ACCOUNT OPENING APPLICATION FORM FIXED … Form_1.pdf · Non-Govt. High School, Editor of the Daily Newspapers, Notary Public, Semi-govt. / Autonomous/ Govt. O˚cers at 7th or above

COMMERCIAL BANK OF CEYLON PLC

Page-1

a) in English (Block Letter)

a) Amountcwigvb

Currencygy`ªv

b) evsjvq

wnmv‡ei bvg

DateZvwiL

D D M M Y Y Y YMaturity Date‡gqv`c~wZ©i ZvwiL

ACCOUNT OPENING APPLICATION FORMwnmve †Lvjvi Av‡e`b dig ¯’vqx AvgvbZ I we‡kl w¯‹g

FIXED DEPOSIT & SPECIAL SCHEME

- kvLv

The Manager

Branch

Commercial Bank of Ceylon PLC

Dear Sir,

|QwiK bcvÁ Zw§¤m i‡vcvë ivjP b‡g† vZ Î‡ÿ‡ ib‡©Zeiwc vb‡vK‡h† Z©Kwú¤mG seG vbjvPiwc evmnw i‡vmybA gqbw |QwiK bè‡vA ¨bR ivjvL† evmnw UwKG qvLvk ivbcvA vigvA/gwvA|gvjiK bv`Öc œ¤‡bw ¨_Z ZiwvÍ¯ew i`‡vgvA/ivgvA

Kcv’¯eë -

Kgvwk©qvj e¨vsK Ad wmjb wcGjwm

I/We am/are applying to open an account at your branch and agree to comply with and abide by Bank's rules and regulations enforced to operate the account and any amendment thereto. My/Our detailed information is furnished below.

2. FDR Related Information Gd. wW. Avi. msµvšÍ Z_¨

3. Special Scheme Related Information we‡kl w¯‹g msµvšÍ Z_¨

4. A/C Operating Instruction - Please () Tickwnmve cwiPvjbv msµvšÍ wb‡`©kbv - wUK () w`b

5. Purpose of Opening Accountwnmve †Lvjvi D‡Ïk¨

b) Duration‡gqv`Kvj

a) Name of the Schemew¯‹‡gi bvg

b) Tenure‡gqv`

c) Payable at Maturity‡gqv`v‡šÍ cÖ‡`q

c) Rate of Interestmy‡ì nvi

d) Incase of Renewal - Please () Tickbevq‡bi †ÿ‡Î - wUK () w`b

1. Account Title

Renew Principle & InterestAvmj I my` bevqbRenew only Principle and Deposit Interest to Account given Belowïay Avvmj bevqbKiæb Ges wb‡Pi wnmv‡e my` Rgv Kiæb

Account No.wnmve bsNot Applicable

cÖ‡hvR¨ b‡n

Monthly Installment AmountgvwmK Kw¯Íi cwigvb

IndividuallyGKKfv‡e

Jointly†hŠ_fv‡e

OthersAb¨vb¨ .....................................

Either or Survivor†h‡Kv‡bv GKRb A_ev whwb RxweZ

MÖvnK Ab¨ †Kvb e¨vs‡Ki mv‡_ †Kvb wnmve cwiPvjbv K‡ib wK? - wUK () w`b6. Does the Customer Maintain any Account with Other Bank(s)? - Please ()Tick Yes - nüv No - bv

Serial No. Name of the Bank Branch Type of Account (Please Tick)

Deposit A/C Credit CardLoan A/C

µwgK msL¨v e¨vs‡Ki bvg kvLv )b`w KUw( Zw…KÖc ie‡vmnw

†µwWU KvW©FY wnmveRgv wnmveDeposit A/C Credit CardLoan A/C

†µwWU KvW©FY wnmveRgv wnmveDeposit A/C Credit CardLoan A/C

†µwWU KvW©FY wnmveRgv wnmve

Deposit A/C Credit CardLoan A/C†µwWU KvW©FY wnmveRgv wnmve

D D M M Y Y Y Y Account No.wnmve bs

CIF No.

Product TypeivKÖc ie‡vmnw

wmAvBGd bs

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D D M M Y Y Y Y

8. Information of Introducer (not required if the applicant maintaining any other Savings/ Current account with the Bank)cwiPq`vbKvixi Z_¨ (e¨vs‡K Av‡e`bKvixi Ab¨ †Kvb mwµq wnmve _vK‡j cÖ‡qvRb †bB)

9. Net Worth (in case of Non-Personal Account)†bU m¤ú` (Ae¨w³K wnmv‡ei †ÿ‡Î)

11. Decleration & Signature†NvlYv I ¯^vÿi

10. Source of Fund (to be mentioned clearly and in detail)A‡_©i Drm (cwi®‹vi I wek`fv‡e D‡jøL Ki‡Z n‡e)

BranchkvLv

7. If One or More Applicant(s) is/are MinorGK ev GKvwaK Av‡e`bKvix bvevjK n‡jAs the legal guardian, I hereby declare that the applicant is a minor. His/Her relevant information is furnished in the separate form attached herewith. The account will be operated by me until the applicant becomes a major or I provide further declaration.êa AwefveK wnmv‡e Avwg †NvlYv KiwQ †h, Av‡e`bKvix GKRb bvevjK| Zvi h_vh_ Z_¨ mshy³ di‡g †`qv nj| Av‡e`bKvix mvevjK bv nIqv ch©šÍ A_ev cieZx© †NvlYv e¨ZxZ wnmvewU Avgvi ¯̂vÿ‡i cwiPvwjZ n‡e|

a) Name of the Applicant (Minor) Av‡e`bKvixi bvg (bvevjK)

b) Date of Birth (Minor) Rb¥ ZvwiL (bvevjK)c) Name of Guardian Awffve‡Ki bvg

d) Relationship with Minor bvevj‡Ki mv‡_ m¤úK©“Information Related to Individual” will be filled up by both Minor and Guardian. In case of Minor Applicant the guardian will sign in place of “Applicant’s Signature” in both forms.bvevjK Ges AwffveK Df‡qi Rb¨B Òe¨w³ msµvšÍ Z_¨vewjÓ dig c~iY Ki‡Z n‡e Ges bvevjK Av‡e`bKvixi †ÿ‡Î Dfq di‡gB Av‡e`bKvixi ¯̂vÿ‡ii ’̄‡j AwffveK‡K ¯̂vÿi Ki‡Z n‡e|

a) Name of Introducer cwiPq`vbKvixi bvg

b) A/C Number of the Introducer cwiPq`vbKvixi wnmve b¤î

c) CIF Number of the Introducer cwiPq`vbKvixi wnmve b¤î

d) Relationship between Introducer & Applicant and how are they Known to Each Other Av‡e`bKvixi mv‡_ m¤úK© Ges cwiP‡qi m~Î

e) Phone Number ‡dvb b¤î

Mobile Number‡gvevBj b¤î

Signature & Date of IntroducercwiPq`vbKvixi ¯^vÿi I ZvwiL

Signature & Date of Verifying O�cer of IntroducercwiPq`vbKvixi Z_¨ cÖZ¨qbKvix Kg©KZ©vi ¯^vÿi I ZvwiL

I/We hereby acknowledge that, I/we have read and understood the Terms & Conditions related to the account and will be abide the Terms & Conditions of Commercial Bank of Ceylon PLC. I/We solemnly declare that the information provided here is correct and true. I/We shall also submit any relevant information/ document as and when required by the Bank.Avwg/Avgiv wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv Kgvwk©qvj e¨vsK Ad wmjb wcGjwmi wnmve m¤úwK©Z hveZxq kZ©vejx h_vh_fv‡e c‡o I ey‡S †g‡b Pj‡Z m¤§Z n‡qwQ| Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, Dc‡iv³ Z_¨vejx mZ¨| Avwg/Avgiv cÖ`Ë Z‡_ï AwZwi³ mswkøó †h †Kvb cÖ‡qvRbxq Z_¨/`wjjvw` e¨vs‡Ki Pvwn`v †gvZv‡eK mieivn Kie|

1g Av‡e`bKvix 1st Applicant

2q Av‡e`bKvix 2nd Applicant

3q Av‡e`bKvix 3rd Applicant

Date and Signature¯^vÿi I ZvwiL

ParticularsweeiY

Namebvg


Page-3

- e¨vs‡Ki eënv‡ii Rb¨For Bank Use Only

1. Account Opening Application Form Duly Completed

2. Verification of Introducer’s Information

3. Credentials

a) Verified Copy of National Identity Card (NID)

b) Copy of Passport with Validity Period

c) Copy of Birth Certificate

d) Copy of E-TIN

e) Copy of Driving License with Validity Period

c~b©v½ wnmve †Lvjvi Av‡e`b dig

cwiPq`vbKvixi Z_¨ hvPvBK…Z

cwiwPwZ

RvwZq cwiPqc‡Îi hvPvBK…Z Abywjwc

Rb¥ wbeÜb mb‡ì Abywjwc

†gqv`mn cvm‡cv‡U©i Abywjwc

B-wU‡bi Abywjwc

WªvBwfs jvB‡m‡Ýi Abywjwc

Av‡e`bKvixi cvm‡cvU© mvB‡Ri Qwe (2 Kwc) cwiPq`vbKvix Øviv mZ¨vwqZ

bwgbxi cvm‡cvU© mvB‡Ri Qwe (1 Kwc) Av‡e`bKvixi Øviv mZ¨vwqZ

bgybv ¯^vÿ‡ii KvW© h_vh_fv‡e m¤úbœ

wVKvbv cÖgvb mg_©‡b `wjjvw`

4. Passport Size Photographs of Applicant (2 Copies) duly Attested by Introducer

5. Passport Size Photographs of Nominee (1 Copy) duly Attested by Applicant

6. Duly Completed Specimen Signature Card

7. Supporting of Proof of Address

Account Opening Checklistwnmve †Lvjvi ‡PKwj÷

Remarks (if any)gšÍe¨ (hw` _v‡K)

Stamp and Signature of Branch ManagerkvLv eë¯’vc‡Ki bvghy³ wmj Ges ¯^vÿi

Stamp and Signature of the A/C Opening O�cerwnmve †Lvjvi mv‡_ RwoZ Kg©KZ©vi bvghy³ wmj Ges ¯^vÿi

Gd. wW. Avi Ges we‡kl w¯‹g †Lvjvi Rb¨ cÖ‡qvRbxq `wjjvw`Required Document to Open FDR and Special Scheme

1. Verified copy of National ID Card/ copy of Valid Passport/ copy of Birth Registration CertificateRvwZq cwiPqc‡Îi hvPvBK…Z Abywjwc/ ‰ea cvm‡cv‡U©i Abywjwc/ Rb¥ wbeÜ mb`c‡Îi Abywjwc In case of birth registration certificate a copy of any other photo identity card of the customer/ account operator has to be provided. Rb¥ wbeÜb cÖ`vbc~e©K wnmve †Lvjvi †ÿ‡Î Rb¥ wbeÜb cÎmn MÖvnK/ wnmve cwiPvjbvKvixi Av‡jvKwPÎmn Ab¨ †h‡Kv‡bv cwiPqc‡Îi Abywjwc cÖ`vb Ki‡Z n‡e| If the photo identity is not available, certificate of identity issued by the eminent persons*of the society has to be provided subject to the satisfaction of the Bank. This certificate or identity card shall contain the photographs (front part of the photographs shall be attested) of the customer/ account operator. Av‡jvKwPÎmn cwiPq cÎ bv _vK‡j †m wel‡q e¨vs‡Ki mš‘wó mv‡c‡ÿ Zv‡ì wbKU MÖnY‡hvM¨ mgv‡Ri MY¨gvb¨ e¨vw³* KZ…©K cÖ`Ë cwiP‡qi cÖZ¨vqbcÎ cÖ`vb Ki‡Z n‡e| D³ cwiPqcÎ ev cÖËvqbcÎ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn (Av‡jvKwP‡Îi Dc‡ii c„‡ô mZ¨vqbmn) n‡Z n‡e|2. In case of Foreign Currency Account Copy of Work Permit or Employer’s Certificate for Bangladeshi Wage Earners or Letter of Introduction from Embassy/ Mission has to be Provided ( where applicable)‰e‡`wkK gy`ªvi wnmv‡ei †ÿ‡Î- Kg©vbygwZi Abywjwc A_ev I‡qR Avb©v‡ii wb‡qvM`vZv cÖwZôv‡bi mb`cÎ A_ev `~Zvevm/ wgkb †_‡K cwiPqcÎ (cÖ‡hvR¨ †ÿ‡Î)3. For Corporate or Business Entity K‡c©v‡iU ev eëmvwqK cÖwZôv‡bi †ÿ‡Î

b) Partnership - cvU©bviwkct

a) Sole Proprietorship Organization - e¨w³ gvwjKvbvaxb cÖwZôvbt In addition to the “Information Related to Individual”, copy of Trade License of the Proprietor is required. Òe¨w³ msµvšÍ Z_¨vejxÓ dig Gi mv‡_ wnmve cwiPvjbvKvixi (cÖwZôv‡bi ¯^Z¡vwaKvixi) †UªW jvB‡m‡Ýi Abywjwc|

As per the definition of Beneficial Owner, “Information Related to Individual” form to be filled up by the Partners/Shareholders. In addition to this, Partnership Deed and Copy of Trade License are required.†ewbwdwkqvj Ibvi Gi msÁv Abyhvqx cÖ‡Z¨K cvU©bvi/‡kqvi‡nvìvi‡K e¨w³ msµvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e| GQvovI cvU©bviwkc wWW Ges Askx`viM‡Yi †UªW jvB‡m‡Ýi Abywjwc cÖ̀ vb Ki‡Z n‡e|

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*Eminent Person: Member of Parliament, Mayor of City Corporation, Deputy Mayor and Councilor of City Corporation, Gazetted O�cer at 9th or above of National Pay Scale, Teacher of the Public University, Chairman and Vice Chairman of the Upazila Council, Chairman of the Union Council, Mayor and Councilors of the Municipality, Professor of Private University, Principal of the Private College, Head Master of Non-Govt. High School, Editor of the Daily Newspapers, Notary Public, Semi-govt. / Autonomous/ Govt. O�cers at 7th or above of National Pay Scale, Bangladesh Bank O�cers at 9th or above of National Pay Scale.*MY¨gvb¨ e¨w³ ej‡Z msm` m`m¨, wmwU K‡c©v‡ik‡bi †gqi, †WcywU †gqi I KvDwÝjiMY, RvZxq †eZb †¯‹‡ji 9g I Dc‡ii †MÖ‡Wi †M‡R‡UW Kg©KZ©v, cvewjK wek¦we`¨vj‡qi wkÿK, Dc‡Rjv cwil‡ì †Pqvig¨vb I fvBm †Pqvig¨vb, BDwbqb cwil‡ì †Pqvig¨vb, †cŠimfvi †gqi I †cŠi KvDwÝjiMY, †emiKvix wek¦we`¨vj‡qi Aa¨vcK, †emiKvix K‡j‡Ri Aa¨ÿ, †emiKvix D”P we`¨vj‡qi cÖavb wkÿK, RvZxq ‰`wbK cwÎKvi m¤úv`K, †bvUvwi cvewjK, AvavmiKvix/¯^vqËkvwmZ/ivóªvqZ¡ ms¯’vi RvZxq †eZb †¯‹‡ji 7g ev Z`~aŸ© †MÖ‡Wi Kg©KZ©vMY Ges evsjv‡`k e¨vs‡Ki RvZxq †eZb †¯‹‡ji 9g I Z`~aŸ© †MÖ‡Wi Kg©KZ©vMY‡K eySv‡e"

5. For Other Organization Ab¨vb¨ msMV‡bi ‡ÿ‡Î

4. For Govt. Account (including di�erent ministries & divisions), Govt. Owned Organizations, Semi-govt. or Autonomous Organizations, and Projects under di�erent Ministries. miKvix wnmve (wewfbœ gš¿Yvjq, wefvMmn), miKvix gvwjKvbvaxb cÖwZôvb, Avav miKvix ev ¯^vqËkvwmZ cÖwZôv‡bi wnmve, wewfbœ gš¿Yvj‡qi Aax‡b cwiPvwjZ cÖK‡íi wnmv‡ei †ÿ‡Î

c) Limited Company - wjwg‡UW †Kv¤úvwbtAs per the definition of Beneficial Owner, “Information Related to Individual” form to be filled up by the Directors/Shareholders. In addition to this, Certificate of Incorporation, Articles of Association, Memoradum of Association, Board Resolution and Particulars of Directors/ Authorised Signatories are required.

a) Club/Society - K¬ve/ ‡mvmvBwUtCertification from Executive Committee, By-Laws or Constitution, Resolution on Account opening, Govt. Certification/License (or any other documents) in case of registerd organization to be obtained and “Information Related to Individual” form to be filled up by concern President, Secretary, Treasurer or anyone who will operate the account.cwiPvjbv cl©`, evB-jR ev msweavb, wnmve †Lvjvi †iRjy¨kb, †iwR÷vW© n‡j miKvix Aby‡gv`bcÎ BZ¨vw`mn mswkøó mfvcwZ, m¤úv`K, †Kvlva¨ÿ I Ab¨vb¨ wnmve cwiPvjbvvixi Rb¨ Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

b) Cooperative Society/ Limited Society - mgevq mwgwZ/wjwg‡UW †mvmvBwUt

c) Non-Govt. School, College and Madrasa - ‡emiKvix ¯‹zj, K‡jR Ges gv`ªvmvt

d) Trustee - Uªvw÷t

Attested copies of bylaws/ constitution from the Cooperative Society, Registration Certificate, particulars of o�ce bearers, resolution of openingBank of Account to be obtained and “Information Related to Individual” form to be filled up the account operator.†Kv-Acv‡iwUf Kg©KZ©v KZ©„K mZ¨vwqZ evB-jR, Awdm Kg©KZ©v‡ì (o�ce bearers) weeiY, wnmve ‡Lvjvi wel‡q wm×všÍ (resolution), mvwU©wd‡KU Ae †iwR‡÷ªkb BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi wel‡q Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

Mfvwb©s ewW ev g¨v‡bwRs KwgwUi m`m¨M‡Yi c~Y© cwiwPwZ, wnmve ‡Lvjvi wel‡q wm×všÍ (resolution) BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

wWW Ae Uªv÷ Gi mvwU©dvBW Kwc, Uªvw÷ †evW© Gi m`m¨M‡Yi c~Y© cwiwPwZ, wnmve ‡Lvjvi wel‡q wm×všÍ (resolution) BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

†ewbwdwkqvj Ibvi Gi msÁv Abyhvqx cÖ‡Z¨K cvU©bvi/‡kqvi‡nvìvi‡K e¨w³ msµvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e| GQvovI mvwU©wd‡KU Ae BbK‡c©v‡ikb, AvwU©‡Kjm Ae G‡mvwm‡qkb, †g‡gv‡iÛvg Ae G‡mvwm‡qkb, †ev‡W©i mfvq M„nxZ AvbyôvwbK wm×všÍ, ‡Pqvig¨vb/ †Kv¤úvwb mwPe Øviv cwiPvjK/Aby‡gvw`Z mvÿiKvwi m¤úwK©Z †NvlYv cÖ`vb Ki‡Z n‡e|In case company at least 5 (five) major share holder’s information have to be obtained as per “Information Related to Individual” form.

As per BFIU Circular Letter No. 01/ 2017, dated 16/01/2017, “Information Related to Individual” form to be filled up by the account operator(s) and approval from appropriate authority to open and operate the account

Particulars of Governing Body and Members of the Managing Committee, Resolution on Account opening and “Information Related to Individual” form to be filled up by the account operator(s).

Certified copy of Deed of Trust, Particulars of Members of the Trustee Board, Resolution on Account Opening and “Information Related to Individual” form to be filled up by the account operator(s).

†Kv¤úvwbi †ÿ‡Î m‡e©v”P †kqviavix by¨bZg 5 Rb cwiPvj‡Ki Z_¨ Óe¨w³ msµvšÍ Z_¨Ó dig Abyhvqx msMÖn Ki‡Z n‡e|

wnmve †Lvjv I cwiPvjbvi Rb¨ mswkøó Dchy³ KZ„©cÿ KZ„©K cÖ`Ë AbgywZ cÎmn wnmve cwiPvjbvKvixi Z_¨ weGd AvBBD mvKjy©vi †jUvi bs-1/2017 Abyhvqx Òe¨w³ msµvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|


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INFORMATION RELATED TO NOMINEE

Applicable to Fixed Deposit and Special Scheme. This form has to be filled up separately for multiple Nominees.

1. Account Title

2. Name of Nominee

3. Father's Name

4. Mother's Name

5. Spouse Name

6. Date of Birth

7. Present Address

8. Permanent Address

9. Occupation

10. Credentials of Nominee

a) National ID No.

b) Passport No. Expiry Date D D M M Y Y Y Y

c) Birth Registration Certificate No.

Photographs of Nominee

D D M M Y Y Y Y

d) E-TIN

e) Driving License No.

f) Others (to be Specified)

bwgbxi d‡Uv

¯’vqx AvgvbZ I we‡lk w¯‹g Gi †ÿ‡Î cÖ‡hvR¨ Ges GKvwaK bwgbxi †ÿ‡Î c„_Kfv‡e bwgbx dig c~iY Ki‡Z n‡e|

bwgbx msµvšÍ Z_¨vewj

I/We are nominating the following person as my/our nominee to pay the amount of my/our account after my/our death. I/We preserve the right to cancel/amend/ replace the nominee at anytime. I/We also declare that the bank will not be held liable for any transaction according to our declaration.Avwg/Avgiv GB wnmv‡e RgvK…Z A_© Avgvi/Avgv‡ì g„Zzï ci wb¤œwjwLZ e¨w³/e¨w³eM©‡K cÖ`v‡bi Rb¨ g‡bvbxZ Kijvg| Avwg/Avgiv †NvlYv KwiwQ †h, Avgvi/Avgv‡ì wb‡`©kbv Abyhvqx †jb‡`b cwiPvjbvi Rb¨ e¨vsK `vqe× _vK‡e bv|

wnmv‡ei bvg

bwgbxi bvg

wcZvi bvg

gvZvi bvg

¯^vgx/¯¿xi bvg

Rb¥ ZvwiL

eZ©gvb wVKvbv

¯’vqx wVKvbv

†ckv

bwgbxi cwiPqcÎ

RvZxq cwiPqcÎ bs

cvm‡cvU© bs

Rb¥ wbeÜb mb`cÎ bs

B-wUb

WªvBwfs jvB‡mÝ bs

Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e)

†gqv` DËx‡Y©i ZvwiL

Expiry Date†gqv` DËx‡Y©i ZvwiL

D D M M Y Y Y Y

Account No.wnmve bs

CIF No.wmAvBGd bs

Page-6

11. Relationship with Account Holder

12. Percentage

13. If the Nominee(s) is/are a Minor and the Account Holder(s) has/have Died, the information of the Recipient of the Depositsas per Bank Company Act 1991, Section 103(2)

a) Name

b) Father's Name

c) Mother's Name

d) Spouse Name

e) Date of Birth

h) National ID No.

In case of unavailability of NID, proof of identity of legal guardian has to be obtained as serial no. 10

i) Relationship with Nominee

If NRB is nominated and become beneficiary of the account, the Foreign Exchange Regulation Act will be applicable

while remitting money.

Signature and Date of the Nominee

wnmveavixi mv‡_ m¤úK©

kZKiv nvi

bvg

wcZvi bvg

gvZvi bvg

¯^vgx/¯¿xi bvg

Rb¥ ZvwiL

f) Present AddresseZ©gvb wVKvbv

g) Permanent Address¯’vqx wVKvbv

RvZxq cwiPqcÎ bs

RvZxq cwiPqcÎ bv _vK‡j, µwgK bs 10 Abymv‡i êa Awffve‡Ki cwiwPwZcÎ msMÖn Ki‡Z n‡e

bwgbxi mv‡_ m¤úK©

bwgbxi ¯^vÿi I ZvwiL

†Kvb Awbevmx‡K bwgbx Kiv n‡j Ges H Awbevmx mswkøó wnmv‡ei A_© cÖvc¨ n‡j cÖvß¨ A_© we‡`‡k †cÖiY Kv‡j ê‡`wkK gy`ªv wbqš¿Y AvB‡bi wewa-weavb cÖ‡hvR¨ n‡e|

D D M M Y Y Y Y

bwgwb/ bwgbxM‡bi bvevjK Ae¯’vq wnmveavix/wnmveavixM‡Yi g„Zz¨ n‡j e¨vsK †Kv¤úvwb AvBb, 1991 Gi 103 (2) aviv Abyhvqx Avgvb‡Zi UvKv MÖnYKvixi Z_¨





ParticularsweeiY

Namebvg


Photographs ofthe Individual

e¨w³i d‡Uv

Page-7

INFORMATION RELATED TO INDIVIDUAL Date

1. Account Title

2.Customer/Beneficial Owner/Account Operator's Name(in English)

4. Relationship with the A/C as - Please () Tick 1st Applicant 2nd Applicant

3rd Applicant Director

Partnership Proprietorship

Minor Guardian Attorney Holder -

A/C Operator Trustee

Beneficial Owner Others .....................

5. Father's Name

6. Mother's Name

7. Spouse Name

8. Date of Birth Birth Place

9. Gender Male - Female - Third Gender

10. Nationality

In case of Foreign National a Copy of Passport including Valid Visa have to be Attached

11. Residential Status - Please () Tick Resident Non-Resident

D D M M Y Y Y Y

ZvwiL

wnmv‡ei bvg

(evsjvq)

wcZvi bvg

gvZvi bvg

¯^vgx/¯¿xi bvg

Rb¥ ZvwiL

wj½

Rb¥¯’vb

cyiæl

- wbevmx - Awbevmx

we‡`kx bvMwi‡Ki †ÿ‡Î êa wfmvmn cvm‡cv‡U©i Abywjwc mshy³ KiæY

gwnjv - Z…Zxq wj½

RvZxqZv

AvevwmK Ae¯’v - wUK () w`b

- 1g Av‡e`bKvix

- 3q Av‡e`bKvix

- Askx`vwi

- bvevjK

- wnmve cwiPvjbvKvix

- †ewbwdwmqvj Ibvi

- Uªvw÷

- Ab¨vb¨

- AwffveK GUwb© †nvìvi

- GKK mË¡vwaKvix

- cwiPvjbvKvix

- 2q Av‡e`bKvix

3. MÖvnK/†ewbwdwmqvj Ibvi/wnmve cwiPvjbvKvixi bvg

wnmv‡ei mv‡_ m¤úK© - wUK () w`b

Please Fill Up and Attach the Form with the Account Opening Application form for Personal and Non-Personal AccountGB digwU c~iYc~e©K e¨w³K Ges Ae¨w³K wnmve †Lvjvi Av‡e`b di‡gi mv‡_ hy³ KiæY

e¨w³ msµvšÍ Z_¨vejx

12. In Case of Non-Resident Bangladeshi

a) Passport Number Expiry Date D D M M Y Y Y Y

b) Issued by Issued at

c) Visa Number Issuing Authority

d) Expiry Date D D M M Y Y Y Y Occupation

Awbevmx evsjv‡`wki †ÿ‡Î

cvm‡cvU© b¤î

cÖ`vbKvix KZ…©cÿ

wfmv b¤î

†gqv` DËx‡Y©i ZvwiL †ckv

cÖ`vbKvix KZ…©cÿ

cÖ`v‡bi ¯’vb


D D M M Y Y Y Y

Account No.wnmve bs

CIF No.wmAvBGd bs

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e) Foreign Address

f) Foreign Phone No. 1 2

13. Occupation Service (Govt./ Private) Business Others (Specific) ….......….......

a) Reference No. of Supporting Document of Employment/Business 1

2b) Name of the Organization

c) Occupational Address

d) Occupational Contact No. Phone Mobile

14. Monthly Income (In Case of Personal A/C)

15. Residential Address

16. Permanent Address

17. Credentials (Please Refer to Required Document Page No. 3)

a) National ID No.

b) Passport No. Expiry Date

c) Birth Registration Certificate No.

d) E-TIN

e) Driving License No.Expiry Date

f) Others (to be Specified)

18. Corresponding Address - Please() Tick Residential Address Occupational Address Permanent Address

ê‡`wkK wVKvbv

ê‡`wkK †dvb bs

†ckv (cèxmn we¯ÍvwiZ weeiY)

†ckvMZ weei‡bi mg_©bKvix KvMRc‡Îi †idv‡iÝ bs

PvKzwi (miKvix/ †emiKvwi) eëmv Ab¨vb¨ (wbw`©ó)

cÖwZôv‡bi bvg

†ckvMZ wVKvbv

†ckvMZ †hvMv‡hv‡Mi bs

gvwmK Avq (e¨w³K wnmv‡ei †ÿ‡Î)

AvevwmK wVKvbv

¯’vqx wVKvbv

cwiPqcÎ (wnmve †Lvjvi Rb¨ cÖ‡qvRbxq `wjjvw` 3q cvZvq †`Lyb)

RvZxq cwiPqcÎ bs

cvm‡cvU© bs

Rb¥ wbeÜb mb`cÎ bs

B-wUb

WªvBwfs mb`cÎ bs

Ab¨vb¨ (wbw`©ó fv‡e D‡jøL Ki‡Z n‡e)

†hvMv‡hvM wVKvbv - wUK () w`b AvevwmK wVKvbv †ckvMZ wVKvbv ¯’vqx wVKvbv



†dvb †gvevBj

D D M M Y Y Y Y

D D M M Y Y Y Y

19. Contact Number a) Home- evmv b) O�ce - Awdm

b) Mobile- †gvevBj 1 2

c) Fax

d) E-mail

20. Emergency Contact Person Name

Address

Relationship with A/C Holder or A/C Operator

Signature and Date of the Applicant

†hvMv‡hv‡Mi b¤î

Mobile No. - †gvevBj bs

wnmveavix A_ev cwiPvjbvKvixi mv‡_ m¤úK©

- d¨v·

- B-†gBj

E-mail - B-†gBj

Av‡e`bKvixi ¯^vÿi I ZvwiL

bvg

wVKvbv

Riæix cÖ‡qvR‡b †hvMv‡hv‡Mi Rb¨ g‡bvwbZ e¨w³

Stamp and Signature of the A/C Opening O�cerwnmve †Lvjvi Kg©KZ©vi bvghy³ wmj Ges ¯^vÿi

Stamp and Signature of Branch Manager kvLv eë¯’vc‡Ki bvghy³ wmj Ges ¯^vÿi

Please Attach CopyAbywjwc mshy³ KiæY

At least one document has be to be provided in support of each addresscÖ‡Z¨K wVKvbv cÖgvY mv‡c‡ÿ b~b¨Zg GKwU K‡i `wjjvw` cÖ`vb Ki‡Z n‡e


Money Laundering Prevention Act- 2012 (amended in 2015) and Anti Terrorism Act- 2009 (amended in 2013) have been introduced to prevent Money Laundering and financing of terrorism.A_© cvPvi cÖwZ‡iv‡a (gvwb jÛvwis) cÖwZ‡iva AvBb 2012 (ms‡kvwaZ 2015) Ges mš¿vm we‡ivax AvBb 2009 (ms‡kvwaZ 2013) cÖeZ©b Kiv n‡q‡Q|

The said law is being implemented through the banks and financial institutions under the supervision of Bangladesh Bank.evsjv‡`k e¨vs‡Ki ZË¡veav‡b e¨vsK I Avw_©K cÖwZôv‡bi D³ AvBb ev¯Íevqb Kiv n‡”Q|

O�ence-illegal transfer, conversion, concealment of property acquired directly or indirectly by legal or illegal means or aiding and abetting such activity is against the national interest.Aciva-A‰ea n¯ÍvšÍi, cÖZ¨¶ I c‡iv¶fv‡e †Mvc‡b m¤ú` AR©b A_ev A‰ea A_© Ges G ai‡bi Kvh©jvc RvZxq ¯^v_© we‡ivax|

Banks are often used by unscrupulous persons for doing the above mentioned illegal activities. Therefore, you are requested to co-operate with the bank authorities by being more conscious and active in the matters of bank account opening, transfer of money and providing and preservation of correct and complete information relating to identification of a customer.Dc‡iv³ Kvh©Kjv‡c Kivi Rb¨ bxwZÁvb ewR©Z e¨w³Mb KZ…©K A‡bK mgq e¨vsK‡K eënvi Kiv n‡q _v‡K| Kv‡RB e¨vsK wnmve †Lvjvi welq, A_© n¯ÍvšÍi Z_¨ Ges mwVK msi¶Y Ges MÖvn‡Ki cwiwPwZ wel‡q c~Y©v½ Z‡_ï wel‡q AZ¨šÍ mRvM I mZK©Zvi mv‡_ e¨vsK KZ…©c¶‡K mn‡hvwMZv Kivi Rb¨ we‡klfv‡e Aby‡iva Kiv hv‡”Q|

In the event of any suspicion arising out of unusual transactions, the Central Bank may investigate into any account. If illegal transactions are proved, Central Bank may prosecute in the court of law and all o�ences under this law are non-bailable.A¯^vfvweK †jb‡`b m‡›`nRbK n‡j †K›`ªxq e¨vsK Avcbvi wnmve hvPvB I Z`šÍ Ki‡Z cv‡i| A‰ea cÖgvwYZ n‡j †K›`ªxq e¨vsK AÎ AvB‡bi Aax‡b A_© msµvšÍ mKj Aciva Kg©Kv‡Ûi weiæ‡× AvBb Av`vj‡Z gvgjv Ki‡Z cv‡i, hv Rvwgb‡hvM¨ b‡n|

The court may issue investigation orders as appropriate or impose punishments specified against each o�ence under this law, such as freezing order, attachment order, monetary fines and pass other orders including orders to compensate. In such circumstances, the o�ender may have to su�er imprisonment for not less than 4 (four) years and not more than 12 (twelve) years and may have to pay a fine of double the amount involved.AÎ AvB‡bi Aax‡b cÖ‡Z¨K Aciva Gi weiæ‡× wba©vwiZ kvw¯Í Av‡iv‡c Av`vjZ Z`šÍ Av‡`k cÖ`vb Ki‡Z cv‡i| Ges Avcbvi wnmve Rã Av‡`k, †µvK Av‡`k, Avw_©K Rvwigvbv Ges Ab¨ †Kvb Av‡`k ¶wZc~i‡Y cÖ`vb Ki‡Z cv‡i| GgZve¯’vq Acivax‡K me©wbgœ 04 (Pvi) eQi Ges m‡e©v”P 12 (evi) eQ‡ii mkªg Kviv`‡Û `wÛZ Ki‡Z cv‡i Ges wØ¸b Rvwigvbv w`‡Z n‡Z cv‡i|

I/We hereby acknowledge that, I/We have carefully read and understood the message stated above and will do necessary cooperation.Avwg/Avgiv wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv Dc‡iv³ hveZxq evZ©v h_vh_fv‡e c‡o ey‡SwQ Ges GB msµvšÍ hveZxq mn‡hvMxZv Kie|

PLEASE EXTEND YOUR CO-OPERATION TO IMPLEMENT MONEYLAUNDERING PREVENTION ACT, 2012 (AMENDED IN 2015) AND ANTI TERRORISM ACT 2009 (AMENDED IN 2013)A_© cvPvi cÖwZ‡iva AvBb 2012 (ms‡kvwaZ 2015) Ges mš¿vmwe‡ivax AvBb 2009 (ms‡kvwaZ 2013) ev¯Íevq‡b Avcbvi mn‡hvwMZvi nvZ evwo‡q w`b

1.

2.

3.

4.

5.

6.

FOR KIND INFORMATION OF THE RESPECTED CUSTOMERS(mswkøó MÖvn‡Ki m`q AeMwZi Rb¨ Z_¨)

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4_© Av‡e`bKvix 4th Applicant



ParticularsweeiY

Namebvg

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

The laws and regulations of Bangladesh will apply as to open and operation of the account.wnmve †Lvjv I cwiPvjbvi †ÿ‡Î evsjv‡`‡k we`¨gvb AvBb I wewagvjv cÖ‡qvM n‡e|

Any person opening an account will be deemed to have read, understood and accepted the accounts governing rules.‡h ‡Kvb e¨w³ wnmve †Lvjv I cwiPvjbvi †ÿ‡Î we`¨gvb wbqgvejx I wewamg~n m¤ú‡K© h_vh_ AewnZ Ges D³ wbqgvejx I wewamg~n Zvnvi Øviv M„wnZ n‡q‡Q e‡j Mb¨ Kiv n‡e|

A suitable introduction by an introducer acceptable to the Bank is required prior to any opening of account. Recent photographs of the account openers i.e. owners/directors/signatories duly attested by the introducer must be produced.wnmve †Lvjvi c~‡e© e¨vs‡Ki Kv‡Q MÖnY‡hvM¨ cwiPq`vbKvixi gva¨‡g Dchy³ cwiwPwZi cÖ‡qvRb nq| wnmve †Lvjv e¨w³i m`¨ †Zvjv Qwe A_©vr cwiPq`vbKvix KZ…©K gvwjK/ cwiPvjK/ ¯^v¶iKvixMb h_vh_fv‡e mZ¨vwqZ nIqv mv‡c‡¶ Aek¨B Rgv w`‡Z n‡e|

Each account will be given one account number. This number is properly quoted on all letters and/or documents addressed to the Bank and all deposit slips. The Bank will not be responsible for any loss or damage occurring as a result or wrong quotation of the account number.cÖ‡Z¨K wnmv‡ei Rb¨ GKwU bv¤^vi †`qv n‡e| AÎ bv¤^vi mwVKfv‡e mKj c‡Î Ges/A_ev KvMRcÎ ev `wjj`¯Ív‡eR eY©bv ev D×„Z mv‡c‡¶ mKj w¯øcmn e¨vs‡Ki wVKvbvq Rgv w`‡Z n‡e| wnmve bv¤^v‡i fyj eY©bv ev D×„Z A_ev djvdj Gi Kvi‡Y †h †Kvb †jvKmvb I ¶q¶wZi Rb¨ e¨vsK `vqx n‡e bv|

In consideration of Commercial Bank of Ceylon PLC agreeing to carry out financial order(s)/transaction(s) on the basis of our facsimile Instruction(s), pending submission of the original order(s)/instruction(s) I/we do hereby undertake, agree and indemnify Commercial Bank of Ceylon PLC as follows:Kgvwk©qvj e¨vsK Ad wmjb wcGjwm PjvKvjxb mg‡q Avgv‡ì facsimile wb‡`©kbvi wfwË‡Z Avw_©K Av‡`k cwiPvjbvi Rb¨ g~j Av‡`k / wb‡`©kbv Dc¯’vc‡bi Abycw¯’wZ‡Z Avgiv Kgvwk©qvj e¨vsK Ad wmjb wcGjwm e¨vsK‡K ¶wZc~i‡Yi `vqfvi n‡Z Aegy³ Kwijvg|

a) That I/we have given Commercial Bank of Ceylon PLC authorization to carry out all financial order(s)/transaction(s) as per my/our facsimile instruction(s) and I/we guarantee to indemnify Commercial Bank of Ceylon PLC for any loss/damage in consequence thereof.Avwg / Avgiv Kgvwk©qvj e¨vsK Ad wmjb wcGjwm Avw_©K Av‡`k/ wb‡`©kbv Avgvi / Avgv‡ì facsimile wb‡`©kbv g‡Z cwiPvjbvi ¶gZv cÖ`vb KiwQ Ges Avwg / Avgiv †h †Kvb ¶wZ / †jvKmv‡bi Rb¨ Kgvwk©qvj e¨vsK Ad wmjb wcGjwm e¨vsK ¶wZc~i‡Y wbwðZ cÖ`vb KiwQ A_ev Rvwgb`vi wnmv‡e `vqfvi MÖnY KiwQ|

b) That I/we shall produce the original order(s) /instruction(s) in due course as promised and for any default if Commercial Bank of Ceylon PLC su�er any loss/damage we shall fully indemnify the Bank with all legal costs and expenses, if any.Avwg/ Avgiv e¨vs‡Ki h_vh_ ‡¶‡Î g~j WKz‡g›Um ev KvMRcÎ cÖ`v‡b cÖwZkÖæwZe× Ges †h †Kvb e¨_©Zvi Rb¨ e¨vs‡Ki †jvKmvb A_ev ¶q¶wZ n‡j Avwg/ Avgiv e¨vsK‡K h_vh_ ¶wZc~iY I LiP w`‡Z eva¨ _vKe|

c) That this indemnity is given over and above any other securities Commercial Bank of Ceylon PLC has and also other legal remedies available to Commercial Bank of Ceylon PLC.Dc‡iv³ wbðqZv I ¶wZc~i‡Yi wel‡q Kgvwk©qvj e¨vsK Ad wmjb wcGjwm e¨vs‡Ki wbim‡b AvBbMZ AwaKvi i‡q‡Q|

Interests/commissions/service or maintenance charges will be levied/determined time to time by the Bank and as per Bangladesh Bank regulations.my` / Kwgkb / mvwf©m A_ev i¶Yv‡e¶Y ev cwiPvjbv LiP ev PvR© mgq mgq e¨vsK I evsjv‡`k e¨vs‡Ki wewagvjv Abymv‡i avh©¨ Kiv n‡e|

The funds available in any of the account holder's account (the customer) with the Bank will be considered by the Bank to be a security for any commitments(s) and/or commitment(s) present and/or future of the customer to the Bank. In the event of dishonour or unfulfilment of such obligation(s) and/or commitment(s), the Bank is entitled without giving prior notice to the customer to utilize such funds against the obligation(s) and/or commitment(s) of the customer of the Bank.e¨vs‡K wnmveavix wnmv‡e Znwej _vK‡j †h †Kvb cÖwZkÖæwZ Ges / A_ev we`¨gvb cÖwZkÖæwZ Ges / A_ev e¨vs‡K MÖvn‡Ki fwel¨‡Zi Rb¨ wbðqZv `v‡b e¨vsK KZ…©K we‡ePbv Kiv n‡e| wWRIbvi A_ev `vq-`vwqZ¡ c~i‡Y e¨_© n‡j Ges / A_ev cÖwZkÖæwZ c~i‡Y e¨_© n‡j, e¨vsK MÖvn‡Ki D³ `vq-`vwqZ¡ I cÖwZkÖæwZi wecix‡Z D³ Znwej eënv‡i MÖvnK‡K c~eeZx© †Kvb cÖKvi †bvwUk cÖ`vb QvovB eënv‡ii ¶gZv msi¶Y Ki‡e|

The account statement dispatched to the customer will be considered as accepted, unless any discrepancy (ies) is/are notified to the Bank in writing within 15 days from the date of receipt. The Bank is not responsible for any delays in courier/ mailing service, which is beyond the control of the Bank. Account Statement will not be issued when there is no transaction recorded during the statement period, although a statement can be obtained on special request. Bank will not be liable for any loss/ non-delivery of account statement due to change of address without prior written intimation to the Bank by the account holder.

wnmve weeiYx cÖvwßï 15 w`‡bi g‡a¨ †Kvb Mowgj m¤ú‡K© wjwLZfv‡e e¨vsK‡K AewnZ bv Kiv n‡j Dnv mwVK e‡j Mb¨ n‡e| Kzwiqvi/ †gBwjs mvwf©‡mi †Kvb wej‡¤î (e¨vs‡Ki wbqš¿bewn©fzZ) Rb¨ e¨vsK `vqx _vK‡e bv| wnmve weeibxi wbw`©ó †gqv‡ì g‡a¨ †Kvb ‡jb‡`b wjwce× bv n‡j wnmve weeibx cÖKvk Kiv n‡e bv, Z‡e we‡kl Pvwn`v Abyhvqx wnmve weeibx cvIqv hv‡e| cwiewZ©Z wVKvbv m¤ú‡K© MÖvnK KZ„K e¨vsK‡K c~‡e© wjwLZfv‡e AewnZ bv Kivi Kvi‡b wnmve weeibx nviv‡bv/ weZiY m¤úboe bv n‡j e¨vsK `vqx _vK‡e bv|When cheque(s) of other Banks inside or outside Dhaka is/ are deposited, payment shall be made clearing or collection basis.XvKv I XvKvi evB‡i MÖvnK KZ©…K Ab¨ e¨vs‡Ki RgvK…Z †P‡Ki †c‡g›U ïaygvÎ wK¬qvwis A_ev msMÖ‡ni c‡iB cÖ`vb Kiv n‡e|The Bank reserves the right to close any account without giving prior notice if the conduct of the account is unsatisfactory in the opinion of the Bank or any other reason(s) whatsoever.e¨vs‡Ki wbqg gvwdK/gZvgZ Abymv‡i m‡šÍvlRbK ev gbtc~Z bv n‡j †bvwUk cÖ`vb QvovB e¨vsK †h †Kvb wnmve eÜ Kivi GLwZqvi msi¶Y K‡i|

Terms and Conditions - kZ©mg~n

Page-10


11.

12.

13.

14.

15.

16.

17.

The Bank may at any time in its discretion, discharge its entire liability with respect to this account(s) by mailing to the customer at the address indicated herein, its draft in the currency of the account(s) payable to order of the customer in the amount standing to the credit balance in the account deducting the amount of the any claims that the Bank may have on such funds.cÖv_x©i wVKvbvq †gBj cvVv‡bvi gva¨‡g e¨vsK Zvi wbR¯^ GLwZqv‡i †h †Kvb mgq D³ wnmv‡ei mgy`q `vq cÖ‡qvRbxq PvR© KZ©b mv‡c‡¶ Aewkó w¯’wZ A_© MÖvn‡Ki wbKU cwi‡kva mv‡c‡¶ wb®úwË Ki‡Z cv‡i|The balance in the account(s), is payable solely at any branch of Commercial Bank of Ceylon PLC in Bangladesh accordance with the Bank's terms and conditions and shall be governed by and subject to law(s) in e�ect in Bangladesh. As used herein "Laws" will include circulars, modifications, regulations and orders of the Government and the Bangladesh Bank.e¨vs‡Ki kZ©vbymv‡i evsjv‡`‡k Kgvwk©qvj e¨vsK Ad wmjb wcGjwm e¨vs‡Ki †h †Kvb kvLvq wnmv‡e iw¶Z w¯’wZ GKKfv‡e cwi‡kva‡hvM¨ Ges evsjv‡`‡ki Kvh©Kix AvBb mv‡c‡¶ cwiPvwjZ n‡e| AvB‡bi cÖ‡qvM I eënvi evsjv‡`k e¨vsK Ges miKv‡ii mvKz©jvi, ms‡kvab, wewagvjv Ges Av‡`k‡K AšÍf~³ Ki‡e|The Bank reserves the right to amend the present rules at any time and in a manner with or without giving prior notice to the account holder separately or publicly.wnmveavix A_ev MYgva¨‡g †Kvb cÖKvi †bvwUk cÖ`vb QvovB †h †Kvb Dcv‡q ev cš’vq †h †Kvb mgq e¨vsK we`¨gvb wbqg I wewa ms‡kvab Kivi AwaKvi msi¶Y K‡i|To open the account jointly applicants should follow the special conditions for joint accounts.†hŠ_fv‡e wnmve †Lvjvi †¶‡Î we‡kl kZ© Abymib Ki‡Z n‡e|

Special conditions for joint account†hŠ_ wnmv‡ei Rb¨ we‡kl mZ©mg~na. Any amount deposited to the account or any balance thereof will be owned by the customers jointly. wnmv‡e †h‡Kv‡bv Rgv ev w¯’wZ †hŠ_ RgvKvwi wnmv‡e gvwjKvbv cÖvß n‡e|

b. Any liability whatsoever incurred in respect to the account will be borne jointly or individually. †h‡Kv‡bv `vqeØZv GKK/ †hŠ_fv‡e eZ©v‡e|Bank may inform transaction related information/account statements through SMS/e-mail from time to time without any further notification.e¨vsK cÖ‡qvRb Abyhvqx †jb‡`‡bi Z_¨/wnmve weeibx SMS/e-mail gva¨‡g †cÖib Ki‡Z cv‡i| G‡ÿ‡Î c„_Kfv‡e MÖvn‡Ki AbygwZ cÖ‡qvRb n‡e bv|

Conditions for Special Schemewe‡kl w¯‹g/ cÖK‡íi Rb¨ kZ©mg~na) The “DREAM PLANNER SCHEME (DPS)” and “DPS - Plus” are cumulative monthly installment savings schemes.

wWªg cøvbvi †mwfsm (wWwcGm) Ges wWwcGm-cøvm wKw¯Í wfwËK gvwmK µgea©gvb mÂwq wnmve|b) The monthly installment options available are BDT 1000. BDT 2000, BDT 3000, BDT 5000 and BDT 7000 for DPS

and BDT 10,000, BDT 15,000, BDT 20,000 and BDT 25,000 for DPS Plus.wWwcGm Gi Rb¨ we`¨gvb wKw¯Ímg~n - UvKv 1000, UvKv 2000, UvKv 3000, UvKv 5000 I UvKv 7000 Ges wWwcGm-cøvm Gi Rb¨ we`¨gvb wKw¯Ímg~n - UvKv 10000, UvKv 15000, UvKv 20000 I UvKv 25000|

c) The monthly installment amount that is chosen by the applicant at the time of opening account cannot be changed in future.wnmve †Lvjvi mgq MÖvnK KZ…K wbe©vwPZ gvwmK wKw¯Íi cwigvb fwel¨‡Z AcwieZ©b‡hvM¨|

d) The tenure of the deposit scheme would be 3 years/ 5 years/ 7 years at the discretion of the applicant. The initial tenure that is chosen by the applicant cannot be changed in future.3 eQi/ 5 eQi/ 7 eQi ‡gqvw` cÖK‡íi Gi ‡h‡Kvb GKwU cÖKí MÖvnK wbe©vPb Ki‡Z cv‡ib Z‡e wbev©wPZ cÖKí fwel¨‡Z AcwieZ©b‡hvM¨|

e) Monthly deposit may be deposited on any business day of each month. In case of Standing Instruction the designated account will be debited automatically. Su�cient fund must be made available in the linked account on the specified date.gv‡mi †h‡Kvb Kvh©wè‡m gvwmK wKw¯Íi A_© Rgv Kiv †h‡Z cv‡i, Z‡e c~e©cª`Ë wb‡`©kbv †gvZv‡eK ¯^qswµqfv‡e wba©vwiZ wnmve weKjb K‡i gvwmK wKw¯Íi A_© Rgv Kiv n‡e| G‡ÿ‡Î D³ wnmv‡e wbw`©ó w`‡b ch©vß cwigvb A_© Rgv ivL‡Z n‡e|

f) In case of failure to deposit monthly installment in time, an amount of BDT 50 for DPS and BDT100 for DPS Plus per month will be charged with the next installment.gvwmK wKw¯Í cÖ`v‡b e¨_© n‡j wWwcGm Gi †ÿ‡Î UvKv 50 Ges wWwcGm-cøvm Gi †ÿ‡Î UvKv 100 ciewZ© gv‡mi wKw¯Íi mv‡_ wej¤^ gvïj wnmv‡e KZ©b Kiv n‡e|

g) In case of failure to deposit monthly installment for three consecutive months, the account will be automatically converted to Savings account before maturity and interest will be paid at the prevailing savings rate.cici wZbwU gvwmK wKw¯Í cÖ`v‡b e¨_© n‡j †gqv` c~wZ©i Av‡MB cÖKíwU ¯^qswµqfv‡e mÂwq wnmv‡e iƒcvwšÍwiZ n‡q hv‡e Ges wbqg Abymv‡i my` cÖ`vb Kiv n‡e|

h) The Guaranteed amount will be subject to Excise Duty, Withholding Tax or any other Levy as decided by the Government from time to time.miKvi KZ„K wewfboe mg‡q wba©vwiZ AveMvix ïé, Drm Ki Ges Ab¨vb¨ gvï‡ji Dci wbf©i K‡i cÖwZkÖæZ A_© cÖ`vb Kiv n‡e|

i) Premature encashment may be allowed with Savings interest. However, no interest will be paid if encashed within six months of opening.‡gqv` c~wZ©i Av‡M cÖK‡íi A_© bM`vqb Kiv hv‡e, †m‡ÿ‡Î mÂwq my‡ì nv‡i my` cÖ`vb Kiv n‡e| Z‡e 6 gv‡mi Kg mgq n‡j †Kvb my` cÖ`vb Kiv n‡e bv|

Terms and Conditions - kZ©mg~n

Page-11

Agreement (m¤§wZ)I/We hereby agree to the above general terms and conditions.Avwg/ Avgiv Dc‡iv³ mvaviY kZ©vejx‡Z m¤§wZ Ávcb Kijvg|

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ParticularsweeiY

Namebvg

18. To open a Partnership Firm’s account the applicant(s) should follow the terms and conditions mentioned below under the heading of “Special Condition”. Av‡e`bKvix‡K GKwU Askx`vix ms¯’vi wnmve Lyj‡Z n‡j wb‡P ewY©Z we‡kl kZ©vejxi Aax‡b kZ©mg~n Aek¨B AbymiY Ki‡Z n‡e|

a) We request and authorize the Bank if any of us shall give notice in writing to honor and debit of the firm's account through any process (i.e. Cheques, Guarantees, or other Negotiable Instruments which may be drawn, or Bills accepted or notes made or receipts for money owing by the Bank to the firm) and for that the firm's account be for the time being in credit or over drawn or may become overdrawn in consequence of such debit and we will jointly and/or severally responsible for the repayment of any such overdraft and interest.

Avgiv e¨vsK‡K Aby‡iva KiwQ I ÿgZv cÖ`vb KiwQ †h, hw` Avgv‡ì †h‡Kvb GKRb‡K †h‡Kv‡bv cwµqvq cÖwZôvb GKvD‡›Ui nB‡Z cÖ`vb I †`bvi wel‡q wjwLZfv‡e †bvwUk cÖ`vb Kiv nq ( A_©vr †PK, M¨vivw›Umg~n ev Ab¨ †Kvb Av‡jvPbv mv‡cÿ cwµqv hvnv Avbv n‡Z cv‡i ev M„nxZ wej n‡Z cv‡i ev cÖ¯‘ZK…Z †bvU n‡Z cv‡i hv Avgv‡ì cÖwZôv‡bi wbKU e¨vsK cÖvc¨ n‡e) hvnvi Rb¨, D³ F‡bi cwi‡cÖwÿ‡Z Avgv‡ì cÖwZôv‡bi †µwWU ev RgvK…Z UvKv n‡Z †K‡U ivLvi cÖ‡qvRb n‡Z cv‡i, Zvn‡j Avgiv †hŠ_fv‡e ev GKKfv‡e D³ RgvwZwi³ UvKv (FY) I my` cyb:cwi‡kva Ki‡Z `vqe× _vwKe|

b) We also request and authorize the Bank to accept the endorsement, of any of us in the name or on behalf of the firm on Cheques, Orders, Bills, Notes or other Negotiable Instrument.Avgv‡ì bv‡g ev Avgv‡ì cÖwZôv‡bi c‡ÿ †PK, Av‡`kbvgv, wejmg~n, †bvU ev Ab¨vb¨ Av‡jvPbv‡hvM¨ cÖwµqvi mZ¨vqb MÖnY Ki‡Z Avgiv e¨vsK‡K Aby‡iva KiwQ I ÿgZv cÖ`vb KiwQ|

c) The Bank is hereby authorized to carry out any instruction in connection with the account (including instructions countermanding payment of Cheques, Bills of Exchange, Promissory Note or Order for Payment) when such instructions are given by all or any one of us.GKvD‡›Ui mv‡_ mswkøó †h‡Kvb cÖKvi wb‡`©kbv gvb¨ Ki‡Z ev MÖnY Ki‡Z GBg‡g© e¨vsK‡K ÿgZv cÖ`vb Kiv n‡”Q (†h‡Kvb cÖKvi ¯^vÿiK…Z †PK cwi‡kva evwZjKib, wewbgq wej, cÖwgmix †bvU ev Av‡`k cÖwZcvjb I cwi‡kva iwnZKiYI Bnvi AšÍfz³) hLb Giƒc wb‡`©kbv Avgv‡ì mK‡ji ev Avgv‡ì g‡a¨ n‡Z †h‡Kvb GKRb KZ…©K cÖ`vb Kiv n‡e|

d) Any amount borrowed from the Bank in the name or on behalf of the firm and may be withdrawn in any manner by anyone of us jointly or separately against any security or other property deposited in the name of the firm may be recovered by the Bank and we will; separately or jointly be held liable for repayment such liabilities with interests, costs, charges and expenses.

Avgv‡ì Øviv GKK ev †hŠ_fv‡e cÖwZôv‡bi bv‡g ev c‡ÿ †h‡Kvb RvgvbZ/ wmwKDwiwUi wecwi‡Z ‡h‡Kvb Fb A_ev †hv‡Kvbfv‡e cÖvß¨ A‡_©i Rb¨ Avgiv GKK ev †hŠ_fv‡e Øvqe× _vKe Ges e¨vsK cÖ‡qvR‡b D³ RvgvbZ/ wmwKDwiwUi bM`vqb/ weµq K‡i D³ Fb/ Øvqe×Zv cybiæ×vi Ki‡Z cvi‡e Ges Avgiv GKK ev †hŠ_fv‡e D³ Fb/ Øvqe×Zv my` I Ab¨vb¨ LiP m‡gZ cwi‡kva Ki‡Z eva¨ _vKe|

e) Any Liability whatsoever incurred in respect of the account shall be borne jointly, and severally.D³ GKvD‡›Ui mv‡_ mswkøó †h‡Kvb cÖKvi `vq Avgiv GKKfv‡e Ges †hŠ_fv‡e enb Kie|

f) This authority shall remain in force until revoked notwithstanding any change in the constitution or name of the firm and shall apply notwithstanding any change in the membership of the firm by death, bankruptcy, retirement.cÖwZôv‡bi bv‡g †h‡Kvb cÖKvi †PK wb‡`©kbv evwZj nIqv bv ch©šÍ KZ…©cÿ cwicvj‡b eva¨ _vwK‡e Ges Dnv H mgq ch©šÍ cÖ‡hvR¨ n‡e hw` g„Zz¨, †Ìjxqv, Aemi MÖnY msµvšÍ Kvi‡b m`m¨c‡ì †Kvb cÖKvi cwieZ©b nq|

Special Conditions for partnership Firm’s Account - Askx`vwiZ¡ cÖwZôv‡bi wnmv‡ei Rb¨ we‡kl kZ©mg~n


1. Account Title wnmv‡ei bvg

2. Account Type wnmv‡ei cÖK…wZ

3. Occupation of customer (in detail) MÖvn‡Ki †ckv (we¯ÍvwiZ)4. Probable Monthly Income of Customer MÖvn‡Ki gvwmK m¤¢ve¨ Avq5. Source of Fund(s) A‡_©i Drm/Drmmg~n (we¯ÍvwiZ)

6. How the Addresses of Account Holder has/have been Verified (in detail)? wnmveavixi wVKvbv (mg~n) wKfv‡e hvPvB Kiv n‡q‡Q (wee¯ÍvwiZ)?

7. Whether the Beneficial Owner(s) have been Identified? wnmv‡ei cÖK…Z myweav‡fvMx (Beneficial Owner) wba©viY Kiv n‡q‡Q wK-bv? Yes-nu¨v No-bv Not Applicable-cÖ‡hvR¨ bq

If the answer is yes, Information Related to Individual has to be collected seperately for each Beneficial Owner DËi nu¨v n‡j e¨vw³mnµvšÍ Z_¨vejx di‡g cÖ‡Z¨K cÖK…Z myweav‡fvMxi Z_¨ wb‡Z n‡e|

8. Credentials cwiwPwZcÎ

9. Purpose of Opening Account for Non-resident and Foreign Nationals (where applicable) Awbevmx (Non-resident) Ges we‡`kx‡ì †ÿ‡Î wnmve †Lvjvi D‡Ïk¨ (cÖ‡hvR¨ †ÿ‡Î)

b) NID No. RvZxq cwiPqcÎ b¤î

a) Passport No. cvm‡cvU© b¤î

c) Birth Registration No. Rb¥ wbeÜb mb`cÎ b¤î

d) Electronic-Tax ID B‡jKUªwbK-U¨v· AvBwW

e) Driving License No. WªvBwfs jvB‡mÝ b¤î

f) Others Ab¨vb¨

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KYC Profile FormMÖvnK cwiwPwZ m¤úwK©Z dig

Copy Obtained & Verified - Abywjwc msM„nxZ I hvPvBK…Z






FIXED DEPOSIT & SPECIAL SCHEME

¯’vqx AvgvbZ I we‡kl w¯‹g

a) Documents Obtained as the Proof of Source(s) Fund

1 Copy Attached - 2 Copy Attached -

3 Copy Attached -

b) Whether the Obtained Documents are Verified Yes - No -

A‡_©i Drm wbwðZ Kivi Rb¨ †hmKj `wjjvw` msMÖn Kiv n‡q‡Q

msMÖnxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv?nu¨v bv

Abywjwc mshy³

Abywjwc mshy³

Abywjwc mshy³

Account No.wnmve bs

CIF No.wmAvBGd bs

Are the collected document verified? msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv?

11. Whether the Customer is Politically Exposed Person/Influential Person/Higher o�cial of International Organization or their relatives or close associate as per BFIU Circulars)? MÖvnK Politically Exposed Person (PEP)/cÖfvekvjx e¨w³ (IP)/ AvšÍR©vwZK ms¯’vi cÖavb ev D”P ch©v‡qi Kg©KZ©v Ges Zv‡ì cwiev‡ii m`m¨ ev Close assosiates wK bv (weGdAvBBD KZ…©K RvixK…Z mvKz©jv‡i ewY©Z msÁv Abymv‡i)? t

If the answer is “Yes”-DËi nu¨v n‡j: a) Whether the Approval from the Senior Management has been Obtained? wmwbqi g¨v‡bR‡g›U n‡Z Aby‡gv`b †bqv n‡q‡Q wK bv?

b) Whether Face to Face Interview has been Conducted? MÖvn‡Ki gy‡LvgywL mvÿvrKvi †bqv n‡q‡Q wK bv?

12. Whether the name screening process has been conducted properly in accordance with Sanction List (individual and organization) published by UN Security Council & other international bodies, Bangladesh Government and Circulars on AML & CFT issued by BFIU from time to time.

mswkøó AvBb, wewagvjv I mvKz©jv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡ì wewfbœ †iwRjyk‡bi AvIZvq mš¿vmx Kv‡h©, mš¿vmx Kv‡h© A_©vq‡b I e¨vcK aŸsmvZ¥K A¯¿we¯Ív‡ii A_©vq‡b RwoZ m‡›`‡n ZvwjKvfz³ †Kvb e¨w³ ev mËv Ges evsjv‡`k miKvi KZ…©K ZvwjKvfz³ †Kvb e¨w³ ev wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvPvBevQvBc~eK©†Kvbiƒc wgj cvIqv wM‡q‡Q wKbv? t

a) If the answer is “Yes”, measures taken in this regard-DËi nu¨v n‡j G welqK M„nxZ eë¯’vi weeiYt

13. Risk Gradingwi¯‹ †MÖwWs

14. RemarksgšÍe¨

b) In case of work permit holder, whether the work permit and approval for opening Bank account have been obtained from appropriate authority - Kg©vbygwZ (Work Permit) cÖvß‡ì wnmve †Lvjvi †ÿ‡Î Kg©vbygwZ (Work Permit) cÎ I e¨vsK wnmve †Lvjvi Rb¨ h_vh_ KZ…©c‡ÿi Aby‡gv`b i‡q‡Q wKbv ? (cÖ‡hvR¨ †ÿ‡Î) t

For non-resident Bangladeshi copy of passport and for foreign national copy of passport including visa to be obtainedAwbevwm evsjv‡`kx‡ì †ÿ‡Î Avewk¨Kfv‡e cvm‡cv‡U©i Kwc Ges we‡`kx‡ì †ÿ‡Î Avewk¨Kfv‡e wfmvmn cvm‡cv‡U©i Kwc msMÖn Ki‡Z n‡e|

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a) Type of Visa Date of expiry wfmvi cªK…wZ †gqv` DËx‡Y©i ZvwiL

10. Credentials for Non-resident and Foreign Nationals (where applicable) Awbevmx (Non-resident) Ges we‡`kx‡ì cwiwPwZ (cÖ‡hvR¨ †ÿ‡Î)

D D M M Y Y Y Y

Yes - No - nu¨v bv

Yes - No - nu¨v bv

Yes - No - nu¨v bv

Yes - No - nu¨v bv

Yes - No - nu¨v bv

High - Low - D”P wb¤œ

Yes - No - nu¨v bv

Comments must be made based on the subjective judgment of the Customer’s risk grading. Considering the nature of customer’s business, financials, location, size of the business, ultimate beneficiary etc bank shall score the customer as high risk/low risk. The same procedure need to follow for service holders especially the type of job & responsibilities. If the customer is rated as “High”, regular follow-up and review is required.

gšÍe¨ As‡k welhwfwËK we‡ePbvq MÖvn‡Ki SuywK m¤ú‡K© Avewk¨Kfv‡e gšÍe¨ Ki‡Z n‡e| MÖvn‡Ki SuywK wbiæc‡Yi †ÿ‡Î MÖvn‡Ki †ckvi we¯ÍvwiZ aviYv we‡kølYKiZt eëmv‡qi †ÿ‡Î eëmv‡qi cÖK…wZ, A‡_©i gvÎv, eëmv‡qi GjvKv, eëmv‡qi AvKvi, wnmv‡ei cÖK…Z myweav‡fvMx BZ¨vw`mn Ab¨vb¨ we‡kl w`K we‡ePbvq wb‡q MÖvnK‡K D”P ev wb¤œ SzwK m¤úbœ wn‡m‡e †kªYxKiY Ki‡Z n‡e| PvKzwii †ÿ‡ÎI Abyiƒcfv‡e we¯ÍvwiZ aviYv jvf KiZt we‡kl K‡i PvKzwii cÖK…wZ I `vq `vwq‡Z¡i wbwi‡L SzuwK wbiæcY Ki‡Z n‡e| MÖvnK D”P SzuwKc~Y© n‡j wbqwgZ Z`viwK Ki‡Z n‡e)

Seal & Sign of the O�cer who has Authorized the PEP/IP/Higher O�cial of International OrganizationPEP/IP/AvšÍR©vwZK ms¯’vi DaŸ©Zb Kg©KZ©vi †ÿ‡Î Aby‡gv`bKvix DaŸ©Zb Kg©KZ©v bvghy³ wmjmn ¯^vÿi I ZvwiL)

Prepared By- cÖ¯‘ZKvix:

Account Opening O�cer / Relationship Managerwnmve ‡Lvjvi Kg©KZ©v / wi‡jkbkxc g¨v‡bRvi

Reviewing O�cer - ch©v‡jvPbv I wbwðZKvix Kg©KZ©v:

Branch Anti Money Laundering O�cerkvLv gvwbjÛvwis cÖwZ‡iva cwicvjb Kg©KZ©v

15. Last date of Review & Update of Account and Customer Related Information wnmve I MÖvnK msµvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` (Review & Update) Kivi ZvwiLt D D M M Y Y Y Y

Seal & Sign of the O�cer Who have Reviewed ch©v‡jvPbvKvix Kg©KZ©vi bvghy³ wmjmn ¯^vÿi