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1 Type
2 Personal
3 Bank
4 Joint
5 Payment
6 Documents
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TIMIZA UNIT TRUST SCHEME

REGISTRATION FORMS

TYPE OF INVESTMENT / AINA YA UWEKEZAJI
INVESTMENT PLAN / MPANGO WA UWEKEZAJI

SECTION A – INDIVIDUAL INVESTORS / INSTITUTIONAL INVESTORS

Individual: Please attach Copy of (i) national identity card or any proof of your nationality.
Institutions: Please attach (i) TIN Copy (ii) Copy of Business Registration Number

INVESTORS INFORMATION / TAARIFA ZA MWEKEZAJI
1. Name / Jina:
2. Date of Birth / Tarehe ya kuzaliwa:
3. Identity card number / Namba ya kitambulisho:
4. Institution Registration Number
5. Business license
CONTACTS / MAWASILIANO
6. Phone Number / Namba ya simu:
7. Region of Residence / Mkoa unapoishi:
8. Physical Address / Anwani ya Makazi:
9. Email / Baruapepe:
10. Nationality / Utaifa:
BANK DETAILS / TAARIFA ZA BENKI
11. Bank Name / Jina la Benki:
12. Bank Account Number / Namba ya akaunti ya Benki:
13. Bank Branch / Tawi la Benki:
NEXT OF KIN / TAARIFA ZA MRITHI
14. Name / Jina:
15. Mobile Number / Namba ya simu
16. Email / Barua Pepe:
17. Postal Address / Sanduku la Posta:
18. Relationship / Mahusiano:

SECTION B – JOINT INVESTORS / UWEKEZAJI SHIRIKISHI

PARTNER BASIC DETAILS / TAARIFA ZA MBIA
19. Name / Jina:
20. Date of Birth / Tarehe ya kuzaliwa
21. Identity card type / Aina ya kitambulisho:
22. Identity card number / Namba ya kitambulisho:
PARTNER CONTACT DETAILS / MAWASILIANO
23. Phone Number / Namba ya simu:
24. Region of Residence / Mkoa unapoishi:
25. District of residence / Wilaya unapoishi:
26. Postal Address / Sanduku la posta:
27. Physical Address / Anwani ya Makazi:
28. Email / Baruapepe:
29. Nationality / Utaifa:
PARTNER BANK DETAILS / TAARIFA ZA BENKI ZA MBIA
30. Bank Name / Jina la Benki:
31. Bank Account Number / Namba ya akaunti ya Benki
32. Bank Branch / Tawi la Benki:
APPLICATION AND PAYMENT DETAILS
Amount applied for (TZS):
Mode of payment:
Payment reference:
Bank Name:
Branch Name:
Account Name:
Account Number:
SIGNATURES
Signature 1:
Signature 2:
Date

Please attach any Copy: (TIN, NIDA, LESENI YA BIASHARA)

Please attach Receipts For payments:

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