Account Opening Form

Transcription

1 National Bank Limited...Branch wnmve Lvjvi Av e`b dig Account Opening Form e w³k wnmve Individual Account wnmve wk ivbvg : (Title of the Account) BDwbK Kv gvi AvBwW KvW: (Unique Customer ID Code) wnmve bs : (Account No) National Bank Limited A Bank for Performance with Potential

2 e vs K cwipvwjz PjwZ wnmv e Kvb gybvdv cö`vb Kiv n e bv wnmve Lvjv msμvší wbqgvejx Ges mb vwbz MÖvnK `i ÁvZe cö Z K wnmv ei MÖvnK Zv `i wnmv e e vsk KZ K wba vwiz b~b Zg w wz msi b Ki Z n e Ab _vq e vsk PK diz `qvi AwaKvi msi b K i mâqx wnmv e 1 _ K 5 Zvwi Li g a Rgv n Z n e 5,000/- UvKvi Kg w wz _vk j mỳ cö `q n e bv 5 ZvwiL _ K 31 Zvwi Li g a wnmv ei me wb œ e v j Ýi Dci mswkøó gv mi mỳ cö hvr n e c~e bvwuk e wz i K 50,000/- UvKvi AwaK As Ki D Ëvjb mswkøó gv m mỳ cö `q n e bv gv m 4 ev ii AwaK D Ëvjb mỳ cö `q n e bv e v j Ýi 25% Gi ekx D Ëvjb Ki j mỳ cö `q n e bv 100/- UvKv ev Zvi Kg mỳ cö `q n e bv úkvj bvwuk W cvwru (SND) wnmve n Z UvKv D Ëvj bi Rb MÖvnK KZ K b~b Zg 07 (mvz) w` bi bvwuk cö`vb Ki Z n e SND wnmv e ˆ`wbK mgvcbx w wzi wfwë Z e vs Ki wba vwiz nv i 06 gvm AšÍi gybvdv cö`vb Ki Z n e vqx Avgvb Zi wecix Z e vsk KZ K wba vwiz nv i wbw` ó gqv`v ší gybvdv cö`vb Kiv n e Gd ww Avi- Gi MÖvnKMY Zv `i iwk` h_vh_fv e msi Y Ki eb w g wnmv ei Î mswkøó w gi wbqgvejx/ kz vejx cö hvr n e cö `q AvgvbZ/gybvdvi wecix Z MYcÖRvZš x evsjv `k mikvi KZ K Av ivwcz/av ivwcze mkj cökvi Ki/ jwf/wwdwu ev Ab Kvb mvipvr AvgvbZKvixi wnmve n Z KZ b Kiv n e gvwbjûvwis cöwz iva AvBb 2012(2015 Gi ms kvabxmn), mš vm we ivax AvBb 2009 (2012 I 2013 Gi ms kvabxmn) I wbqš bkvix KZ c KZ K mg q mg q RvixK Z mvk yjvi/bxwzgvjv Abyhvqx MÖvnK e vs Ki Pvwn`v gvzv ek h Kvb Z_ mieivn Ki Z eva _vk eb e vsk h Kvb i juix A_wiwUi Pvwn`v Abyhvqx Z_ cö`vb Ki Z cvi e h Kvb wnmv e Kvb jb `b A ea ev cözviyvg~jk wnmv e e vs Ki wbku m `n n j e vsk mb jb `b cöwμqv cöz vlvb Kivi AwaKvi msiÿb K i cözviyvg~jk ev A ea ev m `nrbk Kvh Kjv ci m ú ³Zv i q Q ev m ú ³ _vkvi m vebv i q Q G ai bi jb ` b e vs Ki wm vší PzovšÍ wnmv e we ewpz n e Ges AvgvbZKvix Zv g b wb Z eva _vk e e vs Ki g Z hw` Kvb wnmve m šívlrbkfv e cwipvwjz bv nq, Zv n j webv bvwu kb H wnmve eü Kivi AwaKvi e vsk msiÿb K i ZvQvov Ab Kvb Kvi YI e vsk h Kvb wnmve eü Ki Z cv i Ges Gme KviY MÖvn Ki wbku cªkvk Ki Z e vsk eva bq MÖvnK PK eb qi Rb wba vwiz dig Gi gva g Av e`b K i PK eb msmön Ki Z cv ib PK eb MÖnY Kivi mgq MÖvnK K PK eb qi cvzv Y wb Z nq Ges PK eb wbivc` v b (wbr ^ ndvr Z) msi Y Ki Z nq hb Kvb PK Gi cvzv Pzwi/ Lvqv ev Ace envi bv nq Pzwi ev Lvqv hviqv Kvb P Ki gva g RvwjqvwZ msnwuz n j e vsk `vqx _vk e bv wnmveavik e vs K mieivnk Z bgybv ^v i Abyhvqx PK mb Ki eb bgybv ^v i cwiez b Ki Z n j Zv c~e v ýb wjwlzfv e e vsk K AewnZ Ki Z n e e vs Ki mv _ h Kvb cökvi wjwlz hvmv hvmi Î bgybv ^v i e envi Ki Z n e PK cwi kva eü (Stop payment) ivlvi wb ` k e vsk mzk Zvi mv _ bw_f³z K i wkš fzjekz D³ P Ki UvKv cwi kvwaz n j e vsk `vqx n e bv MÖvn Ki wnmve e vsk mzk Zvi mv _ AvKjb/weKjb K i fzjekz Kvb A_ AvKwjZ/weKwjZ n j e vsk Zv ms kvab Ki Z cv i wnmveavik Ae eüz PK eb diz w` q, wnmve eü Kivi PvR cö`vb K i h_vh_ ^v ic~e K Av e`b K i h Kvb mgq wnmve eü Ki Z cv ib Bwc RW I Ad- kvi e vswks BDwbU Gi wnmv ei jb `b/kvh μg ecrv Bwc RW/ evsjv `k e vsk/ˆe `wkk gỳ ªv wbqš b AvBb I AvšÍR vwzk Ad- kvi e vswks wbqgbxwz Abyhvqx cwipvwjz n e mkj Gdwm, KbfviwUej, wbuv, eøkw UvKv wnmve, e `wkk gỳ ªv wbqš b AvBb I evsjv `k e vsk wewa weavb Abyhvqx cwipvwjz n e wnmv ei gvwjk K Pvwn`v gvzv ek wnmve weeiyx cö`vb Kiv nq 30 (wîk) w` bi g a wjwlz Kvb Awf hvm bv c j wnmv ei w wz mwvk Av Q e j a i bqv n e wnmveavi Ki wvkvbvi Kvb cwiez b n j Awej ^ Zv e vsk K Rvbv Z n e e vsk mvaviyzt WvK/Kzwiqvi hv M wnmve gvwj Ki mv _ hvmv hvm i v K i WvK/Kzwiqvi hv M cöwiz Kvb wpwvcî h_vmg q ev Av `Š wewj bv n j e vsk `vqx _vk ebv 1991 mv ji e vsk Kv úvbx AvBbvbyhvqx 10 (`k) eqi I Z`yaŸ gqv` ch ší Kvb wnmv e jb `b bv n j mswkøó wnmvewu A`vweK Z (Unclaimed) wnmv e MY K i D³ wnmv ei w wz evsjv `k e vs K vbvšíi Kiv nq bwgwbi Qwei wcq b bwgwbi bvg _vk Z n e Ges Zv wnmveavix KZ K mz vwqz Ki Z n e AvgvbZKvixi g Zÿ i ci wbqg Abyqvqx Zvi g bvbxz e w³ (bwgwb) Mw QZ AvgvbZ MÖnY Ki Z cvi eb GKvwaK g bvbxz e w³i ÿ Î MÖvnK KZ K wba vwiz As ki nv i Mw QZ UvKv cö `q n e Z e G ÿ Î g bvbxz e w³/ e w³em K Zvi/Zv `i g bvbq bi ^c ÿ h_vh_ cögvb Dc vcb Ki Z n e Kvb g bvbxz e w³ bv _vk j AvgbZKvixi DËivwaKvix K cö hvr ÿ Î DËivwaKvi mb`cî gvzv ek wnmv ei w wz cwi kva hvm n e e vsk h Kvb mgq e vsk wnmve msμvší h Kvb wbqgvejx cwiez b,cwiea b,ms kvab ev evwzj Ki Z cv i Ges wnmveavix Zv g b Pj Z eva _vk eb No interest will be paid in Current Account. Customer must maintain minimum balance in the account as determined by Bank. Otherwise, the Bank reserves the right to return cheque. Deposit has to be made within 1st to 5th day of a particular month. No interest will be paid for account having balance below Tk.5,000/-. Interest is applicable on the lowest balance laid in the account within 5th to 31st day of the month. No interest will be paid in a particular month if customer withdraws more than Tk. 50,000/- without prior notice. No interest is payable if 25% or above is withdrawn from an account or if number of withdrawals is more than 4 times in a particular month. No interest is given if interest amount comes below Tk.100/- Minimum 7(seven) days notice period is required by the Account Holder for withdrawal of any sum from SND Account. Interest in SND Account shall be calculated on the basis of day end balance and shall be paid on half yearly basis. Interest on fixed deposit account shall be paid on the basis of fixed rates and period of maturity. FDR account holder(s) should preserve their receipt properly. For Scheme Deposit Account rules/conditions of particular Scheme will be applicable. All types of Duty, VAT, Levy and Income Tax to be realized from the Depositor s Account as per approved rate as circulated by the Government from time to time. As per Money Laundering Prevention Act-2012(including amendment 2015), Anti Terrorism Act-2009(including amendment 2012 & 2013) & Circulars/Rules issued time to time by Regulatory Authorities customer is obliged to submit any information on demand of the Bank. The Bank can provide the account information to the Regulatory Authority, on demand. Bank has the right to reject any transaction if it seems illegal and fraudulent. If any transaction is involved with or may be involve with fraudulent or illegal or suspicious activites in that case decision taken by Bank will be final and the depositor shall be obliged to accept it. If any account does not operated satisfactorily, Bank may close the Customer s account at any time without showing any reason and without giving any notice. Also Bank may close any account at any time for other reason and is not oblige to disclose any reason to the customer. Customer can collect the cheque book applying through prescribed form. Customer will count leaves of cheque book at the time of its receiving and the same should be preserved in secured place (self custody) so that no page is stolen/lost or misused. Bank will not be responsible for any fraud or forgery committed by stolen or lost cheque. Customer will sign cheque as per his/her specimen signature provided to the Bank. Customer should inform the bank in written earlier if he/she wants to bring any change in specimen signature. Customer will use his specimen signature at the time of any written communication with the Bank. Bank lodges the stop payment instruction carefully. Bank will not be responsible if the cheque is honored inadvertently. Bank debits/credits customer s account carefully. Bank can adjust the wrongly debited/credited amount. Account holder can close his/her account through submitting an application duly signed with returning unused cheque book and paying closing charge. Transaction/ operations of EPZ & Off Shore Banking Unit will be operated by the rules and regulations of BEPZA/EPZ/ Bangladesh bank/ Foreign Exchange Regulation Act and International Off Shore Banking Law. All FC, Convertible, NITA, Blocked Tk. Account will be operated under rules of Foreign Exchange Regulation Act and Bangladesh bank. Account statement will be provided as per demand of the Account holder. The balance of the account will be considered as correct, if no written complaint is lodged within 30 days. The customer has to inform the Bank immediately, if any change occurs in the address of the account holder. Bank generally communicates with the Account holder through postal/courier service. Bank will not be held responsible, if no letters/documents are delivered in time or not at all through postal/courier service. If no transaction occurs in an account for 10 years or more, then the account will be treated as an unclaimed Account as per Bank Company Act-1991 and the balance of that particular account will be transferred to Bangladesh Bank Name of the nominee has to be written behind the photo of the nominee and must be attested by account holder. In case of the number of nominee is more than one person then each nominee shell gets the fixed share percentage determined by account holder. In that case the nominated person/persons have to show proper evidence of their/his/her nomination. If there is no nominee then the balance of the account shall be distributed to the heir s of the depositor as per succession certificate. The Bank can change, add, amend or nullify any rules related to account at any time. The account holder is obliged to abide by the instruction made by the Bank. Avwg/Avgiv GB g g wbðqzv cö`vb KiwQ h, Avwg/Avgiv wnmve msμvší Dc iv³ wbqgvejx/kz vejx c owq Ges D³ wbqgvejx/kz vejx g b e vs K wnmve cwipvjbvq m Z n qwq fwel Z Dc iv³ wbqgvejx/kz vejxi Kvb cwiez b/ ms kvab Kiv n j Zv g b wb Z eva _vke (I/We confirm that I/We read the all terms and conditions related to the account and oblige to obey the all terms and conditions. I/we must obey any change/amendment of above terms and conditions in future). 1g Av e`bkvixi bvg, ^v i I ZvwiL 1st Applicant s Name, Signature & Date 2q Av e`bkvixi bvg, ^v i I ZvwiL 2nd Applicant s Name, Signature & Date 3q Av e`bkvixi bvg, ^v i I ZvwiL 3rd Applicant s Name, Signature & Date 4_ Av e`bkvixi bvg, ^v i I ZvwiL 4th Applicant s Name, Signature & Date

3 National Bank Limited... Branch e w³k wnmve Lvjvi Av e`b dig Account Opening Form for Individual Account ZvwiL Date w`b Day gvm Month e e vck (The Manager) eqi Year b vkbvj e vsk wjwg UW (National Bank Limited)... kvlv/ Branch wnmve bst Account No BDwbK Kv gvi AvBwW KvWt Unique Customer ID Code: m±i KvW t Sector Code SBS-2 Deposit CIB e vs Ki e env ii Rb /For Bank Use Only wcöq g nv`q (Dear Sir), Avwg/Avgiv Avcbvi kvlvq GKwU wnmve Lvjvi Rb Av e`b KiwQ Avgvi/Avgv `i, wnmve msμvší I e w³mz we ÍvwiZ Z_ wb gœ cö`vb KiwQt I/We, hereby, apply for opening an account at your branch. My/our detailed account related information and personal information are furnished below: 1. wnmv ei bvg (evsjvq) t Title of Account (In Bangla) Bs irx Z (eo A i) In English (Block Letter) t 2. wnmv ei cökwz (wuk w`b) t Type of account (please tick) mâqx (Savings) PjwZ (Current) GmGbwW (SND) Gdwm (FC) AviGdwmwW (RFCD) GbGdwmwW (NFCD) Ab vb (Others) gy`ªv (wuk w`b)t Currency (please tick) UvKv (Taka) Wjvi (Dollar) BD iv (Euro) cvdû (Pound) Ab vb (Others) wnmve cwipvjbv msμvší NvlYv (wuk w`b)t Declaration regarding Account operation GKKfv e (Singly) hš_fv e (Jointly) h Kvb GKRb (Any one) h Kvb GKRb A_ev RxweZRb (Either or Survivor) Ab vb (Others) wnmve Lvjvi D Ïk (Reason for Account Opening)t 6. Ab Kvb e vs K cwipvwjz wnmve Av Q wk (wuk w`b)? Account maintained in other Bank (if any) (please tick)t nü v (Yes) bv (No) DËi nü v n j (If yes)t e vs Ki kvlvi bvg Bank s & Branch s Name wnmve bs Account No cwipvjbvk Z wnmv ei cök wz (wuk w`b) Nature of operating account (please tick) K) Rgv wnmve (Deposit A/C) FY wnmve (Loan A/C) L) Rgv wnmve (Deposit A/C) FY wnmve (Loan A/C) M) Rgv wnmve (Deposit A/C) FY wnmve (Loan A/C) N) Rgv wnmve (Deposit A/C) FY wnmve (Loan A/C) O) Rgv wnmve (Deposit A/C) FY wnmve (Loan A/C) 7. e w³ msμvší Z_ vejx (Customer Information): e w³ msμvší Z_ vejx dig c~iy Ki Z n e (Please fill up Personal Information Form)

4 8. GK ev GKvwaK wnmveavix bvevjk n j (If one or more account holder is Minor)t Avwg wb œewy Z wnmveavix/wnmveavixmy Gi ea AwffveK wn m e GB g g NvlYv KiwQ h, wnmveavix/wnmveavixmy bvevjk Zvi/Zv `i cö qvrbxq Z_ e w³ msμvší Z_ vejxó di g cö`vb Kiv n jv wnmveavix mvevjk bv niqv ch ší wksev Avgvi KZ K ciez x NvlYv bv `qv ch ší ˆea AwffveK wn m e wnmvewu Avgvi ^v i cwipvwjz n e (I, being the legal guardian of the account holder, mentioned below, declare that the account holder(s) is/are Minor(s). His/Her/Their required information are provided in the attached form. Until the account holder(s) reach(es) the age of majority (adult) or any further declaration is given by me, the account will be operated by my signature being the legal guardian.) (AwffveK ej Z evev A_ev gv A_ev Ab Kvb AvBbMZ AwffveK K eysv e) K. wnmveavix (bvevjk) Gi bvg t Rb ZvwiL/eqm t Account holder s Name (minor) (Date of Birth/Age) wnmveavix (bvevjk) Gi bvg t Rb ZvwiL/eqm t Account holder s Name (minor) (Date of Birth/Age) wnmveavix (bvevjk) Gi bvg t Rb ZvwiL/eqm t Account holder s Name (minor) L. Awffve Ki bvg t bvevj Ki mv _ m úk t (Name of the guardian) (Relation with the minor) Awffve Ki m v i t (Signature of the Guardian) bvevjk Ges AwffveK - Df qi Rb B Òe w³ msμvší Z_ vejxó dig c~iy Ki Z n e Ges bvevjk Av e`bkvixi Î Dfq di gb Av e`bkvixi ^v ii j AwffveK KZ K ^vÿi Ki Z n e (Personal Information Form must be filled in for both the minor(s) and the guardian. Both the forms must be signed by the guardian) 9. cwipq`vbkvixi Z_ (Information of the Introducer) t (K) bvg (evsjvq)/name (In Bangla) t (L) wnmv ei bvg (Account Name) t In English t (Date of Birth/Age) (M) wnmve bs (Account No) (N) kvlvi bvg(branch Name) t t (O) MÖvn Ki mv _ cwiwpwzi m~î/m úk (Relation/ Connection with the customer) t (P) hvmv hvm gva g (Communication Medium) t dvb bs (Telephone No) t gvevbj bs (Mobile No) t (Q) ^v i I ZvwiL (Signature & Date) t cwipq`vbkvixi Z_ cöz qbkvix mswkøó e vsk kvlvi Kg KZ vi bvg I ^vÿi [wmj I ZvwiLmn] (Introducer s Information & Signature Verified by) t bvg (Name) t c`ex (Designation) t ^v i I ZvwiL (Signature & Date) t 10. cöv_wgk Rgvi cwigvy (Initial Deposit) t 11. bwgwb msμvší Z_ (Information of Nominee) t bwgbx msμvší Z_ vejx dig c~iy Ki Z n e (Please fill up Nominee Information Form) bwgwbi msl v /Number of Nominee (s) t 12. m ve jb ` bi AbywgZ gvîv msμvší Z_ vejx (Transaction Profile Information)t TP msμvší Z_ vejx dig c~iy Ki Z n e (Please fill up Transaction Profile (TP) Form) 13. A _ i Drm/ Drmmg~n(mywbw` ó I we ÍvwiZ D jøl Ki Z n e)/source(s) of Fund (Specific & Details) t 14. Ab vb Z_ vw` (Others Information) t Avcwb ATM ( WweU/ μwwu) KvW e envi Ki Z Pvb wk? [wuk w`b] Do you want to use ATM (Debit/Credit) Card? [Please tick] t nü v (Yes) bv (No) KvW e envi Ki j e envikvixi bvg t Card User s Name Avwg/ Avgiv Ab vb Wwjfvix P v bj jv / cövwv± myweav MÖnY Ki Z B QzK I/we interested to take others delivery channel/ product Uwje vswks (Tele Banking) GmGgGm e vswks (SMS Banking) B Uvi bu e vswks (Internet Banking) gvevbj e vswks (Mobile Banking) Ab cövwv±/ mev (Other Product/Service)...

5 15. bgybv ^v i KvW (Specimen Signature Card)t Title of Account t A/C No t ^v ikvixi c~y bvg (Full Name of the Signatory) bgybv ^v i (Specimen Signature) cvm cvu mvb Ri mz vwqz Qwe Recent passport size Photograph [Duly Attested by the introducer]. we kl wb ` kbv (hw` _v K)/ Special Instruction (if any) Signature admitted by (Authorized Officer) Signature Authorized by (Authorized Officer / Manager) Signature Uploaded to CBS by (Authorized Officer) 16. NvlYv I ^v i (Declaration & Signature) t Avwg/Avgiv GB g g wbðqzv cö`vb KiwQ h, Avwg/Avgiv wnmve msμvší hvezxq wbqgvejx/kzv ejx c owq Ges D³ wbqgvejx/kzv ejx g b Pj Z eva _vke Avwg/Avgiv ^Áv b NvlYv KiwQ h, DwjøwLZ Z_ vw` mz Avwg/Avgiv cö`ë Z _ i AwZwi³ mswkøó h Kvb cö qvrbxq Z_ /`wjjvw` e vs Ki Pvwn`v gvzv ek mieivn Kie (I/We confirm that I/We read all the terms and conditions of the account and oblige to obey these terms and conditions. I/We consciously declare that the information provided above is true. I/we will provide any other additional information/documents as per requirement of the Bank. 1g Av e`bkvixi bvg, ^v i I ZvwiL 1st Applicant s Name,Signature & Date 2q Av e`bkvixi bvg, ^v i I ZvwiL 2nd Applicant s Name,Signature & Date 3q Av e`bkvixi bvg, ^v i I ZvwiL 3rd Applicant s Name,Signature & Date 4_ Av e`bkvixi bvg, ^v i I ZvwiL 4th Applicant s Name,Signature & Date gšíe (Comments)t e vs Ki e env ii Rb (For Bank use only) wnmve Lvjvi mv _ mswkøó Kg KZ vi bvghy³ mxjmn ^vÿi I ZvwiL Account opening officer s Seal with name, Signature & Date Aby gv`bkvix Kg KZ vi (kvlv e e vck) bvghy³ wmjmn ^vÿi I ZvwiL Authorized officer (Branch Manager) Seal with name, Signature & Date

6 National Bank Limited... Branch e w³ msμvší Z_ vejx (Personal Information Form) m úªwz Zvjv cvm cvu mvb Ri Qwe (cwipq`vbkvix KZ K mz vwqz) Recent passport size Photograph (Attasted by introducer) ZvwiL Date w`b Day gvm Month eqi Year wnmve bst Account No BDwbK Kv gvi AvBwW KvWt Unique Customer ID Code: m±i KvW t Sector Code SBS-2 Deposit CIB e vs Ki e env ii Rb /For Bank Use Only 1. wnmv ei bvg (evsjvq)/ Title of Account (In Bangla) t 2. MÖvnK/ ewbwdwmqvj Ibvi/ wnmve cwipvjbvkvixi bvg(evsjvq) t Name of Customer /Beneficial Owner/ Operator (In Bangla) MÖvnK/ ewbwdwmqvj Ibvi/ wnmve cwipvjbvkvixi bvg (Bs irx Z) t (Name of Customer /Beneficial Owner/ Operator in English (Block Letter) 3. wnmv ei mv _ m úk (wuk w`b)/relation with A/C (Please Tick) t cö_g Av e`bkvix (1st applicant) wøzxq Av e`bkvix (2nd applicant) Z Zxq Av e`bkvix (3rd applicant) cwipvjk (Director) Askx`vi (Partner) GKK ^Z vwakvix (Proprietor) wnmveavix bvevjk (Minor) AwffveK (Guardian) GUwb nvìvi (Attorney holder) Uªvw (Trustee) wnmve cwipvjbvkvix (Account Operator) ewbwdwmqvj Ibvi (Beneficial Owner) g v ÛU nvìvi (Mandate Holder) Ab vb (Others) wczvi bvg (Father s Name) t 5. gvzvi bvg (Mother s Name) t 6. ^vgx/ xi bvg (Name of the Spouse) t 7. RvZxqZv (Nationality) t 8. iwm W U vuvm (wuk w`b)/ Resident Status (Tick) t iwm W U (Resident) bb- iwm W U (Non-Resident) cö qvrbxq ÿ Î e vsk KZ K MvBWjvBÝ di d ib G PÄ Uªvb RKkbm& Gi wb ` kbv AbymiY Ki Z n e (For more information, if required, the same may be collected in accordance with Guidelines for Foreign Exchange Transactions ) 9. Rb ZvwiL (Date of Birth) t 10. Rb vb ( `kmn) t (Place of Birth with Country) 11. wj½ (wuk w`b) [Gender (Please Tick)] t cyiæl (Male) gwnjv (Female) Z Zxq wj½ (Third Gender) 12. ckv (c`exmn we ÍvwiZ) t [Occupation (Details with Designation)] 13. gvwmk Avq (e w³k wnmv ei ÿ Î) t [Monthly Income (For Individual Account)] (13 bs μwg Ki Î we ÍvwiZ D jølc~e K cö hvr ÿ Î e vs Ki Pvwn`v gvzv ek `wjjvw` cö`vb Ki Z n e) 14. cwiwpwzcî (Identity Document) t K) RvZxq cwipqcî b ^i (National ID Card No.) t L) cvm cvu b ^i (Passport No.) t gqv` (Expire Date) t / / M) Rb wbeüb mb`cî b ^i (Birth Registration Certificate No.) t N) B jkuªwbk-u v AvBwW b ^i( E-TIN No.) t O) WªvBwfs jvb mý b ^i (Driving License No.) t gqv` (Expire Date) t / / P) Ab vb (wbw` ófv e D jøl Ki Z n e) /Others (please specify) t [K n Z M b ^i μwg K ewy Z `wjjvw` n Z Avewk Kfv e h Kvb GKwU `wjj cö`vb Ki Z n e Z e Rb wbeüb mb` cö`vbc~e K wnmve Lvjvi ÿ Î Rb wbeüb mb`c Îi AwZwi³ MÖvnK/wnmve cwipvjbvkvixi Av jvkwpîmn Ab h Kvb cwiwpwz cî cö`vb Ki Z n e bb- iwm W U Ges we `kx bvmwik `i Î mswkøó wfmvmn cvm cv U i Kwc Avewk Kfv e cö`vb Ki Z n e Av jvkwpîmn cwiwpwz cî bv _vk j m wel q e vs Ki mš wó mv c ÿ Zv `i wbku MÖnY hvm mgv Ri MY gvb e w³ KZ K cö`ëcwip qi cöz qbcî cö`vb Ki Z n e D³ cwiwpwz cî ev cöz qbcî MÖvnK/wnmve cwipvjbvkvixi Av jvkwpîmn (Av jvkwp Îi Dc ii c ô mz vwqzmn)n Z n e GQvov, cö Z K e vsk h_vh_fv e MÖvn Ki cwiwpwzi wel q wbwðz niqvi j ÿ e vs Ki mš wó mv c ÿ Dc ii N n Z P b ^i μwg K ewy Z `wjjvw`mn AwZwi³ Av iv Kvb `wjjvw` Ges GB di g DwjøwLZ Z_ vw`i AwZwi³ Z_ msmön Ki Z cvi e ]

7 15. ez gvb wvkvbv (Avevm j) Present address (Residence) 16. vqx wvkvbv Permanent address 17. ckvmz wvkvbv Professional address MÖvnK/wnmve cwipvjbvkvixi Proof of Address Gi ^c ÿ WKz g Um cö`vb Ki Z n e (Kgc ÿ 1 wu wvkvbvi ^c ÿ) 18. hvmv hv Mi wvkvbv (Mailing Address) t (K) wvkvbv (wuk w`b) [Address(Please Tick)] ez gvb (Present) vqx (Permanent) ckvmz (Professional) (L) Uwj dvb b ^i (Telephone No.) t (1) evmv (Residence) (M) gvevbj b ^i (Mobile No.) t (1) (2) (N) B- gbj ( ) t 19. Riæix cö qvr b hvmv hv Mi Rb g bvbxz e w³ (Emergency Contact Person) t bvg (Name) t... wvkvbv (Address) t wnmveavix/wnmve cwipvjbvkvixi mv _ m ck (Relation with the Account Holder/ Account Operator) t (2) Awdm (Office) (O) d v b ^i (Fax No.) t gvevbj b ^i (Mobile No.) t B- gbj wvkvbv ( ) t 20. μwwu KvW msμvší Z_ (hw` _v K) Information regarding Credit Card (if any) Bmÿ Kvix cöwzôvb/e vsk (GKvwaK n j mkj e vs Ki bvg) [Issuing Organization(s)/ Bank(s) (Name of all Banks if more then 1)] t K. vbxq (Local Card) t L. AvšÍR vwzk (International Card) t 21. Foreign Account Tax Compliance Act ( FATCA ) Please Check Yes or No for each of the following ques ons: Yes No 1 Avcwb wk gvwk b hy³iv óªi bvmwik? [Are you a U.S. Ci zen?] Avcwb wk gvwk b hy³iv óªi MÖxY KvW aviy K ib A_ev Avcwb wk gvwk b hy³iv óªi ea wbevmx? [Do you hold U.S. Green Card or is a lawful 2 resident of the U.S.?] Avcbvi wk gvwk b hy³iv óª hvmv hv Mi Kvb wvkvbv A_ev dvb b ^i A_ev B gbj wvkvbv Av Q? [Do you have a U.S. address (including P.O. Box) or 3 U.S. phone number or U.S. address?] Avcbvi wk gvwk b hy³iv óªi Kvb wvkvbv A_ev dvb b ^i A_ev B gbj wvkvbv Av Q Ggb Kvb e vw³ K Power of A orney cö`vb K i Qb? [Have you 4 granted Power of A orney to someone who has a U.S. address or U.S. phone number or U.S. address?] Avcbvi wk gvwk b hy³iv óª ez gvb eqi mn wemz wzb weq ii g a 183 w`b Ae vb K i Qb? [Have you stayed in U.S. for 183 days 3-year 5 period including present year?] Avcbvi wk gvwk b hy³ivóª _ K Kvb cökvi A_ Avq K ib? hgb- mỳ, gybvdv, fvov, ezb A_ev any other Fixed Determinable Annual Periodical 6 [FDAP] income. [Do you receive payments sourced from USA? That is interest, Dividend, Rent, Payment for services (salaries), and any other Fixed Determinable Annual Periodical [FDAP] income.] cöpwjz AvBbvbyhvqx Avwg b vkbvj e vsk wjwg UW K Avgvi AvqKi msμvší Z_ cövmw½k AvšÍ RvwZK ev Af šíixy wbqš bkvix ms vi wbku cökv ki AbygwZ w`w Q AvšÍ RvwZK ev Af šíixy wbqš bkvix ms v A_ev AvqKi KZ c i cö qvrb Abyhvqx; Avwg GB g g Aby gv`b w`w Q ev ^xkvi KiwQ h, cöpwjz wbq gi AvIZvq e vsk Avgvi GKvD U _ K Ki wn m e wbw`ó cwigvb UvKv K U ivl Z cvi e (Subject to applicable laws, I hereby consent for Na onal Bank Limited to share my informa on with domes c or overseas regulators, or Tax Authori es where necessary to establish my tax liability in any jurisdic on. Where required by domes c or overseas regulators, or Tax Authori es, I consent and agree that the bank may withhold from my account(s) such accounts as may be required according to applicable laws, regula ons and direc ves.) Av e`bkvixi bvg t (Applicant Name) e vs Ki e env ii Rb (For Bank use only) Av e`bkvixi v^ ÿi (ZvwiLmn) (Applicant s Signature with date) wnmve Lvjvi mv _ mswkøó Kg KZ vi bvghy³ mxjmn ^v i I ZvwiL Account opening officer s Seal with name, Signature & Date Aby gv`bkvix Kg KZ vi (kvlv e e vck) bvghy³ wmjmn ^vÿi I ZvwiL Authorized officer (Branch Manager) Seal with name, Signature & Date *MY gvb e w³ ej Z msm` m`m, wmwu K c v ik bi gqi, WcywU gqi I KvDwÝjiMY, RvZxq ezb ji 9g I Z`~aŸ MÖ Wi M R UW Kg KZ v, cvewjk wek we` vj qi wkÿk, Dc Rjv cwil `i Pqvig vb I fvbm Pqvig vb, BDwbqb cwil `i Pqvig vb, cšimfvi gqi I cši KvDwÝji, emikvix wek we` vj qi Aa vck, emikvix K j Ri Aa ÿ, emikvix D P we` vj qi cöavb wkÿk, RvZxq ˆ`wbK cwîkvi m úv`k, bvuvix cvewjk, AvavmiKvix/ ^vqë kvwmz/ivóªvqz ms vi RvZxq ezb ji 7g ev Z`~aŸ MÖ Wi Kg KZ vmy Ges evsjv `k e vs Ki RvZxq ezb ji 9g I Z`~aŸ MÖ Wi Kg KZ vmy K eysv e

8 National Bank Limited... Branch bwgwb msμvší Z_ vejx (Nominee Information Form) ïagvî e w³k wnmv ei ÿ Î cö hvr n e Ges G Ki AwaK bwgwb n j GKvwaK bwgwb dig c~iy Ki Z n e (Only for Individual accounts & separate form has to be filled up for each nominee) m úªwz Zvjv cvm cvu mvb Ri Qwe (wnmveavix KZ K mz vwqz) Recent passport size Photograph (Attasted by A/C Holder) ZvwiL Date w`b Day gvm Month eqi Year Avwg/Avgiv G wnmv ei A_ Avgvi/Avgv `i g Zÿ i ci wb gœv³fv e wb gœ ewy Z e w³/e w³my K cö`v bi Rb g bvbxz Kijvg Avwg/Avgiv DwjøwLZ g bvbqb h Kvb mgq evwzj ev cwiez bi AwaKvi msiÿy Kwi Avwg/Avgiv GB g g Av iv m wz Ávcb KiwQ h, Avgvi/Avgv `i wb ` kbv gvzv ek e vsk A_ cö`vb Ki e Ges GRb e vsk Kv bvfv e `vqe n ebv (I/We do hereby nominate the following person(s) to receive the entire amount deposited in this account in the event of my/our death. I/We do hereby reserve the right to cancel or change the said nominee(s) at any time. I/We do hereby also declare that the bank will not be held responsible for any transaction done as per instruction given by me/us.) 1. wnmv ei bvg (Title of Account) t 2. wnmve b ^i (Account number) t 3. bwgwbi bvg (Name of Nominee) t 4. wczvi bvg (Father s Name) t 5. gvzvi bvg (Mother s Name) t 6. ^vgx/ xi bvg (Name of the Spouse) t 7. Rb ZvwiL (Date of birth) t wnmve bst Account No BDwbK Kv gvi AvBwW KvWt Unique Customer ID Code: e vs Ki e env ii Rb /For Bank Use Only 8. ez gvb wvkvbv Present address 9. vqx wvkvbv Permanent address 10. ckv (Occupation) t 11. bwgwbi cwiwpwzcî (Identity Documents of Nominee) t K) RvZxq cwipqcî b ^i (National ID Card No.) t L) cvm cvu b ^i (Passport No.) t (Expire Date) t / / M) Rb wbeüb mb`cî b ^i (Birth CRegistration Certificate No.) t N) B jkuªwbk-u v AvBwW b ^i ( E-TIN No.) t O) WªvBwfs jvb mý b ^i (Driving License No.) t (Expire Date) t / / P) Ab vb (wbw` ófv e D jøl Ki Z n e) /Others (please specify) t [K n Z M b ^i μwg K ewy Z `wjjvw` n Z Avewk Kfv e h Kvb GKwU `wjj cö`vb Ki Z n e Z e Rb wbeüb mb` cö`vbc~e K wnmve Lvjvi ÿ Î Rb wbeüb mb`c Îi AwZwi³ MÖvnK/wnmve cwipvjbvkvixi Av jvkwpîmn Ab h Kvb cwiwpwz cî cö`vb Ki Z n e bb- iwm W U Ges we `kx bvmwik `i Î mswkøó wfmvmn cvm cv U i Kwc Avewk Kfv e cö`vb Ki Z n e Av jvkwpîmn cwiwpwz cî bv _vk j m wel q e vs Ki mš wó mv c ÿ Zv `i wbku MÖnY hvm mgv Ri MY gvb e w³1 KZ K cö`ëcwip qi cöz qbcî cö`vb Ki Z n e D³ cwiwpwz cî ev cöz qbcî MÖvnK/wnmve cwipvjbvkvixi Av jvkwpîmn (Av jvkwp Îi Dc ii c ô mz vwqzmn)n Z n e GQvov, cö Z K e vsk h_vh_fv e MÖvn Ki cwiwpwzi wel q wbwðz niqvi j ÿ e vs Ki mš wó mv c ÿ Dc ii N n Z P b ^i μwg K ewy Z `wjjvw`mn AwZwi³ Av iv Kvb `wjjvw` Ges GB di g DwjøwLZ Z_ vw`i AwZwi³ Z_ msmön Ki Z cvi e ] 12. wnmveavixi mv _ m úk (Relationship with Account Holder) t 13. kzkiv nvi (Percentage) t

9 14. bwgwb bvevjk n j Zvi/Zv `i bvevjk _vkv Ae vq wnmveavix/wnmveavixm Yi g Zÿ i Î e vsk Kv cvwb AvBb, 1991 Gi 103 (2) aviv Abyhvqx Avgvb Zi UvKv MÖnYKvixi Z_ t [In case of death of account holders when nominee(s) being minor, The information of receiver of deposited money as per Banking company act, 1991 section 103(2)] K) bvg (Name) t L) wczv/ ^vgx Gi bvg t (Name of Father/Husband) M) Rb ZvwiL (Date of birth) t N) ez gvb wvkvbv (Present address) t O) vqx wvkvbv (Permanent address) t P) μwgk 11 Abymv i ˆea Awffve Ki cwiwpwzcî msμvší Z_ (Identity information of Legal Guardian as per serial no. 11) t Q) bwgwbi mv _ m ck (Relation with nominee) t ( Kvb Awbevmx K bwgwb Kiv n j Ges H Awbevmx mswkøó wnmv ei A_ cövß n j cövß A_ we ` k cöi Yi ÿ Î we` gvb ˆe `wkk gỳ ªv wbqš Y AvB bi wewa weavb cö hvr n e ) bwgwbi ^v i I ZvwiL (Hw QK) Nominee Signature & date (Optional) 1g Av e`bkvixi bvg, ^v i I ZvwiL 1st Applicant s Name,Signature & Date 2q Av e`bkvixi bvg, ^v i I ZvwiL 2nd Applicant s Name,Signature & Date 3q Av e`bkvixi bvg, ^v i I ZvwiL 3rd Applicant s Name,Signature & Date 4_ Av e`bkvixi bvg, ^v i I ZvwiL 4th Applicant s Name,Signature & Date MÖvn Ki ^v i hvpvbkvix e vsk Kg KZ vi bvghy³ wmjmn ^v i Customer s Signature Checked by (with named seal) *MY gvb e w³ ej Z msm` m`m, wmwu K c v ik bi gqi, WcywU gqi I KvDwÝjiMY, RvZxq ezb ji 9g I Z`~aŸ MÖ Wi M R UW Kg KZ v, cvewjk wek we` vj qi wkÿk, Dc Rjv cwil `i Pqvig vb I fvbm Pqvig vb, BDwbqb cwil `i Pqvig vb, cšimfvi gqi I cši KvDwÝjiMY, emikvix wek we` vj qi Aa vck, emikvix K j Ri Aa ÿ, emikvix D P we` vj qi cöavb wkÿk, RvZxq ˆ`wbK cwîkvi m úv`k, bvuvwi cvewjk, AvavmiKvix/ ^vqëkvwmz/ivóªvqz ms vi RvZxq ezb ji 7g ev Z`~aŸ MÖ Wi Kg KZ vmy Ges evsjv `k e vs Ki RvZxq ezb ji 9g I Z`~aŸ MÖ Wi Kg KZ vmy K eysv e

10 National Bank Limited... Branch m ve jb ` bi AbywgZ gvîv (Transaction Profile) wnmve bst Account No BDwbK Kv gvi AvBwW KvWt Unique Customer ID Code: e vs Ki e env ii Rb /For Bank Use Only 1. wnmv ei bvg (Title of Account)t 2. gvwmk m ve Avq (Expected Monthly Income) t 3. gvwmk m ve Uvb Ifvi (cöwzôv bi Î) / Expected Monthly Turnover(For Organization)t Rgvi weeiy (Particulars of Deposit) bm` (AbjvBb I GwUGgmn) Cash Deposit (including Online & ATM) UªvÝdvi/ BÝUªy g U Gi gva g Transfer or by Instrument d ib BbIqvW iwgu vý Foreign Inward Remittance ißvwb eve` cövß Income from Export BO (cyuwrevrvi) wnmve n Z Rgv/ vbvšíi Deposit/Transfer from BO AC Ab vb (wbw` ófv e)... Others (Please specify) gvwmk m ve Rgvi msl v (No. of monthly deposit) GKK m ev P Rgvi cwigvy (Maximum amount of a single deposit) me gvut gvwmk m ve gvu Rgvi cwigvy (Total monthly deposit) D Ëvj bi weeiy (Particular s of Withdrawal) bm` (AbjvBb I GwUGgmn) Cash withdrawal (including Online & ATM) UªvÝdvi/ BÝUªy g U Gi gva g Transfer or by Instrument d ib AvDUIqvW iwgu vý Foreign Remittance (Outward) Avg`vwb eve` cwi kva Import Bill gvwmk m ve D Ëvjb msl v (No. of monthly withdrawal) GKK m ev P D Ëvj bi cwigvy (Maximum amount of a single withdrawal) gvwmk m ve gvu D Ëvj bi cwigvy (Total monthly withdrawal) BO (cyuwrevrvi) wnmv e Rgv/ vbvšíi Transfer to BO AC Ab vb (wbw` ófv e)... Others (Please specify) me gvut Avwg/Avgiv wbgœ ^vÿikvix (MY) G g g wbðqzv cö`vb KiwQ h, m ve jb ` bi AbywgZ gvîv Avgvi/cÖwZôv bi ^vfvwek cök Z jb `b Avwg/Avgiv Av iv wbðqzv cö`vb KiwQ h, cö qvrb ev a Avwg/Avgiv m ve jb ` bi AbywgZ gvîv ms kvab/nvjbvmv` Kie [I/We, undersigned, do hereby guarantee that this Transaction Profile(TP) is prepared according to my/my organization s natural transaction. I/We do hereby also guarantee that I will, if necessary, revise/update this Transaction Profile (TP)] 1g Av e`bkvixi bvg, ^v i I ZvwiL 1st Applicant s Name, Signature & Date 2q Av e`bkvixi bvg, ^v i I ZvwiL 2nd Applicant s Name, Signature & Date 3q Av e`bkvixi bvg, ^v i I ZvwiL 3rd Applicant s Name, Signature & Date e vs Ki e env ii Rb evsjv `k dvbb vwýqvj B Uwj RÝ BDwb Ui wb ` kbv gvzv ek MÖvn Ki m ve jb ` bi AbygwZ gvîv (Transaction Profile) ch v jvpbv Kiv n jv MÖvn Ki m ve jb ` bi AbygwZ gvîv (Transaction Profile) cwiez b Kiv/bv Kivi KviY t 4_ Av e`bkvixi bvg, ^v i I ZvwiL 4th Applicant s Name, Signature & Date cöz qbkvix e vsk Kg KZ vi bvghy³ wmjmn ^vÿi I ZvwiL

11 ZvwiL Date w`b Day 1. wnmv ei bvg t Title of Account gvm Month 2. wnmv ei cök wz t (Nature of Account) 3. MÖvn Ki ckv (we ÍvwiZ) t Occupation of Customer (Detailed) 4. MÖvn Ki gvwmk m ve Avq t Expected Monthly Income eqi Year 5. A _ i Drm/Drmmg~n (we ÍvwiZ) t National Bank Limited... Branch msm nxz `wjjvw` hvpvb Kiv n q Q wk bv? (Does collected document has been verified?)t nü v (Yes) bv (No) 7. wnmveavixi wvkvbv (mg~n) wkfv e hvpvb Kiv n q Q (we ÍvwiZ)? How the addresses of the customers have been verified (Detailed)? 8. wnmv ei cök Z myweav fvmx wba viy Kiv n q Q wkbv? (Has the Beneficial Owner of the account been identified?) nü v (Yes) bv (No) DËi nü v n jt cök Z myweav fvmx Gi Avjv`v KIqvBwm Ges e w³ msμvší Z_ vejxmshy³ K i Qb wk? (If Yes, does separate KYC & Personal Information Form of beneficial owner attached?) nü v (Yes) bv (No) 9. cwiwpwzcî (Identity Documents) Kwc M nxz Copy Taken K) cvm cvu b ^i t Passport No. L) RvZxq cwipqcî b ^i t National ID Card No. M) Rb wbeüb mb`cî b ^i t Birth Registration Certificate No. N) B jkuªwbk-u v AvBwW (E-TIN) b ^i t E-TIN No. O) WªvBwfs jvb mý b ^i t Driving License No. P) Ab vb (wbw` ófv e D jøl Ki Z n e) t Others (Please Specify) MÖvnK cwiwpwz m úwk Z dig (KYC Profile Form) e w³k wnmve Lvjvi ÿ Î e envh (For Individual Account) wnmve bst Account No BDwbK Kv gvi AvBwW KvWt Unique Customer ID Code: e vs Ki e env ii Rb /For Bank Use Only Source/Sources of Fund (Detailed) 6. A _ i Drm wbwðz Kivi Î msm nxz `wjjvw` (Documents collected to ascertain source of fund) t Awbevmx (Non-resident) Ges we `kx `i Î wnmve Lvjvi D Ïk (Purpose of account opening for Non-resident & Foreigner) t hvpvbk Z Varified [wuk w`b] [Please Tick] (cö hvr Î) (cö hvr Î) (cö hvr Î) (cö hvr Î) (cö hvr Î) (cö hvr Î) K) wfmvi cök wz (Nature of Visa)t gqv` DËx Y i ZvwiL (Expiry Date)t L) Kg vbygwz cövß `i wnmve Lvjvi ÿ Î Kg vbygwz cî I e vsk wnmve Lvjvi Rb h_vh_ KZ c i Aby gv`b i q Q wk bv (wuk w`b)/ Whether work permit holder have work permit and permission from the competent authority to open account? (Please tick) t nü v (Yes) bv (No) (Awbevwm evsjv `kx `i Î Avewk Kfv e cvm cv U i Kwc Ges we `kx `i Î Avewk Kfv e wfmvmn cvm cv U i Kwc msmön Ki Z n e) 11. MÖvnK Politically Exposed Person (PEP)/cÖfvekvjx e w³ (IP)/ AvšÍR vwzk ms vi cöavb ev D P ch v qi Kg KZ v Ges Zv `i cwiev ii m`m ev Close Associates wk bv (wegdavbbd KZ K RvixK Z mvk yjv i ewy Z msáv Abymv i)? [Whether Customer is a PEPs/Influential Person/Head of International Organization or High Officials and Family Member or their Close Associate (As per definition of BFIU Circular)?] t nü v (Yes) bv (No) DËi nü v n j (if yes) t K) wmwbqi g v br g U n Z Aby gv`b bqv n q Q wk bv? (wuk w`b)t nü v (Yes) bv (No) Whether permission has been taken from the senior management? (Please tick) L) MÖvn Ki gy LvgywL mv vrkvi bqv n q Q wk bv? (wuk w`b)t nü v (Yes) bv (No) Whether face to face interview has been taken from the customer (Please tick)

12 12. mswkøó AvBb, wewagvjv I mvk yjv ii Av jv K MÖvn Ki bvg RvwZms Ni wbivcëv cwil `i wewfbœ iry jk bi AvIZvq mš vm, mš vmx Kvh I e vck aÿsmvz K A we Ív ii A_ vq b RwoZ m ` n ZvwjKvfy³ Kvb e w³ ev mëv Ges evsjv `k mikvi KZ K ZvwjKvf~³ Kvb e w³i ev wbwl NvwlZ mëvi bv gi ZvwjKvi mv _ hvqvb evqvb c~e K Kvb wgj cviqv wm q Q wk bv? (wuk w`b)/ At the time of verification, has the name of the customer been found similar with the sanction list as suspected by UN Security council in each different resolutions with regard to terrorism, terrorist activities and proliferation of any weapons of mass destruction and also black listed by Bangladesh Govt. as per concerned acts, rules and circular? (Please tick)t nü v (Yes) bv (No) Sanction Screening Software Øviv Screen Ki Z n e DËi nü v n j G welqk M nxz e e vi weeiy (If yes, please mention in detailed the steps taken) t 13. wi MÖwWs (Risk Grading)t K) MÖvnK wk K ib/wk ai bi ckvq wb qvwrz i q Q? (What customer does/in what type of profession he/she is involved?) μwgk bs (SL) cök wz (Nature) Ry qjvix/ ^ Y i e emv/gyj evb avzzi e emv (Business of Jewelry/Gold/ Precious Metal) gvwb PÄvi/Kzwiqvi mvwf m/ gvevbj e vswks G R U (Money Changer/Courier Service/Mobile Banking Agent) wi qj G U W fjcvi/g R U (Real Estate Developer/Agent) wbg vy cökí cöv gvuvi/wvkv`vi (Contactor/ Promoter of Construction Firm) wpîkjv/gw U Ki wwjvi (Painting/Antic dealer) iu Íviv/evi/bvBU K ve /AvevwmK nv Uj/cvj vi e emv (Restaurant/Bar/Night Club/Residential Hotel/Parlour Business) Avg`vwb/ißvwb (Import & Export ) Rbkw³ ißvwb e emv (Manpower Export Business) A i e emv (Business of Weapons) Mv g Um e emv/ Mv g Um G mwir/ evwqs nvdr (Garments business/ Garments Accessories/ Buying House) cvbju / d vbu G Ub W U (Pilot/ Flight Attendant) Uªvw (Trustee) kqvi/ K e emvq wewb qvmkvix (Investor of Share/Stock Business) mdu&iq vi e emv/ Z_ I cöhyw³i e emv (Software Business/ Information Technology Business) GKm&c vuwiavu (evsjv ` k Kg iz we `kx e w³) (Expatriate) Uªv fj G R U (Travel Agent) evwl K 1 KvwU UvKvi AwaK A_ jmœxkvix e emvqx d«bu/wkwcs/kv Mv G R U (Freight/ Shipping/ Cargo Agent) A Uv e emv (bzzb/wikwûkvb Mvox) (Auto Business (New/Reconditioned Vehicle) e emv ( Pvgov I PvgovRvZ cy ) (Business (Lather & Lather Oriented Product) evox wbgv Y mvgmöxi e emv (Business of House Building Materials) ckvrxex (mvsevw`k, AvBbRxex, Wv³vi, BwÄwbqvi, PvUvW GKvDb U U) (Professionals (Journalist, Lawyer, Doctor, Engineer, Chartered Accountants) ww i±i (cövb fu/ cvewjk wjwg UW Kv úvwb) (Director (Private/ Public Limited Company) eûrvwzk cöwzôv bi EaŸ Zb Kg KZ v (High Officials of Multi National Company) M wnyx (Housewife) Z_ -cöhyw³ ÿ Î PvKzwi (Job at Information Technology Sector) L jvqvo/ wgwwqv mwj eªwu/ cöwwdmi/wbg vzv (Sportsman/ Media Celebrity/ Producer/ Director) wd«j vý mdu&iq vi W fjcvi (Freelance Software Developer) e emv-g R U (Business- Agent) mikvix PvKzix (Government Service) evoxiqvjv (Landlord) myzv e emvqx / SzU e emvqx (Yarn Business /Jhut Business) cwienb Acv iui (Transport Operator) ZvgvK I wmmv i Ui e emv (Tobacco and Cigarette Business) we bv`bkvix cöwzôvb/cvk (Amusement Firm/ Park) gvui cvu m / IqvK mc Gi e emv (Motor Parts/ Workshop Business) cövb fu mvwf m g v brvwiqvj (Private Service Managerial) wkÿk (mikvwi/ emikvwi/ ^vqëkvwmz wkÿv cöwzôvb) Teacher (Govt/Private/Autonomous Educational Institute ) PvKzix ( emikvix) Employment (private) z`ª e emvqx (evwl K Uvb Ifvi 50 jÿ UvKvi bx P) (Small Trader (Turnover less than Lac per annum) ^D ` vmx ckvrxex (Self Employed Professionals) Kw úduvi/ gvevbj dv bi wwjvi (Computer/ Mobile Phone Dealer) Drcv`bKvix (A e ZxZ) (Manufacturers (Other than arms) QvÎ (Student) PvKzix n Z Aemi MÖnYKvix (Retired from Service) K wlrxex/kögrxex/grmrxex (Farmer/ Labor/ Fisherman) Ab vb (mywbw` ófv e D jøl Kiæb) Others (Please Specify) wi vi (Risk Score) 1-5 (1-5) (MÖvn Ki SuywK wbiæc Y ÿ Î MÖvn Ki ckvi we ÍvwiZ Z_ we kølykizt e emv qi ÿ Î e emv qi cök wz, A _ i gvîv, e emv qi GjvKv, e emv qi AvKvi, wnmv ei cök Z myweav fvmx BZ vw`mn Ab vb we kl w`k we epbvq wb q MÖvnK K D P ev wb œ SyuwK m úbœ wn m e kªyxkiy Ki Z n e PvKzwii ÿ ÎI Abyiƒcfv e we ÍvwiZ_ jvf KiZt we kl K i PvKzwii cök wz I `vq`vwq Z i wbwi L SzuwK wbiæcy Ki Z n e Gme welqmg~n we epbvq wb q MÖvnK f ` bs ÿ Î ewy Z vi A cÿv D PZi vi cö`vb Ki Z cvi e )

13 v^ L) MÖvn Ki gvwmk Av qi cwigvy (Monthly Income of The Customer)t cwigvy (UvKvq) Amount (Taka) 1 j ch ší (Upto 1 Lac) >1 n Z 3 jÿ ch ší (> 1-3 Lac) 3 j vwak (above 3 Lac) M) wnmve Lvjvi aib (Way of Account Opening)t aib (Type) wi jkbkxc g v brvi/kvlv KZ K (By Relationship Manager/Branch) WvB i± mjm/g R U KZ K (By Direct Sales/Agent) B Uvi bu Gi gva g (Via Internet)/Non face to face AhvwPZ / ^cö Yvw`Zfv e (Unexpected/Intentionally)/Walk-in N) MÖvn Ki AbywgZ gvwmk jb ` bi cwigvy (Amount of Expected Monthly Transaction)t PjwZ wnmv e jb ` bi cwigvy (j UvKvq) Transaction in CD Ac (Amount in Lac) 0-10 (0-10) >10-20 (>10-20) >20 (>20) PjwZ wnmv e jb ` bi cwigvy (j UvKvq) Transaction in CD Ac (Amount in Lac) 0-5 (0-5) >5-10 (>5-10) >10 (>10) mâqx wnmv e jb ` bi cwigvy (j UvKvq) Transaction in SB Ac (Amount in Lac) 0-5 (0-5) >5-10 (>5-10) >10 (>10) O) MÖvn Ki AbywgZ gvwmk jb ` bi msl v (Expected Number of Monthly Transaction) t PjwZ wnmv e jb ` bi msl v mâqx wnmv e jb ` bi msl v Number Transaction in CD Ac Number Transaction in SB Ac 0-15 (0-15) 0-10 (0-10) (16-25) >25 (>25) (11-20) >20 (>20) P) MÖvn Ki AbywgZ gvwmk bm` jb ` bi cwigvy (Amount of Expected Monthly Cash Transaction) t mâqx wnmv e jb ` bi cwigvy (j UvKvq) Transaction in SB Ac (Amount in Lac) 0-2 (0-2) >2-5 (>2-5) >5 (>5) Q) MÖvn Ki AbywgZ gvwmk bm` jb ` bi msl v (Number of Expected Monthly Cash Transaction) t PjwZ wnmv e jb ` bi msl v mâqx wnmv e jb ` bi msl v Number Transaction in CD Ac Number Transaction in SB Ac 0-10 (0-10) 0-5 (0-5) (11-20) 6-10 (6-10) >20 (>20) >10 (>10) 14. mvgwmök SzuwK/wi iwus wbiƒcy (Dc ii K n Z Q μwgk ch ší wi v ii hvmdj) Overall Risk / Risk Rating t wi v ii hvmdj mvgwmök wi iwus (Total Risk Score) (Overall Risk Rating) >=14 (>=14) D P (High) <14 (<14) wbgœ (Low) gšíe (Comments) t wi vi (Risk Score) 0 (0) 1 (1) 3 (3) wi vi (Risk Score) 0 (0) 3 (3) 3 (3) 3 (3) wi vi (Risk Score) 0 (0) 1 (1) 3 (3) wi vi (Risk Score) 0 (0) 1 (1) 3 (3) wi vi (Risk Score) 0 (0) 1 (1) 3 (3) wi vi (Risk Score) 0 (0) (*wi iwus 14 Gi Kg n ji Beneficial owner Gi D P SzuwK we epbvq KviY D jøl c~e K Subjective we epbvq MÖvnK K D P SuywK m úbœ wn m e wbiƒcy Kiv h Z cv i ) 1 (1) 3 (3) cö ZKvix Kg KZ v (bvghy³ mxjmn ^v i I ZvwiL) BAMLCO/wØZxq Kg KZ v (bvghy³ mxjmn ^v i I ZvwiL) kvlv e e vck/kvlv cöavb (bvghy³ mxjmn ^v i I ZvwiL) (PEP/IP/AvšÍR vwzk ms vi EaŸ Zb Kg KZ v Gi ÿ Î Aby gv`bkvix EaŸZ (bvghy³wmjmn ^vÿi I ZvwiL) b KgK Zv ) 15. wnmve I MÖvnK msμvší Z_ vw` me kl ch v jvpbv Ges nvjbvmv` Kivi ZvwiL t Latest date of review & update of account and customer information ch v jvpbv Ges nvjbvmv`kvix Kg KZ v (Review & Updated by)t wmjmn i ( Signature with Seal) t bvg (Name) t ZvwiL (Date) t

14 National Bank Limited SUPERSAVERS TERM DEPOSIT ACCOUNT (SST) SST Account No Date: / / Terms & Conditions for " Supersavers Term Deposit Account (SST) A. The name of the Scheme is- SUPERSAVERS TERM DEPOSIT ACCOUNT -SST B. BENEFIT FEATURES: 1. The Period of the SST account will be of 1 (one) year 2. The interest rate of the Supersavers Term Deposit Account (SST) is to be 0.10% higher than maximum term deposit interest rate of 1 year that prevails at the time of opening the account. 3. Loan/ Credit Facility up to 80% of the deposited amount will be allowed against lien of the SST at 3% higher from the SST interest rate. 4. Locker facilities can be availed at 50% rent for the first year subject to the availability of locker facility in the respective branch. C. ELIGIBILITY FEATURE: 1. SST can be opened at multiple of Tk. 1,00,000 without any upper limit. 2. Bangladeshi citizen aged 18 years or above can open this account either singly or jointly. 3. Minor citizen of Bangladesh can also open this account. In that case, his/her legal guardian will operate the A/C. 4. One customer can open more than on SST with same branch or any branches of NBL. 5. The account can be opened in the name of Proprietary Firm, Limited Company, and Institution except Bank, NBFI or any other special type of finance or micro-finance Company. D. ENCASHMENT FEATURES : 1. No interest will be paid if en-cashed or closed before 1 (one) month. 2. Interest will be paid at Lowest Slab Savings Bank Deposit rate prevailing in our Bank at the time of encashment or at the time of issuance, whichever is lower, for the holding period if the account is en-cashed/closed after 1 (one) month but before 3 (three) months. 3. If the account is closed after 3 (three) months but before maturity, interest will be paid at 3 (three) months FDR interest rate of that time or at the time of issuance, whichever is lower, for every completed 3 (three) months period and Savings Bank Deposit rate will be applicable for residual holding period as mentioned in Point-2 under Encashment Features. E. OTHER CONDITIONS: 1. SST cannot be renewed upon its maturity. A fresh SST account has to be opened in case of reinvestment. 2. Minor s account will not be entitled to avail the other benefit features; i.e. Loan & Locker Facility. 3. SST backing loan may be sanctioned up to the tenor of maturity of SST. 4. SST receipt is not Transferable. 5. Changes of Address must be informed immediately to the issuing branch of NBL. 6. In case of the instrument is lost, duplicate receipt will be issued in favor of the beneficiary/ beneficiaries after completing all process & formalities. 7. Outstanding amount against Loan and Credit Card to be adjusted as per terms and conditions of the contract. 8. Bank can exercise the right of set-off, if necessary, in case of lien. 9. Excise duty, VAT and Income Tax to be realized from the Account as per approved rate as circulated by the Government from time to time. F. DECLARATION OF NOMINEE: 1. If the Account Holder dies at any time during the period, the balance of the Account will be paid to the nominated person(s) of the Account Holder. If the Account Holder does not nominate any person(s), then the deposited money shall be paid to the successor on production of Succession Certificate. 2. An Account Holder may fix the share payment to each nominee by fixing the share of amount receivable by such nominee (s) in case of the number of nominee is more than one. 3. The nomination will be canceled if the nominee dies in the lifetime of the account holder. A new nominee may be nominated by the Account holder in such case. 4. In the event of Account holder s death, his/her nominee(s) will not be allowed to continue the account. 5. A minor can also be made as a nominee, In that case the minor s legal guardian will receive payment on his/her behalf. 6. Photograph of the nominee duly attested by the applicant to be enclosed along with the AOF at the time of opening the A/C I/we have read and understood the above terms & conditions and agree to comply with them and also such terms & conditions as may be amended or supplemented from time to time. Signature of the Applicant(s)

15 SSA Account No National Bank Limited Terms & Conditions of NBL Serious Saver's Account (SSA): NBL SERIOUS SAVERS ACCOUNT (SSA) Date: / / A. The name of the Scheme is NBL Serious Saver's Account -SSA. B. Any Bangladeshi above 18 years of age can open this account. A minor can also open this Account by his/her own name. In that case, his/her legal guardian will operate the A/C. C. The Account may be opened either singly or jointly. D. The Account cannot be opened in the name of Proprietary concern, Partnership Firm, Limited Company and Institution. E. The SSA Account may be opened on any working day of a month preferably within 5th day of the month. F. Rate of Interest NBL Serious Saver's Account (SSA) holder shall receive 03% higher rate of interest than the prevailing minimum SB interest rate. For example, if prevailing Minimum SB interest rate is 04% p.a then 07% interest rate (available minimum SB interest rate of 04% + bonus interest 03%) will be allowed for SSA subject to fulfillment of clause (07). Interest rate on NBL Serious Saver's Account (SSA) is subject to change. Interest will be calculated on the basis of daily available balance in the Account. G. Opening of Account Serious Saver's Account for urban Branch Minimum initial amount to be deposited is Tk.20, Subsequently Tk.10, and above may be deposited in the SSA to become eligible for receiving bonus interest of 03% in addition to existing normal minimum SB interest rate provided:- i. No withdrawal is made during a particular month. ii. Subsequent deposits are not below Tk.10, iii. Deposits are made by 5th day of a month. iv. Balance on any day during a month does not fall below Tk.20, Serious Saver's Account for rural Branch Minimum initial amount to be deposited is Tk.10, Subsequently Tk.5, and above may be deposited in the SSA to become eligible for receiving bonus interest of 03% in addition to existing normal minimum SB interest rate provided:- i. No withdrawal is made during a particular month. ii. Subsequent deposits are not below Tk.5, iii. Deposits are made by 5th day of a month. iv. Balance on any day during a month does not fall below Tk.10, The SSA shall be applied normal (minimum) interest rate if i) Subsequent deposits are below Tk.10, for Urban Branch and below Tk.5, for rural branch:- ii) Above 25% of the balance is not withdrawn. iii) Number of withdrawals are not exceeded 04 (four) during a particular month. iv) Deposits are made by 5th day of a month. The SSA shall not be applied any interest if i) Above 25% of the balance is withdrawn. ii) Number of withdrawals are exceeded 04 (four) during a particular month. H. Operation of Account The Account shall be operated like a Special Savings Bank Account. Normally no withdrawal in the Account shall be allowed/encouraged. However, at the desire of the Customer, Cheque book may be issued in favor of the Account holder and withdrawals may be allowed. I. Declaration of Nominee i) If the Account Holder dies at any time during the period, the balance of the Account will be paid to the nominated person(s) of the Account Holder. If the Account Holder does not nominate any person(s), then the deposited money shall be paid to the successor on production of Succession Certificate. ii) An Account Holder may fix the share payment to each nominee by fixing the share of amount receivable by such nominee (s) in case of the number of nominee is more than one. iii) The nomination will be canceled if the nominee dies in the lifetime of the account holder. A new nominee may be nominated by the Account holder in such case. iv) In the event of Account holder s death, his/her nominee(s) will not be allowed to continue the account. v) A minor can also be made as a nominee, In that case the minor s legal guardian will receive payment on his/her behalf. vi) Photograph of the nominee duly attested by the applicant to be enclosed along with the AOF at the time of opening the A/C. J. Service Charge/ Account maintenance fee Like Savings Bank Account, half Yearly Account Maintenance Fee shall be realizable from this account as usual. K. Realization of Excise duty/vat/income Tax etc. Excise duty, VAT and Income Tax shall be realized from the Account as applicable as per approved rate as circulated by the Government from time to time. I/we have read and understood the above terms & conditions and agree to comply with them and also such terms & conditions as may be amended or supplemented from time to time. Signature of the Applicant(s)

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