICOP/POC Issue Date Enter IssueDate Invalid Date Format	*Passport Number Enter Passport Number Please enter a maximum of 50 characters Characters allowed	*Mobile Number Enter Mobile Number Please enter a maximum of 35 characters	*Email Address Enter Email Address Invalid email address If not available,Click here	Enter Captcha