REN RG Ree Limited IPDCZ DEPOSIT APPLICATION FORM (INDIVIDUAL) Branch + Date: Dear Sit, |iWe request you to open a deposit account with your institution. My/Our information is furnished below: ACCOUNT TITLE In English (BLOCK LETTER) (ln Bangla) TYPE OF PRODUCTS DAPS—Annual Profit ._MPS—Monthly Premium CPS. Cumulative Proit 5 QPS Quarterly Prot Scheme Scheme Scheme Scheme 1D FDR General 1 MDS-Millionsire Deposit _DPS-Deposit Premium 51_DMDS- Double Money Scheme Scheme Deposit Scheme 1D uttiex 1 others ‘Special Otter (tary) DEPOSIT DETAILS Deposit Amount (BOT) Term (in months) Interest Rate pa. Deposit Amount (in words) Monthly Deposit Amount (BDT) (it any) Number of Premiums (i any) Initial Deposit Amount (BDT) (it any) MODE OF OPERATION 1D Singly 6 Jointly 0 Anyone Others CONTACT PERSON DETAILS (FOR ACCOUNT REFERENCE) 5 Applicant 1 Applicant2 1 Applicant 3 1 Applicant 4 Name ‘Address Thana Post Code Mobile Number Email IPDC is authorized to send deposit related information via SMS to contact person's mobile number 0 Yes 0) No MODE OF DEPOSIT To IPDC (Cheque!PO No Cheque!PoDate Bank(Customer) EFT Ref Credit Account No Bank (IPDC) Others PARTICULARS OF APPLICANT'S BANK ACCOUNT {All payments from IPDC will be made through account payee cheque/EFT to the below mentioned bank account) Bank A/C Title Bank A/C No, Bank Name Branch Routing No: ‘SPECIAL INSTRUCTIONeee) rt prant be terctemusernch nts ipsa te ena pe ‘conocer eon ey, focteuietasdeetorare Sigur matvan my toeeet tran tee act Seg eee ee an ape on ee te ‘Son ears we cea tne oe Sonne fea Ta RET weceeet Tet eS i Se ESS AR Se BU “reea8 ween Aes opr Sense ote a me ee oe a A a “APRN eee eur eo me re Tene ee see et wat 3 ementer seo mee ieee say Bet ea om ce oe neo ‘Surge ete went exer eerie ern oe Sore meee eS ‘aod seu te om eae ome eee ee epee ann oeso se eine oe some nen (See ape ore Sos PU me ENE her ure A EE ee eee (erry nero ute om riche oy Sue ar ER “epee aot mare Ree (ee en pee ee eee ge ae one tem ee is He HS |S oy Pas Spe He OES OA, Ha OE, rar ens len ee a ee ke a I Spee ne nye oe een ee es ens on ete ton SL wet ew He a pe ree SE a ME ES A SOT Aa FE ory eat, he 04 a A a Re EN ene EE EE AN MBE a cep eon een pees aie ne ee “eas ep ts lame een a ae nn Re eee IES BO oS coors Sipe oe eae a oH sees suse oe wre soem eee HE SRE eres 2 SG WE Oo eH sa ee BY HE BN peers 1 WERE mE ge ea at Na Lem os seep nore ero rene 2 Sewn tees oar foe meee te {eigenen ra Se teetog yet Soe PSR TE ‘Sib eeube RS ew oa om Fee oD erst to on She esa PE Beha ae ie ra spe eee eo Sterne ery a tae eo oe NOW “Se meg ne a ea RA eM poor meer arr ars sen en {pense so mares sans wet oem 1 ce seme oe eee sree “SOP ee em He HE Seer eran Snr ape fee re eo rt re a oct on ene penning geenyee ges re ‘etre eee Ac NE HRA ee Sed ee ta AEC Pe RE ee STO seis Pret ows ear EE Re eM EB A = roemer ser ee a MI Ea YS eS prmegeamenes eee eente ‘on 8 wk ARE oe aN a eS YL Be a esween cured oher we e's areeraew ns OE PRODTEIEN ons weTTLeen ‘Trews e Oper sed PO emer re pened at Deere ney et cs remap fe an tan 8 Denna a SE oe ae ‘eae ates nny me Seti me ov 1 nuance ion BED cmon se oR are A AN 2 Morse nn ase Shree sa et yoann se Due we HP ota Sr oe ens ie me te HS coevereverees Sree em ong mes onineeenGoue enna as me were eccu mr mel wanteur arr 7 etven cata Be ae ee me erties ene an on ora enceed open eta ear tt 2 Sr mene ey eon ain ee ee wasn ‘Semi whe ose eto saat ee onaet ane me ier aton tena ta ch ance tn abe SN UT Cad 1 he trode ae a 08 a sa, {roe sar om tee aos BS ON pe ac ae ber wre ‘Sete abe ve, sre orc an oat Syne a eee a a ic etacrr sina semen a nb er ogee ane ea ‘Straw oes valuta tab ye ete a oe EE ev coecen ote ee BS near oan a me Fen cent sateen wane Sarat nee Sess sn a me 3 Scene afte on et Go to amiga we msonge® ws cane Name of the Applicant Signature & Date M's SignatureREN CRE Bath Leas aed Limited IPDCZ Nominee DEMIS ue a DO) Photo attested by Applicant Nominee Serial No. Percentage Share % ‘Account Title Mr o Ms. Name Gender 1 Male Female 1 Other Relationship with Applicant Mother's Name Father's Name ‘Spouse's Name Resident Status 1D Resident oNRB, Date of Birth Profession (it any) NID No Passport No. Birth Certificate No TIN (if Available) Mobile Number Email Address Present Address Thana Post Code Permanent Address ‘Thana Post Code Nominee's Signature & Date ‘Applicant's Signature & Date GUARDIAN’S INFORMATION (IF NOMINEE IS A MINOR) 0 Mr. D Ms, Name Gender Male 9 Female Other Photo attested by Applicant Name Mobile Number E-mail Date of Birth Relationship with Nominee ELNIDNo/ Passport No/ <1 Birth Certificate No Preferred ‘communication address Thana Post Code Guardian's Signature & Date |[ sa. ‘Name of the Applicant Signature & DateIPDC Finance Limi REN SRE CIF No ‘Account Title 1 Mr. © Ms, Name (LOCK LETTER) ‘Name (in Bangla) CUSTOMER'S RELATION WITH ACCOUNT 1 Applicant Account Operator nee Gender Male 1 Female <1 Other Mother's Name Father's Name ‘spouse's Name Date of Birth NID No Birth Certificate Occupation [Name of Organization Designation Office Address Contact Number Present Address Contact Number Permanent Address Contact Number Preferred Communication Address 11 Present Address. SRA Peas ASS ited 0-Applicant 1 Applicant's Guardian IPDC/ Photo Nominee 1D Nominee's Guardian Resident Status: 9 Resident od NRB. Passport No. TIN (if Available) Profession Thana Post Code Email Thana Post Code Email Thana Post Code Email 1D Permanent Address 1 Office Address Applicant's Signature & Date M's Signature & DateCLIENT FEEDBACK FORM (CIF) Name/Account Tile Description of Deposit Deposit Amount (BOT) Product Category ‘Comments si Questions IPDC Finance Ltd. | _ Customer(s) 1f@). | Whether IPDC has charged any extra fee (maintenance No. YesiNo feo/others}which was not mentioned in the agreement? 1(b). | _1fs0, what is the reason NA Agreedinot with IPDC's explanation Date: IPDC Sign-otf | Customer(s) Sign-oftName/Account Tile Description of Deposit Deposit Amount (BDT) ‘Account Type CLIENT ACKNOWLEDGEMENT FORM (CAF) Questions ‘Comments IPDC Finance Ltd. | _ Customer(s) ‘What willbe the interest rato? 2. | When will the deposit account mature? (a). | Wil the interest rate be same in case of early encashment? 3{b) | If no, whether the clients fully informed about tenure if fully informed about tenure-nise differant rates for early encashment? 4 | Will tbe automatically renewed if the amount is not withdrawn at maturity and no instruction is given by the client in this regard? 5(a). | Will there be any fees charged against the deposit account? 5(b). | If so, whether the depositor is informed about itor not? Date: IPDC Sign-off | Customer(s) Sign-off1. Account Title 2. Branch ID & Account No 3, CIFNo 4. Client's Name 5, Namo of Relationship Manager Documents If photocopy has been obtained, in applicable cases 6. Birth Registration No Yes No 7. Passport No DYes No 8, National ID No Bes No 8. Commissioner Certificate Yes No 40. E-TIN Yes No 11. Driving License No Yes GNo 12. Information on Beneficial Owner (Beneficial owner ofthe account must be identified and KYC of beneficial owner must be ‘completed in details) 1. What s the source of fund? How source of fund has bean verted (f applicable)? 14. Isthe source of fund consistent witn the profession of the cient? Justty the consistency by giving detailed desorption of client's profession? 18, Rllsk Score D Low Medium © High 2 Extreme ‘Comment ‘Name of Relationship Manager Name of Approving Officer KYC Form (Individual) ‘Signature (with seal) & Date Signature (with seal) & Date16, Is any of the names of the Applicant/Nominee/Beneficiary found in the sanction list or any other blacklist? If the answer is yes, then give detailed description in the comment field Dyes [No Name of Verifying Officer Signature (with seal) & Date 17. Last Date of reviewlupdate of Account and Customer Information aac RN OT ‘Signature (with seal) & Date Please open 1 Donot open Name of Approving Officer Signature (with seal) & Date ‘Account Opening Date ‘Name of account opening officer Maturity Date ‘Signature (with seal) & Date For Office Use Only RM Name RM Code Branch RM Contact No Cost Center For Lead Reference Name IPDC ID Branch Note (ary)Document Checklist 1. Duly Completed Account Opening Form 2, Photo of the Applicant(s)altested by RM 8. Photo ID of Nominee(s) ~ such as NID 4. Photo of Nominee(s) attested by the applicant 5. Copy of valid Photo ID ( e.g. Passpor, Driving License, Birth Cerificate, National ID Card ete) 6. Copy of e-TIN cerificate (available) 7. Cheque for intial deposit in favor of “IPDC Finance Limited” 8. Visting Card (if available) 9. One year bank statement (i available) 10. Copy of Electricity Bill or Gas Bill 11. In case of minor's account, Legal Guardian needs to fl the form and provide the required documents mentioned here. NB. Additional documents may be requested as per requirementNBFI Returns 2 Reporting Form Depositor’s Information Branch Name Branch Code NBFI Branch Code ‘Account No For Individual Deposits’ Name (IN BLOCK LETTERS) Profession Sector Code (00 page 78-99 for Guldolnes on NAFFT.2 & 9 Rotums) Type of Account HType of Deposit Code (00 page 85 tor Guidelines on NBFI-,2 & 3 Returns) For Institution/Office/Company/Farm etc. Name ofthe Institution (In Block Letters) Profession Sector Code| (s0e page 78-98 for Guidelines on NBFI-1,2 & 3 Returns) Type of Account ‘Type of Deposit Code| (08 page 85 for Guidelines on NBFI-,2 & 3 Retums) Prepared By Approved By Veriied By date( TTT Ty) [Pate TY) [ste ST TTT Notes: 1, Form isto be stored with Account Opening Form 2. FordJoint Accounts, tst Applicant will be considered 3. During NBFI-2/NBF-3 reporting, the codes ofthis form must be inserted