CDS Securities Account Application

1. APPLICANTS DETAILS

SOLE HOLDER'S ACCOUNT DETAILS

Application Date:

NAME OF ACCOUNT:

CDS ID (if any):

A. Postal Address:

B. Physical Address:

C. Telephone:

D. E-mail:

E. Tax Identification Number:

F. Nationality:

G. Country of Residence:

H. Region of Residence:

EAC

SADC

Diaspora

I. Company Registration Number:

J. Tax Status (If exempted provide evidence):

Not Exempt

Exempt

Additional Information for Individuals

K. Passport # & Place of Issue:

Expiry Date:

L. Voter ID #:

M. Driving License #:

N. National ID #:

O. Occupation:

P. Employer:

Q. Employment ID #:

R. Date of Birth:

S. Mobile No.:

+255

Enter your mobile number without country code (e.g., 712345678)

Please enter a valid Tanzania mobile number starting with 6 or 7

Upload NIDA Picture:

Upload TIN Picture:

2. SETTLEMENT BANK DETAILS

A. Bank Name:

B. Account No.:

C. Name of Account: *NB: Name of Bank Account shall correspond with CDS Account Name

D. Postal address:

E. Telephone:

F. E-mail:

3. PERSONS AUTHORIZED TO OPERATE THE CDS SECURITIES ACCOUNT

	Surname	First name	Middle name	Specimen Signature
A
B
C
D

4. CATEGORY OF THE CDS SECURITIES ACCOUNT HOLDER

Please use the category of the account holder indicated as annex of this application (annex to CDS form 2) that best describes the applicant to complete this section.

Category of Account Holder:

Class:

Upload Photographs

Please upload photographs for the specimen signature card:

PHOTOGRAPH 1

PHOTOGRAPH 2

PHOTOGRAPH 3

PHOTOGRAPH 4

5. MANDATE FOR OPERATING CDS SECURITY ACCOUNT

I / We hereby agree to operate a CDS securities account in accordance with the rules prescribed in the Central Depository System Dealing Agreement and the Central Depository System Rules and Operational Guidelines; and request you to honour any instructions bearing signature(s) provided above (and on your specimen signature cards).

Specimen Date:

Authorized Signature 1

Please sign above using your mouse or touch screen

Authorized Signature 2