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BRACBANK
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Account Information Update Bank Copy

Dear Valued Customer,

In order to provide you with the best banking experience we would like to update our system with your correct and current
informat ion. Please fill up the following information (in BLOCK LETIERS) and submit it to a BRAC Bank Staff at your branch.

Thank You,
.. BRAC Bank Limited

D Customer Name: _____ _____ __ _______ _______________ ________________ _____ ____ _____ ____ . __ _____ _______ _______________ _____________ ____ _

D Accou nt Number: I I I I I I I I I I I I-T= ~ -- I . I

I u

D Your Preferred Mobile Number for Communication: I + I 8 I 8 I 0 I I I I I I I I I I I

D Email Address: . __________________________________ __ ____________ ________ _________ ____________________________________ __ _______ ______ _

D Emai l Address fore-Statement & Internet Banking Enrollment : ______________________________________ ________ ________ ______ ___ __ __ .

D Date of Birth: IJI ) \M I M I Y I Y I v I Y

D NID Number: I I I I I I I I I I I I I I I I I
D Mailing Address (with Utility bil l copy if available): _____________________________________ ___________ ____________ _____________________ _

Upazila/Thana : ----------------------- -- ----------· City/District: ----------------- -- ----- -- Divis ion: -- ------ -------------------------

Nearest Landmark: _______________________________ .. Post Code: . ___ _______________________ .. Country: . ____ . __ __________ . _____ . ______ ..

D Occupation: ___________ ___ __ _________________________________ . ___ _____ __ . __________________________________________________________ _

I confirm that the above information is correct and the bank can update the information as provided.

Customer's Signature

Size: 8.27in x 7.35in