Investor Investment History Form

Please fill in your investment details for verification purposes

Step 1 of 9

1 Personal / Company Information

Full Name / Company Name *

Email Address *

Phone Number *

Mobile Number

Country *

Address *

City *

State / Province

Pincode / ZIP

2 Bank Details

Bank Name *

Account Number *

Account Holder Name *

Branch Name

IBAN

3 Investment History Details

Total Number of Investments *

Total Investment Amount (AED) *

First Investment Date *

Latest Investment Date

4 Investment Records

If you have multiple investments, you can submit multiple forms or list details in remarks section.

Investment Reference Number (if known)

Investment Amount (AED) *

Investment Date *

Duration (months) *

Dividend (%) *

Dividend Frequency *

Investment Status *

5 Dividend Payment History

Total Dividends Received (AED) *

Last Dividend Received Date

Last Dividend Amount (AED)

Any Pending/Due Dividends? *

Yes No

Pending Dividend Amount (AED)

6 Payment Method Used

How did you pay? *

Did you pay by Cheque? *

Yes No

7 Document Uploads

Upload supporting documents (PDF, JPG, PNG - Max 10MB each)

Investment Agreement/Contract Copy *

Payment Receipt/Proof *

Dividend Payment Receipts

Any Other Related Documents

8 Additional Remarks

Any discrepancies or issues to report?

Additional Investment Details

Contact Person at MAG (if known)

9 Declaration

I confirm that all information provided in this form is accurate and complete to the best of my knowledge. *

Digital Signature (Type your full name) *