Signature Specimen (for Roshan Digital customers)

Please sign within the box provided

1 - Name: 2 - Name:
Signature Signature

3 - Name: 4 - Name:
Signature Signature

SIGNATURE REQUIREMENT  Singly  Jointly  Either or survivor  Other (Please specify)_____________________________

For Bank Use only: Effective date: _______________________________________________

Title of Account___________________________________________________________________________________________________________

Account Number ___________________________________________________________________________________________________________

Product Name _______________________________________________

Currency____________________Branch Code______________________ Branch Name ________________________________________________

Effective Date: ______________________________________________