Dbbl Account Opening Form-non Individual

Dear Sir,I /We hereby request you to open an account in your branch as under: The particulars are given below:

1. Ti tle of Account

2. Type of Organization-please Tick (√) Private Ltd. Publ ic Ltd. Partnership Joint Venture Proprietorship

Publ ic NGO Club Society Others (Speci fy ) ..................

3.Type of Account - please Tick (√) Sav ings Current STD F ixed FC Others : .......................

4.Currency - please Tick (√) Taka Dol lar Euro GBP Others : ...............................

5. Address of Organization :

............................................................ Branch

Account Opening Form Non-Individual

Dutch-Bangla Bank Limited

The Manager


....................................................... Branch

...............................................................

Date

D D M M Y Y Y Y

i .

i i .

A/C No.

Customer I D Number

Customer I C

(For Bank use only )

Registered Address

Phone

Mobi le Off ice

Fax Emai l

Postal /Z ip Code

Distr ict Div ision

Business / Office Address

Phone

Mobi le Off ice

Fax Emai l

Postal /Z ip Code

Distr ict Div ision

Page No. 01

Page No. 02

Name of the Bank(s) Branch(es) Type of Account - P lease Tick ( )

a) a) Deposi t A/C Loan A/C Others

b) b) Deposi t A/C Loan A/C Others

c) c) Deposi t A/C Loan A/C Others

6.Trade Licnese No. Date / /

I ssuing Authori ty

7.Registration Authori ty & Country ( for both Local & Foreign)

8.Registration No. Date / /

9.Tax I D Number (T I N)

10.VAT Registration No. ( i f any)

11.Nature of Business ( in detai l )

12.Other Bank Accounts of the Customer ( I f any)

Factory / Industry Address

Phone

Mobi le Off ice

Fax Emai l

Postal /Z ip Code

Distr ict Div ision

13.I ntroducer's detai ls Name

Account Number Signature

Branch Name with date

14.I ni tia l Deposi t

Currency Amount

Mode: Cash Transfer from DBBL Account

Cheque No ....................................... Drawn on ....................................... Bank .................................... Branch

15.Particulars of FDR / Amount : Currency: Term Deposi t ( i f any) Period : Rate of I nterest: Date of matur i ty : / /

Renewal / Redemption instructions Renew Principal & Redeem I nterest Renew Principal wi th I nterest

Redeem Principal & interest No instructions

I nterest redemption payment mode : By cash By Bank's cheque Transfer to account

I nterest Transfer Account No. Redemption Transfer Account No.

Page No. 03

17.Sources of Fund

18.Declaration :I /We hereby conf i rm that, I /we have read the terms & condi tions related to opening account and agreed to abide by the same. I /We solemnly declare that the informations mentioned above is/are correct. I /we shal l a lso submit any type of addi tional information /documents, i f requi red.

Applicants' Signatures, Names, Deisgnations and Date

Particulars 1st Applicant 2nd Applicant 3rd Applicant

Signature

Name

Designation

Date

16. Particulars of Special Deposi t Scheme :

Name of Scheme

Tenure One time Deposi t ( I f any) No. of I nstal lments I nstal lment Type I nstal lment Amount Payable on matur i ty

Monthly

Quarter ly

Year ly

Account Opening Officer(Seal wi th name & designation)

(Signature with date) (Signature with date)

Approved by(Seal wi th name & designation)

For Bank's Use only Comments (if any)

Photograph ofNominee(s)duly attested

by the customer

Sl.

1

2

Name of Nominee Address Relationship% of shareof Nominee

Nominee'sSignature

I D/I C( for Bank Use)

19. Detai ls of Nominee(s) :

I /We do hereby nominate the fol lowing person(s) to receive the enti re amount deposi ted in the above

account in the event of my/our death. I /We do hereby reserve the r ight to cancel or change the

nominee(s) at any time. I /We do hereby also declare that the bank wi l l not be held responsible for any

transaction done as per instruction given by me/us.

20.Cheque Book Request (Charge appl icable for each leaf)

Please issue cheque book containing 20 leaves 50 leaves 100 leaves Cheque Bank (SB/CD) (CD only ) (CD only Not requi red

Transaction Profile

1.Ti tle of Account

2.Type of Account

3.Account or Reference No.

4.Sources of Transacted Funds

I /We the undersigned hereby conf i rm that the projected transactions volume is my/our organization's normal transactions. I /We do hereby assure that i f necessary, I /we wi l l change/update the transaction prof i le.

Signature Signature

Name Name

Designation Designation

Date Date

Cash Deposi t ( inclusive of Onl ineTransactions)

Deposi t by I nstruments

Deposi t of Foreign Remittance

Export Revenue

Others (speci fy ) ..............................

Particulars No. of Transactions(Monthly)

Maximum Transaction amount(each Transaction)

Total amount(Monthly)

Dep

osit

Total Deposi t ( approx.)

Particulars No. of Transactions(Monthly)

Maximum Transaction amount(each Transaction)

Total amount(Monthly)

Cash wi thdrawal ( inclusive of Onl ineTransactions and ATM)

Transfer by I nstruments

Foreign Remittance wi thdrawal

Settlement of I mport expenses

Others (speci fy ) ...............................

Total wi thdrawal (approx.)

With

draw

alDutch-Bangla Bank Limited

Page No. 04

Personal Information Photograph

DateD D M M Y Y Y Y


A/C No.

Customer I D Number

Customer I C

(For Bank use only )

(CI F - Customer I nformation Form)

First Applicant / Co. Second Applicant Third Applicant 4th Applicant

Authorised Signatory Mandatee Chairman Managing Director

Director Guarantor Minor Guardian Others

The information is given below for :

Address

Short Name

F i rst Name

Middle Name

Last Name

Present/Residence/Mai l ing Permanent Address

Distr ict

Div ision

Country

Residence

Mobi le

Off ice

Fax

Postal / Z ip Code

Phone

Eami l

Bi rth / Reg. Date

Sex

Mari ta l Status

Other's Information

Male Female

Single Marr ied Divorced Widowed

Reg. No.

Page No. 05

Page No. 06

Race Musl im Hidu Buddist Christian Tribal Others

Profession Sel f employed Serv ice holder Business Persons( for I ndiv idual only ) Others (P lease speci fy )

Occupation wi thDesignation

National i ty

Applicant's Signature

Date

I ssuing Organization Credi t Card Number

1.

2.

Photo and Specimen Signature

(Attesed by the Introducer)

RECENT PHOTOGRAPH (2 COPIES) SPECIMEN SIGNATURE

For Bank use only

Customer I C

Account No.

Customer I D

Sector Code ( for CI B & SBS-2)

SBS-2 CI B

Customer's Signature Veri f ied by ................................................................. I ntroducer's signature ver i f ied by ................................................................

I nput by ........................................................................................ Checked & Authorized by ............................................................................................

Branch Manager / Authorized Off icer .................................................................................................................................................................................

* Pref ix such as Mr. / Mrs. / Dr. / Haj i / A lhaj / Moulav i / Engineer / Barr ister / Advocate etc.

National I D Card No.

Driv ing License No. ( I f any)

Passport No ( I f any)

Credi t Card I nformation

T I N ( I f any)

Spouse Name (wi th pref ix*)

F ather's Name (wi th pref ix*)

Mother's Name (wi th pref ix*)

* Resident Status Resident Non-Resident

(Note : I f a Bangladeshi l i ve abroad for more than 6 months, he wi l l be considered as non-resident)

Page No. 07

FOR BANK USE ONLY

Account No.

1st Appl icant I D I C

2nd Appl icant I D I C

Mandatee I D I C

Authorised Signatory-1 I D I C

Authorised Signatory-2 I D I C

Authosized Signatory-3 I D I C

Chai rman I D I C

Managing Di rector I D I C

Director-1 I D I C

Director-2 I D I C

Director-3 I D I C

Sector Code for SBS-1

I ni tia l Deposi t

Cheque No ..................................................... to ................................................................. both number inclusive issued.

If the account is used as settlement account for loan, please fill-in the following :

Loan/Contract No. Loan Type Guarantor I D Guarantor Amount Economic purpose code Secuti ty Code

I nput by .............................................................................................. Checked and authorized by ..............................................................................................................

Branch Manager ............................................................................................................................................................................................................................................

Page No. 08

TERMS AND CONDITION

1. The law, rules, regulations of Bangladesh, customs and procedures appl icable to the scheduled bank in Bangladesh shal l apply to and govern the conduct of accounts opened wi th the Bank

2. Any person opening and account shal l be deemed to have been read, understood and accepted the rules governing the account.

3. Each account wi l l be given one account number. This number is to be property quoted on al l letters and / or documents addressed to the Bank and on al l deposi t sl ips. The bank wi l l not be responsible for any loss or damage occurr ing as resul t of wrong quotation to account number.

4. I nterest / Commissions / Serv ice or Maintenance of account charges shal l be lev ied by the Bank from time to time and as per Bangladesh Bank Regulations. Bank shal l a lso have the r ight to ful l y recovered al l costs and expenses ( including legal fees) ar ising in any way in connection wi th the above accounts. these terms and condi tions or in enforcing these terms and condi tions and in recovering of any amount due to the bank or incurred by the bank in any legal proceedings of whatever nature.

5. The funds avai lable in any of the account holder's account ( the customer) wi th the Bank wi l l be considered by the bank to be a securi ty for any commitment(s) , and or obl igation(s) present and or future of the customer to the Bank. I n the event of dishonor or non-ful f i l lment of such obl igation(s) and or commitment(s) . the Bank is enti tled wi thout giv ing pr ior notice to the customer to uti l i ze such funds against the obl igation(s) and or commitment(s) of the customer to the Bank.

6. Whi lst the Bank maintains str ict conf identia l i ty in al l relating to accounts and business, Bank shal l a loways be enti tled to disclose any information conecerning customers business and accounts held wi th the bank to any of the fol lowing :

a) Any regulatory, superv isory, governmental or quasi governmental authori ty wi th the jur isdiction over the bank. b) Any person to whom the bank is requi red or authorized by law or court order to make disclosure.

7. Account holders must prov ide max imum securi ty to the Cheque Books in thei r possession and the bank is not responsible for any loss occuring due to inadequacy of securi ty, any cheque book loss of misuse must be immediately reported to the Bank wi th subsequent conf i rmation in wri ting wi thout any delay

8. The Bank reserves the r ight to close any account wi thout giv ing pr ior notice i f the conduct of the account is unsatisfactory in the opinion of the Bank or for any other reason(s) whatsoever. The opinion passed by the Bank in the regard shal l be f inal and conclusive and binding upon the customer.

9. The balance in the account(s) is payable solely at Dutch-Bangla Bank Limi ted and shal l be governed by and subject to Laws wi th effect in Bangladesh. As used herein "Laws" wi l l included Bank Ci rculars, Modi f ications, Regulations and Orders of the Government and Bangladesh Bank including Practies of Banking.

10.The Bank reserves the r ight to amend the present rules at any time in any manner wi th or wi thout giv ing pr ior notice to the account holder(s) separately or to the publ ic. The cheque book wi l l not be issued unless and unti l l a l l the requi red formal i ties are completed.

ACKNOWLEDGEMENTI / we hereby acknowledge that I / we have read and understood the terms and condi tions stated above and agree to comply wi th them.

Signature(s) of Applicant(s) :

1. 2.

I /We have enclosed the fol lowing documents wi th the appl ication form : (P lease tick)

Account Opening Form : To be f i l led in and signed by each account holder

Latest passport size photograph (2 copies) for each account holder attested by the introducer

Account payee cheque in favour of the Account holder or cash deposi t

Copy of passport/Voter identi ty card / Motor dr iv ing l icense/Off ice I D/Ward Commissioner certi f icate/Gazzetted off icer certi f icate/Other I D acceptable to the bank

I ntroduction of account holder (Mandatory ) : To be signed by introducer wi th I D and account number

I copy of nominee's photograph (attested by the account holder)

Minor account addi tional ly requi re : 1 copy passport size phtoograph

Foreign ci ti zens in Bangladesh addi tional ly requi re : Photocopy of passport wi th val id v isa and work permi t

In case of Proprietorship Account : Attested copy of val id Trade l icense Attested copy of passport of the proprietor Company seal & Tin Certi f icate

In case of Partnership Account :

Partnership Letter Copy of notar ize Partnership Deed certi f ied by al l the Partners or Registered Partnership Deed ( registered wi th the registor of Joint Stock Companies and f i rms) dul ly certi f ied by the Registar of Joint Stock Companies and F i rms: Partnership Resolution signed by al l the Partners to open account wi th DBBL indicating type of account and mode of operation :

In case of Private / Public Limited Company Account : Memorandum and Articles of Association -duly certi f ied by the Register of Joint Stock Companies and F i rms : Certi f icate of I ncorporation - duly certi f ied by the Register of Joint Stock Companies and F i rms;

Board Resolution - duly certi f ied by the Chai rman / Scretary of the Company : FORM X I I and Schedule X - duly certi f ied by the Register of Joint Stock Companies and F i rms:

Certi f icate of Commencement of Business - duly certi f ied by the Register of Joint Stock Companies and F i rms (only incase of Publ ic Limi ted Company) :

In case of Club / Society :

Certi f ied copy of Registration Certi f icate;

Certi f ied copy of Charter / Bye-Laws and Regulations / Consti tution of the relevant organization:

Copy of Resolution of Managing Committee / E xecutive Committee for opening Account wi th DBBL and operation of account - duly certi f ied by the Chai rman / Secretary; List of Members of Managing Committee / E xecutive Committee - duly certi f ied by the Chai rman / Secretary;

In case of Non-Government School / College / University / Madrasha / Muktab : Certi f ied copy of Registration Certi f icate; Copy of Resolution of Managing Committee / Governing Body authoriz ing opening and operation of account wi th DBBL -duly certi f ied by President / Secretary of management committee. List of Members of Managing Committee / governing Body-duly certi f ied bya Gazetted Off icer ;

In case of Sector Corporations : Certi f ied copy of the relevant Presidentia l Order / Act of Par l iament establ ishing the Corporation; Resolution of Board of Di rectors / Competent Authori ty to open Account wi th DBBL; Certi f ied l ist of Board of Di rectors ( i f any) ;

In case of Local Authorities, City Corporation etc : Certi f ied copy of the Statute / any other Law by which the body is created and governed : Resolution of Municipal Committee / Managing Body ( i f any) to open Account wi th DBBL - duly certi f ied by Chai rman / Mayor / Competent Authori ty ; List of Members of such Committee / Body - duly certi f ied by Chai rman / Mayor / Competent Authori ty ;

( For Bank use only )


KYC Profile Form

1. Title of Account

2. Type of Account

3. Account or Reference No.

4. Name of A/C Opening Officer Designation

5. Nature of Business and sources of Fund

6. Describe how the sources of Funds have been verified. It should be clearly stated whether the transactions are in keeping with volume and nature of business.

7. Information about Beneficial Owner of Account (in case of Company, detail information of regulatory Shareholder and 20% or above single shareholder)

8. Passport Number Photocopy obtained? Yes No

9. National ID Number Photocopy obtained? Yes No

10. TIN Photocopy obtained? Yes No

11. VAT Registration Number Photocopy obtained? Yes No

12. Driving License Number Yes No

13. In case of non-resident / Foreigner a) Reasons for opening the Account

b) Type of Visa Resident Work Valid upto

14. Occupation / Nature of Business of the Individual / Organization. (Please tick)

Sl. Category/Nature of business Risk Level Score

01. Jewellery/Gold Trades High 5 02. Money Exchange/Courier Service Agent High 5 03. Real Estate Agent High 5 04. Construction Project Promoter High 5 05. Offshore Corporation High 5 06. Art/Antique Dealers High 5 07. Restaurant/Bar/Night Club/Hotel & Motel owner High 5 08. Import/Export Agent High 5 09. Cash money Lender (of taka 250,000 monthly) High 5 10. Share /Stock Dealer High 5 11. Manpower Export Business High 5 12. Operations in Multiple Locations High 5 13. Film Producer/Distributor High 5 14. Arms Dealer High 5 15. Mobile Phone Operator High 5 16. Money lender (of more than taka one crore yearly) High 4 17. Travel Agent High 4

For Individual and Non-Individual Accounts

Page No. 09

Sl. Category/Nature of business Risk Level Score 18. Transport Operator Medium 3 19. Auto Dealer (Reconditioned Cars) Medium 3 20. Non-banking financial Institution (NBFI) Medium 3 21. Freight/Shipping/Cargo Agent Medium 3 22. Insurance/Brokerage Agencies Medium 3 23. Religious Institutions/Organizations Medium 3 24. Entertainment Organization/Amusement Park Medium 3 25. Motor Parts Business Medium 3 26. Tobacco & Sigarett Business Medium 3 27. Auto Primary (New Car) Low 2 28. Shop Owner (Retail) Low 2 29. Business - Agent Low 2 30. Small Trader (Turnover less than Tk. 50.00 lac per annum) Low 2 31. Self Employed Professional Low 2 32. Corporate Customer Low 2 33. Construction Material Business Low 2 34. Computer/Mobile Phone Dealer Low 2 35. Software Business Low 1 36. Manufactures (other than Arms) Low 1 37. Retired Persons Low 0 38. Service Low 0 39. Student Low 0 40. Housewife Low 0 41. Farmer Low 0 42. Others ........................................ (Bank will rate the risk according to nature)

For table 16 to 21 upper limit will be considered as same category. Example: 50 lac will be under the category of 0-50 class

15. Net worth of the Customer (Please tick)

Amount (Taka) Risk Level Risk Rating1-50 lac Low 050 lac to 2 crore Medium 1Above 2 Crore High 3

16.Procurement of accounts. (Please tick)

Procurements Risk Level Risk RatingRelationship Manager/Branch Low 0Direct Sales Agent Medium 1Internet High 3Walk-in/Self motivated High 3

17. Estimated monthly transactions (Please tick)

Transactions in Current Account Transactions in Savings Account (figure in Lac) (figure in Lac) Risk Level Risk Rating

0 - 10 0 - 5 Low 0 10-50 5-20 Medium 1 Above 50 Above 20 High 3

18. Estimated number of monthly transactions (Please tick)

No. of transactions in Current No. of transactions in Savings Account Account Risk Level Risk Rating 0-100 0 - 20 Low 0 100 - 250 20 - 50 Medium 1 Above 250 Above 50 High 3

Page No. 10

Signature and date

Compliance Officer

Name

Designation

19. Estimated monthly Cash Transactions (Please tick)

Transactions in Current Account Transactions in Savings Account (amount in Lac) (amount in Lac) Risk Level Risk Rating

1 - 10 1 - 2 Low 0 10 - 25 2 - 7 Medium 1 Above 25 Above 7 High 3

20. Estimated number of monthly Cash Transactions (Please tick)

No. of transactions in Current No. of transaction in Savings Account Account Risk Level Risk Rating

0 - 15 0 - 5 Low 0 15 - 30 5 - 10 Medium 1 Above 30 Above 10 High 3

21. Overall Risk Grading (Please tick)

Remarks

22. Address(es) of Account Holder(s) verified or not? Yes No

23. If yes, How !

24. Politically Exposed Person(s) (PEPs) : (According to A.M.L. Circular - 14)

a) Approval obtained from Senior Management Yes No

b) Sources of Wealth

c) Customer(s) interviewed personally Yes No

Prepared by Verified by(Account Opening Officer/Relationship Manager) (Head of Branch/Operation Manager)

25. When the account related information is reviewed and updated last Date

Total Risk Rating Risk Assessment Above/Equal 14 High Below 14 Low

(*Customer may also be graded in high risk category according to subjective consideration with reason when the risk grading is below 14.

Signaturewith dateName

Name Seal

Signaturewith dateName

Name Seal

Page No. 11


KYC Profile FormApplicable for Special Scheme/Term Deposit

1. Title of Account

2. Type of Account

3. Account or Reference No.

4. Name of A/C Opening Officer

5. Sources of fund & how it was verified.

6. Information about Beneficial Owner of Account (in case of Company, detail information of regulatory Shareholder and 20% or above single shareholder)

7. Passport Number Photocopy obtained? Yes No

8. National ID Number Photocopy obtained? Yes No

9. TIN Photocopy obtained? Yes No

10. VAT Registration Number Photocopy obtained? Yes No

11. Driving License Number Photocopy obtained? Yes No

12. Customer's Occupation.

Comments (if any)

Comments (if any) on Customer risk by subjective consideration

(Account Opening Officer / Relationship Manager) Authorized Officer

Signaturewith date

Name

Name Seal

Signaturewith date

Name

Name Seal

Page No. 12

Documents

Dbbl Account Opening Form-non Individual