Professional Documents
Culture Documents
Non PersonalCorporateSME Account
Non PersonalCorporateSME Account
Non PersonalCorporateSME Account
R rK 6{Frr{q't6<m+=N
Account Name
fr{k-<<;'lr
Account Number
fr>r-R dr<
Customer ID
qt{s qRG
Branch Name
.it?lr{41T
ffiK
LIMITED
w w v,/. d h a k a b a n k I t d. com
]}TAI(A_ r,< Recent Passport Size colour
photograph of Account
LIMITED Holder(s) (not older
than 03 months)
..... Branch/ -itrll (Attested by lntroducer)
Please fill up the form in Engiish in capital letter unless advised to write in Bangia. fur<,flimrcI- rom tw{Y
3]1qq:fi4 fiatB -q1T,6,€ <3 <1=i 55:n q?ci r?:il crtcgl{ <gln pft
Please fill up all fields carefully and strike out areas not applicable. (oe :IlrrR qfii+ "Fr;I i{)
q{a"Tis {.<.'oq Fttqr rnnS vzci d !"i Tfl{r, E=xrqr 1a?, fr;r f "rfioirrq-+rA aq+ rcrfiEl
Account Number
The Manager/+rg*rc
Business 3'i ce
Corresof r a:'.ce Address
<r<FZ- : -71rr'--egi)461
Page 01 of 25
7. Trade Licence No. Date
6sqErqq+m qfi"l
lssuing Authority/ larot? o-.;it
8. Reqistration/lncorpationNo Date
fla6a aqa r"fiq
9. Registration Authority&Country...............
(For both local & foreign)1i+n+ o:u.cttF s ch-.t (cqqi ftmft 6s{ fficfi q{1)
10. E.TIN No. t ---------- l 1 i. VAT Registration Number/ BIN (if
fafru-e-E.ro 5l5lg,r{< oi r<ffi643 (<ft qnr+)
cqlula/ cffiK:r{"1
ofu$ra<fiBq.En
13. Customer's relationship with Dhaka Bank (Please tick) I New Customer L,l Lxrstrng customer
rf+-t <Tf(rTT 4r?i q]Em< r-6 (frs 1i{) rui€l{s <.iirnq*]<{
lf existing Customer, please provide information as follows:
<iiff{ qta$ {6E. Ii:qtt fr,'{s <+a r
14. Does the Customer maintain any account with other bank (s)? I ves
ql
I trlo
qdl rfld $1s1T< n]Iq Elq($< &qr< dl
lf yes, please provide information as foliows:
EErtl<[EFrfl1 Fr{soe{ r
SL Bank Name Branch Name Type of A/C (Please tick) A/C No,
eF-o4.. <tT(rffi;flT .ltifllr 4I{ Rctrfi {d"r @$ft-{) &at<qr*
,l
L l Deposit A/C ! Loan AIC E OtherA/C
11Tr<< n-r
lntroducer's Customer D \o. Account No
ffim qqrr--o6i< q-qe
=.-;: Fqt<a<
Branch Name
-II1T<;I]]
Page 02 of 25
For Bank's Use only B{qlq <n<rf,< <r<Elr+< qdl
Introducer's Signature and information certified by:
Name of Bank Official Designation
ln words
1 9. Source (s) of fund (To be mentioned specifically and in details)/ w<f< Esr,&<a'ag qFiffi .: ffi Ct-6 'ra6s q6a ,1
1.
2.
2a. Declaration & Signature regarding Account Operator/ firm lf15w{a1ft q1ots iqnqT € :flrF{
l/We,the Undersigned hereby confirm that l/We have read the terms and conditions related to the Account and am/are agreed to abide by the same.
l/We solemniy declare that the information mentioned above is correct. l/We shall also submit any type of additiorral information/ documents as and
qlfr/ qETt.lsiln a:Lr!c" aTE (:I. 3m:5 eraift;-51 orft/ qtfir eqE -r(s[i-q,tr r1f;,? IrT arrr e=rEi+tT o.<;/ fiffi <T;i1s;s yftq], ,Ilqr<s {f,{rR 6n<
Signature of 1't Applicant Signature of 2nd Applicant Signature of 3'd Applicant Signature of 4th Applicant Signature of 5th Applicant
rqql<q-{o€fnE]F{ tx qlrqm-+tft< xm-< \eg qfc<h-{fift<{IF< adqlr<E{srfi-< als-{ c\ qlr<E{sTft{affi<
Marketed by:
Name..........,. ".......Designation
Page 03 of 25
D FIAI(AI ={r\N ll K(
M D
Account Number
Date ftm<qr{
sftq Customer lD
ff{$qt&
Customer lC
El{$qtfr
ln EnglishAw&zo :...
ln Bengalil{l<oRr :...
Relationship with the Account (Please tick on the applicable field below):
ftqm3 a[qf rer6 (i]o erc$ql rxre fi+ ft{)
4. Father's Name
ftorqm
Mother's Name
T]gI3;IIT
6. Spouse's Name
fi],6r*qm
Nationality
6'r€lner (For foreign citizens,copy of passport with VISA must be collected.)
ffi "fiflk$ {.{frqaC ffic11td< Ti} q<Frrseir< €tR6i <<io << )
Page 04 of 25
12. (a) Occupation (in details including designation) ! Service I Business ;l Others (Specify)
fifi (nq?rTqfr-$frE) c{?rT <r<{1 q{finI (E(Eqfs4)
qfutm<qm "r'riA
Address/ffotqt:
o. sljir.-i?Xtc.rc<
{. 1Tfi1ltrdE< c:KI'r
[Any one of the documents mentioned in Serial No. o to c is mondotory. But in case of opening Account through Birth Registration Certificatc, an additional
ldentity Certificate with Customefs/Account Operator's photograph has to be produced. For Non Resident and Foreign National, copy of passport with viso must
be provided. lf the ldentity Certificate with photograph is not available, a certificate of citizenship or notional identity shall have to be obtained from d
Respectable Personl of the society accepted by the Bonk to its satisfaction.This Certificate of ldentity should be accompanied by Customer's/ Authorized
Person's photograph (duly ottested on the upper side). Besides, to ensure proper identity of the Customer, additional documents in addition to those as required
by SL d to f olong with informction other thon those mentioned in the form mov be collected to the sotisfoction of the Bank.l
[o Ero ,t *e efro <fie ffi ze a--<iiae;7 ,s o; tai *- 7- --= ; z< at- i<za za 4maiasT /iTai, vi6?Td4 qfu qfEo/firf< elM|f
q/rqffE"E e- q roz .ffi
"7
qn -<= av a:<fr !<? ?ii-= ;t?t<- .+= z<it7'ivtv" ^:qnd< d;; ar<friaet< qqm i4to W t etratoiqR "tafrfufi;n
=-< i<i a?.rFir ;;-:Ei
?lffln Cc liari <f <rct agE ;-r^:i; qrlaTat afd +1a zaz ,iii7"7s azjla?a lria n.4ro 44 ttg zfiffi"la <t wna"ta aqE,,f<qfs ffi<
qfcqaGac< f atezt<;S=< i{r" >qi:e>< t a,. aa< €zV. iiio {<rsqs(< e,?r"- 1ffi A4t i ffi6. ecaiq 1trj <n<rcn +@ft 4le,trfr l"tTR q qro > aa< ofur+ <frv
^Jt
qE4n6n< ii-ne T-:- Fr J<i Ja ErF aaii64 diiillo sa5 qlqq 44p nRt< tl
=61.
-:G
<irt{f" 04F (==T?- )
1 6. Permanent Address
e-rt ficrr
Documents must be provided in supportofproofofaddress ofthe Customer/Account Operator (at leastforone ofthe addresses mentioned in SL 15 - 1 7).
q1q+7 ftar q1-5q1
"i<saqrcl+< ftont< e:tlq fuT[T 6{;[Ttq EFr+ F{rE Er< ()a cetrs ) 1 4( 6Frc$ <ifu Tvtzs 56 fra-;a6 I
1 9. \lc :' -:::: D:.scn to be contacied for emergency e+i} qRIstF c<Tailllt]rrl{ qal xrqfi- <rfu,
Naria r ..
-
\Aa.---:-
Page 05 of 25
20. Cred it Card I nformation (if any) r+ffi ori q(sls E<T (di em-+)'
ca]I]znfft"fu ofiq
"t]-q[{di{<
lssued at : Date of VISA (if available)
fuqmffiq ({fr ?,tF)
I
t{i< E1{
qffik c"Ht
Foreign Address"
MrTftfld1*
Date :
qiiq
Date Date :
oil?.t
lMember of parliament. \iiyor, Deputy Mayor & Councilors ofcity Corporation,Gadgeted officer ofgth & above grade as per national pay scale,Teacher
Professor of Public
of public University, chairran & vice chairman of Upazilla council, chairman of Union council, Mayor and councilors of Pourasava,
University, principal of priVaie CclLege, Head Teacher of Private High School, Editor of National Daily, Notary Public and
Gadgeted officer of 7th & abrove
grade as per
grade of semi Government, A,J:c.oaous & Government organizaiions as per national pay scale and Bangladesh Bank official of 9th & above
national pay scale shall be treatec a: iespectable Person.
:1.,;a6i *fu 445o ff -.,-.-
q(w rq-fi. c o6fer1q, s€tr r<sa 6sa6tir br \3 EE{d 6rlr< (lrtc}s r:i+!i. t<fr f-iioii4'::m FIF$. SlTsrar {k'{ch-3
=--. =23:a:r<
q.,{f< jsiG]I 6<\5d aSIE;I CI <l EE*. Cotts< ai+e-"q l?i 7(-Zk-i <ilr<'{ f5]T G-'{ (1r(4{
frX-+. s€]{ i4f"f$ ,fiasl< 5*Xq5 a* ,-e?=. =r-<=?1 aBI-ilfiE/ <Emg
sl c eld cers< +:f$sf i"r+ {<rffi
. PO. Box number will not be treated as iorerEn address.
* 'fls <q dffi65 644FarT +'ta;z-- '.'
-.,
-
Page 06 of 25
tllal(at={q\N V<
ED
Branch/ .ff{l
Account Number
Date f{qr< am
qfr{ Custom€r lD
qrq+stifu
Customer lC
E]{sqtfi
ln Bengaliloielx
Relationship with the Account (Please tick on the applicable field below):
futz<< w?r rei<( (+o ercTlql c+rq fro fi-"i)
'lst
E Applicant ! 2nd Applicant ! 3'd Applicant f Director f Partner
rr qn<q-qa? t{qlT<rd-fla e{ qr<F;l-sft qkFnr esftql<
Father's Name
Flom "tr
5. Mother's Name
{]sR{n
6. Spouse s Name
-srfi,6r< -"
7. Nationality
ct 9lat 9t (For foreign citizens, copy of passport with VISA must be collected.)
l?"cr.tr qttfo+ <e fuqmq ttm,rrf< TA q<foieft< a<"i o<re q6 1
than 03 I
(Aftested by lntroducer)
I
^t
q,qcE egFr qlq
I
(oeEEE=fuTiFIaE) I Signature of Bank Official with seal
(qffic+rcifts)
|
Page 07 of 25
12. (a) Occupation (in details including designation) ! Service f Business E Others (Specify)
("ffi ({E€l{<Rsr1?s) Ci?I'| <r{il q;l]Fi Gig1 €<-I)
qfb6n+< am - "rT?l
1o {rv. 4 ;at ffin+ 4fqo qffi Eeo ql4Ftjieftq czr aora anfr qf;n qqa oi@ W t or4 q;{ fiqqa a4q qq,r*Fo q;n fuaqq aaq"l@l qtrite' €lRT/ fact? 'lffia
,t14c'1tr4 r.,fit.{i<rf;746164 qFFt otrs w iqrqlzrGe-q<'ffi"ta ql
wrqmfr€rR qai a cq14 ffi5p 4q EqtE oito Ers tda-caffi a4<fAm-n -iqfu,qt c*ra 4<EP furW
alod cc fuq1t <n<eoT q@@ qltt7 ofrq< ffi AEdrarotr
"NfiW t"r{,qf 4ft,s, ns'.F aVe "tfurmt
qrna"ta Sqln oilo <c4 ti "ffi"ta <i sETaalq er<6,f.7t5 "lfi'n'rrcR/<
qfuqrtqq< qfufup qlat rclq qfuotfu a1q a{ l^-f,rr 6AEo oenfil lfuf?@ s2E 4?'2i< 44eo oli.<r< tl
1 6. Permanent Address
Tft fts-i.fl
SL 15 - 17).
Documents must be provided in support ofproofofaddress ofthe Customer/AccountOperator (at leastforoneofthe addresses mentioned in
ere.+/ ?-< -# 1o*. e:-q li.sr< ugni{ eqF ffirE {.< ( ) a (qrs ) q ai ofrr+ <Ffu +rotrv >E ft+t{< q"rffi) i
ccrtact:: ' ' ' - =<- rr-i.a ar1zrlrur? qn; x.rati,o- <ll.4,
19. Nomrrated Parson Lo be =;-
Name/ilE i..........
Address,6om :
Page 0B of 25
20. Credit Ca rd I nformation (if any) mltr oni,r(6l'g Eel-T (<f- rmrc),
qffi36E41
Foreign Address*
|affir6sIiT*
Name:
;r-lT
Date
\5lk{
Date : Date
olir{ ilf?rt
l
Member of Parliament, Mayor, Deputy Mayor & Councilors of City Corporation, Gadgeted Officer of 9th & above grade as per national pay scale, Teacher
of Public University, Chairman & Vice Chairman of Upazilla Council, Chairman of Union Council, Mayor and Councilors of Pourasava Professor of Public
University, Principal of Private College, Head Teacher of Private High School, Editor of National Daily, Notary Public and Gadgeted Ofrlcer o' 7th & above
grade of Semi Government, Autonomous & Government Organizations as per national pay scale and Bangladesh Bank Official ol 9th & above grade as per
national pay scale shall be treated as Respectable Person.
:=<. ffio qfrT]< r-ms, 6lB|k "rf3fi-$, q<r4rfli)/ Erjrg-"ifE, ugnq i1({fa .qf&* c<ioq 66r{< 1n <I EI{d (A(Ei 4.-.:.; r?: .:--:F <i(f{ Slf{ G!-{ as(4{
=€x.ers<
:; t =;{ 6:frgfu"|r+ {<rla<
Page 09 of25
t
v(
Recent Passport Size colour
photograph of Nominee
(not older than 03 months) TED
(Attested by
Branch/-filff
Account Holder)
Account Number
Customer lD
Nominee lD
qrd {qfu G.|fi q<E cr, qlTl<,tqETcq< fu,F{i cfislc<+ <il<+ qd Eqli r{c< €<( € 611 r61q4 Collg]r< Ellr<h <3 ;rl
c(<$q <:fr l wii/r{T-<1 qE {'6(
h. Permanent Address/ prit fr+ttlt 3 ... ... ... ... ... ... ..' ..
available,acertificateofcitizenshipo,::::-::.-.:.:-:,!l havetobeobtainedfromaRespectablePersonlofthesocietyocceptedbytheBonktoitssatisfaction'
proper identity
This Certificate of tdentity should be occc- : :
- =: : .. J -::c n:e r s,'Authorized Person's photogroph (duly attested on the upper side) Besides, to ensure
other than those mentioned in the form moy be
of the Nominee, odditional documents ir o::: :- .. :-::. is required by sL (iv) to (vi) atong with information
:
collected to the sotisfaction of the Bank
.- -r r ..- -7= avlaq ng7 dnL+ en<l { are 5 -"i a=7 <z= -?'ariva qfi'fi@ ql.'{t 5a1aqm aa1
qorl,?-o-rs) a-. i q,lvr,+n<a zi.4:<..==
{,-
-r{ 674 6&&o oe,nfia dfufre etr ;a27 -<:j- +=. -
Page 10of25
4. Relationship with Account Holder/fu<qik ircel q*t6 s .....
6. ln the event the Nominee is minor and the Account Holder (s) dies/die during his/her/their minor age,the following person is authorized to receive/draw the
amount held in mylour account as per Section 1 03 (2) of Bank Company Act, 1991 .1ffi qf<rq+ qcq E]-</6I-CE{ dKf{s qrot w<qF ftI]<rRt&qR<t?t"nC< 19r< <e',
qftF|{<r fiffiI6sll< FrcX<fio <ftffi qmmmNl([< ftft< <fuE q$ eRq/Eretq;r e{f{ 6{T {J1$ .d.-|rfi qri{, )bb) (< )oe (r) $il qsntl tlelEl,s o<,| {ffii :
a. Name/41{
(lf any Non Resident Bangladeshi is nominated as the Nominee ond becomes beneficiary of the account, rules and regulations as per Foreign Exchange Regulotion
Act wilt be applicable while remitting the proceeds of the account. coFt qF-qel,o 4'lifr Efl lz4 44( A qffi cr8, fiqtrlq q4 Sto <rE qe q4 fimr-l cEl(K cffrq faqn4
Signature of 1 st Applicant/ Account Holder Signature of 2nd Applicant/ A€count Holder Signature of 3rd Applicant/ Account Holder
lq qr{q-{$ta/ ftql<rrft< qlf< in q.rr< F-{$r-a/ Rcl{{la-{ .riF< \ex qtc<E{-€l-ft/ frcl<{lft-< qrF-<
1 Member of Parliament, Mayor, Deputy Mayor & Councilors of City Corporation, Gadgeted Officer of 9th & above grade as per national pay scale, Teacher of
Public University, Chairman & Vice Chairman of Upazilla Council, Chairman of Union Council, Mayor and Councilors of Pourasava, Professor of Public
University, Principal of Private College, Head Teacher of Private High School, Editor of National Daily, Notary Public and Gadgeted Officer of 7th & above grade
of Semi Government, Autonomous & Government Organizations as per national pay scale and Bangladesh Bank Official of 9th & above grade as per national
pay scale shall be treated as Respectable Person.
)i"fff <lf <6r[E q$Th qqql. f oe"tnr.m< 6T's{, r"Jf car< c ottfq<Eq. qr€< r<sa 6$:i:q"< b:T ,: vqrd caru< (11q6s sff. tmB-+ Iitiirmq< Frs-s. E"175irr -?}-?3
Page11 of25
D
Account Number
RcR qq<
Customer lD
$crqqtu
1 . Title of Account
ftqrr+{ TIT
2. Expected Monthly lncome (lndividual)
rtfr-o rNr<iq]T (<r&s)
3. Expected MonthlyTurnover(lnstitution)
$fio qet<r ffiesT< (efrSm< mrc)
E
15
Foreign lnward Remittance
.= +r+q t{s$!i 6frRH
o
o Export Receipt
IL
o <€ffi1{<r Ele
o
Deposit/ Transfer from BO (Capital Market) A/C
eO ek<rqr< Rrr< srg qEv?t4ls{
TOTALfifiN
Page 12 of 25
l/We, the undersigned hereby acknowledge that the expected transaction limit is mylour organization's usual transaction. l/ We further acknowledge that if
necessary, l/We will change/ update the transaction profile.
ffiIqm+ 1iTrtveolft (ul"i) .! {'G( Firrst Eqta c{& c<, ie]<r cfirrr+< q$fu $el qtTtrlqFflm< ee$m< qstfo efto sarqi qlff
r qm f EqF r<& c{, Sc!lq-{r<fc{
6a+6qrd< q{fts {]id ccr.llfi,r{s4'ilh e-{<
q]fiF]I-<r {cr<l r
1. Signature of Account Holder/ Account Operator 2. Signature ofAccount Holder/ Account Operator 3. Signature ofAccount Holder/ Account Operator
R.tr<<till Rn< lfrutq-+roft< .tl+< fumqtft/frqr{qffi<tI$< ftqT<qlft/fut< "tffit<tm<
Name: Name: Name:
4Fi
(
For Ba*k's use *nly s$iri {,"lcc?F{ {mqir.<n siql
I
Transaction Profile is reviewed as per instruction of Bangladesh Financial lntelligence Unit (BFIU):
{<Efrq'{ +lffi:lE ffifrrcin EEFd-< fu4:q oron<o +cr-<l ffinrfiT{ . {fiE :fler eidrrqrE{ FTI <Ei
Page13of25
DECLARATION ON FOREIGN ACCOUNTTAX COMPLIANCE ACT (FATCA)
r{6qFr$ Rw<{ sR'rR'IfE-{ qq{ q(@ls 6fi{6ft
3. Do you hold a U.S. Permanent Resident Card (Green Card)? E Yes Iruo
q?Tl{ft{s<I6{{St qffiFf6($qsNi)ws? rir ;fi
4. Do you have U.S. Residence address or a U.S. correspondence address (including a U.S. PO. Box) or a U.S. telephone number?
qr"Fit< 16
T6dd rqt'ftrm'kr qd, c$]T{l q]<IFr$ 6sF,fi q?ff {s{6{ cst{ +m q'rq?
foFr, cqtffi:fi(,F
I Yes Iruo
OI 4T
Prior consent from U.S Citizen Clients for reporting Customer's account information to lnternal Revenue Services (lRS) under FATCA obligations:
qF q Efr q - q<qNestnStqsfur+dsqrtnffiq c€fr6fifvtq1 ffiq|< qn)-q
'flrk-{irqir{ffi{{s<Effielqqrd T<f{q& r
"Subject to applicable laws, l/we hereby give mylour consent to Dhaka Bank Limited to share mylour information with domestic or overseas regulators, or
Tax Authorities where necessary to establish mylour tax liability with any jurisdiction. Where required by domestic or overseas regulators, or Tax
Authorities, I consent and agree that the Bank may withhold from my account (s) such amounts as may be according to applicable laws, regulations and
l/We do hereby declare that l/we do not have any physical presence and commercial activities within the countries mentioned in the UN, EU, OFAC and
qftffi qi {c{ ffit<t c{& c< E'ffuaqq, 166p66 aoFrm, qfi;q q{ rFcf,i qrzqi 6csm q3i qd, rota qlsqfrg+ foste-m usp cstq 6En qtrnfqtrizq< 65tq aru< [{}& s
<rfrGr?F4>fsls ri?
Orl qa]<I
Any of our Proprietor/Partner (s)/Director (s)/Affiliates is not engaged in any business with the entities mentioned in the UN, EU, OFAC and any
st
Signature of 1 Applicant/ Account Holder Signature of 2nd Applicant/ Account Holder Signature of 3rd Applicant/ Account Holder
)E qr<rr€I+/ ftw<rrft-< xt't-< {{ qr{Ei-ffft/ fqcFt?r< xts-< sn w6qE-d-ftft/ R{r<{tft-< rm*
Name:
4N
Designation:
"'l11<l
Date :
qfrq
Page 14 of25
REQUEST FOR OTHER FACILITIESI qanr {"tTftu ,uT *lruou
For the services as specified in serial 1 to 6 below, please fill up'Alternate Delivery Service Enrollment Form' separately.
fr-fr< r cct r \e ir{ @frrs <ifu {ft{fri qir 1ql+st < ffit<rlB rcffi
qrtrq Frffi{ T<{' T{q Ffi
7. Cheque Book I Yes (lf yes, please fill up'Cheque Book Requisition Form') E tto
cr+ <t ajr (qil c(E tr+ <t fi-g1G,.n +-<a' T<6i s-+T) :IT
8. Credit Card E Yes (lf yes, please fill up 'Credit Card Application Form') INo
cst,9u +t\9 et tot <E tefti $16 qr<rr F<T''lJci ffid) qT
9. Locker Service fJ Yes (lf yes, please fill up 'Locker Application Form') Iruo
q$t{ }|Le}j ol (q.I Ec4 !-oi< qtr<r;I F$l' T<"t +r+; ;ll
'10.
Printed Statement I ves I t'to
l$ass (6fiTs ,ix al
Appl ica nt's Si g natu rel qt6fl{$'1ft{ ?ls-d Appl ica nt's 5i g natu rel w[r<6qE1-ftq a6q Appl ica nt's Si g nature/ qffid'tfFd
I. ProductCode
4. Address verified by : I Utility Bill ! Rent Agreement I BTCLTelephone Bill E Visit by Branch Official
I others...
2 lnternational Sanction List (i.e. by EU, OFAC & others) I Match Found - No ,lat.h ao.id
Account Number
Qqr<ry<
Customer lD
e]{sqE&
ttl
1 . Title of Account
fur+("11{
ftrTm< e-fG
i...................
ii..
iii..................
Whether collected documents have been verified: f Yes ot I ruoq
xlQs nffi vutQrfl q.!TRlhnr
7. Describe how the address(es) has/have verified (in details):
qfb$tn<6qlt (q{q) f€slc<rrflq n<r{LTce (ffi):
Whether Beneficial Owner has been identified: f Yes of No+ f Not Applicable emqi i'{
I
Rnr<{ €ifg {kqrr"-Ift fi{r<"i r<t {c!zq ft-;Ilc
(lf yes, information regarding each Beneficial Owner has to be produced in Personal lnformation Form attached.
Ee< qt qrq erqs +.+o 1ftvn-oi1wtfu oeBfi x{s $fu crorg s'<lr{+ r.:.ar 3ffi -{,. aa< )
(ln case of Company, KYC should be completed for a single shareholder holding 20010 or more shares by collecting detoiled information in Personal
lnformation Form attached. Besides, KYC should be completed for controlling shareholder of the Compony by collecting detailed information.
aqqe cit*tffu frraaqqtil rnnrEtaq ,ea ftslfae effi a@<"lio costtifr a*;tn r.ito aR )
1
'l
. Registration No. of lnstitutio'l T tr (where applicable)
qfu$n+<fr-+r;raq* (er(<l5] c!'F)
12. Other Document
q{il-dl aFl
I tr where applicable)
(elBnqr ffizq)
Page16of25
14 Whether any Politically Exposed Person (PEP)/ lnfluential Person (lP)/ Chief of lnternational Organization or high level officials of lnternational
Organization and their family members or close associates have any involvement with the lnstitutional Customer (as per definition of BFIU circular)
o[q+ qfbfrq< qrql ml+ Politically Exposed Person (PEP)/ av?{rff $fu (lPy qg6dGs q"q< q{r{ <1 Es
'idEK Ffu
q<( Et[< tftrft{< wq] <t close associates
c(Bi? ft q (liqqqr?tB rgr otaEo qrfft< <fao q(ct sT,rk<)? (eiGflqr ffic)
! Yes<l E tlort
lf the answer is yes,Es< qt qrq,
a. ls approval obtained from SeniorManagement? f yesqrt I tto.n
ftF{< lrftEszT+ <s qT[:rthr cnr qa-Trq 1+ {r?
b. Has the Customer been interviewed face to face?
qiE(c{ {e?r1Ta qPFtqsln 6r'fi E.r(q 1} l..|?
I Yesq'l ll Noat
15. In the process of screening in terms of applicable laws, guidelines and circulars, whether the Customer's name has been matched with the listed
persons/entities having suspicious involvement with the financing of terrorism, terrorist activities and spreading of weapons of mass destruction under
various Resolutions of United Nations Security Council and any such listed persons or banned entities by Bangladesh Government?
qfuo xqrq qfrope .rR <rfu <t rrel q<( {(qttn I +++r< 16+ ofqcrgs rcr{ <lf <t fRh mfs qB]< EI6.or-{ wq rrtutt<IqiT{s .rt-d-mt f"{ "fsar ftcrcp f+ r
"lG<
E Yes{r E trtoqr
a. lfthe answer is yes,details ofactions taken in this regard:
tg{ rcc ruuaq
el-
" 6-
<r<'a< ?-+<q:
08 Garments Business/Garments Accessories, Packaging Buying louse ''----l; ^'::+t g<;?aPtr<fir<fr1a-5 5(c
- ,lffi
09 Share,/Stock Dealer, Broker, Portfolio [4anager, Merchant Banker:-;<,E< t==. S-.:<. 3::il;al. ardd trr<om 5(a
10 NGC, NPO i;!5'1;Ie 5 s(a
11
I\la1power L.\port tsJsrneSs -r-'- 7+- ?-<7 s (a)
20 1
Trust$rB 5 (a)
Page 17 of 25
Serial No Nature ef1& Risk Score
efrEl( frq csfd
29 Event Ma nagement (trci :rrro.qffiS) 4 (8)
2n Chartered Accountant Efu qattq(td 4 (8)
31 corporate customer Fa1fr{l 4]-*TF 4 (8)
32 Law/Engineering/Consultancy FirmE&leffiqffift w( 4 (8)
22 Energy & Power Production Company qffi ftEis Esffia crI.'nft .e 4 (8)
38 Auto Primary (New Car) Business qrrBl $W FEi ,t$ll oEqf 4 (8)
40 Business (Leather & Leather Goods) Tt<cT (ENgl e Engiqlo "tql) 4rEr
41 Telecommunication Company dffiiBfr.Tld rcrrlli 4rEr
42 Chain Store/Shopping Mall (c5tr df{/ fi. !E) 4 {8)
4b B u s n
i ess Ag e nt <mlt-erwB 3 (e)
[While assessing Customer risk, Customer will be categorized in high or ior'; risk grade after detailed analysis of profession and on the basis of nature of
Customer's business, level of deposit, business areas, business size, beneficlal owner of the account along with other specific areas to consider. Taking into
account all the concerned issues, higher risk score may be assigned to different Customers as specified in serial no.25 to 57.
qlR-[sr ift Fi+"fc"m o-eo S]qcf cel.ll< f oqn f?r:Fqg<s: {i<q]lr< aFG <rz- eT-t a=t. <r*{ctcl{ (Eisl. TJ3itcK qts]<, fnr<< ep lfrfoffi Esrfqq qrn+l
=-iia
frrm fr+ f+ms-nr iim atq$r+ ED +r 6x 3ft npr{ f-Fr< crfrlo<q +rcs etr< r cr< ?Tr== ?r<:aa linr sr{$asrq e.c (?11$ c1 eFr+ aqr< <|f fK q(1$r tsE< a+l< qr'{ $<(o
${r< l
z- o(o)
1())
>i r --'a l:: .l 3(s)
Page18of25
c. How the Account was opened.
1. Fqn crnqt< tr<"t
Value of cash transactions in Current Account (Fig in Lac Taka) Value of cash transactions in Savings Account (Fig in Lac Taka) Risk Score
uqG karr<qurq or+cq6< "ifr{{ 6frfi--st<) csSRff<T'm 6affi[a.-{ 1R$q Fsfu{) fr's ffi'R
0-1 0 (o-)o) 0-2 (o-1) 0(o)
>1 0-25 (>5o-tc) >2-7 (>t-1) I())
>25 (>ta) >7 (>e) 3(e)
I
Number of transactions in Current Account Number of transactions in Savings Account Risk Score
E{fu&qtz< a4dt6rdrn("Bf c?Fftfu< cffirh-rd<c($l fr.$ csl<
0-1 5 (o-54) 0-5 (o-a) o(")
16-30 (5,u-oo) 6-1 0 (e-5o) 1())
>30 1>oo; > 10 (>)o) 3(s)
Summation of Risk Score/frr r$]rtrn ffi'l+_q Overall Risk Rating/wmGro 1?+ mE<
Comments Tgfl
-: --: . :^
L
a=:- .:iind
,<c^cc
a:>cs>€d below 14, Customer may be assessed as high risk considering higher risk profi e of Beneficra{ Owner on subjective
judqr;-1 - :^3r caie the reasons must be specified.l
[* ft-e si: :s i"-.--: ==-=t<=={ivFfuEslftfir<rrmFi-crst-<qAgltio subjective jir+oametq+zaEs<;l?:tr.l77i:aaq <?.:rr- rL l
Page 19of25
MakerEeqotft, Reviewed & Ensured by rfimtw s fti;Mt:nf+of ,
Account Opening Officer/Relationship Manager (Branch Anti Money Laundering Compliance Officer)
R{K (lT{K F:ffi/ lir+.r+ft 't :rltrqqr< +{t $fr{glkq effu-< t1,16"X-qa 6ffi
Signature (with seal) fi-++q rrm-< Signature (with seal) ffqryq rm-<
Name:
4T
Name:_-- _--
{n
Date :
Date :
qfr=l
!aa
For PEP/lP/Head/High official of lnternational organization, High official of the Bank to approve the account:
qfrffi qqcafqq flTrffi/efsR"nfflrt\eFBEftfusce.R E{,ryE6T+?erf< mrq<itsoegvma€=*se#:
Name:
(Prior approval should be taken from High Officials of the Bank to open
the account and copy of approval has to be attached with this form.)
ltrmB c"rmm 6q66 afiirc{ [<ta:ry"irr< T.ffi eeet +<.rE q:< c<l ofGr ii rFf,6r<:iras,ii3:e 4.1lg
E1q
18 Account and Personal lnformation ofcustomer was last reviewed and updated on:
'e erqs q1o1s olTIh rfffin 1dIErD41 q<(
ftqt< EF1a1'im <i{rr Em{.
-
Date :
=-?r
ACCOUNTOPENING FORM
TERMS & CONDIT]ONS
Acceptance of Rules
Any entity/person opening the account shall be deemed to have read, understood and
ftfi<@
r+tq q'sr/kf,iF ftrfr fiTr< XEr?rd ffi fiqt< "ifrda.rm (sra (rr< "t6rft "fttrqa, T(arcqT q<i
accept the terms and conditions herein governing the account.
Eeq 6ZT(q{ <r4 1ql {a{
Withdrawals q'drfuqn
Cash wlthdrawals lvill be made on printed cheque and Debit Card supplied by the {fi(4 q.6s {tr<{rqTE Elfl]r4t (6-+ q<( rcfii $.lgqT| i{q Ba€]E{ q{I rin< <il"io ftq|C< q{r{
Bank.The Account should not be overdrawn nor should cheques be overdrawn against qftftc g.Et{{ o q{I< qfEfr.e rrs qfld mFetr<i otll {{. nfr iT <rl(r+T qftct € q(@]s
funds in course of realization unless the special arrangements have been made with krl< mr+ Ifu,flsko alT c|rs rq$Al Rll.trdn frtilro rorrt ertftl?-e (.€ErrgFFi) eqn fii
I
the Bank. No overdrafts are allowed on Savings Accounts. 5?l r
Withdrawals in Savings Accounts will be made as per terms and conditions set by the
fiGd q{.n <11(s F.6€ fr{frs 6tI{ e -nt q*nil c!ri} fr$.< Erctsn' 6{r <'iz< !ffi
Bank from time to time. A depositor can deposit and withdraw from the Current
Account as many time as required and Cheques, Drafts, Pay Orders are to be crossed at mrmr+otii ur< rofu 616a4 ITqlc ns<]n qT]nq{ fl{m{ ,r{q{ 6TEla.+Ti} Er< rrf- ft-<"
the time of deposit. The Bank acts only as the collecting agent and assumes no r =; j'
{titj1n T9SE e]IT]E-d (Er{fh;I {<fE nf{f<:t (<? fD<. AIID. Cfl-qu1< 5$ ffi€ffi nrT
responsibility for the realization of any items deposited with the Bank for collection. +Tao q.< <I($ e{ cgfEs {(qT fur{ $tq 4r{ s<( (F+ q(€lR{ q3?i ar1-l-
-?.-
=.7 5
-lhus, proceeds sTmlza.< Tfi,ft< mian.]. qll]-q'lfrg <IirT( G"B <6r{;Tt rP{r( cflrdr s{rFFgr :\-.
of cheques or other lnstruments deposited will not be available for
rvithdrarval until collected bythe Bank.Balance in Short Notice Deposit (SND) will bear -9" Tl<jor q{iTo qd aXia as'E:116aa16a3 qiarl s]{f Erg]aF< ?-..- .-; -
=-
interest as app icable from time to time. For withdrawal of any amount from the SND sqqnni fr{]r{r Qfui C"F fiGe aarq elTTtq, qffi {itrfl eqta h3- .i :=it .- .:-7.
Account 7 iseven) days notice,as per option will be required. crrmfm 'fkfiaq< UrEr+c+< ffirc q (cr) fir;m qrti:r rfrffi.l f;rc al<
Fees
-re Bank shall be entitled without notice to levy or impose all custcmary banking and
fuqx
Tre<i r6F r*.E- E-.u gu?e cr'ras 1 sn tr:T .: . -- .-+ -"{} E; rt- Gl
::-er charges and expenses (including collection fees and legal expenses) in respect -
:' :-.. :rrornt or in respect of any other banking facilities provided to the Customer
ft:4< q1<1 41 m1i ilift(
61,ln {fiif6 {a11+ ;:ei ? ?--.-. -= !<-t <liiZ4i rron'i{-a/
qq1rc fiTcrr{ ft$ q€lt &Tf< q.!rea 615 6!; --. .- .-
- := :-.t < ir-</ fifln"T{ <q
:. :^: l:-l:rC to debit the relevant accounls'in accordance with Bank's normal
R€$< (IiG GFfg({ls[ qr< n'l ]
-
..-.-..::::.'e.Suchchargesarenotrefundableuponterminationofanyorallof
:-::-:::--::::arnis.
Page 21 of 25
Credits to the Account E,qs ftcrF ssl'
The Bank acts only as a collection agent and assumes no responsibility for the <lt1+ E1 c"r{f.r4 iIgd kTr< Ol9 sar r<i t<ii{ El{ rft;1 a, a 6 +<r< at qft st1-{.ic;K
realization of any items deposited with the Bank for collection. Thus, proceeds of !.-rl r4{ l&1TS <rt(zr 9{l {i Ie?i or4l sarr FF I-ii'd< {ttrn olmo qcf
cheques or other instruments deposited will not be available for withdrawal until
collected by the Bank.The Bank reserves the right to debit any account that may have FI-l <t1?i +fi =f+mry'e a$tr qEE.tl 4a.+ f47 1=t.- '-- = az :- i-Ii?iifn< t:Ta.!i
inadvertently credited with an item subsequently unpaid on collection. al ?I
"Fm1f.ln
The initial minimum deposit to open an account is as per current Tariff. Average f!n6 1:16g Em Tilsr r,ar< r.i-+r" <ii(t ? 5-4.ii o*-,+t sd.rti'i EZ4 Fi1-o Erffoi .q{T€l
minimum balance as per our current Tariff should always be maintained. The Bank n3}lx;r cofffi arrs-{ flg rifu 1iilom scn<s a16q1 <1rn a{i cTltd 1'-oa,@ ifuc
reserves the right to close at any time any account in which the minimum balance is <qR il {tolq <it($ 6qr6F anr (ffi
{4-0i. a-t<ala oii-r e]tF q|si aa wa q rr
not maintained, without furiher notification to the account holders.
do so w thout seet -: : :
;hall bc responsibre l- :.. .
:.Jorunprtatio'.c - .: - F-i;
ai'? c-114<
cheque if presented through automated clearing house at the lsk and resporsibilrt; cf
the account holder(s).
General Rules a < sd .-(l <q
i. A newly opened account wiil be act \.,ateo !pon ac.omp lshment of Know Your ). <li1ci iit ETrrfir ra€{,ttr EFifuE- n*lcf qDE qe$< t< ,{6lEE DE ffitc.F r
--: a:r( may without notice combine or consolidate account(s) with any
.: : :; ii ihe Bank and set off or transfer any sum (s) standinq to the credit of
i-:- ::::-iis or any other suit (s) owing to the Customer from the Bank in or qdl Elqlg{ <1 tf{T{ o{ts ,lla< <ll(r+l ,ri( a-al- i ;- .-= 7. 5qfa. <E<i
. .- .: :.' j'.ciion or the Customer's liabilities to the Bank on any other respect !4?!/ 6.fa. {-A l:a-a "q (6 <TeT :rr A-5-7- '7]=' -. -.7 4a,"1
-: : i-:- :5' lties be actual orcontingent,primary orcollateral and several - -
- :: :- :::eral lien orotherrightsorremediestowhichthe Bankshall )). <Jf(s q:Ir q<( I:]IT q{({ E€a :-
CI (+-li !-]- ;?:<c:"ZI]q <l sdl
I '-: :: -. -.,! at any and from time to time apply any credit balance qk$]< gftTr1Jr{ E"l< qlEr+? {e-- a-..
a
-:.: =- El' :lE'57T ro.aon
-- -, =a.. qK
-:
: :-::r--:'s is/are entitled on any account(s) with the Bank B?k qfe.q< qfii<t< rmrq (E?r<= r<--- --. :- i7 -.- <IiF< at
: : : : : ::.tr-rt, sll in satisfaction of any of its indebtedness to the
. aoF -il?r|1n <ftg elqfqr {TE- E" (-- :i1; :- - -.- a=-
' :- :' ": :..crntis) of the customer(s) with any Branch of the - -- -
:::-a:::: :: :': combined account.
Page 23 of 25
12. OperationsoftheNon-Residentaccountsshallbegovernedaspertheguidelines :.r. emfr etq(T< {Fit6 <t(aitan"t <rirm< ffit-+ qflri ffi.rrfrs qr< ; er<fi qRT :rFi
of Bangladesh Bank. Holders of Non-Resident accounts should advise the Bank rr]<]z{r Bcqr-jl &im frr< ogaa 9FVF ol ,mq I]Iq <i({GF '6|{]r{d (4.l
lmmediately upon return to Bangladesh lf they lntend to take permanent oft'r< "|c'i frIir-op-ir:< <I(hTs 6iatr{e zr+iii et<r-$< Ef1i9
"raefz<
residence ln Bangladesh. It ls also a responsibility of the Customer to inform the
Bank in writing before leaving country.
:!e. $T(iF TTCTF1 q'rT tT(TtT qlqa4< -!ifl]-r7E ail 6q{E o{1= TATfu - t-116 qFi
1 3, The Bank may refuse to process any transaction on any Customers' account(s) if
rrF,:r<6- cr aadffi{< irltt{q< {a{cil
"Ifr<
the Bank suspects fraud or illegality therein.The Banks'decision on whether the <lj.r+< fir<rdttr 6 aqd.(F q'rji-'$jt a r<-qiA
transaction is or likely to be involved a fraud or irregularity shall be final and 31111+< Fl6to pglg a<( qtq$ -l lrai EFIE 4!!l
concernecl authorities.The Customer (s) shall also comply with and be bound by all -; -
other relevant internal circulars, policies, rules and regulations of the Bank including
any amendments made thereto from time to time.
suspicious Transaction
qffiaq{'s rffrqr
The Bank may refuse to process any transaction on any account ofthe Customer ifthe qSaq< ct mr4 ftn1j 6;1i77< <1^T? <I'i. -= :E fu =+-<.-- ?-. <R1-
Bank, in its sole discretion suspects fraud or illegality therein.The decision ofthe Bank ,flI<. Sf- ({f;r EtftTtfu qq-fl s?<{ r.FF< ;'€?=- "F\-<
i1s e st, (ii elQlc (-i. finrF
with regards to whether a transaction is or it's likely to be involving a fraud or illegality .q]ji'flfu <l qZ<q nftr <p itdl s <irt1< <tri1T< ffi qve rl<( { q(@ls Fl{-Eiiq
or irregularity shall be frnal and conclusive and binding upon the Customer. q{rc?-fl<<;[< r
' Current Accounts being in inoperative for one year will be transfered to Dormant
statu s.
Savings Accounts being in inoperative for two years will be transferred to
. rcfu(c qTE-cd i (El) <tr< rir+aqr { <r4 EI ls fol< Taq 't r <<
'
Dormant Status.
(As per Clause 35 of Banking Company Act '199'l) Accounts will be transferred to t <]tlo rorqfi qE{ )bb) -!< e(r {41 4(4 50 (qil) <q{< {+186 qr{..siTs fu]]I<
' ']<
Unclaimed account status after '10 (ten) years if there has been no transaction in flql $Tt <j< {fr EE ualffi qrqs {6+ (+11€l-ol< 444&-q ;It<aI
the said account by the customef. o €ttal4< g6,fr -f{-r1ftr.oof(dr uio qfr<n q]!il. I,g (sa(:r$) sotffi fi;n {{fii1
' \o customers initiated transaction (except credit) is allowed in the Dormant account gra 1s:il <tftz) e?6,4i11 EI< -l
,r :ss the account holder(s) apply to DBL in writing to regularize the status of account
Overdrawn Account
sr-t?=?r<
":...:3::.:rieasonstheAccounthasanyunauthorizeddebitbaance,theCustomer 7 a-- !--- z- =1;-;; t- .: - - -i- l:t qK
-
:^: ::. -:.':i: and other Charqes ln accordance with the Bank's prevalent raie and ra: -.., ,aj-:-i -".-7.; ! a- * :z: i -
r.?.: a- i= a :.-l<, ;
.'..-.aa.'.:.: regularizetheAccountonthesameday,unlesstheBankspecificaly -a:.j:f -
' a. a: a^ :,::a: J.. - -
a-a4a t'_.')
i-Staier€nt
-
-::-:::-: :re risk and accept that the Bank does not use encrypted 4. e=j:i 5-a I -'= ::' *-'- j- : .- -''=. !;=:a-58 i-f1tq <f<ER A-an +
.'. :-=-.: r::'..1 is not encrypted and is not a secured means of !<i ?--<;- r;j:.-3" i - -. .-z-. i;q"v {Iffi af tEITrdF s4liE
:::- :-.-= -':.^'a:r.i.:i lnvolves the risk of unauthorized alteration, -
' : : :: :: - : :':-: ^=:'-atlon by unwanted parties.
. --::-i::-: :-: - :. :-r :..3pt that transmission ofthe information to ?i. s ii si<' r <rq-; {?i ;q- :t. rEzqp elfufiFm ffqag 61611 ft,ffro <ift<
: :: :-.' :.: :':': :formation to be viewed,altered,used or -'= r-- 9- .: fr i q?jr< E+11, ffi
ffi:q: 1>-F< A <<afzT{ dj+ {aTre.
.. -: :: .': .nce authorized, but may not be in the cqt< -. ztra -ta ?Fi- <lfe <-itila{ EF ,rftrzq +>iiE afiflq gft<ire dl<
:--- .'.' :- - :-:'-:;-4. \Ve agree to indemnify the Bank <:?gd, -ffi r=zn lt:irt;< .qftfs,E{t timaqD oqT €rqrE< rrfi ft:tm <rq<r<
$r<16i -5 e..t|z. 2ar';. "i.trc6 a1 <j-qlr{{ :Fffi r{ftifi il Ee- rIB-{f< ail<1"f I? a<:.li-..I
qqo.ffi Efir9 .qr= -<llam q.?"f<tt? q<lir& filo lqg {Efgi Esu :fflr{ afl r;It E4 <l
lalJ g<-Fl 7aA- 7n Ci+ omf --t:
-:u: -- -)
Should the Bank accept any such instruction from me/us, or from some other qrT1</ q$rq< qtfi"i 1ffi< rFIE .$r.{f sG a1 rrn5 EE (qirt
person purporting to be me/ us, l/we hereby agree to indemnify the Bank
I? 113E5q) <if$..s
q<t1at9 thlp
against any loss, damages, costs (including legal costs), or demands incurred by
the Bank as a result of or, in connection therewith.
c) The Bank may in its absolute discretion require that written confirmation of fl. ql{t"/ q{1rh.3 dlfia iirf.,'irr {k[eft-(E €sE frfis frzf"i,il <Tl(T
A.?,s ft6fi8
qiFfr
mylour oral instruction(s) be received by it within such period as the Bank may T{[it3t :r[!] qfft/ q:Rf {,i(FzT fi-< 1 q6qa qf}q rfu ea]t8 {EzE {Fq;t d.fifs
specify.Where any ofthe above accounts are opened by more than one person Fnri.t{l ck--Tr< wdl fiffi er{r< {JT<+ 'i $fu< fir6l{ Ffqr{s +rq str< r
any such one person shall be entitled to give any such oral instructions and the
Bank shall be entitled to rely upon such instructions.
d) t/ we acknowledge that mylour use of Call Centre shall be governed by the E. qfr/ qFrfi q'{1E a:r qrffi/ qEjzh< ffif'rTist't mgi editfB rqER <Fqm <nsro{ -]ffi
Bank's prevailing Terms & Conditions. ({IE]I{S 1kEItrEer<
Confidentiality and Disclosure of lnformation !-retfi (6f ifuq s vqT efsf.t
Whilst the Bank maintains strict confidentiality in all matters relating to my account(s) crr(qg <fi($ q$-{ ($tB+ <t T,<qT.IE ftlm sr"rr-{ ('fifu - <{,{{ 6ffi, ffi et {c{ {J'|rTlT
and business, I hereby authorize the Bank (and/or/any of its Officers or Employees) to (<ll(I+T .rlr{ cffi <r ofrnii.T) mvr ft@ (T, jiq eFFfo <lfu a efu&Ir{< aTrE
disclose any information concerning me, my business, my accounts held with the Bank 'qrrl<l$Trzh-{ qs]EE <l Tj<-ql T&rfte- E?[ qTla ffi] $[1
or another Group Member, or my relationship with the Bank or another Group Member,
6. <IiIq{ Cfir{1|ll1l qFFq 4]. $l?.r+< qnl]il €F'l ffisk-,!< ql(et
to any ofthe following (a) any Office or Branch ofthe Bank or another Group Member;
(b) any agent, contractor or third party service provider or any professional adviser of
rt. <I(T< [sln (ffifi. oEtrn <l a,11:655 6A4q;+ffi r+1{ ,e{ ers <t <r(rsn a+]l r"Ffirik
the Bank or another Group Member; (c) any regulatory, supervisory, qovernmental or firT{iF5lGF <l w411i €Fei ffc6-q< 4lq
quasi-qovernmental authority with jurisdiction over the Bank or another Group
5i. h:rdffi q",Et, rfiuffi, {floft <I qtq] ffirfr q(q. 1ffis fug anla <| €FTfi qn]
Member; (d) any person to whom the Bank is required or authorized by law or court roa ft{t qit{1Eglr< aT{6
q. qtI.r < qErerEr{ ffi-t fi,61?s m|d {JJb {Id Frsi Tjj($ EqT eqf4 4j1s {qT
order to make such disclosure; (e) any person who is under a duty of confidentiality to
the Bank; (f) any Bank or financial institution with which I have or proposes to have s. ffir;fi $1G {ft Tfi(rsr (1l{itq nsl c(@ls rtq frcr'GE ?,tzo:
dealings regardless ofwhetherthe recipient in each case is located in gangladesh or in r. m]fi <il(s <i qfi7rF qfu6ld rI]< ftal q{R rfirra{ qIq <t rq{(,.ar< erst< oc{&; etqjT
another country, and regardless of whether such information will be held, processed ,Firl qfu ilqfthri 4 qfj (iF]r{t fi-fi q{ElT +nrq. €<i A Ee[ €faf.6] t{i <T(+a161- u'
used or disclosed by such recipient in Eangladesh or another country. qnIITF fiItl q"'{rF.i {tr:F <'l €r$l1 4-+:S r
lndemnity $fi"F.f
The Customer shall keep the Bank indemnified at all times against all loss, cost, ql{s <ItFlT .rr (Tl:1 rffi(q< ffitF{l{, ffi, rr<5/ein (qr?ft ?r<5 rR), qr€i <l ilRqr rll ct114-{
damages, expense (including legal fees), claims or demands arising in any way in R;qn+< qzq cq afln--q..< tlp qq<r et l--i<6"< *r<i .+rq 'ft:ilq "ldrEl< {<( <aFq <i1t{ :ra<l
connection with the Customer's account or in enforcing these terms and conditions qU* Tirgc{ 6I rsr{
and !n recovering ofany amount due to the Bank or incurred by the Bank in any legal
!.{a.in k{ 4lrffi< Tc<l Cs'T4 Fnsfu "iEIdf+E aad €fRT <lj(Frc
proceedings of whatever naturc.
sfu"j<q th(E {$ rxr1<
Service Disruption
"r1iirrfl {nag€<.1
The Customer agrees that the Bank will not be liable for any loss or any damaqe, if it is qlqs ( <Ii'llG {qlo q(< ({. o]< r+F ffi q 66a6a-E s{r <nstrrS qE|<h TT.{ {. 4fi
unable to provide services in connection with any Customer accounts due to postal, 'q
Tri($ c'll$li1, g.fr'{k, }rufoo :fli6s, dfu({I"m$l sa]<l. $ffiD]< odol, etTft"F Wrrf{,
courier, electrical, mechanical, telecommunications or computer failure or an act of ii"lftsft Efi-{, 35, ft'fta <r Fm wrorm qir..i cTq arln <lEE e{
God, catastrophe, war, civil or industrial disturbance.
No Liability for Loss qt'{"{fu
The Customer agrees that the Eank will not be liable for any loss, damage or liability g]{qas q <n4r< {qE q/t5 ql{{
incurred by the Customer in connection with any of its accounts with or services
qa< ct. <fi(or6 n-ft o+ro "trdr< + {fr CEin a",[+EE].sfi- <f
qll .{Rrfl< E,rn <6R .rt qr FiqK s q1i4 6q niftg q<( q={fu {t <fi(rr{ ron .!rE+. sid?l
provided or agreed to provide by the Bank or inaction on part of the Bank or any of its
officers, agents, employees and representatives.The Customer agrees not to hold the
e Effitt< {
4'f+ 31E €fia+24 <r'1163 nqE {ro qz< Fr qRT ?ffl(s6F [of{ gt'fir< qEr<E
Bank liabie for any loss or damage arising from; (A) non-discovery of any forgeries or -{aE 'Ta< dt {fi ao[d CqFirfn <l trr-+fu u]r< +tT1.i ]t+rfrE er: (T) rold e.lE-qfft.flfu
frauds, except to the extent that the Bank has acted with gross negiigence, {B) the
-rr-? <."re ?l<-' { fi {
4rTtro< {s ffiaq<.q<rqqT TErc al eir (?i) <ll$ 6q mr{ <;6aq
Bank closing the Customer account for whatever reason whatsoever, (C) direcily or a-q?: -+:< <-i <..F (e) g-Ts + 'z<tsstz< Fq, <I+or, q4r{drr. q,E4 <l EllG q?,Kt qd miq
indirectly, the error, failure, negligence, act or omission or any other person, system. <fa. "z:e 3ft6 a 1+69 "ffimm n<; litrfto c{
institution or payment infrastructure.
Waiver :€T:F
No forbearance, negligence or waiver by the Bank in the enforcement of any of these iqzr-s .i.rri ql{a'i :.-iril e?R q<reTT. q-T, eFfu <t {€TrF E?qiiE to=lr+it +rir<srz<
terms and conditions shall prejudlce the Banks righr thereafter to strictly enforce the rL[n <f i7@ s',r,3 €.<a< a ffircglr< ffii qi rq-.r +f.c rn<a-{ 6516fl a,e$F 4TdTjl
same. No waiver by the Eank shali be effectlve unless lt is in writing.
a(< il
Variations lftR<a.
The Bank may amend these terms and conditions at any time by not less than 14
<iT.T crmtzil Trr{ ( l6t<ft "tffi o<.ro flm fir3. st if{ Eeflr
(fourteen) days notice to me specifying the effective date of amendment. lf l/We use {rrcn )8 fi{ 9I.'< <n($
any banking facilities after the effective date ofthe amendment, l/We shall be deemed
ca.tB"i ftct ET qlrtzF q<{s- r+m t"rffi
"rffi O:ir< qe-rm fi qji Tfi(ft( qfr*n €]aq
4<ro, qii Til(rT-{ -6ril flk{liffi fift.r c1zlQ .!ai "1fr{firE.rt6ft .fia frmE <rq fll
to have received notice ofthe amendment and to have decided to continue to use the
banking facilities upon the revised terms and conditions. l/We further acknowledge << r qTft {l
nd fi'D-:1q f-fu o 1fui qists m6al 6a1&!' "1ir6a1 ecr {rcuq Es a;1fff."r<
that in the event ofany changes being communicaled to me,the Bank is not obliged efib ilfl-F qq<lg $-+{ qctq {{ro {ltr.s i{<T<11
problem for any reasons beyond the reasonable control of the Bank.
Governing Law q6frEq-t{
"tfiurfts {<( $crt5i 4?r q6 u;i rp :1i
These terms and conditions shall be governed by and constructed in accordance with, 3!E FRr{ Aft/ "r;rTft <i(itrhr-i. Erfird qEGE
the laws of Bangladesh and l/We hereby irevocably submit to the non-exclusive {l(qftq1" r+ti'a ffit <l qRzr< stR f},s.i6m fl1fo r ql qr;.q riI(or6 i4; zr. --
jurisdiction of the courts of law of Bangladesh, Such submission shall however, not
pre.judice the rights of the Bank to bring proceedings against me in any other
ri(hl< <t qEd. flrcrffis qm<rq]rtrzE< ft-irffi cflrdl <=JT€i (;Tifl (?r4 ft<- ai:F - : -:
jurisdiction or courts of law elsewhere. However, all accounts shall be subject to the
provisions of the guidelines/circulars together with any alteration/modification
Tlric$ (Tl r{Gr l:rr{ 1fr{ezd crc 1rc) 'ifi'Fxq-5
qi<
rhereto effected by Bangladesh Bank from time to time.
',": have gone through the terms & conditions mentioned above and understood 'oiftffi {i Eci li'rtEi eafd rrff6 fi. Tfi:,5-il ft- ;-,;1:1 :--:"-
::.T in entirely and undertake to abide by those terms & conditions relating to the lft<fp ,!<( te- fi?rlmi'nffi r:ttr TI'rnE 4.:-. -.- ,--=--i ;: ar:- j-?-T
a::orri. I We also agree to be bound by suclt terms & conditions as may be amended E"|r<r'o ftr$Tfri/eF l<fii mrd 1ffi/itia.r6 p:t= .j- a=
- --..>:
'.. : g .<l ?rr<
J';-::::rented from time to time. -
Signature of l st
Applicant/ Account Holder Signature of 2nd Applicanti Account Holder Signature of 3rd Applicant/ Account Holder
;: ==raffi7(rF,1Eqft1tr< ,rT w<qn-stft/ Rfi-{$A-f { s< cxw6qaffi7q4urft<tm
Disclaim:r
lf anr' 53'=-, : - :' ::. ::: ::- iargia and EnElish version ofthe text mentioned above, rhe English version shail be deenreo as correct
1"-7" ii:- z= . := :-. a :.= -:E -.:z r iE: :<r :l:r, ,-rFl <r<1"F figi-<.it{ alE i<Z<,G llrAq At.e <r..1 ,1ql aI<
?age 25 of 25
I(
IT D