This is temporary opening account page will make opening account easier for you. After you fill in this form below, our Customer Relation Officer will contact you to proceed with the original form of "Individual Account Opening Form" as soon as possible and for further information please contact us @

UNIVERSAL BROKER
Menara BCA Lantai.49
Jl.M.H.Thamrin No.1
Jakarta 10310 - Indonesia
Phone : 021 235 86810
Direct : 021 237 73601, 02, 03
Fax : 021 235 8611



 
Temporary Opening Account Form
Name :
Address :
Birthday :
Email :
Phone Number :
HP Number :
Fax Number :
KTP Number :
Title & Company Name :
Marriage Status :
Investment Purpose :
Source of Fund :
Annual Income (Rp) :
Account No:
Bank Name :
Bank Branch :

Investment Plan (Rp) :

Minimum Deposit Rp 10.000.000,-

Daily Confirmation Note :
Montly Account Statement :
Reference :
Name of person who reference you to open account through this web page. Type N/A if not applicable.