online.derayah.com
Open in
urlscan Pro
78.93.17.8
Public Scan
URL:
https://online.derayah.com/account/Register?csid=205
Submission: On August 08 via manual from SA — Scanned from DE
Submission: On August 08 via manual from SA — Scanned from DE
Form analysis 10 forms found in the DOM
<form data-vv-scope="gettingStartedValidation">
<div class="form-row mb-2">
<div class="col-md-12 p-3">
<div class="gray-hint primary-info-hint no-border">
<h2 class="title">Open your account at Derayah Financial Online</h2>
<p>You can open your own investment account through Derayah Financial. Your information will be accepted and processed across the unified national access platform without having to visit a branch or providing any documents.</p>
<div><a target="_blank" href="http://web.derayah.com/wp-content/uploads/2018/11/Derayah_Online_Account_Opening.pdf" class="btn btn-secondary">More Information</a></div>
</div>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="idTypes">ID Type</label> <select id="idTypes" name="ID Type" data-vv-scope="gettingStartedValidation" class="form-control" data-vv-id="1" aria-required="true" aria-invalid="true">
<option></option>
<option value="1">National ID</option>
<option value="2">Iqama</option>
</select></div>
<div class="form-group col-md-4"><label for="idValue">ID Number</label> <input id="idValue" name="ID Number" data-vv-scope="gettingStartedValidation" placeholder="ID Number" class="form-control" data-vv-id="2" aria-required="true"
aria-invalid="false"></div>
</div> <!----> <!----> <!---->
<div class="alert alert-light" style="display: none;">
<p><span class="text-danger">You are already a valid customer in Derayah.</span> <a href="/Account/ResumeRegLogin">To resume registration click here</a></p>
</div>
<div class="alert alert-light" style="display: none;">
<p><span class="text-danger">You are already a valid customer in Derayah.</span> <a href="/Account/ResumeRegLogin">To resume registration click here</a></p>
</div> <!---->
</form><form data-vv-scope="agreementValidation">
<div class="form-group"><label for="chkAgree">Agree</label> <input type="checkbox" id="chkAgree" name="Agree" data-vv-scope="agreementValidation" data-vv-id="3" aria-required="true" aria-invalid="false"></div>
</form><form data-vv-scope="credentialsValidation">
<p>Please provide the credentials you will be using to access your online Derayah account.</p>
<p>You can always resume your registration later, please remember your username and password.</p>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtUsername">User Name</label> <input name="User Name" id="txtUsername" data-vv-scope="credentialsValidation" class="form-control" data-vv-id="4" aria-required="true" aria-invalid="false"> <span
class="text-danger"><small></small></span></div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtPassword">Password</label> <a href="#" data-toggle="modal" data-target="#passwordRequirementsModal" class="btn-link d-inline-block">?</a> <input id="txtPassword" type="password"
name="registerPassword" data-vv-name="Password" autocomplete="off" data-vv-scope="credentialsValidation" class="form-control" data-vv-id="5" aria-required="true" aria-invalid="false">
<div tabindex="-1" role="dialog" id="passwordRequirementsModal" class="modal fade">
<div role="document" class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title">Password Requirements</h5> <button type="button" data-dismiss="modal" aria-label="Close" class="close"><span aria-hidden="true">×</span></button>
</div>
<div class="modal-body">
<ul>
<li><small>Password must be 8 characters or more.</small></li>
<li><small>Password must contain at least one digit [0-9].</small></li>
<li><small>Password must contain at least one lower case letter [a-z]</small></li>
<li><small>Password must contain at least one upper case letter [A-Z]</small></li>
<li><small>Password must be at least 8 characters long and contains at least one uppercase letter, one lowercase letter, a number, and a special symbol ex. @ , # , %</small></li>
</ul>
</div>
<div class="modal-footer"><button type="button" data-dismiss="modal" class="btn btn-secondary">Close</button></div>
</div>
</div>
</div>
</div>
<div class="form-group col-md-4"><label for="txtConfirmPassword">Confirm Password</label> <input id="txtConfirmPassword" type="password" data-vv-name="Confirm Password" name="pw_confirm" data-vv-scope="credentialsValidation" class="form-control"
aria-required="false" aria-invalid="false"></div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbSecretQuestions">Secret Question</label> <select id="cmbSecretQuestions" name="Secret Question" data-vv-scope="credentialsValidation" class="form-control" data-vv-id="7" aria-required="true"
aria-invalid="false">
<option></option>
<option value="[object Object]">What's your first car?</option>
<option value="[object Object]">What's your favourite color?</option>
<option value="[object Object]">What's your favourite place?</option>
<option value="[object Object]">Who's your best teacher?</option>
<option value="[object Object]">Place of Birth</option>
<option value="[object Object]">Own Question</option>
</select></div>
<div class="form-group col-md-4" style="display: none;"><label for="txtOwnQuestionAnswer">Own Question</label> <input id="txtOwnQuestionAnswer" name="Own Question" disabled="disabled" class="form-control" data-vv-id="8" aria-required="false"
aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="txtSecretAnswer">Secret Answer</label> <input id="txtSecretAnswer" name="Secret Answer" data-vv-scope="credentialsValidation" class="form-control" data-vv-id="9" aria-required="true"
aria-invalid="false"></div>
</div>
<hr>
<h4 class="sub-title">Phone Service Access</h4>
<p>Please provide the credentials you will use to access Derayah phone center service (Requires 4 numbers that are not the same and not sequential)</p>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtPin">PIN Number</label> <a href="#" data-toggle="modal" data-target="#pinRequirementsModal" class="btn-link d-inline-block">?</a> <input id="txtPin" type="password" name="PIN Number"
data-vv-scope="credentialsValidation" class="form-control" data-vv-id="10" aria-required="true" aria-invalid="false"></div>
<div class="form-group col-auto">
<div tabindex="-1" role="dialog" id="pinRequirementsModal" class="modal fade">
<div role="document" class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title">PIN Requirements</h5> <button type="button" data-dismiss="modal" aria-label="Close" class="close"><span aria-hidden="true">×</span></button>
</div>
<div class="modal-body">
<ul>
<li><small>Select a 4 digit security PIN</small></li>
<li><small>Use numbers only,Except 1234, 4321</small></li>
<li><small>Don't use same digit 3 times e.g. 1211,3555</small></li>
<li><small>Don't use two pairs of repeated digits e.g. 3377,6688</small></li>
</ul>
</div>
<div class="modal-footer"><button type="button" data-dismiss="modal" class="btn btn-secondary">Close</button></div>
</div>
</div>
</div>
</div>
<div class="form-group col-md-4"><label for="txtConfirmPin">Confirm PIN Number</label> <input id="txtConfirmPin" type="password" name="confirmedPin" data-vv-name="Confirm PIN Number" class="form-control" aria-required="false"
aria-invalid="false"></div>
</div>
<div class="form-row">
<div class="form-group col-auto">
<div data-sitekey="6LdKBncUAAAAADmD2WrXQIJ11eyzpjaqcbpCPBvx" class="g-recaptcha">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdKBncUAAAAADmD2WrXQIJ11eyzpjaqcbpCPBvx&co=aHR0cHM6Ly9vbmxpbmUuZGVyYXlhaC5jb206NDQz&hl=en&v=pCoGBhjs9s8EhFOHJFe8cqis&size=normal&cb=8mg6yo5dagv7"
width="304" height="78" role="presentation" name="a-wnt17qqupi61" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
</div>
</form><form data-vv-scope="primaryInfoValidation">
<div class="form-row gray-hint primary-info-hint mb-2">
<div class="col-12 mb-2"><span class="hint-content">You can login by <span>User Name</span> Or <span>User Number</span></span></div>
<div class="form-group col-md-4"><label for="">User Name</label> <input type="text" disabled="disabled" class="form-control"></div>
<div class="form-group col-md-4"><label for="">User Number</label> <input type="text" disabled="disabled" class="form-control"></div>
</div>
<div class="form-row">
<div class="form-group col-md-4 col-sm-6"><label for="cmbNationality">Nationality</label> <select id="cmbNationality" name="Nationality" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="12" aria-required="true"
aria-invalid="false">
<option></option>
<option value="[object Object]">Kingdom of Saudi Arabia</option>
<option value="[object Object]">Afghanistan</option>
<option value="[object Object]">Albania</option>
<option value="[object Object]">People Democratic Republic of Algeria</option>
<option value="[object Object]">American Samoa</option>
<option value="[object Object]">Andorra</option>
<option value="[object Object]">Angola</option>
<option value="[object Object]">Anguilla</option>
<option value="[object Object]">Antarctica</option>
<option value="[object Object]">Antigua And Barbuda</option>
<option value="[object Object]">Argentina</option>
<option value="[object Object]">Armenia</option>
<option value="[object Object]">Aruba</option>
<option value="[object Object]">Australia</option>
<option value="[object Object]">Austria</option>
<option value="[object Object]">Azerbaijan</option>
<option value="[object Object]">Bahamas</option>
<option value="[object Object]">Kingdom of Bahrain</option>
<option value="[object Object]">Bangladesh</option>
<option value="[object Object]">Barbados</option>
<option value="[object Object]">Belarus</option>
<option value="[object Object]">Belgium</option>
<option value="[object Object]">Belize</option>
<option value="[object Object]">Benin</option>
<option value="[object Object]">Bermuda</option>
<option value="[object Object]">Bhutan</option>
<option value="[object Object]">Bolivia</option>
<option value="[object Object]">Bosnia And Herzegovina</option>
<option value="[object Object]">Botswana</option>
<option value="[object Object]">Brazil</option>
<option value="[object Object]">Brunei Darussalam</option>
<option value="[object Object]">Bulgaria</option>
<option value="[object Object]">Burkina Faso</option>
<option value="[object Object]">Burundi</option>
<option value="[object Object]">Cambodia</option>
<option value="[object Object]">Cameroon</option>
<option value="[object Object]">Canada</option>
<option value="[object Object]">Cape Verde</option>
<option value="[object Object]">Cayman Islands</option>
<option value="[object Object]">Central African Republic</option>
<option value="[object Object]">Chad</option>
<option value="[object Object]">Chile</option>
<option value="[object Object]">China</option>
<option value="[object Object]">Christmas Island</option>
<option value="[object Object]">Cocos (Keeling) Islands</option>
<option value="[object Object]">Colombia</option>
<option value="[object Object]">Comoros</option>
<option value="[object Object]">Congo</option>
<option value="[object Object]">Cook Islands</option>
<option value="[object Object]">Costa Rica</option>
<option value="[object Object]">Cote D'Ivoire</option>
<option value="[object Object]">Croatia (Local Name: Hrvatska)</option>
<option value="[object Object]">Cuba</option>
<option value="[object Object]">Cyprus</option>
<option value="[object Object]">Czech Republic</option>
<option value="[object Object]">Denmark</option>
<option value="[object Object]">Republic of Djibouti</option>
<option value="[object Object]">Dominica</option>
<option value="[object Object]">Dominican Republic</option>
<option value="[object Object]">East Timor</option>
<option value="[object Object]">Ecuador</option>
<option value="[object Object]">Arab Republic of Egypt</option>
<option value="[object Object]">El Salvador</option>
<option value="[object Object]">Equatorial Guinea</option>
<option value="[object Object]">Eritrea</option>
<option value="[object Object]">Estonia</option>
<option value="[object Object]">Ethiopia</option>
<option value="[object Object]">Falkland Islands (Malvinas)</option>
<option value="[object Object]">Faroe Islands</option>
<option value="[object Object]">Fiji</option>
<option value="[object Object]">Finland</option>
<option value="[object Object]">France</option>
<option value="[object Object]">Gabon</option>
<option value="[object Object]">Gambia</option>
<option value="[object Object]">Georgia</option>
<option value="[object Object]">Germany</option>
<option value="[object Object]">Ghana</option>
<option value="[object Object]">Gibraltar</option>
<option value="[object Object]">Greece</option>
<option value="[object Object]">Greenland</option>
<option value="[object Object]">Grenada</option>
<option value="[object Object]">Guadeloupe</option>
<option value="[object Object]">Guam</option>
<option value="[object Object]">Guatemala</option>
<option value="[object Object]">Guinea</option>
<option value="[object Object]">Guinea-Bissau</option>
<option value="[object Object]">Guyana</option>
<option value="[object Object]">Haiti</option>
<option value="[object Object]">Honduras</option>
<option value="[object Object]">Hong Kong</option>
<option value="[object Object]">Hungary</option>
<option value="[object Object]">Iceland</option>
<option value="[object Object]">Republic of India</option>
<option value="[object Object]">Indonesia</option>
<option value="[object Object]">Islamic Republic of Iran</option>
<option value="[object Object]">Republic of Iraq</option>
<option value="[object Object]">Ireland</option>
<option value="[object Object]">Italy</option>
<option value="[object Object]">Jamaica</option>
<option value="[object Object]">Japan</option>
<option value="[object Object]">Hashemite Kingdom of Jordan</option>
<option value="[object Object]">Kazakhstan</option>
<option value="[object Object]">Kenya</option>
<option value="[object Object]">Kiribati</option>
<option value="[object Object]">Korea, Democratic People'S Republic Of</option>
<option value="[object Object]">Korea, Republic Of</option>
<option value="[object Object]">Kosovo</option>
<option value="[object Object]">State of Kuwait</option>
<option value="[object Object]">Kyrgyzstan</option>
<option value="[object Object]">Lao People'S Democratic Republic</option>
<option value="[object Object]">Latvia</option>
<option value="[object Object]">Lebanese Republic</option>
<option value="[object Object]">Lesotho</option>
<option value="[object Object]">Liberia</option>
<option value="[object Object]">Libyan Arab Jamahiriya</option>
<option value="[object Object]">Liechtenstein</option>
<option value="[object Object]">Lithuania</option>
<option value="[object Object]">Luxembourg</option>
<option value="[object Object]">Macau</option>
<option value="[object Object]">Macedonia, The Former Yugoslav Republic Of</option>
<option value="[object Object]">Madagascar</option>
<option value="[object Object]">Malawi</option>
<option value="[object Object]">Malaysia</option>
<option value="[object Object]">Maldives</option>
<option value="[object Object]">Mali</option>
<option value="[object Object]">Malta</option>
<option value="[object Object]">Marshall Islands</option>
<option value="[object Object]">Martinique</option>
<option value="[object Object]">Mauritania</option>
<option value="[object Object]">Mauritius</option>
<option value="[object Object]">Mayotte</option>
<option value="[object Object]">Mexico</option>
<option value="[object Object]">Micronesia, Federated States Of</option>
<option value="[object Object]">Moldova, Republic Of</option>
<option value="[object Object]">Monaco</option>
<option value="[object Object]">Mongolia</option>
<option value="[object Object]">Montenegro</option>
<option value="[object Object]">Montserrat</option>
<option value="[object Object]">Kingdom of Morocco</option>
<option value="[object Object]">Mozambique</option>
<option value="[object Object]">Myanmar</option>
<option value="[object Object]">Namibia</option>
<option value="[object Object]">Nauru</option>
<option value="[object Object]">Nepal</option>
<option value="[object Object]">Netherlands</option>
<option value="[object Object]">Netherlands Antilles</option>
<option value="[object Object]">New Caledonia</option>
<option value="[object Object]">New Zealand</option>
<option value="[object Object]">Nicaragua</option>
<option value="[object Object]">Niger</option>
<option value="[object Object]">Nigeria</option>
<option value="[object Object]">Niue</option>
<option value="[object Object]">Norfolk Island</option>
<option value="[object Object]">Northern Mariana Islands</option>
<option value="[object Object]">Norway</option>
<option value="[object Object]">Sultanate of Oman</option>
<option value="[object Object]">Islamic Republic of Pakistan</option>
<option value="[object Object]">Palau</option>
<option value="[object Object]">Palestine</option>
<option value="[object Object]">Panama</option>
<option value="[object Object]">Papua New Guinea</option>
<option value="[object Object]">Paraguay</option>
<option value="[object Object]">Peru</option>
<option value="[object Object]">Philippines</option>
<option value="[object Object]">Poland</option>
<option value="[object Object]">Portugal</option>
<option value="[object Object]">Puerto Rico</option>
<option value="[object Object]">Qatar</option>
<option value="[object Object]">Reunion</option>
<option value="[object Object]">Romania</option>
<option value="[object Object]">Russian Federation</option>
<option value="[object Object]">Rwanda</option>
<option value="[object Object]">Saint Helena</option>
<option value="[object Object]">Saint Kitts And Nevis</option>
<option value="[object Object]">Saint Lucia</option>
<option value="[object Object]">Saint Pierre And Miquelon</option>
<option value="[object Object]">Saint Vincent And The Grenadines</option>
<option value="[object Object]">San Marino</option>
<option value="[object Object]">Sao Tome And Principe</option>
<option value="[object Object]">Senegal</option>
<option value="[object Object]">Serbia</option>
<option value="[object Object]">Seychelles</option>
<option value="[object Object]">Sierra Leone</option>
<option value="[object Object]">Singapore</option>
<option value="[object Object]">Slovakia (Slovak Republic)</option>
<option value="[object Object]">Slovenia</option>
<option value="[object Object]">Solomon Islands</option>
<option value="[object Object]">Somalia</option>
<option value="[object Object]">South Africa</option>
<option value="[object Object]">South Sudan</option>
<option value="[object Object]">Spain</option>
<option value="[object Object]">Sri Lanka</option>
<option value="[object Object]">Sudan</option>
<option value="[object Object]">Suriname</option>
<option value="[object Object]">Swaziland</option>
<option value="[object Object]">Sweden</option>
<option value="[object Object]">Switzerland</option>
<option value="[object Object]">Syrian Arab Republic</option>
<option value="[object Object]">Taiwan, Province Of China</option>
<option value="[object Object]">Tajikistan</option>
<option value="[object Object]">Tanzania, United Republic Of</option>
<option value="[object Object]">Thailand</option>
<option value="[object Object]">THE BELUCHIS</option>
<option value="[object Object]">THE BURMESE</option>
<option value="[object Object]">THE TURKISTANIANS</option>
<option value="[object Object]">Togo</option>
<option value="[object Object]">Tokelau</option>
<option value="[object Object]">Tonga</option>
<option value="[object Object]">TRIBAL</option>
<option value="[object Object]">Trinidad And Tobago</option>
<option value="[object Object]">Republic of Tunisia</option>
<option value="[object Object]">Republic of Turkey</option>
<option value="[object Object]">Turkmenistan</option>
<option value="[object Object]">Turks And Caicos Islands</option>
<option value="[object Object]">Tuvalu</option>
<option value="[object Object]">Uganda</option>
<option value="[object Object]">Ukraine</option>
<option value="[object Object]">United Arab Emirates</option>
<option value="[object Object]">United Kingdom</option>
<option value="[object Object]">United States of America</option>
<option value="[object Object]">Uruguay</option>
<option value="[object Object]">Uzbekistan</option>
<option value="[object Object]">Vanuatu</option>
<option value="[object Object]">Vatican City State (Holy See)</option>
<option value="[object Object]">Venezuela</option>
<option value="[object Object]">Viet Nam</option>
<option value="[object Object]">Virgin Islands (British)</option>
<option value="[object Object]">Virgin Islands (U.S.)</option>
<option value="[object Object]">Wallis And Futuna Islands</option>
<option value="[object Object]">Western Sahara</option>
<option value="[object Object]">Republic of Yemen</option>
<option value="[object Object]">Yugoslavia</option>
<option value="[object Object]">Zaire</option>
<option value="[object Object]">Zambia</option>
<option value="[object Object]">Zimbabwe</option>
<option value="[object Object]">Undefined</option>
</select></div>
<div class="form-group col-md-4 col-sm-6"><label for="cmbResidency">Residency</label> <select id="cmbResidency" name="Residency" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="13" aria-required="true" aria-invalid="false">
<option></option>
<option value="[object Object]">Kingdom of Saudi Arabia</option>
<option value="[object Object]">United Arab Emirates</option>
</select></div>
<div class="form-group col-md-4 col-sm-6"><label for="cmbPersonalTitles">Title</label> <select id="cmbPersonalTitles" name="Title" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="14" aria-required="true"
aria-invalid="false">
<option></option>
<option value="1">Mr.</option>
<option value="2">Miss</option>
<option value="3">Mrs.</option>
<option value="4">MESSRS</option>
<option value="5">His Royal Highness </option>
<option value="6">His Highness </option>
<option value="7">Her Royal Highness </option>
<option value="8">Her Highness </option>
<option value="9">His Excellency </option>
<option value="10">Her Excellency </option>
<option value="11">Dr. </option>
<option value="12">Eng.</option>
<option value="13">Dr.</option>
</select></div>
</div>
<div class="form-row">
<div class="form-group col-md-3 col-sm-6"><label for="txtFirstName">First Name</label> <input id="txtFirstName" data-vv-name="First Name" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="15" aria-required="true"
aria-invalid="false"></div>
<div class="form-group col-md-3 col-sm-6"><label for="txtFatherName">Father Name</label> <input id="txtFatherName" name="Father Name" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="16" aria-required="true"
aria-invalid="false"></div>
<div class="form-group col-md-3 col-sm-6"><label for="txtGrandfatherName">Grandfather Name</label> <input id="txtGrandfatherName" name="Grandfather Name" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="17"
aria-required="true" aria-invalid="false"></div>
<div class="form-group col-md-3 col-sm-6"><label for="txtlastName">Last Name</label> <input id="txtlastName" name="Last Name" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="18" aria-required="true" aria-invalid="false">
</div>
</div>
<div class="form-row">
<div class="col-md-6 digits-section phone-section form-group"><label for="txtPhone">Phone</label>
<div class="form-row">
<div class="col-12"><input id="txtPhone" name="Phone Country Code" maxlength="3" class="form-control digits-4" data-vv-id="19" aria-required="false" aria-invalid="false"> <input name="Phone Area Code" maxlength="2"
class="form-control digits-3" data-vv-id="20" aria-required="false" aria-invalid="false"> <input name="Phone Number" maxlength="7" class="form-control digits-8" data-vv-id="21" aria-required="false" aria-invalid="false"> <label
for="txtExtension">Ext.</label> <input id="txtExtension" name="Ext." class="form-control digits-6" data-vv-id="22" aria-required="false" aria-invalid="false"></div>
</div> <label class="hint"> Example: 966-11-1234567 Ext. 1000 </label>
</div>
<div class="col-md-6 digits-section phone-section form-group"><label for="txtMobile">Mobile</label>
<div class="form-row">
<div class="col-12"><input id="txtMobile" name="Mobile Country Code" maxlength="3" class="form-control digits-4" data-vv-id="23" aria-required="true" aria-invalid="false"> <input name="Mobile Operator Code" maxlength="2"
class="form-control digits-3" data-vv-id="24" aria-required="true" aria-invalid="false"> <input name="Mobile Number" maxlength="7" class="form-control digits-8" data-vv-id="25" aria-required="true" aria-invalid="false"></div>
</div> <label class="hint"> Example: 966-50-1234567 </label>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtEmail">Email</label> <input id="txtEmail" name="Email" placeholder="Email" data-vv-scope="primaryInfoValidation" class="form-control" data-vv-id="26" aria-required="true" aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="txtConfirmEmail">Confirm Email</label> <input id="txtConfirmEmail" name="confirmEmail" data-vv-name="Confirm Email" placeholder="Confirm Email" data-vv-scope="primaryInfoValidation"
class="form-control" aria-required="false" aria-invalid="false"></div>
</div>
</form><form data-vv-scope="generalInfoValidation">
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbGenders">Gender</label> <select id="cmbGenders" name="Gender" data-vv-scope="generalInfoValidation" class="form-control" data-vv-id="28" aria-required="true" aria-invalid="false">
<option></option>
<option value="1">Male</option>
<option value="2">Female</option>
</select></div>
<div class="form-group col-md-4"><label for="cmbMaritalStatus">Marital Status</label> <select id="cmbMaritalStatus" name="Marital Status" data-vv-scope="generalInfoValidation" class="form-control" data-vv-id="29" aria-required="true"
aria-invalid="false">
<option></option>
<option value="1">Single</option>
<option value="2">Widowed</option>
<option value="3">Married</option>
<option value="4">Divorced</option>
</select></div>
<div class="form-group col-md-4"><label for="txtNoOfDependents">Number of Dependents</label> <input id="txtNoOfDependents" type="number" min="0" name="Number of Dependents" data-vv-scope="generalInfoValidation" class="form-control"
data-vv-id="30" aria-required="false" aria-invalid="false"></div>
</div>
<div class="form-row">
<div class="form-group col-md-6"><label>Birthdate</label>
<div class="row">
<div class="col-auto"><input id="txtHijriDateBirthdate" fieldname="Birthdate" type="text" placeholder="Hijri Date" readonly="readonly" class="form-control is-calendarsPicker"></div>
<div class="col-auto"><input id="txtGregorianDateBirthdate" readonly="readonly" name="Birthdate" type="text" data-vv-scope="generalInfoValidation" placeholder="Gregorian Date" class="form-control is-calendarsPicker" data-vv-id="31"
aria-required="true" aria-invalid="false"></div>
</div>
</div>
<div class="form-group col-md-6">
<div class="hidden-label">Hidden Label</div> <input type="checkbox" id="chkUseHijriDateForAgeCalc"> <label for="chkUseHijriDateForAgeCalc">Use Hijri Date to calculate age.</label>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbCountryOfBirth">Country of Birth</label> <select id="cmbCountryOfBirth" name="Country of Birth" data-vv-scope="generalInfoValidation" class="form-control" data-vv-id="32" aria-required="true"
aria-invalid="false">
<option></option>
<option value="176">Kingdom of Saudi Arabia</option>
<option value="3">Afghanistan</option>
<option value="6">Albania</option>
<option value="57">People Democratic Republic of Algeria</option>
<option value="12">American Samoa</option>
<option value="1">Andorra</option>
<option value="9">Angola</option>
<option value="5">Anguilla</option>
<option value="10">Antarctica</option>
<option value="4">Antigua And Barbuda</option>
<option value="11">Argentina</option>
<option value="7">Armenia</option>
<option value="15">Aruba</option>
<option value="14">Australia</option>
<option value="13">Austria</option>
<option value="16">Azerbaijan</option>
<option value="30">Bahamas</option>
<option value="23">Kingdom of Bahrain</option>
<option value="19">Bangladesh</option>
<option value="18">Barbados</option>
<option value="33">Belarus</option>
<option value="20">Belgium</option>
<option value="34">Belize</option>
<option value="25">Benin</option>
<option value="26">Bermuda</option>
<option value="31">Bhutan</option>
<option value="28">Bolivia</option>
<option value="17">Bosnia And Herzegovina</option>
<option value="32">Botswana</option>
<option value="29">Brazil</option>
<option value="27">Brunei Darussalam</option>
<option value="22">Bulgaria</option>
<option value="21">Burkina Faso</option>
<option value="24">Burundi</option>
<option value="106">Cambodia</option>
<option value="43">Cameroon</option>
<option value="35">Canada</option>
<option value="48">Cape Verde</option>
<option value="113">Cayman Islands</option>
<option value="37">Central African Republic</option>
<option value="195">Chad</option>
<option value="42">Chile</option>
<option value="44">China</option>
<option value="49">Christmas Island</option>
<option value="36">Cocos (Keeling) Islands</option>
<option value="45">Colombia</option>
<option value="108">Comoros</option>
<option value="38">Congo</option>
<option value="41">Cook Islands</option>
<option value="46">Costa Rica</option>
<option value="40">Cote D'Ivoire</option>
<option value="89">Croatia (Local Name: Hrvatska)</option>
<option value="47">Cuba</option>
<option value="50">Cyprus</option>
<option value="51">Czech Republic</option>
<option value="54">Denmark</option>
<option value="53">Republic of Djibouti</option>
<option value="55">Dominica</option>
<option value="56">Dominican Republic</option>
<option value="234">East Timor</option>
<option value="58">Ecuador</option>
<option value="60">Arab Republic of Egypt</option>
<option value="191">El Salvador</option>
<option value="81">Equatorial Guinea</option>
<option value="62">Eritrea</option>
<option value="59">Estonia</option>
<option value="64">Ethiopia</option>
<option value="67">Falkland Islands (Malvinas)</option>
<option value="69">Faroe Islands</option>
<option value="66">Fiji</option>
<option value="65">Finland</option>
<option value="70">France</option>
<option value="71">Gabon</option>
<option value="78">Gambia</option>
<option value="74">Georgia</option>
<option value="52">Germany</option>
<option value="75">Ghana</option>
<option value="76">Gibraltar</option>
<option value="82">Greece</option>
<option value="77">Greenland</option>
<option value="73">Grenada</option>
<option value="80">Guadeloupe</option>
<option value="84">Guam</option>
<option value="83">Guatemala</option>
<option value="79">Guinea</option>
<option value="85">Guinea-Bissau</option>
<option value="86">Guyana</option>
<option value="90">Haiti</option>
<option value="88">Honduras</option>
<option value="87">Hong Kong</option>
<option value="91">Hungary</option>
<option value="99">Iceland</option>
<option value="95">Republic of India</option>
<option value="92">Indonesia</option>
<option value="98">Islamic Republic of Iran</option>
<option value="97">Republic of Iraq</option>
<option value="93">Ireland</option>
<option value="100">Italy</option>
<option value="101">Jamaica</option>
<option value="103">Japan</option>
<option value="102">Hashemite Kingdom of Jordan</option>
<option value="114">Kazakhstan</option>
<option value="104">Kenya</option>
<option value="107">Kiribati</option>
<option value="110">Korea, Democratic People'S Republic Of</option>
<option value="111">Korea, Republic Of</option>
<option value="237">Kosovo</option>
<option value="112">State of Kuwait</option>
<option value="105">Kyrgyzstan</option>
<option value="115">Lao People'S Democratic Republic</option>
<option value="124">Latvia</option>
<option value="116">Lebanese Republic</option>
<option value="121">Lesotho</option>
<option value="120">Liberia</option>
<option value="125">Libyan Arab Jamahiriya</option>
<option value="118">Liechtenstein</option>
<option value="122">Lithuania</option>
<option value="123">Luxembourg</option>
<option value="135">Macau</option>
<option value="131">Macedonia, The Former Yugoslav Republic Of</option>
<option value="129">Madagascar</option>
<option value="143">Malawi</option>
<option value="145">Malaysia</option>
<option value="142">Maldives</option>
<option value="132">Mali</option>
<option value="140">Malta</option>
<option value="130">Marshall Islands</option>
<option value="137">Martinique</option>
<option value="138">Mauritania</option>
<option value="141">Mauritius</option>
<option value="222">Mayotte</option>
<option value="144">Mexico</option>
<option value="68">Micronesia, Federated States Of</option>
<option value="128">Moldova, Republic Of</option>
<option value="127">Monaco</option>
<option value="134">Mongolia</option>
<option value="235">Montenegro</option>
<option value="139">Montserrat</option>
<option value="126">Kingdom of Morocco</option>
<option value="146">Mozambique</option>
<option value="133">Myanmar</option>
<option value="147">Namibia</option>
<option value="156">Nauru</option>
<option value="155">Nepal</option>
<option value="153">Netherlands</option>
<option value="8">Netherlands Antilles</option>
<option value="148">New Caledonia</option>
<option value="158">New Zealand</option>
<option value="152">Nicaragua</option>
<option value="149">Niger</option>
<option value="151">Nigeria</option>
<option value="157">Niue</option>
<option value="150">Norfolk Island</option>
<option value="136">Northern Mariana Islands</option>
<option value="154">Norway</option>
<option value="159">Sultanate of Oman</option>
<option value="164">Islamic Republic of Pakistan</option>
<option value="169">Palau</option>
<option value="231">Palestine</option>
<option value="160">Panama</option>
<option value="162">Papua New Guinea</option>
<option value="170">Paraguay</option>
<option value="161">Peru</option>
<option value="163">Philippines</option>
<option value="165">Poland</option>
<option value="168">Portugal</option>
<option value="167">Puerto Rico</option>
<option value="171">Qatar</option>
<option value="172">Reunion</option>
<option value="173">Romania</option>
<option value="174">Russian Federation</option>
<option value="175">Rwanda</option>
<option value="182">Saint Helena</option>
<option value="109">Saint Kitts And Nevis</option>
<option value="117">Saint Lucia</option>
<option value="166">Saint Pierre And Miquelon</option>
<option value="214">Saint Vincent And The Grenadines</option>
<option value="186">San Marino</option>
<option value="190">Sao Tome And Principe</option>
<option value="187">Senegal</option>
<option value="236">Serbia</option>
<option value="178">Seychelles</option>
<option value="185">Sierra Leone</option>
<option value="181">Singapore</option>
<option value="184">Slovakia (Slovak Republic)</option>
<option value="183">Slovenia</option>
<option value="177">Solomon Islands</option>
<option value="188">Somalia</option>
<option value="224">South Africa</option>
<option value="238">South Sudan</option>
<option value="63">Spain</option>
<option value="119">Sri Lanka</option>
<option value="179">Sudan</option>
<option value="189">Suriname</option>
<option value="193">Swaziland</option>
<option value="180">Sweden</option>
<option value="39">Switzerland</option>
<option value="192">Syrian Arab Republic</option>
<option value="206">Taiwan, Province Of China</option>
<option value="198">Tajikistan</option>
<option value="207">Tanzania, United Republic Of</option>
<option value="197">Thailand</option>
<option value="239">THE BELUCHIS</option>
<option value="240">THE BURMESE</option>
<option value="242">THE TURKISTANIANS</option>
<option value="196">Togo</option>
<option value="199">Tokelau</option>
<option value="202">Tonga</option>
<option value="241">TRIBAL</option>
<option value="204">Trinidad And Tobago</option>
<option value="201">Republic of Tunisia</option>
<option value="203">Republic of Turkey</option>
<option value="200">Turkmenistan</option>
<option value="194">Turks And Caicos Islands</option>
<option value="205">Tuvalu</option>
<option value="209">Uganda</option>
<option value="208">Ukraine</option>
<option value="2">United Arab Emirates</option>
<option value="72">United Kingdom</option>
<option value="210">United States of America</option>
<option value="211">Uruguay</option>
<option value="212">Uzbekistan</option>
<option value="219">Vanuatu</option>
<option value="213">Vatican City State (Holy See)</option>
<option value="215">Venezuela</option>
<option value="218">Viet Nam</option>
<option value="216">Virgin Islands (British)</option>
<option value="217">Virgin Islands (U.S.)</option>
<option value="220">Wallis And Futuna Islands</option>
<option value="61">Western Sahara</option>
<option value="221">Republic of Yemen</option>
<option value="223">Yugoslavia</option>
<option value="226">Zaire</option>
<option value="225">Zambia</option>
<option value="227">Zimbabwe</option>
<option value="233">Undefined</option>
</select></div>
<div class="form-group col-md-4"><label for="txtPlaceOfBirth">Place of Birth</label> <input id="txtPlaceOfBirth" name="Place of Birth" data-vv-scope="generalInfoValidation" class="form-control" data-vv-id="33" aria-required="true"
aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="cmbEducationlevel">Education Level</label> <select id="cmbEducationlevel" data-vv-name="Education Level" data-vv-scope="generalInfoValidation" class="form-control" data-vv-id="34" aria-required="true"
aria-invalid="false">
<option></option>
<option value="1">Primary</option>
<option value="2">Intermediate</option>
<option value="3">High School</option>
<option value="4">Diploma</option>
<option value="5">Bachelor</option>
<option value="6">Post Graduate</option>
</select></div>
</div>
<div>
<hr>
</div>
<div>
<h4 class="sub-title">Identification</h4>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label>ID Type</label> <select id="idTypesReadonly" disabled="disabled" class="form-control">
<option value="1">National ID</option>
<option value="2">Iqama</option>
<option value="3">Passport</option>
<option value="4">Registration Number</option>
<option value="5">Diplomatic</option>
</select></div>
<div class="form-group col-md-4"><label>ID Number</label> <input disabled="disabled" class="form-control"></div>
</div>
<div class="form-row">
<div class="form-group col-md-6"><label>Issue Date</label>
<div class="row">
<div class="col-auto"><input id="txtHijriDateIssueDate" fieldname="IssueDate" type="text" placeholder="Hijri Date" readonly="readonly" class="form-control is-calendarsPicker"></div>
<div class="col-auto"><input id="txtGregorianDateIssueDate" readonly="readonly" name="Issue Date" type="text" data-vv-scope="generalInfoValidation" placeholder="Gregorian Date" class="form-control is-calendarsPicker" data-vv-id="35"
aria-required="true" aria-invalid="false"></div>
</div>
</div>
<div class="form-group col-md-6"><label>Expiry Date</label>
<div class="row">
<div class="col-auto"><input id="txtHijriDateExpiryDate" fieldname="ExpiryDate" type="text" placeholder="Hijri Date" readonly="readonly" class="form-control is-calendarsPicker"></div>
<div class="col-auto"><input id="txtGregorianDateExpiryDate" readonly="readonly" name="Expiry Date" type="text" data-vv-scope="generalInfoValidation" placeholder="Gregorian Date" class="form-control is-calendarsPicker" data-vv-id="36"
aria-required="true" aria-invalid="false"></div>
</div>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbIssuePlace">Place of issue</label> <select id="cmbIssuePlace" name="Place of issue" data-vv-scope="generalInfoValidation" class="form-control mr-1" data-vv-id="37" aria-required="true"
aria-invalid="false">
<option></option>
<option selected="selected" value="176">Kingdom of Saudi Arabia</option>
<option value="3">Afghanistan</option>
<option value="6">Albania</option>
<option value="57">People Democratic Republic of Algeria</option>
<option value="12">American Samoa</option>
<option value="1">Andorra</option>
<option value="9">Angola</option>
<option value="5">Anguilla</option>
<option value="10">Antarctica</option>
<option value="4">Antigua And Barbuda</option>
<option value="11">Argentina</option>
<option value="7">Armenia</option>
<option value="15">Aruba</option>
<option value="14">Australia</option>
<option value="13">Austria</option>
<option value="16">Azerbaijan</option>
<option value="30">Bahamas</option>
<option value="23">Kingdom of Bahrain</option>
<option value="19">Bangladesh</option>
<option value="18">Barbados</option>
<option value="33">Belarus</option>
<option value="20">Belgium</option>
<option value="34">Belize</option>
<option value="25">Benin</option>
<option value="26">Bermuda</option>
<option value="31">Bhutan</option>
<option value="28">Bolivia</option>
<option value="17">Bosnia And Herzegovina</option>
<option value="32">Botswana</option>
<option value="29">Brazil</option>
<option value="27">Brunei Darussalam</option>
<option value="22">Bulgaria</option>
<option value="21">Burkina Faso</option>
<option value="24">Burundi</option>
<option value="106">Cambodia</option>
<option value="43">Cameroon</option>
<option value="35">Canada</option>
<option value="48">Cape Verde</option>
<option value="113">Cayman Islands</option>
<option value="37">Central African Republic</option>
<option value="195">Chad</option>
<option value="42">Chile</option>
<option value="44">China</option>
<option value="49">Christmas Island</option>
<option value="36">Cocos (Keeling) Islands</option>
<option value="45">Colombia</option>
<option value="108">Comoros</option>
<option value="38">Congo</option>
<option value="41">Cook Islands</option>
<option value="46">Costa Rica</option>
<option value="40">Cote D'Ivoire</option>
<option value="89">Croatia (Local Name: Hrvatska)</option>
<option value="47">Cuba</option>
<option value="50">Cyprus</option>
<option value="51">Czech Republic</option>
<option value="54">Denmark</option>
<option value="53">Republic of Djibouti</option>
<option value="55">Dominica</option>
<option value="56">Dominican Republic</option>
<option value="234">East Timor</option>
<option value="58">Ecuador</option>
<option value="60">Arab Republic of Egypt</option>
<option value="191">El Salvador</option>
<option value="81">Equatorial Guinea</option>
<option value="62">Eritrea</option>
<option value="59">Estonia</option>
<option value="64">Ethiopia</option>
<option value="67">Falkland Islands (Malvinas)</option>
<option value="69">Faroe Islands</option>
<option value="66">Fiji</option>
<option value="65">Finland</option>
<option value="70">France</option>
<option value="71">Gabon</option>
<option value="78">Gambia</option>
<option value="74">Georgia</option>
<option value="52">Germany</option>
<option value="75">Ghana</option>
<option value="76">Gibraltar</option>
<option value="82">Greece</option>
<option value="77">Greenland</option>
<option value="73">Grenada</option>
<option value="80">Guadeloupe</option>
<option value="84">Guam</option>
<option value="83">Guatemala</option>
<option value="79">Guinea</option>
<option value="85">Guinea-Bissau</option>
<option value="86">Guyana</option>
<option value="90">Haiti</option>
<option value="88">Honduras</option>
<option value="87">Hong Kong</option>
<option value="91">Hungary</option>
<option value="99">Iceland</option>
<option value="95">Republic of India</option>
<option value="92">Indonesia</option>
<option value="98">Islamic Republic of Iran</option>
<option value="97">Republic of Iraq</option>
<option value="93">Ireland</option>
<option value="100">Italy</option>
<option value="101">Jamaica</option>
<option value="103">Japan</option>
<option value="102">Hashemite Kingdom of Jordan</option>
<option value="114">Kazakhstan</option>
<option value="104">Kenya</option>
<option value="107">Kiribati</option>
<option value="110">Korea, Democratic People'S Republic Of</option>
<option value="111">Korea, Republic Of</option>
<option value="237">Kosovo</option>
<option value="112">State of Kuwait</option>
<option value="105">Kyrgyzstan</option>
<option value="115">Lao People'S Democratic Republic</option>
<option value="124">Latvia</option>
<option value="116">Lebanese Republic</option>
<option value="121">Lesotho</option>
<option value="120">Liberia</option>
<option value="125">Libyan Arab Jamahiriya</option>
<option value="118">Liechtenstein</option>
<option value="122">Lithuania</option>
<option value="123">Luxembourg</option>
<option value="135">Macau</option>
<option value="131">Macedonia, The Former Yugoslav Republic Of</option>
<option value="129">Madagascar</option>
<option value="143">Malawi</option>
<option value="145">Malaysia</option>
<option value="142">Maldives</option>
<option value="132">Mali</option>
<option value="140">Malta</option>
<option value="130">Marshall Islands</option>
<option value="137">Martinique</option>
<option value="138">Mauritania</option>
<option value="141">Mauritius</option>
<option value="222">Mayotte</option>
<option value="144">Mexico</option>
<option value="68">Micronesia, Federated States Of</option>
<option value="128">Moldova, Republic Of</option>
<option value="127">Monaco</option>
<option value="134">Mongolia</option>
<option value="235">Montenegro</option>
<option value="139">Montserrat</option>
<option value="126">Kingdom of Morocco</option>
<option value="146">Mozambique</option>
<option value="133">Myanmar</option>
<option value="147">Namibia</option>
<option value="156">Nauru</option>
<option value="155">Nepal</option>
<option value="153">Netherlands</option>
<option value="8">Netherlands Antilles</option>
<option value="148">New Caledonia</option>
<option value="158">New Zealand</option>
<option value="152">Nicaragua</option>
<option value="149">Niger</option>
<option value="151">Nigeria</option>
<option value="157">Niue</option>
<option value="150">Norfolk Island</option>
<option value="136">Northern Mariana Islands</option>
<option value="154">Norway</option>
<option value="159">Sultanate of Oman</option>
<option value="164">Islamic Republic of Pakistan</option>
<option value="169">Palau</option>
<option value="231">Palestine</option>
<option value="160">Panama</option>
<option value="162">Papua New Guinea</option>
<option value="170">Paraguay</option>
<option value="161">Peru</option>
<option value="163">Philippines</option>
<option value="165">Poland</option>
<option value="168">Portugal</option>
<option value="167">Puerto Rico</option>
<option value="171">Qatar</option>
<option value="172">Reunion</option>
<option value="173">Romania</option>
<option value="174">Russian Federation</option>
<option value="175">Rwanda</option>
<option value="182">Saint Helena</option>
<option value="109">Saint Kitts And Nevis</option>
<option value="117">Saint Lucia</option>
<option value="166">Saint Pierre And Miquelon</option>
<option value="214">Saint Vincent And The Grenadines</option>
<option value="186">San Marino</option>
<option value="190">Sao Tome And Principe</option>
<option value="187">Senegal</option>
<option value="236">Serbia</option>
<option value="178">Seychelles</option>
<option value="185">Sierra Leone</option>
<option value="181">Singapore</option>
<option value="184">Slovakia (Slovak Republic)</option>
<option value="183">Slovenia</option>
<option value="177">Solomon Islands</option>
<option value="188">Somalia</option>
<option value="224">South Africa</option>
<option value="238">South Sudan</option>
<option value="63">Spain</option>
<option value="119">Sri Lanka</option>
<option value="179">Sudan</option>
<option value="189">Suriname</option>
<option value="193">Swaziland</option>
<option value="180">Sweden</option>
<option value="39">Switzerland</option>
<option value="192">Syrian Arab Republic</option>
<option value="206">Taiwan, Province Of China</option>
<option value="198">Tajikistan</option>
<option value="207">Tanzania, United Republic Of</option>
<option value="197">Thailand</option>
<option value="239">THE BELUCHIS</option>
<option value="240">THE BURMESE</option>
<option value="242">THE TURKISTANIANS</option>
<option value="196">Togo</option>
<option value="199">Tokelau</option>
<option value="202">Tonga</option>
<option value="241">TRIBAL</option>
<option value="204">Trinidad And Tobago</option>
<option value="201">Republic of Tunisia</option>
<option value="203">Republic of Turkey</option>
<option value="200">Turkmenistan</option>
<option value="194">Turks And Caicos Islands</option>
<option value="205">Tuvalu</option>
<option value="209">Uganda</option>
<option value="208">Ukraine</option>
<option value="2">United Arab Emirates</option>
<option value="72">United Kingdom</option>
<option value="210">United States of America</option>
<option value="211">Uruguay</option>
<option value="212">Uzbekistan</option>
<option value="219">Vanuatu</option>
<option value="213">Vatican City State (Holy See)</option>
<option value="215">Venezuela</option>
<option value="218">Viet Nam</option>
<option value="216">Virgin Islands (British)</option>
<option value="217">Virgin Islands (U.S.)</option>
<option value="220">Wallis And Futuna Islands</option>
<option value="61">Western Sahara</option>
<option value="221">Republic of Yemen</option>
<option value="223">Yugoslavia</option>
<option value="226">Zaire</option>
<option value="225">Zambia</option>
<option value="227">Zimbabwe</option>
<option value="233">Undefined</option>
</select></div>
<div class="form-group col-md-4"><label for="txtIssueCity">Issue City</label> <input id="txtIssueCity" name="Issue City" data-vv-scope="generalInfoValidation" class="form-control" data-vv-id="38" aria-required="true" aria-invalid="false"></div>
</div>
</form><form data-vv-scope="fatcaValidation" class="row">
<div class="col-md-12 form-group">
<div class="form-row">
<div class="col-md-12"><label>Are you a Tax Resident of any country or countries outside of Saudi Arabia?</label></div>
<div class="col-md-12">
<div class="form-check form-check-inline"><label class="mt-2 custom-radio"> Yes <input type="radio" data-vv-as="Are you a Tax Resident of any country or countries outside of Saudi Arabia?" data-vv-scope="fatcaValidation"
class="form-check-input" value="true" data-vv-id="39" aria-required="true" aria-invalid="false"> <span class="checkmark"></span></label></div>
<div class="form-check form-check-inline"><label class="mt-2 custom-radio"> No <input type="radio" data-vv-as="Are you a Tax Resident of any country or countries outside of Saudi Arabia?" data-vv-scope="fatcaValidation"
class="form-check-input" value="false"> <span class="checkmark"></span></label></div> <small class="select-no d-block">By selecting “No”, I confirm that Saudi Arabia is my sole residency for tax purpose</small>
</div>
</div>
</div> <!----> <!---->
<div id="tabFatcaAgreement" class="col-md-12 tab-pane agreement-container col-auto">
<div class="row">
<div class="col-md-12 form-group"><span class="iframe agreement-content"> I declare that all the particulars and information provided herein, are true, correct, complete and up-to-date in all respects and I have not withheld any information and
I acknowledge that financial institution name, client name, licensee name etc. Derayah Financial Company (Derayah) will rely on the information provided in this form until notice in writing satisfactory to Derayah of its revocation and by
submission of an updated Self-Certification & Declaration Form is received by the Derayah, within 30 days where any change in circumstances occurs. I hereby undertake to inform Derayah of any change in information / circumstances
provided, and to furnish to Derayah any changes/amendments taking place in future with reference to the documents submitted by me/us as and when such changes/amendments occur. I undertake to inform Derayah if I am away from my own country
of residence for any period that may impact the United States Substantial Presence Test as herein defined, or the presence test related to any other countries I am tax residents in. I confirm and accept that should any withholding, tax,
other impositions or other governmental dues related to me become payable to domestic or overseas regulators or tax authorities, all payments made to me shall be net of any such taxes etc.. Derayah assumes no liability in this regard. I
waive Derayah of its duty of confidentiality and grant Derayah the liberty to make available, as and when required by law/authorities, to the Courts, regulatory/or other authorities of Saudi Arabia or my country of residence or the country
in whose currency this account will be maintained or routed, or to any other regulator/tax authority or other authorities in domestic and other jurisdictions, any information relating to my account, without any prior consent from me. Any
information / documents provided by you or your authorized representative in relation to this self-certification form shall only be disclosed to the relevant authorities for the purpose of compliance with FATCA and / or CRS requirements.
</span></div>
</div>
<div class="row">
<div class="col-md-12 form-group"><span>For more information about Definition, please <a href="https://web.derayah.com/wp-content/uploads/2022/05/Derayah_Individual_FATCA.pdf" target="_blank">Click here</a></span></div>
</div>
<div class="row">
<div class="col-6 right form-group"><label class="custom-check"> Agree <input type="checkbox" id="Fatca_Agree" data-vv-name="Fatca_Agree" data-vv-scope="fatcaValidation" data-vv-as="Agree" data-vv-id="40" aria-required="true"
aria-invalid="false"> <span class="checkmark"></span></label></div>
</div>
</div>
</form><form data-vv-scope="addressValidations">
<div class="form-group">
<h4 class="sub-title">National Address</h4>
</div>
<div class="form-row">
<div class="form-group col-md-8"><label>Address Line 1</label> <input data-vv-name="Address Line 1" disabled="disabled" class="form-control" data-vv-id="41" aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-8"><label>Address Line 2</label> <input data-vv-name="Address Line 2" disabled="disabled" class="form-control" data-vv-id="42" aria-required="false" aria-invalid="false"></div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label>Street Name</label> <input data-vv-name="Street Name" disabled="disabled" class="form-control" data-vv-id="43" aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-4"><label>City</label> <input data-vv-name="City" disabled="disabled" class="form-control" data-vv-id="44" aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-4"><label>District</label> <input data-vv-name="District" disabled="disabled" class="form-control" data-vv-id="45" aria-required="false" aria-invalid="false"></div>
</div>
<div class="form-row">
<div class="form-group col-md-3"><label>Postal Code</label> <input data-vv-name="Postal Code" disabled="disabled" class="form-control" data-vv-id="46" aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-3"><label>Building Number</label> <input data-vv-name="Building Number" disabled="disabled" class="form-control" data-vv-id="47" aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-3"><label>Unit Number</label> <input data-vv-name="Unit Number" disabled="disabled" class="form-control" data-vv-id="48" aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-3"><label>Additional Number</label> <input data-vv-name="Additional Number" disabled="disabled" class="form-control" data-vv-id="49" aria-required="false" aria-invalid="false"></div>
</div>
<div>
<hr>
</div>
<div class="form-row">
<div class="form-group col-12">
<h4 class="sub-title">Occupation</h4>
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbEmploymentStatus">Employment Status</label> <select id="cmbEmploymentStatus" name="Employment Status" data-vv-scope="addressValidations" class="form-control" data-vv-id="50" aria-required="true"
aria-invalid="false">
<option></option>
<option value="[object Object]">Government Sector</option>
<option value="[object Object]">Home maker</option>
<option value="[object Object]">Military</option>
<option value="[object Object]">Private Sector</option>
<option value="[object Object]">Retired</option>
<option value="[object Object]">Self Employed</option>
<option value="[object Object]">Student</option>
<option value="[object Object]">Unemployed</option>
</select></div>
<div class="form-group col-md-4"><label for="txtEmployerName">Employer Name</label> <input id="txtEmployerName" name="Employer Name" data-vv-scope="addressValidations" data-vv-name="Employer Name" class="form-control" data-vv-id="51"
aria-required="true" aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="txtDurationOfEmployment"> Duration of Employment </label> <input id="txtDurationOfEmployment" type="number" min="0" data-vv-name="Duration of Employment" data-vv-scope="addressValidations"
class="form-control" data-vv-id="52" aria-required="false" aria-invalid="false"></div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbIndustry">Industry</label> <select id="cmbIndustry" name="Industry" class="form-control">
<option></option>
<option value="15">Services</option>
<option value="16">Oil & Gas</option>
<option value="17">Utilities</option>
<option value="18">Agricultre & Food Industries</option>
<option value="19">Telecommunication</option>
<option value="20">IT</option>
<option value="21">Insurance</option>
<option value="22">Investments</option>
<option value="23">Industrial</option>
<option value="24">Building & Construction</option>
<option value="25">Real Estate Development</option>
<option value="26">Transportation</option>
<option value="27">Media & Publishing</option>
<option value="28">Tourism & Entertainment</option>
<option value="29">Health Care</option>
<option value="30">Aerospace/Defense</option>
<option value="31">Auto Manufacturers</option>
<option value="32">Chemicals</option>
<option value="33">Biotechnology </option>
<option value="34">Materials</option>
<option value="1">Banks & Financial Services</option>
<option value="4">Petrochemical Industries</option>
<option value="10">Retail</option>
<option value="12">Wholesale</option>
</select></div>
<div class="form-group col-md-4"><label for="cmbPositions">Position</label> <select id="cmbPositions" name="Position" data-vv-scope="addressValidations" data-vv-name="Position" class="form-control" data-vv-id="53" aria-required="false"
aria-invalid="false">
<option></option>
<option value="1">Business owner</option>
<option value="2">Military</option>
<option value="3">Chairman/Board Member</option>
<option value="4">CEO/General Manager</option>
<option value="5">Deputy Manager/Vice President/Director</option>
<option value="6">Head/Manager/Supervisor</option>
<option value="7">Professional (Doctor/Lawyer/Auditor)</option>
<option value="8">Associate/Analyst/Sales/Marketing</option>
<option value="9">Technician</option>
<option value="10">Administration</option>
</select></div>
</div>
<div class="form-row">
<div class="form-group col-md-8"><label for="txtEmployerAddress">Employer Address</label> <textarea id="txtEmployerAddress" name="Employer Address" data-vv-scope="addressValidations" rows="2" data-vv-name="Employer Address" class="form-control"
data-vv-id="54" aria-required="true" aria-invalid="false"></textarea></div>
</div>
<hr>
<div class="form-row">
<div class="col-md-12"><label>Are you a director/senior executive, a 10% shareholder, an audit committee, or a policy-maker of any publicly traded company? (locally or globally)</label></div>
<div class="col-md-12">
<div class="form-check form-check-inline"><input name="IsKYCAccountHolder" type="radio"
data-vv-name="Are you a director/senior executive, a 10% shareholder, an audit committee, or a policy-maker of any publicly traded company? (locally or globally)" data-vv-scope="addressValidations" class="form-check-input" value="true"
data-vv-id="55" aria-required="true" aria-invalid="false"> <label for="IsKYCAccountHolder" class="mt-2">Yes</label></div>
<div class="form-check form-check-inline"><input name="IsKYCAccountHolder" type="radio" checked="checked" data-vv-scope="addressValidations"
data-vv-name="Are you a director/senior executive, a 10% shareholder, an audit committee, or a policy-maker of any publicly traded company? (locally or globally)" class="form-check-input" value="false"> <label for="IsKYCAccountHolder"
class="mt-2">No</label></div>
</div>
<div class="form-group col-6" style="display: none;"><label for="txtcompneyStockSymbol" class="inline">Enter the stock symbol(s) of the company(ies)</label> <input id="txtcompneyStockSymbol" data-vv-scope="addressValidations"
data-vv-name="Enter the stock symbol(s) of the company(ies)" class="form-control" data-vv-id="56" aria-required="false" aria-invalid="false"></div>
<div class="col-md-12"><label>Are you or any relative family member considered Politically Exposed Person?</label>
<a href="#" data-toggle="modal" data-target="#PoliticallyExposedPersonModal" class="btn-link pr-2"><i class="fa fa-info-circle"></i></a></div>
<div class="col-md-12">
<div class="form-check form-check-inline"><input name="hasAnotherNationality" type="radio" data-vv-name="Are you or any relative family member considered Politically Exposed Person?" data-vv-scope="addressValidations" class="form-check-input"
value="1" data-vv-id="57" aria-required="true" aria-invalid="false"> <label class="mt-2">Yes</label></div>
<div class="form-check form-check-inline"><input name="hasAnotherNationality" type="radio" checked="checked" data-vv-name="Are you or any relative family member considered Politically Exposed Person?" data-vv-scope="addressValidations"
class="form-check-input" value="0"> <label class="mt-2">No</label></div>
</div>
<div class="form-group col-6" style="display: none;"><label for="txtPleaseSpecify">Please specify</label> <input id="txtPleaseSpecify" data-vv-scope="addressValidations" data-vv-name="Please specify" class="form-control" data-vv-id="58"
aria-required="false" aria-invalid="false"></div>
<div class="col-md-12"><label>Are you or any family member who resides in the same household, registered as a broker-dealer or work or own a securities or commodities brokerage firm?</label></div>
<div class="col-md-12">
<div class="form-check form-check-inline"><input name="isAffiliation" type="radio"
data-vv-name="Are you or any family member who resides in the same household, registered as a broker-dealer or work or own a securities or commodities brokerage firm?" data-vv-scope="addressValidations" class="form-check-input" value="1"
data-vv-id="59" aria-required="true" aria-invalid="false"> <label class="mt-2">Yes</label></div>
<div class="form-check form-check-inline"><input name="IsAffiliation" type="radio" checked="checked"
data-vv-name="Are you or any family member who resides in the same household, registered as a broker-dealer or work or own a securities or commodities brokerage firm?" data-vv-scope="addressValidations" class="form-check-input" value="0">
<label class="mt-2">No</label></div>
</div>
<div class="form-group col-6" style="display: none;"><label for="txtName">Name</label> <input id="txtName" data-vv-scope="addressValidations" data-vv-name="Name" class="form-control" data-vv-id="60" aria-required="false" aria-invalid="false">
</div>
<div class="form-group col-6" style="display: none;"><label for="txtAddress">Address</label> <input id="txtAddress" data-vv-scope="addressValidations" data-vv-name="Address" class="form-control" data-vv-id="61" aria-required="false"
aria-invalid="false"></div>
</div>
</form><form data-vv-scope="financialInfoValidations">
<div class="form-group">
<h4 class="sub-title">Bank Account</h4>
<p class="hint text-dark"> You will be able to transfer money out of Derayah to this account. </p>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbBanks">Bank Name</label> <select id="cmbBanks" name="Bank Name" class="form-control" data-vv-id="62" aria-required="true" aria-invalid="false">
<option></option>
<option value="38">Saudi National Bank</option>
<option value="83">The Saudi Awwal Bank</option>
<option value="84">Banque Saudi Fransi</option>
<option value="86">Saudi Investment Bank</option>
<option value="87">Arab National Bank</option>
<option value="88">Bank AlBilad</option>
<option value="89">Bank AlJazira</option>
<option value="90">Riyad Bank</option>
<option value="92">Al Rajhi Bank</option>
<option value="93">Alinma Bank</option>
<option value="19209">Emirates NBD</option>
<option value="29520">Bank Muscat</option>
<option value="48710">Gulf International Bank</option>
<option value="237300">Deutsche Bank</option>
</select></div>
<div class="form-group col-md-4"><label for="txtBeneficiaryName">Beneficiary Name</label> <input id="txtBeneficiaryName" name="Beneficiary Name" disabled="disabled" class="form-control" data-vv-id="63" aria-required="true" aria-invalid="false">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtBankAccountNo">Account Number</label> <input id="txtBankAccountNo" name="Account Number" onselectstart="return false" oncut="return false" oncopy="return false" onpaste="return false"
ondrag="return false" ondrop="return false" class="form-control" data-vv-id="64" aria-required="true" aria-invalid="false"></div>
<div class="form-group col-md-12">
<p class="hint text-dark"> If your bank in Saudi Arabia you should provide the account in IBAN format. </p>
</div>
</div>
<div>
<hr>
</div>
<div class="form-group">
<h4 class="sub-title">Other Information</h4>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbRiskProfiles">Investment Risk Profile</label> <select id="cmbRiskProfiles" name="Investment Risk Profile" class="form-control" data-vv-id="65" aria-required="true" aria-invalid="false">
<option value=""></option>
<option value="5">High</option>
<option value="4">Moderately High</option>
<option value="3">Moderate</option>
<option value="2">Moderately Low</option>
<option value="1">Low</option>
</select> <span class="text-danger" style="font-size: x-small;">The level of risk selected might forbid you from obtaining some of Derayah's products</span></div>
<div class="form-group col-md-4"><label for="cmbAnnualIncomes">Total Annual Net Income</label> <input id="txtAnuualIncomes" data-vv-name="Total Annual Net Income" class="form-control" data-vv-id="66" aria-required="true" aria-invalid="false">
</div>
<div class="form-group col-md-4"><label for="txtNetWorthes">Net Worth</label>
<i data-toggle="tooltip" data-placement="top" title="" data-original-title="Total value of all assets you own, less what you owe including all mortgages and debts" class="fa fa-info-circle"></i> <input id="txtNetWorthes" type="number" min="0"
data-vv-name="Net Worth" class="form-control" data-vv-id="67" aria-required="true" aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="txtLiquidNetWorthes">Liquid Net Worth</label>
<i data-toggle="tooltip" data-placement="top" title="" data-original-title="Total value of any assets you own that can be quickly converted into cash" class="fa fa-info-circle"></i> <input id="txtLiquidNetWorthes" type="number" min="0"
data-vv-name="Liquid Net Worth" class="form-control" data-vv-id="68" aria-required="true" aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="cmbInvestmentKnowledge">Investment Knowledge</label> <select id="cmbInvestmentKnowledge" name="Investment Knowledge" class="form-control" data-vv-id="69" aria-required="true" aria-invalid="false">
<option></option>
<option value="1">Not enough</option>
<option value="2">Quite good</option>
<option value="3">Very knowledgeable</option>
<option value="4">Professional</option>
</select></div>
<div class="form-group col-md-4"><label for="cmbInvestmentObjectives">Investment Objective</label> <a href="#" data-toggle="modal" data-target="#InvestmentObjectiveModal" class="btn-link pr-2"><i class="fa fa-info-circle"></i></a> <select
id="cmbInvestmentObjectives" name="Investment Objective" class="form-control" data-vv-id="70" aria-required="true" aria-invalid="false">
<option></option>
<option value="8">Growth + Trading Profits + Speculation + Hedging</option>
<option value="9">Growth + Speculation + Hedging</option>
<option value="10">Growth + Speculation</option>
<option value="11">Growth + Trading Profits</option>
<option value="12">Hedging + Trading Profits</option>
<option value="13">Speculation + Hedging</option>
<option value="14">Speculation + Hedging + Trading Profits</option>
</select></div>
<div class="form-group col-md-4"><label for="cmbInvestmentObjectives"> Expected Investment Period </label>
<i data-toggle="tooltip" data-placement="top" title="" data-original-title="The period during which the client expects to cash out his invested money" class="fa fa-info-circle"></i> <select id="cmbExpectedInvestmentPeriod"
data-vv-name="Expected Investment Period" data-vv-scope="kycValidations" class="form-control" data-vv-id="71" aria-required="true" aria-invalid="false">
<option value=" 1">Short term (less than one year)</option>
<option value=" 2">Medium term (1 - 5 years)</option>
<option value=" 3">Long term (5+ years)</option>
</select></div>
<div class="form-group col-md-4"><label for="txtLoanMoneyRatio"> Loan to invested money ratio </label> <input id="txtLoanMoneyRatio" type="number" min="0" data-vv-name=" Loan to invested money ratio" class="form-control" data-vv-id="72"
aria-required="true" aria-invalid="false"></div>
</div>
<div>
<hr>
<div class="row">
<div class="col-auto">
<h4 class="title">Customer Investment Portfolio Profile</h4>
</div>
</div>
<hr>
<div class="row">
<div class="md-col-8 table-responsive">
<table id="tblInvestProfile" cellspacing="0" class="table table-bordered table-striped table-responsive-stack" style="width: 100%;">
<thead>
<tr>
<th style="flex-basis: 20%;"></th>
<th style="flex-basis: 20%;">Knowledge Level</th>
<th style="flex-basis: 20%;">Years Trading</th>
<th style="flex-basis: 20%;">Number of Trades approximately</th>
<th style="flex-basis: 20%;">Securities transactions outside the kingdom over the past five years</th>
</tr>
</thead>
<tbody>
<tr>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">:</span> Stocks</td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Knowledge Level:</span> <select id="cmbstocksKnowledgeLevels" data-vv-name="Stocks Knowledge Level" class="form-control w-100"
data-vv-id="73" aria-required="true" aria-invalid="false">
<option value=" "></option>
<option value=" 2">Limited</option>
<option value=" 1">Good</option>
<option value=" 3">Extensive</option>
</select></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Years Trading:</span> <input type="number" min="0" data-vv-name="Stocks Years Trading" class="form-control w-100" data-vv-id="74"
aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Number of Trades approximately:</span> <input type="number" min="0" data-vv-name="Stocks Number of Trades approximately"
class="form-control w-100" data-vv-id="75" aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Securities transactions outside the kingdom over the past five years:</span> <input
data-vv-name="Stocks Securities transactions outside the kingdom over the past five years" type="number" min="0" class="form-control w-100" data-vv-id="76" aria-required="false" aria-invalid="false"></td>
</tr>
<tr>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">:</span> Bonds</td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Knowledge Level:</span> <select id="cmbBondesKnowledgeLevels" data-vv-name="Bonds Knowledge Level" class="form-control w-100" data-vv-id="77"
aria-required="true" aria-invalid="false">
<option value=" "></option>
<option value=" 2">Limited</option>
<option value=" 1">Good</option>
<option value=" 3">Extensive</option>
</select></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Years Trading:</span> <input type="number" min="0" data-vv-name="Bonds Years Trading" class="form-control w-100" data-vv-id="78"
aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Number of Trades approximately:</span> <input type="number" min="0" data-vv-name="Bonds Number of Trades approximately"
class="form-control w-100" data-vv-id="79" aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Securities transactions outside the kingdom over the past five years:</span> <input
data-vv-name="Bonds Securities transactions outside the kingdom over the past five years" type="number" min="0" class="form-control w-100" data-vv-id="80" aria-required="false" aria-invalid="false"></td>
</tr>
<tr>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">:</span> Options</td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Knowledge Level:</span> <select id="cmbOptionsKnowledgeLevels" data-vv-name=" Options Knowledge Level" class="form-control w-100"
data-vv-id="81" aria-required="true" aria-invalid="false">
<option value=" "></option>
<option value=" 2">Limited</option>
<option value=" 1">Good</option>
<option value=" 3">Extensive</option>
</select></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Years Trading:</span> <input type="number" min="0" data-vv-name="Options Years Trading" class="form-control w-100" data-vv-id="82"
aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Number of Trades approximately:</span> <input type="number" min="0" data-vv-name="Options Number of Trades approximately"
class="form-control w-100" data-vv-id="83" aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Securities transactions outside the kingdom over the past five years:</span> <input
data-vv-name="Options Securities transactions outside the kingdom over the past five years" type="number" min="0" class="form-control w-100" data-vv-id="84" aria-required="false" aria-invalid="false"></td>
</tr>
<tr>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">:</span> Futures</td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Knowledge Level:</span> <select id="cmbFuturesKnowledgeLevels" data-vv-name="Futures Knowledge Level" class="form-control w-100"
data-vv-id="85" aria-required="true" aria-invalid="false">
<option value=" "></option>
<option value=" 2">Limited</option>
<option value=" 1">Good</option>
<option value=" 3">Extensive</option>
</select></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Years Trading:</span> <input type="number" min="0" data-vv-name="Futures Years Trading" class="form-control w-100" data-vv-id="86"
aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Number of Trades approximately:</span> <input type="number" min="0" data-vv-name="Futures Number of Trades approximately"
class="form-control w-100" data-vv-id="87" aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Securities transactions outside the kingdom over the past five years:</span> <input
data-vv-name="Futures Securities transactions outside the kingdom over the past five years" type="number" min="0" class="form-control w-100" data-vv-id="88" aria-required="false" aria-invalid="false"></td>
</tr>
<tr>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">:</span> Forex</td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Knowledge Level:</span> <select id="cmbForexKnowledgeLevels" data-vv-name="Forex Knowledge Level" class="form-control w-100" data-vv-id="89"
aria-required="true" aria-invalid="false">
<option value=" "></option>
<option value=" 2">Limited</option>
<option value=" 1">Good</option>
<option value=" 3">Extensive</option>
</select></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Years Trading:</span> <input type="number" min="0" data-vv-name="Forex Years Trading" class="form-control w-100" data-vv-id="90"
aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Number of Trades approximately:</span> <input type="number" min="0" data-vv-name="Forex Number of Trades approximately"
class="form-control w-100" data-vv-id="91" aria-required="true" aria-invalid="false"></td>
<td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Securities transactions outside the kingdom over the past five years:</span> <input
data-vv-name="Forex Securities transactions outside the kingdom over the past five years" type="number" min="0" class="form-control w-100" data-vv-id="92" aria-required="false" aria-invalid="false"></td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="form-row">
<div class="form-group col-sm-3 col-xs-6"><label for="txtTotalYearsTrading">Total Years Trading</label> <input id="txtTotalYearsTrading" data-vv-name="Total Years Trading" class="form-control" data-vv-id="93" aria-required="true"
aria-invalid="false"></div>
<div class="form-group col-sm-3 col-xs-6"><label for="txtNumberofTrades">Total Number of Trades</label> <input id="txtNumberofTrades" disabled="disabled" data-vv-name="Number of Trades approximately" class="form-control" data-vv-id="94"
aria-required="true" aria-invalid="false"></div>
</div>
</div>
<div class="form-group">
<h4 class="sub-title">Investment Information</h4>
</div>
<div class="form-row investment p-1 mb-2">
<div class="col-md-6 investment-current">
<div class="row investment-header mb-1">
<div class="col-md-12"><span class="hint"><b>Breakdown of current investment portfolio</b></span>
<hr>
</div>
<div class="col-6"><small><b>Asset</b></small></div>
<div class="col-6"><small><b>Value</b></small></div>
</div>
<div class="row investment-footer">
<div class="col-6 form-group text-right"><small><b>Total</b></small></div>
<div class="col-6 form-group"><input readonly="readonly" class="form-control"></div>
</div>
</div>
<div class="col-md-6 investment-ideal">
<div class="row investment-header mb-1">
<div class="col-md-12"><span class="hint"><b>Customer's ideal investment portfolio profile</b></span>
<hr>
</div>
<div class="col-4"><small><b>Low Risk %</b></small></div>
<div class="col-4"><small><b>Medium Risk %</b></small></div>
<div class="col-4"><small><b>High Risk %</b></small></div>
</div>
<div class="row investment-footer">
<div class="col-8 form-group text-right"><small><b>Total</b></small></div>
<div class="col-4 form-group"><input value="100%" readonly="readonly" class="form-control"></div>
</div>
</div>
</div>
</form><form data-vv-scope="preferencesValidations">
<div class="form-row">
<div class="col-md-12"><label>I intend to trade in the Saudi market Tadawul.</label></div>
<div class="col-md-12">
<div class="form-check form-check-inline"><input name="tradeInTadawul" type="radio" data-vv-name="I intend to trade in the Saudi market Tadawul." class="form-check-input" value="true" data-vv-id="95" aria-required="true" aria-invalid="false">
<label class="mt-2">Yes</label></div>
<div class="form-check form-check-inline"><input name="tradeInTadawul" type="radio" data-vv-name="I intend to trade in the Saudi market Tadawul." class="form-check-input" value="false"> <label class="mt-2">No</label></div>
</div>
</div>
<div class="form-row">
<div class="col-md-12"><label>I have an existing portfolio in Saudi Arabia.</label></div>
<div class="col-md-12">
<div class="form-check form-check-inline"><input name="haveExistingPortfolio" type="radio" data-vv-name="I have an existing portfolio in Saudi Arabia." class="form-check-input" value="true" data-vv-id="96" aria-required="true"
aria-invalid="false"> <label class="mt-2">Yes</label></div>
<div class="form-check form-check-inline"><input name="haveExistingPortfolio" type="radio" data-vv-name="I have an existing portfolio in Saudi Arabia." class="form-check-input" value="false"> <label class="mt-2">No</label></div>
</div>
</div>
</form><form data-vv-scope="custodianInfoValidations">
<h4 class="sub-title">Custodian Details</h4>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtCustodianName">Name</label> <input id="txtCustodianName" class="form-control"></div>
</div>
<div class="form-row">
<div class="form-group col-md-8"><label for="txtCorrspondanceAddress">Corrspondance Address</label> <input id="txtCorrspondanceAddress" class="form-control"></div>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="txtCustodianAccountName">Account Name</label> <input id="txtCustodianAccountName" class="form-control"></div>
<div class="form-group col-md-4"><label for="txtCustodianAccountNo">Account Number</label> <input id="txtCustodianAccountNo" class="form-control"></div>
</div>
<div>
<hr>
</div>
<div class="form-group">
<h4 class="sub-title"> Indicate where the following should be forwarded </h4>
</div>
<div class="form-row">
<div class="form-group col-md-4"><label for="cmbCertificates">Certificates</label> <select id="cmbCertificates" class="form-control">
<option value="0"></option>
<option value="1">The Customer</option>
<option value="2">The Custodian</option>
<option value="3">Other</option>
</select></div>
<div class="form-group col-md-4" style="display: none;"><label for="txtOtherCustodianCertificate">Other Certificate</label> <input id="txtOtherCustodianCertificate" name="Other Certificate" class="form-control" data-vv-id="97"
aria-required="false" aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="cmdCustodianDiviends">Dividends/Other Income</label> <select id="cmdCustodianDiviends" class="form-control">
<option value="0"></option>
<option value="1">The Customer</option>
<option value="2">The Custodian</option>
<option value="3">Other</option>
</select></div>
<div class="form-group col-md-4" style="display: none;"><label for="txtOtherCustodianDiviends">Other Diviends</label> <input id="txtOtherCustodianDiviends" name="Other Diviends" class="form-control" data-vv-id="98" aria-required="false"
aria-invalid="false"></div>
<div class="form-group col-md-4"><label for="cmdCustodianSaleProceeds">Sale Proceeds</label> <select id="cmdCustodianSaleProceeds" class="form-control">
<option value="0"></option>
<option value="1">The Customer</option>
<option value="2">The Custodian</option>
<option value="3">Other</option>
</select></div>
<div class="form-group col-md-4" style="display: none;"><label for="txtOtherCustodianSaleProceeds">Other Sale Proceeds</label> <input id="txtOtherCustodianSaleProceeds" name="Other Sale Proceeds" class="form-control" data-vv-id="99"
aria-required="false" aria-invalid="false"></div>
</div>
</form>Text Content
عربي
ONLINE ACCOUNT REGISTRATION
* Getting Started
* Agreement
* Credentials
* Primary Information
* Address Information
* Financial Status
* Finish
GETTING STARTED
--------------------------------------------------------------------------------
OPEN YOUR ACCOUNT AT DERAYAH FINANCIAL ONLINE
You can open your own investment account through Derayah Financial. Your
information will be accepted and processed across the unified national access
platform without having to visit a branch or providing any documents.
More Information
ID Type National ID Iqama
ID Number
You are already a valid customer in Derayah. To resume registration click here
You are already a valid customer in Derayah. To resume registration click here
Agree
Print Agreement
Please provide the credentials you will be using to access your online Derayah
account.
You can always resume your registration later, please remember your username and
password.
User Name
Password ?
PASSWORD REQUIREMENTS
×
* Password must be 8 characters or more.
* Password must contain at least one digit [0-9].
* Password must contain at least one lower case letter [a-z]
* Password must contain at least one upper case letter [A-Z]
* Password must be at least 8 characters long and contains at least one
uppercase letter, one lowercase letter, a number, and a special symbol ex. @
, # , %
Close
Confirm Password
Secret Question What's your first car?What's your favourite color?What's your
favourite place?Who's your best teacher?Place of BirthOwn Question
Own Question
Secret Answer
--------------------------------------------------------------------------------
PHONE SERVICE ACCESS
Please provide the credentials you will use to access Derayah phone center
service (Requires 4 numbers that are not the same and not sequential)
PIN Number ?
PIN REQUIREMENTS
×
* Select a 4 digit security PIN
* Use numbers only,Except 1234, 4321
* Don't use same digit 3 times e.g. 1211,3555
* Don't use two pairs of repeated digits e.g. 3377,6688
Close
Confirm PIN Number
Do you want to complete the registration steps online (without visiting the
branch)? Yes No
Primary
You can login by User Name Or User Number
User Name
User Number
Nationality Kingdom of Saudi ArabiaAfghanistanAlbaniaPeople Democratic Republic
of AlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasKingdom of
BahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And
HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCook IslandsCosta RicaCote D'IvoireCroatia (Local
Name: Hrvatska)CubaCyprusCzech RepublicDenmarkRepublic of
DjiboutiDominicaDominican RepublicEast TimorEcuadorArab Republic of EgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong
KongHungaryIcelandRepublic of IndiaIndonesiaIslamic Republic of IranRepublic of
IraqIrelandItalyJamaicaJapanHashemite Kingdom of
JordanKazakhstanKenyaKiribatiKorea, Democratic People'S Republic OfKorea,
Republic OfKosovoState of KuwaitKyrgyzstanLao People'S Democratic
RepublicLatviaLebanese RepublicLesothoLiberiaLibyan Arab
JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, The Former Yugoslav
Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
OfMoldova, Republic OfMonacoMongoliaMontenegroMontserratKingdom of
MoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
IslandsNorwaySultanate of OmanIslamic Republic of
PakistanPalauPalestinePanamaPapua New
GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunionRomaniaRussian
FederationRwandaSaint HelenaSaint Kitts And NevisSaint LuciaSaint Pierre And
MiquelonSaint Vincent And The GrenadinesSan MarinoSao Tome And
PrincipeSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakia (Slovak
Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri
LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province
Of ChinaTajikistanTanzania, United Republic OfThailandTHE BELUCHISTHE BURMESETHE
TURKISTANIANSTogoTokelauTongaTRIBALTrinidad And TobagoRepublic of
TunisiaRepublic of TurkeyTurkmenistanTurks And Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of
AmericaUruguayUzbekistanVanuatuVatican City State (Holy See)VenezuelaViet
NamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern
SaharaRepublic of YemenYugoslaviaZaireZambiaZimbabweUndefined
Residency Kingdom of Saudi ArabiaUnited Arab Emirates
Title Mr. Miss Mrs. MESSRS His Royal Highness His Highness Her Royal Highness
Her Highness His Excellency Her Excellency Dr. Eng. Dr.
First Name
Father Name
Grandfather Name
Last Name
Phone
Ext.
Example: 966-11-1234567 Ext. 1000
Mobile
Example: 966-50-1234567
Email
Confirm Email
General
Gender Male Female
Marital Status Single Widowed Married Divorced
Number of Dependents
Birthdate
Hidden Label
Use Hijri Date to calculate age.
Country of Birth Kingdom of Saudi Arabia Afghanistan Albania People Democratic
Republic of Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua
And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Kingdom
of Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan
Bolivia Bosnia And Herzegovina Botswana Brazil Brunei Darussalam Bulgaria
Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central
African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands
Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia (Local
Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Republic of Djibouti Dominica
Dominican Republic East Timor Ecuador Arab Republic of Egypt El Salvador
Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe
Islands Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece
Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti
Honduras Hong Kong Hungary Iceland Republic of India Indonesia Islamic Republic
of Iran Republic of Iraq Ireland Italy Jamaica Japan Hashemite Kingdom of Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People'S Republic Of Korea, Republic
Of Kosovo State of Kuwait Kyrgyzstan Lao People'S Democratic Republic Latvia
Lebanese Republic Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania
Luxembourg Macau Macedonia, The Former Yugoslav Republic Of Madagascar Malawi
Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius
Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco
Mongolia Montenegro Montserrat Kingdom of Morocco Mozambique Myanmar Namibia
Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua
Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Sultanate of
Oman Islamic Republic of Pakistan Palau Palestine Panama Papua New Guinea
Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania
Russian Federation Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint
Pierre And Miquelon Saint Vincent And The Grenadines San Marino Sao Tome And
Principe Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak
Republic) Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri
Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan,
Province Of China Tajikistan Tanzania, United Republic Of Thailand THE BELUCHIS
THE BURMESE THE TURKISTANIANS Togo Tokelau Tonga TRIBAL Trinidad And Tobago
Republic of Tunisia Republic of Turkey Turkmenistan Turks And Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of
America Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet
Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands
Western Sahara Republic of Yemen Yugoslavia Zaire Zambia Zimbabwe Undefined
Place of Birth
Education Level Primary Intermediate High School Diploma Bachelor Post Graduate
--------------------------------------------------------------------------------
IDENTIFICATION
ID Type National ID Iqama Passport Registration Number Diplomatic
ID Number
Issue Date
Expiry Date
Place of issue Kingdom of Saudi Arabia Afghanistan Albania People Democratic
Republic of Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua
And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Kingdom
of Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan
Bolivia Bosnia And Herzegovina Botswana Brazil Brunei Darussalam Bulgaria
Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central
African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands
Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia (Local
Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Republic of Djibouti Dominica
Dominican Republic East Timor Ecuador Arab Republic of Egypt El Salvador
Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe
Islands Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece
Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti
Honduras Hong Kong Hungary Iceland Republic of India Indonesia Islamic Republic
of Iran Republic of Iraq Ireland Italy Jamaica Japan Hashemite Kingdom of Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People'S Republic Of Korea, Republic
Of Kosovo State of Kuwait Kyrgyzstan Lao People'S Democratic Republic Latvia
Lebanese Republic Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania
Luxembourg Macau Macedonia, The Former Yugoslav Republic Of Madagascar Malawi
Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius
Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco
Mongolia Montenegro Montserrat Kingdom of Morocco Mozambique Myanmar Namibia
Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua
Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Sultanate of
Oman Islamic Republic of Pakistan Palau Palestine Panama Papua New Guinea
Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania
Russian Federation Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint
Pierre And Miquelon Saint Vincent And The Grenadines San Marino Sao Tome And
Principe Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak
Republic) Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri
Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan,
Province Of China Tajikistan Tanzania, United Republic Of Thailand THE BELUCHIS
THE BURMESE THE TURKISTANIANS Togo Tokelau Tonga TRIBAL Trinidad And Tobago
Republic of Tunisia Republic of Turkey Turkmenistan Turks And Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of
America Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet
Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands
Western Sahara Republic of Yemen Yugoslavia Zaire Zambia Zimbabwe Undefined
Issue City
Self-Certification & Declaration Form (FATCA & CRS)
Are you a Tax Resident of any country or countries outside of Saudi Arabia?
Yes
No
By selecting “No”, I confirm that Saudi Arabia is my sole residency for tax
purpose
I declare that all the particulars and information provided herein, are true,
correct, complete and up-to-date in all respects and I have not withheld any
information and I acknowledge that financial institution name, client name,
licensee name etc. Derayah Financial Company (Derayah) will rely on the
information provided in this form until notice in writing satisfactory to
Derayah of its revocation and by submission of an updated Self-Certification &
Declaration Form is received by the Derayah, within 30 days where any change in
circumstances occurs. I hereby undertake to inform Derayah of any change in
information / circumstances provided, and to furnish to Derayah any
changes/amendments taking place in future with reference to the documents
submitted by me/us as and when such changes/amendments occur. I undertake to
inform Derayah if I am away from my own country of residence for any period that
may impact the United States Substantial Presence Test as herein defined, or the
presence test related to any other countries I am tax residents in. I confirm
and accept that should any withholding, tax, other impositions or other
governmental dues related to me become payable to domestic or overseas
regulators or tax authorities, all payments made to me shall be net of any such
taxes etc.. Derayah assumes no liability in this regard. I waive Derayah of its
duty of confidentiality and grant Derayah the liberty to make available, as and
when required by law/authorities, to the Courts, regulatory/or other authorities
of Saudi Arabia or my country of residence or the country in whose currency this
account will be maintained or routed, or to any other regulator/tax authority or
other authorities in domestic and other jurisdictions, any information relating
to my account, without any prior consent from me. Any information / documents
provided by you or your authorized representative in relation to this
self-certification form shall only be disclosed to the relevant authorities for
the purpose of compliance with FATCA and / or CRS requirements.
For more information about Definition, please Click here
Agree
NATIONAL ADDRESS
Address Line 1
Address Line 2
Street Name
City
District
Postal Code
Building Number
Unit Number
Additional Number
--------------------------------------------------------------------------------
OCCUPATION
Employment Status Government SectorHome makerMilitaryPrivate SectorRetiredSelf
EmployedStudentUnemployed
Employer Name
Duration of Employment
Industry Services Oil & Gas Utilities Agricultre & Food Industries
Telecommunication IT Insurance Investments Industrial Building & Construction
Real Estate Development Transportation Media & Publishing Tourism &
Entertainment Health Care Aerospace/Defense Auto Manufacturers Chemicals
Biotechnology Materials Banks & Financial Services Petrochemical Industries
Retail Wholesale
Position Business owner Military Chairman/Board Member CEO/General Manager
Deputy Manager/Vice President/Director Head/Manager/Supervisor Professional
(Doctor/Lawyer/Auditor) Associate/Analyst/Sales/Marketing Technician
Administration
Employer Address
--------------------------------------------------------------------------------
Are you a director/senior executive, a 10% shareholder, an audit committee, or a
policy-maker of any publicly traded company? (locally or globally)
Yes
No
Enter the stock symbol(s) of the company(ies)
Are you or any relative family member considered Politically Exposed Person?
Yes
No
Please specify
Are you or any family member who resides in the same household, registered as a
broker-dealer or work or own a securities or commodities brokerage firm?
Yes
No
Name
Address
Financial Information
BANK ACCOUNT
You will be able to transfer money out of Derayah to this account.
Bank Name Saudi National Bank The Saudi Awwal Bank Banque Saudi Fransi Saudi
Investment Bank Arab National Bank Bank AlBilad Bank AlJazira Riyad Bank Al
Rajhi Bank Alinma Bank Emirates NBD Bank Muscat Gulf International Bank Deutsche
Bank
Beneficiary Name
Account Number
If your bank in Saudi Arabia you should provide the account in IBAN format.
--------------------------------------------------------------------------------
OTHER INFORMATION
Investment Risk Profile High Moderately High Moderate Moderately Low Low The
level of risk selected might forbid you from obtaining some of Derayah's
products
Total Annual Net Income
Net Worth
Liquid Net Worth
Investment Knowledge Not enough Quite good Very knowledgeable Professional
Investment Objective Growth + Trading Profits + Speculation + Hedging Growth +
Speculation + Hedging Growth + Speculation Growth + Trading Profits Hedging +
Trading Profits Speculation + Hedging Speculation + Hedging + Trading Profits
Expected Investment Period Short term (less than one year) Medium term (1 - 5
years) Long term (5+ years)
Loan to invested money ratio
--------------------------------------------------------------------------------
CUSTOMER INVESTMENT PORTFOLIO PROFILE
--------------------------------------------------------------------------------
Knowledge Level Years Trading Number of Trades approximately Securities
transactions outside the kingdom over the past five years : Stocks Knowledge
Level: Limited Good Extensive Years Trading: Number of Trades approximately:
Securities transactions outside the kingdom over the past five years: : Bonds
Knowledge Level: Limited Good Extensive Years Trading: Number of Trades
approximately: Securities transactions outside the kingdom over the past five
years: : Options Knowledge Level: Limited Good Extensive Years Trading: Number
of Trades approximately: Securities transactions outside the kingdom over the
past five years: : Futures Knowledge Level: Limited Good Extensive Years
Trading: Number of Trades approximately: Securities transactions outside the
kingdom over the past five years: : Forex Knowledge Level: Limited Good
Extensive Years Trading: Number of Trades approximately: Securities transactions
outside the kingdom over the past five years:
Total Years Trading
Total Number of Trades
INVESTMENT INFORMATION
Breakdown of current investment portfolio
--------------------------------------------------------------------------------
Asset
Value
Total
Customer's ideal investment portfolio profile
--------------------------------------------------------------------------------
Low Risk %
Medium Risk %
High Risk %
Total
Preferences
I intend to trade in the Saudi market Tadawul.
Yes
No
I have an existing portfolio in Saudi Arabia.
Yes
No
Custodian
CUSTODIAN DETAILS
Name
Corrspondance Address
Account Name
Account Number
--------------------------------------------------------------------------------
INDICATE WHERE THE FOLLOWING SHOULD BE FORWARDED
Certificates The Customer The Custodian Other
Other Certificate
Dividends/Other Income The Customer The Custodian Other
Other Diviends
Sale Proceeds The Customer The Custodian Other
Other Sale Proceeds
THANK YOU !
User Name:
User Number:
Our Financial Advisor will be in contact with you to sign the required documents
and complete your registration.
You can login by User Name Or User Number
We appreciate your business, and we would like to inform you that a message will
be sent via the email registered with us as soon as the account is activated,
including your account details and numbers. We hope that you take caution and
maintain the confidentiality of your personal information for your investment
account and not sharing it.
Finish
WARNINGS
Dear Customer,
* Please verify the use of Derayah official channels in relation to your
investment account operations. Please don’t respond to requests for cash
transfers to anonymous accounts, knowing that Derayah has only one account in
the Arab National Bank to receive cash transfers for investment accounts.
* Protect the confidentiality of your investment account information or any
other accounts. We would like to inform you that Derayah and its affiliates
will never ask you for your credit card information and will not communicate
with you via the WhatsApp program.
* Be wary of any fraudulent calls or messages that offer investment plans and
promise you profits in the name of Derayah or similar names. Derayah does not
offer such plans.
* Please exercise caution and keep your personal information related to your
investment account confidential and never share it.
Close
--------------------------------------------------------------------------------
Previous Next
--------------------------------------------------------------------------------
© 2023 Derayah Financial. All Rights Reserved
By using this site, you agree to the Terms of Service & Privacy Policy
Derayah Financial, P.O.Box: 286546, Riyadh 11323, Saudi Arabia
Licensed by the Capital Market Authority 08109 - 27
INVESTMENT OBJECTIVES
×
Objective Description Preservation of Capital Seek maximum safety and stability
for your principal by focusing on securities and investments that carry a low
degree of risk. Income Generate dividend, interest or other income instead of,
or in addition to, seeking long-term capital appreciation. Growth Increase the
principal value of your investments over time rather than seeking current
income. Investor assumes higher degree of risk. Trading Profits Increase the
principal value of your investments by using shorter term trading strategies and
by assuming higher risk. Speculation Substantially increase the principal value
of your investments by assuming substantially higher risk to your investment
capital. Hedging Take positions in a product in order to hedge or offset the
risk in another product.
Close
ARE YOU OR ANY RELATIVE FAMILY MEMBER CONSIDERED POLITICALLY EXPOSED PERSON?
×
* An individual who is, or has been entrusted with a prominent public function
in the Kingdom or a foreign country, or higher administrative positions or a
position in an international organization, is considered a politically
exposed person (PEP), and this includes the following functions or positions:
* A. Heads of state or of governments, senior politicians, senior government,
judicial or military officials, senior executives of state-owned
corporations, important political party officials.
* B. Presidents and directors of international organizations and
deputy-directors, board members or equivalent.
* The obligations stipulated in Article 8 of this Law shall apply to the family
members of PEP and any person close to the PEP.
* Family members of the PEP: are any natural person related to the PEP by blood
or marriage until second-degree relatives.
* Close person of the PEP: is any natural person who has shares benefits with
the PEP through real partnership of legal entity, legal arrangement or any
other close business relationship with the PEP or he is the true beneficiary
of a legal entity or legal arrangement that is actually owned or controlled
by the PEP.
Close