ACCOUNT OPENING APPLICATION FORM wnmve Lvjvi Av e`b dig Date ZvwiL Account No. wnmve bs The Manager - e e vck CIF No. Branch - kvlv wmavbgd bs Commercial Bank of Ceylon PLC Kgvwk qvj e vsk Ad wmjb wcgjwm NON PERSONAL ACCOUNT A-e w³k wnmve Dear Sir, I/we am/are applying to open an account for my/our organization at your Branch and furnishing the detaild information about my/our company and account below. Avwg/Avgiv Avcbvi kvlvq Avgvi/ Avgv `i cöwzôv bi GKwU wnmve Lvjvi Rb Av e`b KiwQ Ges Avgvi/Avgv `i cöwzôv bi I wnmv ei we ÍvwiZ Z_ cö`vb KiwQ 1. Account Title wnmv ei bvg a) in English (Block Letter) b) evsjvq Product Type wnmv ei cökvi 2. Type of Account - Please ( ) Tick wnmv ei cök wz - wuk ( ) w`b Savings - mâqx Current - PjwZ SND - GmGbwW FC - Gdwm RFCD - AviGdwmwW NFCD - GbGdwmwW Others - Ab vb... 3. Currency - Please ( ) Tick Taka - UvKv USD - BDGmwW EURO - BD iv GBP - wrwewc gỳ ªv - wuk ( ) w`b Others - Ab vb... 4. Type of Organization - Please ( ) Tick Proprietorship - GKK gvwjkvbvaxb Partnership - Askx`vix cöwzôv bi aib - wuk ( ) w`b Joint Venture - hš_ D ` vm Private Ltd. Co. - cövb fu wjt Kvs Public Ltd. Co. - cvewjk wjt Kvs Government - mikvix Trust - Uªv Semi-Govt./ Autonomous - Avav mikvix/ ^vwqëkvwmz NGO/NPO - GbwRI/GbwcI Club/Society - K ve/ mvmvbwu Educational Institute - wkÿv cöwzôvb Religious Institution - agx q cöwzôvb 5. Purpose of Opening A/C wnmve Lvjvi D Ïk 6. Address of the Organization cöwzôv bi wvkvbv a) Registered Address wbewüz wvkvbv b) Business/Office Address e emv cöwzôvb/awd mi wvkvbv c) Factory/ Industry Address KviLvbv/wkí cöwzôv bi wvkvbv Page-1
7. Contact hvmv hvm a) Business/Office Phone No. Fax No. e emv cöwzôvb/awd mi dvb bs d v bs E-mail B- gbj b) Factory/ Industry Phone No. Fax No. KviLvbv/wkí cöwzôv bi dvb bs d v bs E-mail B- gbj 8. Trade License No. UªW jvb mý a) Number b ^i b) Issuing Authority cö`vbkvix KZ cÿ Date ZvwiL 9. Registration wbeüb a) Number b ^i b) Issuing Authority cö`vbkvix KZ cÿ Date ZvwiL Country `k (for both Local/Foreign - `kx/we `kx Dfq ÿ Î) 10. Tax Exemption - Please ( ) Tick Yes - Please attach the Copy No Ki Ae nwz - wuk ( ) w`b 11. E-TIN n uv - Aby gv` bi Abywjwc hy³ KiæY bv B-wUb 12. VAT/BIN Registration No. (if Available) f vu/bin wbeüb bs (hw` _v K) 13. Business Related Information e emv msµvší Z_ vewj a) Type of Business Trading - UªwWs Service - mev Production - Drcv`b e emvi aib b) Type of Product/ Service cy ev mevi aib c) Total Manpower (Permanent & Contractual) gvu Rbej ( vqx I A vqx) d) Yearly Turnover evwl K Uvb Ifvi e) Net Wealth of the Organization cöwzôv bi wbu m ú` f) Others Information (where applicable) Ab vb Z_ (cö hvr ÿ Î) 14. Does the Customer Maintain any Account with Other Bank(s)? (Please Tick): MÖvnK Ab Kv bv e vs Ki mv _ Kvb wnmve cwipvjbv K ib wk? (wuk w`b): Yes - n vu No - bv Serial No. Name of the Bank Branch Type of Account (Please Tick) µwgk msl v e vs Ki bvg kvlv wnmv ei cök wz (wuk w`b) Deposit A/C Loan A/C Credit Card Rgv wnmve FY wnmve µwwu KvW Deposit A/C Loan A/C Credit Card Rgv wnmve FY wnmve µwwu KvW Deposit A/C Loan A/C Credit Card Rgv wnmve FY wnmve µwwu KvW Deposit A/C Loan A/C Credit Card Rgv wnmve FY wnmve µwwu KvW Page-2
15. Information of Introducer (except for Govt./ Semi-Govt./Autonomous/ Stock Market Listed BO Account) cwipq`vbkvix Z_ (mikvix/avavmikvix/ ^vwqëkvwmz/ K gv K U wj W K úvwb e ZxZ) a) Name bvg b) Account Number Branch wnmve b ^i kvlv c) CIF Number of the Introducer wmavbgd b ^i d) Relationship with the Applicant and how are they Known to Each Other Av e`bkvixi mv _ m úk Ges cwip qi m~î e) Phone No.- dvb b ^i Mobile No.- gvevbj b ^i Signature & Date of Introducer cwipq`vbkvixi ^vÿi I ZvwiL Signature & Date of Verifying Officer of Introducer cwipq`vbkvixi Z_ cöz qbkvix Kg KZ vi ^vÿi I ZvwiL 16. Initial Deposit Amount In Words cöviw K Rgvi cwigvb K_vq 17. Source of Fund (to be Mentioned Clearly and in Details) A _ i Drm (cwi vi I wek`fv e D jøl Ki Z n e ) 18. Decleration & Signature NvlYv I ^vÿi I/We hereby acknowledge that, I/We have read and understood the Terms & Conditions related to the Account and will be abide the Terms & Conditions of Commercial Bank of Ceylon PLC. I/We solemnly declare that the information provided here is correct and true. I/We shall also submit any relevant information/ documents as and when required by the Bank. Avwg/Avgiv wbðqzv cö`vb KiwQ h, Avwg/Avgiv Kgvwk qvj e vsk Ad wmjb wcgjwmi wnmve m úwk Z hvezxq kz vejx h_vh_fv e c o I ey S g b Pj Z m Z n qwq Avwg/Avgiv máv b NvlYv KiwQ h, Dc iv³ Z_ vejx mz Avwg/Avgiv wbðqzv cö`vb KiwQ h, e vs Ki Pvwn`v Abyhvqx wnmve msµvší h Kv bv Z_ w` Z m Z _vke Particulars weeiy 1st Applicant 1g Av e`bkvix 2nd Applicant 2q Av e`bkvix 3rd Applicant 3q Av e`bkvix 4th Applicant 4_ Av e`bkvix Date and Signature ^vÿi I ZvwiL Name bvg Page-3
For Bank Use Only - e vs Ki e env ii Rb Account Opening Checklist wnmve Lvjvi PKwj 1. Account Opening Application Form Duly Completed c~b v½ wnmve Lvjvi Av e`b dig 2. Verification of Introducer s Information cwipq`vbkvixi Z_ hvpvbk Z 3. Credentials of the Ultimate Beneficiary cök Z myweav fvmxi cwipqcî a) Verified Copy of National Identity Card (NID) RvwZq cwipqc Îi hvpvbk Z Abywjwc b) Copy of Passport with Validity Period gqv`mn cvm cv U i Abywjwc c) Copy of Birth Certificate Rb wbeüb mb `i Abywjwc d) Copy of E-TIN B-wU bi Abywjwc e) Copy of Driving License with Validity Period WªvBwfs jvb m Ýi Abywjwc 4. Passport Size Photographs of Applicant (2 Copies) duly Attested by Introducer Av e`bkvixi cvm cvu mvb Ri Qwe (2 Kwc) cwipq`vbkvix Øviv mz vwqz 5. Passport Size Photographs of Nominee (1 Copy) duly Attested by Applicant bwgbxi cvm cvu mvb Ri Qwe (1 Kwc) Av e`bkvix Øviv mz vwqz 6. Duly Completed Specimen Signature Card bgybv ^vÿ ii KvW h_vh_fv e m úbœ 7. Supporting of Proof of Address wvkvbv cögvb mg_ b `wjjvw` Remarks (if any) gšíe (hw` _v K) Page-4 Stamp and Signature of the A/C Opening Officer wnmve Lvjvi Kg KZ vi bvghy³ wmj Ges ^vÿi Stamp and Signature of Branch Manager kvlv e e vc Ki bvghy³ wmj Ges ^vÿi Indicative List of Required Information (document) related to Non-Personal Account Ae w³k wnmv ei Rb cö qvrbxq Z_ vw`i wb ` kk ZvwjKv i) Verified copy of National ID Card/ copy of Valid Passport/ copy of Birth Registration Certificate RvwZq cwipqc Îi hvpvbk Z Abywjwc/ ea cvm cv U i Abywjwc/ Rb wbeü mb`c Îi Abywjwc In case of birth registration certificate a copy of any other photo identity card of the customer/ account operator has to be provided. Rb wbeüb cö`vbc~e K wnmve Lvjvi ÿ Î Rb wbeüb cîmn MÖvnK/ wnmve cwipvjbvkvixi Av jvkwpîmn Ab h Kv bv cwipqc Îi Abywjwc cö`vb Ki Z n e If the photo identity is not available, certificate of identity issued by the eminent persons*of the society has to be provided subject to the satisfaction of the Bank. This certificate or identity card shall contain the photographs (front part of the photographs shall be attested) of the customer/ account operator. Av jvkwpîmn cwipq 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 vw³* KZ K cö`ë cwip qi cöz vqbcî cö`vb Ki Z n e D³ cwipqcî ev cöëvqbcî MÖvnK/wnmve cwipvjbvkvixi Av jvkwpîmn (Av jvkwp Îi Dc ii c ô mz vqbmn) n Z n e 1. Accounts of Corporate or Business Entity K c v iu ev e emvwqk cöwzôv bi wnmve a) Sole Proprietorship Organization - e w³ gvwjkvbvaxb cöwzôvbt In addition to the Information Related to Individual, copy of Trade License of the Proprietor is required. Òe w³ msµvší Z_ vejxó dig Gi mv _ wnmve cwipvjbvkvixi (cöwzôv bi ^Z vwakvixi) UªW jvb m Ýi Abywjwc b) Partnership - cvu bviwkct As per the definition of Beneficial Owner, Information Related to Individual form to be filled up by the Partners/Shareholders. In addition to this, Partnership Deed and Copy of Trade License are required. ewbwdwkqvj Ibvi Gi msáv Abyhvqx cª Z K cvub vi/ kqvi nvìvi K Òe w³ msµvší Z_ vejxó dig c~iy Ki Z n e GQvovI cvub viwkc www Ges Askx`viM Yi UWª jvb m Ýi Abywjwc cö`vb Ki Z n e c) Limited Company - wjwg UW Kv úvwbt As per the definition of Beneficial Owner, Information Related to Individual form to be filled up by the Directors/Shareholders. In addition to this, Certificate of Incorporation, Articles of Association, Memoradum of Association, Board Resolution and Particulars of Directors/ Authorised Signatories are required. ewbwdwkqvj Ibvi Gi msáv Abyhvqx cö Z K cvu bvi/ kqvi nvìvi K e w³ msµvší Z_ vejxó dig c~iy Ki Z n e GQvovI mvwu wd KU Ae BbK c v ikb, AvwU Kjm Ae G mvwm qkb, g gv iûvg Ae G mvwm qkb, ev W i mfvq M nxz AvbyôvwbK wm vší, Pqvig vb/ Kv úvwb mwpe Øviv cwipvjk/aby gvw`z mvÿikvwi m úwk Z NvlYv cö`vb Ki Z n e In case of company at least 5 (five) major share holder s information have to be obtained as per Information Related to Individual form. Kv úvwbi ÿ Î m e v P kqviavix bÿ bzg 5 Rb cwipvj Ki Z_ Óe w³ msµvší Z_ Ó dig Abyhvqx msmön Ki Z n e
2. Govt. Account (including different ministries & divisions), Govt. Owned Organizations, Semi-govt. or Autonomous Organizations, and Projects under different Ministries. mikvix wnmve (wewfbœ gš Yvjq, wefvmmn), mikvix gvwjkvbvaxb cöwzôvb, Avav mikvix ev ^vqëkvwmz cöwzôv bi wnmve, wewfbœ gš Yvj qi Aax b cwipvwjz cök íi wnmve As per BFIU Circular Letter No. 01/ 2017, dated 16/01/2017, Information Related to Individual form to be filled up by the account operator(s) and approval from appropriate authority to open and operate the account wnmve Lvjv I cwipvjbvi Rb mswkøó Dchy³ KZ cÿ KZ K cö`ë AbygwZ cîmn wnmve cwipvjbvkvixi Z_ wegd AvBBD mvk yjvi juvi bs-1/2017 Abyhvqx Òe w³ msµvší Z_ vejxó dig _vh_fv e c~iy Ki Z n e 3. Other Organization Ab vb msmvb a) Club/Society - K ve/ mvmvbwut Certification from Executive Committee, By-Laws or Constitution, Resolution on Account opening, Govt. Certification/License (or any other documents) in case of registerd organization to be obtained and Information Related to Individual form to be filled up by concern President, Secretary, Treasurer or anyone who will operate the account. cwipvjbv cl `, evb-jr ev msweavb, wnmve Lvjvi irjÿ kb, iwr vw n j mikvix Aby gv`bcî BZ vw`mn mswkøó mfvcwz, m úv`k, Kvlva ÿ I Ab vb wnmve cwipvjbvvixi Rb Òe w³ msµvší Z_ vejxó dig h_vh_fv e c~iy Ki Z n e b) Cooperative Society/ Limited Society - mgevq mwgwz/wjwg UW mvmvbwut Attested copies of bylaws/ constitution from the Cooperative Society, Registration Certificate, particulars of office bearers, resolution of opening Bank of Account to be obtained and Information Related to Individual form to be filled up the account operator. Kv-Acv iwuf Kg KZ v KZ K mz vwqz evb-jr, Awdm Kg KZ v `i (office bearers) weeiy, wnmve Lvjvi wel q wm vší (resolution), mvwu wd KU Ae iwr ªkb BZ vw`mn mswkøó wnmve cwipvjbvkvixi wel q Òe w³ msµvší Z_ vejxó dig h_vh_fv e c~iy Ki Z n e c) Non-Govt. School, College and Madrasa - emikvix zj, K jr Ges gv`ªvmvt Particulars of Governing Body and Members of the Managing Committee, Resolution on Account opening and Information Related to Individual form to be filled up by the account operator(s). Mfvwb s eww ev g v bwrs KwgwUi m`m M Yi c~y cwiwpwz, wnmve Lvjvi wel q wm vší (resolution) BZ vw`mn mswkøó wnmve cwipvjbvkvixi Òe w³ msµvší Z_ vejxó dig h_vh_fv e c~iy Ki Z n e d) Trustee - Uªvw t Certified copy of Deed of Trust, Particulars of Members of the Trustee Board, Resolution on Account Opening and Information Related to Individual form to be filled up by the account operator(s). www Ae Uªv Gi mvwu dvbw Kwc, Uªvw evw Gi m`m M Yi c~y cwiwpwz, wnmve Lvjvi wel q wm vší (resolution) BZ vw`mn mswkøó wnmve cwipvjbvkvixi Òe w³ msµvší Z_ vejxó dig h_vh_fv e c~iy Ki Z n e *Eminent Person: Member of Parliament, Mayor of City Corporation, Deputy Mayor and Councilor of City Corporation, Gazetted Officer at 9th or above of National Pay Scale, Teacher of the Public University, Chairman and Vice Chairman of the Upazila Council, Chairman of the Union Council, Mayor and Councilors of the Municipality, Professor of Private University, Principal of the Private College, Head Master of Non-Govt. High School, Editor of the Daily Newspapers, Notary Public, Semi-govt. / Autonomous/ Govt. Officers at 7th or above of National Pay Scale, Bangladesh Bank Officers at 9th or above of National Pay Scale. *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 Dc ii 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 `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" Terms and Conditions - kz mg~n 1. 2. 3. 4. 5. The laws and regulations of Bangladesh will apply as to open and operation of the account. wnmve Lvjv I cwipvjbvi ÿ Î evsjv ` k we` gvb AvBb I wewagvjv cö qvm n e Any person opening an account will be deemed to have read, understood and accepted the accounts governing rules. h Kvb e w³ wnmve Lvjv I cwipvjbvi ÿ Î we` gvb wbqgvejx I wewamg~n m ú K h_vh_ AewnZ Ges D³ wbqgvejx I wewamg~n Zvnvi Øviv M wnz n q Q e j Mb Kiv n e A suitable introduction by an introducer acceptable to the Bank is required prior to any opening of account. Recent photographs of the account openers i.e. owners/directors/signatories duly attested by the introducer must be produced. wnmve Lvjvi c~ e e vs Ki Kv Q MÖnY hvm cwipq`vbkvixi gva g Dchy³ cwiwpwzi cö qvrb nq wnmve Lvjv e w³i m` Zvjv Qwe A_ vr cwipq`vbkvix KZ K gvwjk/ cwipvjk/ ^v ikvixmb h_vh_fv e mz vwqz niqv mv c Aek B Rgv w` Z n e Each account will be given one account number. This number is properly quoted on all letters and/or documents addressed to the Bank and all deposit slips. The Bank will not be responsible for any loss or damage occurring as a result or wrong quotation of the account number. cö Z K wnmv ei Rb GKwU bv ^vi `qv n e AÎ bv ^vi mwvkfv e mkj c Î Ges/A_ev KvMRcÎ ev `wjj` Ív er ey bv ev D Z mv c mkj w øcmn e vs Ki wvkvbvq Rgv w` Z n e wnmve bv ^v i fyj ey bv ev D Z A_ev djvdj Gi Kvi Y h Kvb jvkmvb I q wzi Rb e vsk `vqx n e bv In consideration of Commercial Bank of Ceylon PLC agreeing to carry out financial order(s)/transaction(s) on the basis of our facsimile Instruction(s), pending submission of the original order(s)/instruction(s) I/we do hereby undertake, agree and indemnify Commercial Bank of Ceylon PLC as follows: Kgvwk qvj e vsk Ad wmjb wcgjwm PjvKvjxb mg q Avgv `i facsimile wb ` kbvi wfwë Z Avw_ K Av `k cwipvjbvi Rb g~j Av `k / wb ` kbv Dc vc bi Abycw wz Z Avgiv Kgvwk qvj e vsk Ad wmjb wcgjwm e vsk K wzc~i Yi `vqfvi n Z Aegy³ Kwijvg Page-5
Terms and Conditions - kz mg~n 6. 7. 8. 9. 10. 11. 12. 13. a) That I/we have given Commercial Bank of Ceylon PLC authorization to carry out all financial order(s)/transaction(s) as per my/our facsimile instruction(s) and I/we guarantee to indemnify Commercial Bank of Ceylon PLC for any loss/damage in consequence thereof. Avwg / Avgiv Kgvwk qvj e vsk Ad wmjb wcgjwm Avw_ K Av `k/ wb ` kbv Avgvi / Avgv `i facsimile wb ` kbv g Z cwipvjbvi gzv cö`vb KiwQ Ges Avwg / Avgiv h Kvb wz / jvkmv bi Rb Kgvwk qvj e vsk Ad wmjb wcgjwm e vsk wzc~i Y wbwðz cö`vb KiwQ A_ev Rvwgb`vi wnmv e `vqfvi MÖnY KiwQ b) That I/we shall produce the original order(s) /instruction(s) in due course as promised and for any default if Commercial Bank of Ceylon PLC suffer any loss/damage we shall fully indemnify the Bank with all legal costs and expenses, if any. Avwg/ Avgiv e vs Ki h_vh_ Î g~j WKz g Um ev KvMRcÎ cö`v b cöwzköæwze Ges h Kvb e _ Zvi Rb e vs Ki jvkmvb A_ev q wz n j Avwg/ Avgiv e vsk K h_vh_ wzc~iy I LiP w` Z eva _vke c) That this indemnity is given over and above any other securities Commercial Bank of Ceylon PLC has and also other legal remedies available to Commercial Bank of Ceylon PLC. Dc iv³ wbðqzv I wzc~i Yi wel q Kgvwk qvj e vsk Ad wmjb wcgjwm e vs Ki wbim b AvBbMZ AwaKvi i q Q Interests/commissions/service or maintenance charges will be levied/determined time to time by the Bank and as per Bangladesh Bank regulations. mỳ / Kwgkb / mvwf m A_ev i Yv e Y ev cwipvjbv LiP ev PvR mgq mgq e vsk I evsjv `k e vs Ki wewagvjv Abymv i avh Kiv n e The funds available in any of the account holder's account (the customer) with the Bank will be considered by the Bank to be a security for any commitments(s) and/or commitment(s) present and/or future of the customer to the Bank. In the event of dishonour or unfulfilment of such obligation(s) and/or commitment(s), the Bank is entitled without giving prior notice to the customer to utilize such funds against the obligation(s) and/or commitment(s) of the customer of the Bank. e vs K wnmveavix wnmv e Znwej _vk j h Kvb cöwzköæwz Ges / A_ev we` gvb cöwzköæwz Ges / A_ev e vs K MÖvn Ki fwel Zi Rb wbðqzv `v b e vsk KZ K we epbv Kiv n e wwribvi A_ev `vq-`vwqz c~i Y e _ n j Ges / A_ev cöwzköæwz c~i Y e _ n j, e vsk MÖvn Ki D³ `vq-`vwqz I cöwzköæwzi wecix Z D³ Znwej e env i MÖvnK K c~eezx Kvb cökvi bvwuk cö`vb QvovB e env ii gzv msi Y Ki e The account statement dispatched to the customer will be considered as accepted, unless any discrepancy (ies) is/are notified to the Bank in writing within 15 days from the date of receipt. The Bank is not responsible for any delays in courier/ mailing service, which is beyond the control of the Bank. Account Statement will not be issued when there is no transaction recorded during the statement period, although a statement can be obtained on special request. Bank will not be liable for any loss/ non-delivery of account statement due to change of address without prior written intimation to the Bank by the account holder. wnmve weeiyx cövwß i 15 w` bi g a Kvb Mowgj m ú K wjwlzfv e e vsk K AewnZ bv Kiv n j Dnv mwvk e j Mb n e Kzwiqvi/ gbwjs mvwf mi Kvb wej ^i (e vs Ki wbqš bewn fzz) Rb e vsk `vqx _vk e bv wnmve weeibxi wbw` ó gqv `i g a Kvb jb `b wjwce bv n j wnmve weeibx cökvk Kiv n e bv, Z e we kl Pvwn`v Abyhvqx wnmve weeibx cviqv hv e cwiewz Z wvkvbv m ú K MÖvnK KZ K e vsk K c~ e wjwlzfv e AewnZ bv Kivi Kvi b wnmve weeibx nviv bv/ weziy m úboe bv n j e vsk `vqx _vk e bv Account holders must provide maximum security to the cheque books in their possession and the Bank is not responsible for any loss occurring due to inadequacy or security. Any cheque book loss or misused must be immediately reported to the Bank and confirmed in writing without any delay. wnmveavix PK eb Zvi ndvr Z ev wr vq m e v P wbivcëv cö`vb Ki e AwbivcËvi Kvi Y h Kvb jvkmv bi Rb e vsk `vqx bq h Kvb PK eb nvwi q M j A_ev Ace envi n j Zvr wykfv e e vsk K Rvbv Z n e Ges Zv wjwlzfv e e vs K wbwðz Ki Z n e When cheque(s) of other Banks inside or outside Dhaka is/ are deposited, payment shall be made on clearing or collection basis. XvKv I XvKvi evwn i MÖvnK KZ K Ab e vs Ki RgvK Z P Ki c g U ïaygvî wk qvwis A_ev msmö ni c ib cö`vb Kiv n e The Bank reserves the right to close any account without giving prior notice if the conduct of the account is unsatisfactory in the opinion of the Bank or any other reason(s) whatsoever. e vs Ki wbqg gvwdk/gzvgz Abymv i m šívlrbk ev gbtc~z bv n j bvwuk cö`vb QvovB e vsk h Kvb wnmve eü Kivi GLwZqvi msi Y K i The Bank may at any time in its discretion, discharge its entire liability with respect to this account(s) by mailing to the customer at the address indicated herein, its draft in the currency of the account(s) payable to order of the customer in the amount standing to the credit balance in the account deducting the amount of the any claims that the Bank may have on such funds. cöv_x i wvkvbvq gbj cvvv bvi gva g e vsk Zvi wbr ^ GLwZqv i h Kvb mgq D³ wnmv ei mgỳ q `vq cö qvrbxq PvR KZ b mv c Aewkó w wz A_ MÖvn Ki wbku cwi kva mv c wb úwë Ki Z cv i The balance in the account(s), is payable solely at any branch of Commercial Bank of Ceylon PLC in Bangladesh accordance with the Bank's terms and conditions and shall be governed by and subject to law(s) in effect in Bangladesh. As used herein "Laws" will include circulars, modifications, regulations and orders of the Government and the Bangladesh Bank. e vs Ki kz vbymv i evsjv ` k Kgvwk qvj e vsk Ad wmjb wcgjwm e vs Ki h Kvb kvlvq wnmv e iw Z w wz GKKfv e cwi kva hvm Ges evsjv ` ki Kvh Kix AvBb mv c cwipvwjz n e AvB bi cö qvm I e envi evsjv `k e vsk Ges mikv ii mvkz jvi, ms kvab, wewagvjv Ges Av `k K AšÍf~³ Ki e Page-6
Terms and Conditions - kz mg~n 14. The Bank reserves the right to amend the present rules at any time and in a manner with or without giving prior notice to the account holder separately or publicly. wnmveavix A_ev MYgva g Kvb cökvi bvwuk cö`vb QvovB h Kvb Dcv q ev cš vq h Kvb mgq e vsk we` gvb wbqg I wewa ms kvab Kivi AwaKvi msi Y K i 15. To open a Partnership Firm s account the applicant(s) should follow the terms and conditions mentioned below under the heading of Special Condition. Av e`bkvix K GKwU Askx`vix ms vi wnmve Lyj Z n j wb P ewy Z we kl kz vejxi Aax b kz mg~n Aek B AbymiY Ki Z n e 16. Bank may inform transaction related information/account statements/products & services related information/ promotional activities through SMS/e-mail from time to time without any further notification. e vsk cö qvrb Abyhvqx jb ` bi Z_ /wnmve weeibx/cy I mev m úwk Z Z_ / cöpvig~jk Kvh µg SMS/e-mail gva g cöib Ki Z cv i G ÿ Î c _Kfv e MÖvn Ki AbygwZ cö qvrb n e bv Special Conditions for partnership Firm s Account - Askx`vwiZ cöwzôv bi wnmv ei Rb we kl kz mg~n a) We request and authorize the Bank if any of us shall give notice in writing to honor and debit of the firm's account through any process (i.e. Cheques, Guarantees, or other Negotiable Instruments which may be drawn, or Bills accepted or notes made or receipts for money owing by the Bank to the firm) and for that the firm's account be for the time being in credit or over drawn or may become overdrawn in consequence of such debit and we will jointly and/or separately responsible for the repayment of any such overdraft and interest. Avgiv e vsk K Aby iva KiwQ I ÿgzv cö`vb KiwQ h, hw` Avgv `i h Kvb GKRb K h Kv bv cöwµqvq cöwzôvb GKvD Ui nb Z cö`vb I `bvi wel q wjwlzfv e bvwuk cö`vb Kiv nq ( A_ vr PK, M vivw Umg~n ev Ab Kvb Av jvpbv mv cÿ cöwµqv hvnv Avbv n Z cv i ev M nxz wej n Z cv i ev cö ZK Z bvu n Z cv i hv Avgv `i cöwzôv bi wbku e vsk cövc n e) hvnvi Rb, D³ F bi cwi cöwÿ Z Avgv `i cöwzôv bi µwwu ev RgvK Z UvKv n Z K U ivlvi cö qvrb n Z cv i, Zvn j Avgiv hš_fv e ev GKKfv e D³ RgvwZwi³ UvKv (FY) I mỳ cyb:cwi kva Ki Z `vqe _vwke b) We also request and authorize the Bank to accept the endorsement, of any of us in the name or on behalf of the firm on Cheques, Orders, Bills, Notes or other Negotiable Instrument. Avgv `i bv g ev Avgv `i cöwzôv bi c ÿ PK, Av `kbvgv, wejmg~n, bvu ev Ab vb Av jvpbv hvm cöwµqvi mz vqb MÖnY Ki Z Avgiv e vsk K Aby iva KiwQ I ÿgzv cö`vb KiwQ c) The Bank is hereby authorized to carry out any instruction in connection with the account (including instructions countermanding payment of Cheques, Bills of Exchange, Promissory Note or Order for Payment) when such instructions are given by all or any one of us. GKvD Ui mv _ mswkøó h Kvb cökvi wb ` kbv gvb Ki Z ev MÖnY Ki Z GBg g e vsk K ÿgzv cö`vb Kiv n Q ( h Kvb cökvi ^vÿik Z PK cwi kva, wewbgq wej, cöwgmix bvu ev Av `k cöwzcvjb I cwi kva iwnzkiyi Bnvi AšÍfz³) hlb Giƒc wb ` kbv Avgv `i mk ji ev Avgv `i g a n Z h Kvb GKRb KZ K cö`vb Kiv n e d) Any amount borrowed from the Bank in the name or on behalf of the firm and may be withdrawn in any manner by anyone of us jointly or separately against any security or other property deposited in the name of the firm may be recovered by the Bank and we will; separately or jointly be held liable for repayment such liabilities with interests, costs, charges and expenses. Avgv `i Øviv GKK ev hš_fv e cöwzôv bi bv g ev c ÿ h Kvb RvgvbZ/ wmwkdwiwui wecwi Z h Kvb Fb A_ev hv Kvbfv e cövß A _ i Rb Avgiv GKK ev hš_fv e Øvqe _vke Ges e vsk cö qvr b D³ RvgvbZ/ wmwkdwiwui bm`vqb/ weµq K i D³ Fb/ Øvqe Zv cybiæ vi Ki Z cvi e Ges Avgiv GKK ev hš_fv e D³ Fb/ Øvqe Zv mỳ I Ab vb LiP m gz cwi kva Ki Z eva _vke e) Any Liability whatsoever incurred in respect of the account shall be borne jointly, and severally. D³ GKvD Ui mv _ mswkøó h Kvb cökvi `vq Avgiv GKKfv e Ges hš_fv e enb Kie f) This authority shall remain in force until revoked notwithstanding any change in the constitution or name of the firm and shall apply notwithstanding any change in the membership of the firm by death, bankruptcy, retirement. cöwzôv bi bv g h Kvb cökvi PK wb ` kbv evwzj niqv bv ch ší KZ cÿ cwicvj b eva _vwk e Ges Dnv H mgq ch ší cö hvr n e hw` g Zz, `Ijxqv, Aemi MÖnY msµvší Kvi b m`m c `i Kvb cökvi cwiez b nq Agreement (m wz) I/We hereby agree to the above general terms and conditions. Avwg/ Avgiv Dc iv³ mvaviy kz vejx Z m wz Ávcb Kijvg Particulars weeiy 1st Applicant 1g Av e`bkvix 2nd Applicant 2q Av e`bkvix 3rd Applicant 3q Av e`bkvix 4th Applicant 4_ Av e`bkvix Date and Signature ^vÿi I ZvwiL Name bvg Page-7
TRANSACTION PROFILE (TP) m ve jb ` bi AbywgZ gvîv Account No. wnmve bs CIF No. wmavbgd bs 1. Account Title wnmv ei bvg 2. Approximate Monthly Income m ve gvwmk Avq 3. Approximate Monthly Turnover (for Company) m ve gvwmk Uvb Ifvi (cöwzôv bi ÿ Î) Deposit Estimated No. of Monthly Estimated Maximum Estimated Amount of Total Rgv Deposit Amount in a Single Deposit Monthly Deposit m ve gvwmk Rgv msl v gv m m ve m e v P GKK Rgvi cwigvb m ve gvwmk gvu Rgvi cwigvb Cash (Including Online & ATM) bm` Rgv (AbjvBb Ges GwUGgmn) Deposit by Transfer/Instruments UªvÝdvi/BÝUªy g Ui gva g Rgv Foreign Inward Remittance ˆe `wkk BbIqvW iwg UÝ Earning from Export ißvwb eve` Avq Deposit/Transfer from BO A/C (Stock Market) BO (cyuwr evrvi) wnmve _ K Rgv/ vbvšíi Others (Please Specify) Ab vb (wbw` ófv e) Total me gvu Withdrawal D Ëvjb Cash (Including Online & ATM) bm` (AbjvBb Ges GwUGgmn) Payment by Transfer/Instruments UªvÝdvi/BÝUªy g Ui gva g cwi kva Foreign Outward Remittance ˆe `wkk AvDUIqvW iwg UÝ Payment for Import Avg`vwb eve` cwi kva Withdrawal for BO A/C (Stock Market) BO GKvD Ui Rb D Ëvjb Others (Please Specify) Ab b (wbw` ófv e) Total me gvu Estimated No. of Monthly Withdrawal Estimated Maximum Amount in a Single Withdrawal Estimated Amount of Total Monthly Withdrawal m ve gvwmk D Ëvj bi msl v gv m m ve m e v P GKK D Ëvj bi cwigvb m ve gvwmk gvu D Ëvj bi cwigvb I/We the undersigned hereby acknowledge that the transaction limit of mine /our organization is usual and normal. I/We also acknowledge that if necessary, I/we will change/update the transaction profile from time to time. Avwg/Avgiv wb P ^vÿikvix (MY) wbðqzv cö`vb KiwQ h, Avgvi/Avgv `i cöwzôv bi m ve jb ` bi cö`ë gvîv ^vfvwek I wbqwgz Avwg/Avgiv wbðqzv cö`vb KiwQ h, cö qvr b Avwg/Avgiv m ve jb ` bi cö`ë gvîv ms kvab/nvjbvmv` Kie Particulars weeiy 1st Applicant 1g Av e`bkvix 2nd Applicant 2q Av e`bkvix 3rd Applicant 3q Av e`bkvix 4th Applicant 4_ Av e`bkvix Date and Signature ^vÿi I ZvwiL Name bvg For Bank Use Only - e vs Ki e env ii Rb As per the instruction of BFIU, Transaction Profile (TP) of the Customer has been obtained and reviewed. - wegdavbbd Gi wb ` kbv Abyhvqx MÖvn Ki m ve jb ` bi AbywgZ gvîv M nxz Ges ch v jvpbv Kiv n q Q Reason for updating/ not updating the Transaction Profile of the customer. - MÖvn Ki m ve jb ` bi gvîv cwiez b Kiv/ bv Kivi KviY Page-8 Name Stamp and Signature of Verifying Officer cöz qbkvix Kg KZ vi bvghy³ wmj Ges ^vÿi
Photographs of Nominee bwgbxi d Uv Account No. wnmve bs CIF No. wmavbgd bs INFORMATION RELATED TO NOMINEE bwgbx msµvší Z_ vewj Applicable to Personal Account & Proprietorship Account. This form has to be filled up separately for multiple Nominees. e w³k I gvwjkvbv wnmv ei ÿ Î cö hvr Ges GKvwaK bwgbxi ÿ Î c _Kfv e bwgbx dig c~iy Ki Z n e I/We are nominating the following person as my/our nominee to pay the amount of my/our account after my/our death. I/We preserve the right to cancel/amend/ replace the nominee at anytime. I/We also declare that the bank will not be held liable for any transaction according to our declaration. Avwg/Avgiv GB wnmv e RgvK Z A_ Avgvi/Avgv `i g Zz i ci wb œwjwlz e w³/e w³em K cö`v bi Rb g bvbxz Kijvg Avwg/Avgiv NvlYv KwiwQ h, Avgvi/Avgv `i wb ` kbv Abyhvqx jb `b cwipvjbvi Rb e vsk `vqe _vk e bv 1. Account Title wnmv ei bvg 2. Name of Nominee bwgbxi bvg 3. Father's Name wczvi bvg 4. Mother's Name gvzvi bvg 5. Spouse Name ^vgx/ xi bvg 6. Date of Birth Rb ZvwiL 7. Present Address ez gvb wvkvbv 8. Permanent Address vqx wvkvbv 9. Occupation ckv 10. Credentials of Nominee bwgbxi cwipqcî a) National ID No. RvZxq cwipqcî bs b) Passport No. cvm cvu bs Expiry Date gqv` DËx Y i ZvwiL c) Birth Registration Certificate No. Rb wbeüb mb`cî bs d) E-TIN B-wUb e) Driving License No. WªvBwfs jvb mý bs f) Others (to be Specified) Ab vb (wbw` ófv e D jøl Ki Z n e) Expiry Date gqv` DËx Y i ZvwiL Page-9
11. Relationship with Account Holder wnmveavixi mv _ m úk 12. Percentage kzkiv nvi 13. If the Nominee(s) is/are a Minor and the Account Holder(s) has/have Died, the information of the Recipient of the Deposits as per Bank Company Act 1991, Section 103(2) bwgwb/ bwgbxm bi bvevjk Ae vq wnmveavix/wnmveavixm Yi g Zz n j e vsk Kv úvwb AvBb, 1991 Gi 103 (2) aviv Abyhvqx Avgvb Zi UvKv MÖnYKvixi Z_ a) Name bvg b) Father's Name wczvi bvg c) Mother's Name gvzvi bvg d) Spouse Name ^vgx/ xi bvg e) Date of Birth Rb ZvwiL f) Present Address ez gvb wvkvbv g) Permanent Address vqx wvkvbv h) National ID No. RvZxq cwipqcî bs In case of Non-availability of NID, proof of identity of legal guardian has to be obtained as serial no. 10 RvZxq cwipqcî bv _vk j, µwgk bs 10 Abymv i ˆea Awffve Ki cwiwpwzcî msmön Ki Z n e i) Relationship with Nominee bwgbxi mv _ m úk If NRB is nominated and become beneficiary of the account, the Foreign Exchange Regulation Act will be applicable while remitting money. Kvb Awbevmx K bwgbx Kiv n j Ges H Awbevmx mswkøó wnmv ei A_ cövc n j cövß A_ we ` k cöiy Kv j ˆe `wkk gỳ ªv wbqš Y AvB bi wewa-weavb cö hvr n e Signature and Date of the Nominee bwgbxi ^vÿi I ZvwiL Particulars weeiy 1st Applicant 1g Av e`bkvix 2nd Applicant 2q Av e`bkvix 3rd Applicant 3q Av e`bkvix 4th Applicant 4_ Av e`bkvix Date and Signature ^vÿi I ZvwiL Name bvg Page-10
FOR KIND INFORMATION OF THE RESPECTED CUSTOMERS (mswkøó MÖvn Ki m`q AeMwZi Rb Z_ ) 1. 2. 3. 4. 5. 6. Money Laundering Prevention Act- 2012 (amended in 2015) and Anti Terrorism Act- 2009 (amended in 2013) have been introduced to prevent Money Laundering and financing of terrorism. A_ cvpvi cöwz iv a (gvwb jûvwis) cöwz iva AvBb 2012 (ms kvwaz 2015) Ges mš vm we ivax AvBb 2009 (ms kvwaz 2013) cöez b Kiv n q Q The said law is being implemented through the banks and financial institutions under the supervision of Bangladesh Bank. evsjv `k e vs Ki ZË veav b e vsk I Avw_ K cöwzôv bi D³ AvBb ev Íevqb Kiv n Q Offence-illegal transfer, conversion, concealment of property acquired directly or indirectly by legal or illegal means or aiding and abetting such activity is against the national interest. Aciva-A ea n ÍvšÍi, cöz I c iv fv e Mvc b m ú` AR b A_ev A ea A_ Ges G ai bi Kvh jvc RvZxq ^v_ we ivax Banks are often used by unscrupulous persons for doing the above mentioned illegal activities. Therefore, you are requested to co-operate with the bank authorities by being more conscious and active in the matters of bank account opening, transfer of money and providing and preservation of correct and complete information relating to identification of a customer. Dc iv³ Kvh Kjv c Kivi Rb bxwzávb ewr Z e w³mb KZ K A bk mgq e vsk K e envi Kiv n q _v K Kv RB e vsk wnmve Lvjvi welq, A_ n ÍvšÍi Z_ Ges mwvk msi Y Ges MÖvn Ki cwiwpwz wel q c~y v½ Z _ i wel q AZ ší mrvm I mzk Zvi mv _ e vsk KZ c K mn hvwmzv Kivi Rb we klfv e Aby iva Kiv hv Q In the event of any suspicion arising out of unusual transactions, the Central Bank may investigate into any account. If illegal transactions are proved, Central Bank may prosecute in the court of law and all offences under this law are non-bailable. A ^vfvwek jb `b m `nrbk n j K `ªxq e vsk Avcbvi wnmve hvpvb I Z`šÍ Ki Z cv i A ea cögvwyz n j K `ªxq e vsk AÎ AvB bi Aax b A_ msµvší mkj Aciva Kg Kv Ûi weiæ AvBb Av`vj Z gvgjv Ki Z cv i, hv Rvwgb hvm b n The court may issue investigation orders as appropriate or impose punishments specified against each offence under this law, such as freezing order, attachment order, monetary fines and pass other orders including orders to compensate. In such circumstances, the offender may have to suffer imprisonment for not less than 4 (four) years and not more than 12 (twelve) years and may have to pay a fine of double the amount involved. AÎ AvB bi Aax b cö Z K Aciva Gi weiæ wba vwiz kvw Í Av iv c Av`vjZ Z`šÍ Av `k cö`vb Ki Z cv i Ges Avcbvi wnmve Rã Av `k, µvk Av `k, Avw_ K Rvwigvbv Ges Ab Kvb Av `k wzc~i Y cö`vb Ki Z cv i GgZve vq Acivax K me wbgœ 04 (Pvi) eqi Ges m e v P 12 (evi) eq ii mkªg Kviv` Û `wûz Ki Z cv i Ges wø b Rvwigvbv w` Z n Z cv i PLEASE EXTEND YOUR CO-OPERATION TO IMPLEMENT MONEY LAUNDERING PREVENTION ACT, 2012 (AMENDED IN 2015) AND ANTI TERRORISM ACT 2009 (AMENDED IN 2013) A_ cvpvi cöwz iva AvBb 2012 (ms kvwaz 2015) Ges mš vmwe ivax AvBb 2009 (ms kvwaz 2013) ev Íevq b Avcbvi mn hvwmzvi nvz evwo q w`b I/We hereby acknowledge that, I/We have carefully read and understood the message stated above and will do necessary cooperation. Avwg/Avgiv wbðqzv cö`vb KiwQ h, Avwg/Avgiv Dc iv³ hvezxq evz v h_vh_fv e c o ey SwQ Ges GB msµvší hvezxq mn hvmxzv Kie Particulars weeiy 1st Applicant 1g Av e`bkvix 2nd Applicant 2q Av e`bkvix 3rd Applicant 3q Av e`bkvix 4th Applicant 4_ Av e`bkvix Date and Signature ^vÿi I ZvwiL Name bvg Page-11
Photographs of Individual e w³i Av jvkwpî Account No. wnmve bs CIF No. wmavbgd bs INFORMATION RELATED TO INDIVIDUAL e w³ msµvší Z_ vejx 1. Account Title wnmv ei bvg 2.Customer/Beneficial Owner/Account Operator's Name (in English) 3. MÖvnK/ ewbwdwmqvj Ibvi/wnmve cwipvjbvkvixi bvg (evsjvq) 4. Relationship with the A/C as - Please ( ) Tick 1st Applicant - 1g Av e`bkvix 2nd Applicant - 2q Av e`bkvix wnmv ei mv _ m úk - wuk ( ) w`b 3rd Applicant - 3q Av e`bkvix Director - cwipvjbvkvix Partnership - Askx`vwi Proprietorship - GKK më vwakvix Minor - bvevjk Guardian - AwffveK Attorney Holder - GUwb nvìvi Date ZvwiL Please Fill Up and Attach the Form with the Account Opening Application form for Personal and Non-Personal Account GB digwu c~iyc~e K e w³k Ges Ae w³k wnmve Lvjvi Av e`b di gi mv _ hy³ KiæY A/C Operator - wnmve cwipvjbvkvix Trustee - Uªvw Beneficial Owner - ewbwdwmqvj Ibvi Others - Ab vb... 5. Father's Name wczvi bvg 6. Mother's Name gvzvi bvg 7. Spouse Name ^vgx/ xi bvg 8. Date of Birth Birth Place Rb ZvwiL Rb vb 9. Gender wj½ Male - cyiæl Female - gwnjv Third Gender - Z Zxq wj½ 10. Nationality RvZxqZv In case of Foreign National a Copy of Passport including Valid Visa have to be Attached we `kx bvmwi Ki ÿ Î ˆea wfmvmn cvm cv U i Abywjwc mshy³ KiæY 11. Residential Status - Please ( ) Tick AvevwmK Ae v - wuk ( ) w`b Resident - wbevmx Non-Resident - Awbevmx 12. In Case of Non-Resident Bangladeshi Awbevmx evsjv `wki ÿ Î a) Passport Number Expiry Date cvm cvu b ^i gqv` DËx Y i ZvwiL b) Issued by Issued at cö`v bi vb cö`vbkvix KZ cÿ c) Visa Number Issuing Authority wfmv b ^i cö`vbkvix KZ cÿ d) Expiry Date Occupation gqv` DËx Y i ZvwiL ckv e) Foreign Address ˆe `wkk wvkvbv f) Foreign Phone No. 1 2 ˆe `wkk dvb bs Page-12
Service (Govt./ Private) Business Others (Specific)...... 13. Occupation PvKzwi (mikvix/ emikvwi) e emv Ab vb (wbw` ó) ckv (c`exmn we ÍvwiZ weeiy) a) Reference No. of Supporting Document of Employment/Business 1 Please Attach Copy ckvmz weei bi mg_ bkvix KvMRc Îi idv iý bs Abywjwc mshy³ KiæY 2 b) Name of the Organization cöwzôv bi bvg c) Occupational Address ckvmz wvkvbv d) Occupational Contact No. ckvmz hvmv hv Mi bs 14. Monthly Income (In Case of Personal A/C) gvwmk Avq (e w³k wnmv ei ÿ Î) 15. Residential Address AvevwmK wvkvbv Phone dvb Mobile gvevbj 16. Permanent Address vqx wvkvbv At least one document has be to be provided in supporting of each address cö Z K wvkvbv cögvy mv c ÿ b~b Zg GKwU K i `wjjvw` cö`vb Ki Z n e 17. Credentials (Please Refer to Required Document Page No. 4) cwipqcî (wnmve Lvjvi Rb cö qvrbxq `wjjvw` 4_ cvzvq `Lyb) a) National ID No. RvZxq cwipqcî bs b) Passport No. Expiry Date cvm cvu bs gqv` DËx Y i ZvwiL c) Birth Registration Certificate No. Rb wbeüb mb`cî bs d) E-TIN B-wUb Expiry Date e) Driving License No. gqv` DËx Y i ZvwiL WªvBwfs mb`cî bs f) Others (to be Specified) Ab vb (wbw` ó fv e D jøl Ki Z n e) 18. Corresponding Address - Please( ) Tick Residential Address Occupational Address Permanent Address AvevwmK wvkvbv ckvmz wvkvbv vqx wvkvbv hvmv hvm wvkvbv - wuk ( ) w`b 19. Contact Number a) Home- evmv b) Office - Awdm hvmv hv Mi b ^i b) Mobile- gvevbj 1 2 c) Fax - d v d) E-mail - B- gbj 20. Emergency Contact Person Name bvg Riæix cö qvr b hvmv hv Mi Rb g bvwbz e w³ Address wvkvbv Relationship with A/C Holder or A/C Operator wnmveavix A_ev cwipvjbvkvixi mv _ m úk Mobile No. - gvevbj bs E-mail - B- gbj Stamp and Signature of the A/C Opening Officer wnmve Lvjvi Kg KZ vi bvghy³ wmj Ges ^vÿi Stamp and Signature of Branch Manager kvlv e e vc Ki bvghy³ wmj Ges ^vÿi Signature and Date of the Applicant Av e`bkvixi ^vÿi I ZvwiL Page-13
KYC PROFILE FORM MÖvnK cwiwpwz m úwk Z dig NON PERSONAL ACCOUNT A-e w³k wnmve Date ZvwiL Account No. wnmve bs CIF No. wmavbgd bs 1. Account Title wnmv ei bvg 2. Type of Account wnmv ei cök wz 3. Type of Organization cöwzôv bi aib 4. Net Worth of the Organization cöwzôv bi wbu m ú` 5. Source(s) of Fund (in Detail) A _ i Drm/Drmmg~n (we ÍvwiZ) a) Documents Obtained as the Proof of Source(s) Fund A _ i Drm wbwðz Kivi Rb hmkj `wjjvw` msmön Kiv n q Q 1 Copy Attached - 2 Copy Attached - 3 Copy Attached - Abywjwc mshy³ Abywjwc mshy³ Abywjwc mshy³ b) Whether the Obtained Documents are Verified Yes - nü v No - msmönxz `wjjvw` hvpvb Kiv n q Q wk bv? 6. How the Addresses of the Organization have been Verified cöwzôv bi wvkvbvmg~n wkfv e hvpvb Kiv n q Q? bv 7. Whether the Beneficial Owner(s) has/have been Identified? Yes - nü v No - cök Z myweav fvmx wba viy Kiv n q Q wk bv? If the Answer is "Yes", "Information Related to Individual" form has to be Filled-up DËi Ònü vó n j, Òe w³ msµvší Z_ vewjó dig Abyhvqx Z_ msmön Ki Z n e Note: "Information Related to Individual" and "KYC" to be obtained for 20% or above shareholder of a company. Moreover, "Information Related to Individual" and "KYC" for Major Shareholder also to be obtained. Kv úvwbi ÿ Î 20% ev Z ZvwaK kqvi nvìv ii we ÍvwiZ Z_ Òe w³ msµvší Z_ vewjó dig Abyhvqx wb Z n e Ges KYC m úbœ Ki Z n e GQvovI K úvwbi wbqš Kvix kqvi nvìvi `i we ÍvwiZ Z_ Óe w³ msµvší Z_ vewjó dig Abyhvqx msmön K i KYC m úbœ Ki Z n e 8. E-TIN Copy Obtained & Verified - Abywjwc msm nxz I hvpvbk Z B-wUb 9. VAT Registration No. f vu Aby gv`b bs Copy Obtained & Verified - Abywjwc msm nxz I hvpvbk Z 10. Company Registration No. Copy Obtained & Verified - Abywjwc msm nxz I hvpvbk Z cöwzôv bi wbeüb bs 11. Other Documents Copy Obtained & Verified - Abywjwc msm nxz I hvpvbk Z Ab vb `wjjvw` 12. Purpose of Opening A/C for Foreign Owned Company/ Organization (where applicable) wnmve Lvjvi D Ïk we `kx Kv úvwb/cöwzôvb (cö hvr ÿ Î) bv a) Concerned Regulatory Authority mswkøó wbqš YKvix KZ cÿ b) Approval Related Information Aby gv`b msµvší Z_ Page-14
13. Is there any Political Exposed Person (PEP)/ Influential Person (IP)/ Chief of an International Organization or Higher Level Officer and their Family Person or Close Associates related to the Organization? (As per the circular issued by BFIU) where applicable MÖvnK cöwzôv bi mv _ Kvb 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 mswkøó wk bv (BFIU Gi RvwiK Z mvkz jv i ewy Z msáv Abymv i)? Yes - nü v No - bv (if the Answer is " Yes" - a) Whether the Approval from the Senior Management has been Obtained? Yes - nü v No - wmwbqi g v br g U n Z Aby gv`b bqv n q Q wk bv? b) Whether Face to Face Interview has been Conducted? Yes - nü v No - bv MÖvn Ki gy LvgywL mvÿvrkvi n q Q wk bv? 14. Whether the name screening process has been conducted properly in accordance with Sanction List (individual and organization) published by UN Security Council & other international bodies, Bangladesh Government and Circulars on AML & CFT issued by BFIU from time to time. mswkøó AvBb, wewagvjv I mvkz jv ii Av jv K MÖvn Ki bvg RvwZms Ni wbivcëv cwil `i wewfbœ iwrjyk bi AvIZvq mš vmx Kv h, mš vmx Kv h A_ vq b I e vck aÿsmvz K A we Ív ii A_ vq b RwoZ m ` n ZvwjKvfz³ Kvb e w³ ev mëv Ges evsjv `k mikvi KZ K ZvwjKvfz³ Kvb e w³ ev wbwl NvwlZ mëvi bv gi ZvwjKvi mv _ hvpvbevqvbc~ek Kvbiƒc wgj cviqv wm q Q wkbv? t Yes - nü v No - bv Comment - gšíe (if answer is "Yes" - DËi Òn vuó n j) DËi Ònü vó n j) bv 15. Risk Rating wi iwus A. What type of Business/Activity the Organization Involved with? cöwzôvb wk ai bi e emv/kg Kv Ð wb qvwrz i q Q? Sl. No. Nature Risk Score µwgk bs. cök wz SuywK vi 01 Jewellery/ Gold Business/ Precious Metal Business - Ry qjvwi/ ^ Y i e emv/ g~j evb avzzi e emv 5 (5) 02 Money Changer/ Courier Service/ Mobile Banking Agent - gvwb PÄvi /Kzwiqvi mvwf m/ gvevbj e vswks G R U 5 (5) 03 Real Estate Developer/ Agent - wi qj G U W fjcvi/ G R U 5 (5) 04 Construction Project Promoter/ Contractor - wbg vy cökí cöv gvuvi/ wvkv`vi 5 (5) 05 Offshore/ Non-Resident Corporation - Ad mvi/bb iwm W U K cv ikb 5 (5) 06 Restaurant/ Bar/ Night Club/ Residential Hotel/ Parlor Business - iu Íviv/ evi/ bvbu K ve/ AvevwmK nv Uj/ cvj vi e emv 5 (5) 07 Import/ Export & Import/ Export Agent - Avg`vbx/ ißvwb I Avg`vwb/ißvwb G R U 5 (5) 08 Garments Business/ Garments Accessories/ Packaging/ Buying House - Mv g Um e emv/mv g Um G mwir/c v KwRs/evwqs nvdr 5 (5) 09 Share/ Stock/ Dealer, Broker, Portfolio Manager, Merchant Banker - kqvi/ K wwjvi, eªvkvi, cvu dvwji g v brvi, gv P U e vskvi 5 (5) 10 NGO/ NPO - GbwRI/GbwcI 5 (5) 11 Manpower Export Business - Rbkw³ ißvwb e emv 5 (5) 12 Film Producing/ Publication Organization - Pjw PÎ cö hvrbv/cwi ekbv ms v 5 (5) 13 Arms Business - A i e emv 5 (5) 14 Mobile Phone Operator/ Internet or Cable TV Operator - gvevbj dvb Acv iui/b Uvi bu A_ev K vej wuwf Acv iui 5 (5) 15 Land/ House Dealing Broker (Institutional) - Rwg/evox Kbv epvi eªvkvi (cövwzôvwbk) 5 (5) 16 Bank/ Leasing/ Finance Company - e vsk/wjwrs/dvbb vý Kv úvwb 5 (5) 17 Transport Operator - cwienb Acv iui 5 (5) 18 Insurance/ Brokerage Agency - BÝÿ iý/ eªvkv ir G RwÝ 5 (5) 19 Religious Organization/ Institution & Educational Institution - agx q cöwzôvb/ms v I wkÿv cöwzôvb 5 (5) 20 Trust - Uªv 5 (5) 21 Business (Petrol Pump/ CNG Station) - e emv ( c Uªvj cv ú/wmgbwr kb) 5 (5) 22 Tobacco & Cigarette Business - ZvgvK I wmmv i Ui e emv 5 (5) 23 Software Business - mdu&iq vi e emv 5 (5) 24 Ship Breaking Business - wkc eªwks e emv 5 (5) 25 Business (Clearing & Forwarding Agent) - e emv (wk qvwis I diiqvww s G R U) 4 (4) 26 Business (Dealer/ Distributor/Agent) - e emv (wwjvi/www ªweDUi/G R U) 4 (4) 27 Business (Indenting) - e emv (Bb Ww Us) 4 (4) 28 Business (Outsourcing) - e emv (AvDU mvwm s) 4 (4) 29 Event Management - B f U g v br g U 4 (4) Page-15
Sl. No. Nature Risk Score µwgk bs. cök wz SuywK vi 30 Chartered Accountant - PvU vw GKvDb U U 4 (4) 31 Corporate Customer - K c v iu Kv gvi 4 (4) 32 Law Firm/ Engineering Firm/ Consultancy Firm - j dvg /BwÄwbqvwis dvg /KÝvj UwÝ dvg 4 (4) 33 Energy and Power Production Company - R vjvbx I we`ÿ r Drcv`b Kv úvwb 4 (4) 34 Print/ Electronic Media - wcö U/B jkuªwbk wgwwqv 4 (4) 35 Travel Agent/ Tourism Company - Uªv fj G R U/Uz wirg Kv úvwb 4 (4) 36 Auto Dealer (Recondition Vehicle) - A UvwWjvi (wikwûkû Mvox) 4 (4) 37 Freight/ Shipping/ Cargo Agent/ CNF Agent - d«bu/wkwcs/kv M v G R U/wmGbGd G R U 4 (4) 38 Auto Primary (Brand New Vehicle) Business - A Uv cövbgvwi (bzzb Mvox) e emv 4 (4) 39 House/ Building Construction Material Business - evox wbg vy mvgmöxi e emv 4 (4) 40 Business (Leather & Leather Goods) - e emv (Pvgov I PvgovRvZ cy ) 4 (4) 41 Telecommunication Company - UwjKwgDwb Kkb Kv úvwb 4 (4) 42 Chain Shop/Store/Shopping Mall - PBb kc vi/kwcs gj 4 (4) 43 Textile/ Spinning - U UvBj/w úwbs 3 (3) 44 Entertaining Organization/ Park - we bv`bkvix cöwzôvb/cvk 3 (3) 45 Motor Parts/ Workshop Business - gvui cvu m/iqvk mc Gi e emv 3 (3) 46 Business Agent - e emv-g R U 3 (3) 47 Business (Medicine Manufacturing & Distribution) - e emv (Jla cö Z I evrvirvzkiy) 3 (3) 48 Cold Storage - wngvwqzkiy e emv ( Kvì v ir) 3 (3) 49 Business (Frozen Food) - e emv (wngvwqz Lv` ) 3 (3) 50 Business (Hardware) - e emv (nvw Iqvi) 3 (3) 51 Business (Advertisement) - e emv (weávcy) 3 (3) 52 Service Provider - mvwf m cövfvbwvi 3 (3) 53 Computer/ Mobile Phone Dealer - Kw úduvi/ gvevbj dv bi wwjvi 2 (2) 54 Poultry/ Dairy/ Fishing Firm - cvwëª/ WBwi/wdwks dvg 2 (2) 55 Agro Business/ Rice Mill Business/ Beverage - G MÖv wer bm/ivbm wgj wer bm/ efv ir 2 (2) 56 Manufacturer (Other than Arms) - Drcv`bKvix (A e ZxZ) 2 (2) 57 Shop (Retail Shop) - `vkvb (LyPiv e emv) 2 (2) 58 Others (Specify Clearly) - Ab vb (mywbw` ófv e D jøl Kiæb) 1-5 (1-5) Considering the nature of customers business, financials, location, size of business, beneficial owners, etc bank shall score the customer as high risk/law risk. Bank can score higher point than the listed above in the 25-57 serial. MÖvn Ki SzuwK wbiæc Yi 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 SzuwK m úbœ wn m e köyxkiy Ki Z n e Gme welqmg~n we epbvq wb q MÖvnK f ` 25-57 bs ÿ Î ewy Z vi A cÿv D PZi vi cö`vb Ki Z cvi e B. Net Worth of the Company - MÖvn Ki gvwmk Av qi cwigvy Amount (Taka) cwigvb (UvKv) 0 1 crore (1 KvwU ch ší) >1 crore 3 crore (> 1 n Z 3 KvwU ch ší) >3 crore (3 KvwUi Dc i) Risk Rating (SuywKi nvi) 0 (0) 1 (1) 3 (3) C. Nature of Account Opening - wnmve Lvjvi aiy Nature - aib By Relationship Manager / Branch - wi jkbmxc g v brvi / kvlv KZ K By Direct Sales Agent - WvB i± mjm& G R U KZ K Internet/Non Face to Face - B Uvi bu/ Non Face to Face Willingly/ Walk-In _ ^cö Yvw`Zfv e Walk-In Risk Rating - SuywKi nvi 0 (0) 3 (3) 3 (3) 3 (3) D. Amount of Monthly Transactions Estimated by the Customer - MÖvn Ki AbywgZ gvwmk jb ` bi cwigvy Page-16 Transaction Amount in Current Account (in Lac) PjwZ wnmv e jb ` bi cwigvy (jÿ UvKvq) 0-10 (0-10) >10-50 (>10-50) >50 (>50) Transaction Amount in Savings Account (in Lac) mâqx wnmv e jb ` bi cwigvy (jÿ UvKvq) 0-5 (0-5) > 5-20 (>5-20) >20 (>20) Risk Rating SuywKi nvi 0 (0) 1 (1) 3 (3)
E. Number of Monthly Transactions Estimated by the Customer - MÖvn Ki AbywgZ gvwmk jb ` bi msl v Transaction number of Current Account Transaction number of Savings Account Risk Rating PjwZ wnmv e jb ` bi msl v mâqx wnmve jb ` bi msl v SuywKi nvi 0-100 101-250 >250 (0-100) (101-250) (>250) 0-20 (0-20) >21-50 (>21-50) >50 (>50) F. Amount of Monthly Cash Transactions Estimated by the Customer - MÖvn Ki AbywgZ gvwmk jb ` bi cwigvy : 0 1 3 (0) (1) (3) Transaction Amount in Current Account (in Lac) Transaction Amount in Savings Account (in Lac) Risk Rating PjwZ wnmv e jb ` bi cwigvy (jÿ UvKvq) mâqx wnmv e jb ` bi cwigvy (jÿ UvKvq) SuywKi nvi 0-10 (0-10) >10-25 (10-25) >25 (>25) 0-2 >2-7 >7 (0-2) (>2-7) G. Number of Monthly Cash Transactions Estimated by the Customer - MÖvn Ki AbywgZ gvwmk jb ` bi msl v (>7) 0 1 3 (0) (1) (3) Transaction Number of Current Account PjwZ wnmv e jb ` bi msl v 0-15 >16-30 >30 (0-15) (>16-30) (>30) Transaction Number of Savings Account Risk Rating mâqx wnmv e jb ` bi msl v SuywKi nvi 0-5 6-10 >10 (0-5) (6-10) (>10) 0 1 3 (0) (1) (3) 16. Overall Risk/Assessment of Risk Rating (Summation of risk grade in A to G Serial): mvgwmök SuzwK/wi iwus wbiƒcy (Dc ii K n Z Q µwgk ch ší wi v ii hvmdj ): Summation of Risk Score - wi v ii hvmdj Overall Risk Rating - mvgwmök wi iwus 17. Remarks gšíe >=14 (>=14) <14 (<14) High - D P Low - wbgœ Though the risk rating of the Beneficial Owner is less then 14, the customer can be rated as high risk considering the subjective matter wi iwus 14 Gi Kg n ji Beneficial Owner - Gi D P SzuwK we epbvq wb q KviY D jølc~e K Subjective we epbvq MÖvnK K D P SzuwK m úbœ wn m e wbiæcy Kiv h Z cv i Prepared By- cö ZKvix: Reviewing Officer - ch v jvpbv I wbwðzkvix Kg KZ v: Account Opening Officer / Relationship Manager wnmve Lvjvi Kg KZ v / wi jkbkxc g v brvi Branch Anti Money Laundering Officer kvlv gvwbjûvwis cöwz iva cwicvjb Kg KZ v Seal & Sign of the Officer who has Authorized the PEP/IP/Higher Official of International Organization PEP/IP/AvšÍR vwzk ms vi DaŸ Zb Kg KZ vi ÿ Î Aby gv`bkvix DaŸ Zb Kg KZ v bvghy³ wmjmn ^vÿi I ZvwiL) Page-17
18. Date of Review & Update of Account and Customer Related Information: wnmve I MÖvnK msµvší Z_ vw` ch v jvpbv Ges nvjbvmv` (Review & Update) Kivi ZvwiLt Review Date and Remarks ch v jvpbv Kivi ZvwiL I gšíe Seal & Sign of the Reviewing Officer ch v jvpbvkvix Kg KZ vi bvghy³ wmjmn ^vÿi Review Date and Remarks ch v jvpbv Kivi ZvwiL I gšíe Seal & Sign of the Reviewing Officer ch v jvpbvkvix Kg KZ vi bvghy³ wmjmn ^vÿi Review Date and Remarks ch v jvpbv Kivi ZvwiL I gšíe Seal & Sign of the Reviewing Officer ch v jvpbvkvix Kg KZ vi bvghy³ wmjmn ^vÿi Review Date and Remarks ch v jvpbv Kivi ZvwiL I gšíe Seal & Sign of the Reviewing Officer ch v jvpbvkvix Kg KZ vi bvghy³ wmjmn ^vÿi Review Date and Remarks ch v jvpbv Kivi ZvwiL I gšíe Seal & Sign of the Reviewing Officer ch v jvpbvkvix Kg KZ vi bvghy³ wmjmn ^vÿi Page-18
wnmve b ^i (Account No.) t e w³i ÿ Î (For individual) t Form for Reporting SBS-2 & SBS-3 Returns (To be filled in English by the bank officials) A. AvgvbZKvixi Z_ (Depositor's Information) : 1 wnmveavixi bvg (Account Holder s Name) t (In Block Letter) 2 ckv (Profession) t 3 wnmv ei aib (Type of Account) t (For SBS-2 Reporting) cöwzôv bi ÿ Î (For Institution/Office/Company/Farm etc.) t Sector code t (see page 87-106 of Guidelines for SBS-1,2&3 Returns) Type of Deposit code t (see page 107 of Guidelines for SBS-1,2&3 Returns) 1 cöwzôv bi bvg (Name of the Institution) t (In Block Letter) 2 cöwzôv bi aib (Type of Institution) t 3 wnmv ei aib (Type of Account) t Sector code t (see page 87-106 of Guidelines for SBS-1,2&3 Returns) Type of Deposit code t (see page 107 of Guidelines for SBS-1,2&3 Returns) wnmve bv ^vi (Account No.) t e w³i ÿ Î (For individual) t 1 FYMÖnbKvixi bvg (Borrower's Name) t (In Block Letter) 2 ckv (Profession) t 3 FY MÖn bi D Ïk (Purpose of loans/advances) t 4 RvgvbZ (Security) t B. FY MÖnbKvixi Z_ (Borrower's Information) t- cöwzôv bi ÿ Î (For Institution/Office/Company/Farm etc.) t 1 FYMÖnYKvix cöwzôv bi bvg (Name of the Borrowing Institution) (In Block Letter) t (For SBS-3 Reporting) Sector code t (see page 87-106 of Guidelines for SBS-1,2&3 Returns) Economic Purpose code t (see page 111-123 of Guidelines for SBS-1,2&3 Returns) Security code t (see page 124 of Guidelines for SBS-1,2&3 Returns) 2 cöwzôv bi aib (Type of Institution) t 3 FY MÖn bi D Ïk (Purpose of loans/advances) t 4 RvgvbZ (Security) t Sector code t (see page 87-106 of Guidelines for SBS-1,2&3 Returns) Economic Purpose code t (see page 111-123 of Guidelines for SBS-1,2&3 Returns) Security code t (see page 124 of Guidelines for SBS-1,2&3 Returns) Prepared by Verified by Approved by Signature Name : Signature Name : Signature Name : Page-19