Account 0p*ning FormRrR c{r{r{qr6ffi{Tim

p9

r

MF"iMpHH SHUKTI Sh4tr TRANSACTIOF{AL/BUSINESS ACCOUI\T

e& q{ q{ Q 6rya6qr/<l-<fiks Rqt<p0

Il.{t-'t\lFEl

>JHtqa

P9I

FdF-{

Mt-\FFldFJdw

Account NameR{t-fi 4t'rAccount NumberRfiTIERCustomer IDqq-+qEe

Branch Name.i]'all{TN

ffiKw ww. d h ak ab a n k I t d. c a rn

LIMITED

LIM..... Branch/-lFIt

Please fill up the form in English in capital letter unless advised to write in Bangla.w{qRTis rflE f<<Gro <V qrc"< qs'r< T{q s;F{ r

Please fill up all fields carefully and strike out areas not applicable.w{XE"iffi {sfsT< ql(?I F<{tr T{q €ff{ (<( qej-6{lq-r ql4er{l a€d ftir

ACCOUNT OPENING FORM

RqR crflqldt-fl{

Recent Passport Size colourphotograph of Account

Holde(s) (not olderthan 03 months)

(Attested by lntroducer)

ftll<'fii}{ s-tlb ror+ tec'itf,4tq< <ela Efr

(oe :firrll qfi-$ 'lf(Tlr{)("riilriqsrit alis {6rfiG)

NON.PERSONAL/CORPORATE/SM E ACCOU NT

s-<&-+f+r1frB/ecqrQ R{R

For Bank's use only ts{qre:rfi(r€< <r{ql{< q$

Account Number

Unique Customer lD Code

Group Customer lD (if any)

D

Dateqtul

The Manager^I{t"ls

Dhaka Bank Limited/rro <nio ftfrds

.............. Branchl-it"]l

Dear Sir/ Madam,fui :rrqrq</ qr{q-$,

l/We hereby request you to open an account with your Branch in the name mentioned as under.My./ Our Institution's and Account's detailed information is

furnished below.qfr/ qtTfl q161-s -11rxj fr6rs aftq qffi 1i{< 6tx-a6 q1a6 rcE q]Trr/ qr:rlch-<, efufirq< q<( Qqra< ft-sfio oe$rTfii fi.n ,q-$.t qcEi s

1 . Title of Account (in Bengali)Rcrr<T -rrr (<f"qtT)

ln English (Block Letter)?sr<kro (<9 EirE< qrm)

2. Type of organization (Please tick)/ e'fu6rrd< T{{ (Es ft{)

I Proprietorshipeo${]fror{l

I public Limited companyn:<frsfrfiirtrs rsPfifr

I rucolrupoqafue/ud;te

E Others (specify):rr+r;q (ffi?5rF 5aE"l 6.Fa r

I Current Deposit A/CuEfuq$ftcr<

! Partnershipqtffi

I Government{f,$ra

I club/societyorc,ffifr

Joint Venturecslel grrfifl

5emi-Government/Autonomousqr{r {f,$I?t/flrq$&EEducational lnstitutionFffief'tr.

I Private Limited Companyerwftfr&srsleflfi

i I IrustM

I Religious organization{tfu alttrd

nnT

3. Type of Account (Please tick)/ ftr z<r er+f- tta -c-41

I Savings Deposit A/Crsi] Eli rtT<

E Short Notice Deposit A/C{q .{r&fi GrcIqdI{Il, qTl Eq-<

f Others (Please specify)qdtlij (EiTrt{fl{)

I Foreign Currency A/C6rnP1q1rlftxt<

Currency (Please tick)

wl(F+&-t)

I Other permissible currency (Please specify)qaini w*fifiE Tj (&e< e+a;

6. Address of the Organization/Company/ <fu&.r.r< fi-+tat

f Non-Resident lnvestors'Taka A/Cqffi lifrrfllTTAk EI+L fifi<

4. Purpose of Account Opening/ iic-< cqF.r< -irz'il

Registered AddressFKfuft-rnl

Business/ Office/Correspondence Address<r<qEry qFFq/ rcrrrffifi ']-{ 6fi-{l

Factory/lndustry Addressot<ri-l;lr/ FrE qfuSF< 6-sr;{

I aorDrcT

I usortl6qual<

I Erro?83

E GBPffiffi

I tpvsrr"ttit tr-<.q

Page 01 of 25

r l7^r 17^166* K!

11 x

7. Trade Licence No.

Gsqltm-{it..<

8. Registration/lncorpation No.l"l<t"l.lt<

9.

Dateorfiq

lssu i n g Authority/ t{r+Ift +=s."it

Date9l (a

Registation Authority & Country ...........(For both local & foreign) fr<tl e5."tw s cn't i#ift-ft-E"";;**)

10. E-TIN No.

ffiFi+-Erqqttfurr{12. Business Related lnformation/<J<.{1 q(ais Ear:

a. NatureofBusiness I Trading I Service{l{cEr fiq Gfu( cr{f

'1 1. VAT Registration Number/ BIN (if any)eltm@nam(lfiqm)

f ManufacturinggqnTr{

b. Nature of Product or Serviceef$/ ffi{< {{q

<i<qm ffis cqB q<E €rt c<1w{SI)

<ffoltiest<

efutffi{Frtq-iqf. Other lnformation (if applicable) ...

q{n-"B Eell (el((Iglj 6!r6a)

13. Customer's relationship with Dhaka Bank (Please tick)DtsT <ll(r€{ qt{ $Ecf{ 196 (E-$ fi-{)lf existing Customer, please provide information as followsu6ffi erl$ <ca, lirsct fap e+r

I New CustomeriEsq'I{$

I Existing Customer<!ill'l Ep-$

SLGfi-sq<

Bank Name<rt(rs-d Tlrt

Type of A/C (Please tick)RflI<T<<.t (fr?fr-{)

A/C No.Rtnqc-d

1 Dhaka Bank Limited D Deposit A/C E Loan A/C E OtherA/C

2 Dhaka Bank Limited E Deposit A/C ! Loan A/C ! OtherA/C

Dhaka Bank Limited ! Deposit A/C ! Loan A/C E OtherA/C

14. Does the Customer maintain any account with other bank (s)?

qn] r$l.{ <fi (rf< qtcq ql-{t-f< fr{l{lf yes, please provide information as follows:E-s<il<eFrfl4Fqg6fl{ r

tr

I 5. lntroducer's lnformation (For opening of Account of Organisation other than Govern ment/Semi Government/Autonomous/ Listed Co m pa ny in Stoc k Ma rket)qfrF{ qqFflA-{ oa]] (:if,fift/ qt$ TffiAV ffi,g{rFEl fr {rd.i ErftTtrg rel-flfr <reie sr-rfi] efu6nq< RcR rrlfqf< ffi6e-)

(The Account must be operative for at least six m

Name of the Introducer

onths.c(fu, fi{R 6E"i(t ,9 rlr qI< 5IE ,l]TIg Ef<)

qkmqmrfl?f<m

kfir<<Tt:r

No{I

Yesql

tr

Contact Pointsc?ilriftsE r< fl<lT

Phone No.GF]T 4(

lntroducer's Customer lD No.

lRor eqmstft{ qRs qtiB nq

Branch Name.fFllir clT

Relationship^Vay of lntrodu6tion with the Customer/ A/C Operator(s)q]qs/ ful< 'iftbTfiffi (fi) qftcl "|RGG< ry7t*r<6

Account No.fiqr qq

Mobile No.

c+f4tc q',

lntroducer's Signature & Date (with seal if applicable)tFtl eqrd-fl?r-{ {rE.r s qiiq (qmqi ffirq Fid"fi)

SL

cfr+qrBank Name<It(I€fiS

Branch Name.lF{k{l{

Type ofA/C (PIease tick)R{Ir+* {d.t @afi-{)

A/C No.Q{lq iir

1 I Deposit A/C E Loan A/C ! OtherA/C

2 E Deposit A/C E Loan A/C I OtherA/C

3 ! Deposit A/C E Loan A/C E OtherA/C

4 E Deposit A/C E Loan A/C n OtherA/C

5 n Deposit A/C E Loan A/C E OtherA/C

Page 02 of 25

For Bank's Use only B{$E <I(r<'-{ <r{qlr{{ q{Ilntroducer's Signature and information certified by:

Designation

Full signature of Bank Officiol with seal & dote

'16. lnitial Deposit:sr<E$ q{l

CurrencyBDT/ USD/ GBP/ EURO/.,,.......

AmountDrorAsR rfr$q

ln wordssam

Modes\l{ <iq

lnstrument datef$crnsIR<l

E cashdr[q.

L l I ranster{irB{

Cheque/ lnstrument No.cr+/E&'mfix

Bank's Name$](rf{iltr

n Others (Please specify)wdil(Er$?t€s{)

17.

18

19.

Transfer from Dhaka Bank AiC No.,rfi <I(F fu"< Erre ETlot<

lnformation related to Transaction Profile (TP): A separate TP Form as per attached format has to be duly filled in and signed by Customer.wl<] cfirqrd-r'q{FE IT4 q(@tE i5qI]<ft , xae rr<rnt wgtit TP reo]g o?,Tl<ff Ffi qlTo s6T el{q € ans'< qrrs qr< I

Personal lnformation of Proprietor/Director/Partner/Beneficial Owner/Related Person of the Concern: Please fill up the Personal lnformationForm as per attached format.elttrrfi Tqrfffi/tfru+oF<-irm,,trr.ra< er.€ {i,ri(rtfi/qfi} Tdi!,T $G r'(@fs EefKff: ccTs F<TiE q{{]il <fu qq.+-ts sqr]-{fil q<q T{i er+ I

Source (s) of fund (To be mentioned specifically and in details)/q(d< trsi/Eslsx eFffi s ffi &eq e+ro << r)

20. Declaration & Signature regarding Account Operator/ f{w< tffit ls@ls tn]lql s 'flrs-{

lAVe, the Undersigned hereby confirm that l/We have read the terms and conditions related to the Account and am/are agreed to abide by the same.lAVe solemnly declare that the information mentioned above is correct. l/We shall also submit any type of additional information/ documents as andwhenrequired.ffi/smo,fiXxr+-a+t?tqtfffr.Dnqertnc<Ers,ffifqrflft{<rqs]s{r{fulMi/-rffi 1x9{Qq3iG6ffi/-rpfficqcaE{rs<I<larr<rffi/ qm.o rsm cqaqt f<& cs, BBfilg o?ffi {si I qrfr/ qlrfl qne u(qTn qfuft.s qqnli r:r mta etffiMik 6eg/ qffi aqgra utRq-t cqMrrs qrfirq qtr<

Specify mode of operationi<cm rf{Elq-am "rais ffiA e+a

Signature of l st Applicant){qttrtc;lstftdrtFd

Signature of 2nd Applicantqxq-r<q-Ftft{ErF-{

Signature of 3rd Applicantenql6qm€l-ft{xl+<

Signature of 4th Applicantaaf q]r{q-{sTA-{trFd

Signature of 5th Applicantcqqfr{q-{stihdrfF-d

For Bank's Use only ts{lt< <lf<rf,< <i=rclrr< q$

1.

2.

?

Marketed by:

.. Signature with date

Comments (if any):

Account Opening OfficerName:Employee lD:

Signature with name seal

Date:

CheckerName:Employee lD:

Signature with name seal

Date:

Reviewed byName:Employee lD:

Signature of Manager-Operationswith name seal

Date:

Authorized Official (Branch Manager)Name:Employee lD:

Signature with name seal

Date:

Page 03 of 25

EDBranch/ -Jl:11

PERSONAL TNFORMATION FORM l<r& qq6ts saB|{ft(This form, duly filled in should be attached to Personal & Non Personal Accounts.

Additionalforms should be attached, if the number of persons is more than two.)qE F<rE T<qTf$ <jfuT s q-<Go Fqm c?t|Ek qtr<qm{ {q qir-r< q]Iat r({6 arcs <r< <ifu-< rr<fr fi qa qks {F1 qfufas Ffl q({6 sirF E < I

Dateqft1

For Bank's use only sY:nq <i(rfir (l{{16T{ q-dl

Account Numberfrcr<qr<Customer lDql{sqrQ&Customer lC,{]{+qQfi'

Title ofthe Accountftqlr-{< Trr

Name of Account Hoider/ Beneficial Owner/ Account Operator/other related person as mentioned in SL-3:

\e {fi cfirr$ <fu ftnl<<r?t sEs/ afifrftaie sqa/ fut< "iffit/ w'rw qsB? <fu< .l-E

ln EnglishA<t<Gro :..................

Relationship with the Account (Please tick on the applicable field below):

kgra< >rcq r-rd 1+m ercqifi trFF fi6 iio1

ln Bengaliz?<oltt :....

I l st Applicant)xsffiq-affi

E Sole Proprietoreo+,rqtfko?t

I Account OperatorftcT<{ffi

[] 2nd Applicantwqr<r,r-$]ft

f Accountholder MinorRqnqft*a<-+

n TrustyE]IA

[ 3'd Applicant93 qi(<ri;ro]ft

f Guardianqt9 9t<Q

I Beneficial Ownerft{tm{ eTE {fi$rolff

f Director,ifrDtq,-s

f Attorney HolderqBfi Rret{

f Others (Please specify)erirlr efrFeq.< t-ce< +r+1

I Partnerqsilq-F

Father's Namef+gl<-rFr

Mother's NameE]EI{T1{

Spouse's Nameaffi/€k rT'{

NationalityqrcTEl (For foreign citizens, copy of passport with VISA must be collected.)

fffift ;ilqFds {lq Gqprq "[T(fld< sA qr<Fr€el[< $1{ e<1t- *,

f, Resident f Non-residentc<Frcn a-*-r<Fnst

(Where necessary, the Bank shall follow instructions of Guidelines for Foreign Exchange Transactions.)

emrqfu ffire<tq+Tlf+ fl@{-io{s-rr{ (q6ueEn.cq+"|q e<mmqfl{qTirpqm I

9. Date of Birth / w{ 6lfr?t:I I I

8. Resident Status (Please tick) :

c<Fwnff]q(F-sfia)

1 1. Gender (Please tick):6q (6'sih{)

I Male

ts{D Female

{RE]I rhird Gender

yO{frs

Specimen Signature (Overlapping Signature isVoid)

Recent Passport Size colourphotograph of Account

Holde(s) (not olderthan 03 months)

(Attested by lntroducer)

fur<$Aiq:xG Ftsl "fifi"lY{rtrs< <€'r{ sfr

(oe ElTc< qlk{ "lTFr TiT)

1ffixrno"+{+rwftul

Signature admitted by:

Page 04of25

Signature of Bank Official with seal

r'l /r\ Ifrrry&* K

4.

5.

6.

7.

ri,l Y Y

Applicant's Photograph & Specimen Signature/qn-qq-rcrft-* eft € {{rt EFrd

12. (a) Occupation (in details including designation)("i.rr ("mft{-EkslfrE)

(b) Employment/ Business details: .

("f.['re/ <I{c]fr$ f{fiqSupporting documents, if available):q(E?flogrc, fi qTas

! Serviceffi<T

! Business<r{qt

! Others (Specify)q-ff{r 1Elarlefidl

1.

3.

2.

Name of the Organization: . .. Designation:efrtrca-{ all rFft

1 3. Monthly Income (For Personal Account)rtft-+ stx (<]&*+ f,qatr< mml(Specify in details and provide documents,where applicable as per requirement of the Bank.)

ffi Brgq ++a. q<( Ers,tqi cs'Cq rfl(m{ DIRfi cqFstm+ qFrdtft eEB {f,{14. ldentity Documents/ 1fr6futq

s. ql$.r "lk5r"E4t{

{. "fqa"i'ltrir{ Glrlh

{. gwfr{fi{clqlqar<

s. gltG(4t(T{rr{ (IlrIh

f. Others (Please specify) :....................,. w{Fri (diffil_l(< Bmrl qfi)

[Any one of the documents mentioned in Serial No. a to c is mandatory. But in cose of opening Account through Birth Registrotion Certificote, an additionalldentity Cettificote with Customer's/Account Operotor's photogroph has to be produced. For Non Resident and Foreign National, copy of passport with visa mustbe provided. lf the ldentity Certificate with photograph is not ovailable, a ceftificate of citizenship or national identity shall have to be obtained from aRespectable Persont of the society accepted by the Bank to its sotisfaction.This Certificate of ldentity should be accomponied by Customer's/ AuthorizedPerson's photograph (duly ottested on the upper side). Besides, to ensure proper identity of the Customer, odditionol documents in oddition to those as requiredby 5L d to f along with information other thon those mentioned in the form may be collected to the satisfaction of the Bank.l

Ia {ri, uI atr 6;fr66 <fio qffi Ero qf<fu-ce-[-+ cq cr.tq qafr qfrq Eqtq €trrs {rT / u-a{ 6{ E-+qr-+ r+q ETrqFo sid,&{tr4 44qol@1 w&&-s dl<p/ &]il? afrofa-qroffl-r

wmnotr@r< qq1 Cq col+ qt6fu d Esla a;rr:o W t 44-e<ffi ,r?( fr;7ft 4.1fu7;1 cffcq a<Bi fuqnq "flceiktr 4f4 wrefinev-f< qcTa ff6g E5a / !1lfdir6-4trp "tfffqa *qtim cc Rrlt! qt(rs" {sE qTrrfr ottw ffi EE t:qt.tr 4qrw qqrqry q@ f,q? E?ts zfilew Evw+"tq qqq

-trcu {r+ t Ew ,tfifrfuw a {ea:{ird ,{/qiE/&{E "tffi<qt@tofiace tqt@tafii@< E,tr l "!:6 qeir-"ocE) {.8 E-{ i r{p'/Vr, {r(o {qffiEl& dErqtr 't?frfur fr4tt fifuo <enta arw ql<coq qg@ atc"ttr 6"trw v qro r +tr efro <fqffiqw qfufr.g qtmt @lq qfrElfr 4?( 4a srrv EBI?o oe\tfrl EfuRe; o2ti xal{ f,trro ,rrr< d

{.sTln$s,|i1 (rfi<l{€)

1 6. Permanent Address

{rA'6-srdr

1 7. Professional/Business/Correspondence Address c"l'i1fl-efireflfr$/lq c$tfl-cs].fi fr$ll'l,

Documents must be provided in support of proof of address of the Customer/ Account Operator (at least for one of the addresses mentioned in SL 1 5 - 'l 7)..{l{s/ Rfl< "iffit< fi-+rq< e$.t fr.T6< ufIItT Eq|{ F{Cg Er< ()a ceIF ) 1 i( EFfrrs <f{\E sI"rffi )fr 6-{|{R q'[$)

I

18. Contact Details (T't'mw5ll Tstg:

a. Address/ftorfi: f Present/ <6rl+ I Permanent/ qtfl I Professional/ 6"l.ftEE

19. Nominated Person to be contacted for emergencyq+ft qmMn mficftar< qd] rl-+tfiE <l&'

Namer:rFr

Relationship with Account Holder/ Account Operator: . . . ...Rq<ffir/fu< "iffi3acqqqdMobile No/c{qiq dq<:.............. Email addressE-rqQq ft$Il]

lssued by :.................qnT$],fts6."rt

21. lnformation for Non Resident Bangladeshi (NRB)

q6mffiatqrfift<q-{rsrr

Passport No.:

{fc-c"IF{Td

Date of lssue

E{,EIfuI

lssued at:t{r<qr*

I

Date ofexpiryoamrftf<qRq

Date of VISA (if available)Gffiqk{ ({fr qlr+)

lssuing Authority of VISA:

tne'nT$Tft+{fls

I I I

I I I

Valid up to?<{El< EIR"I

Occupation of NRB .... ...... .

qffi< c"111

Foreign Address* :................ffi6Sq;a1x

20. Credit Card lnformation (if any) ce&t+r6c(qisEqr (<fi qnre)'

Foreign Phone Number/mr$ 6Tl+qr{

Signature of ApplicanV Account Holder/Related Person

w<q-{-a1ftm<11A7q€B <ltu Tr$<

Name:Tl{

Date :

Elfr{

Signature of Account Opening Offi cer(with name seal)

RcF cltqt< qe? effia qu{e fi-sq'{.rTs<)

Signature of Approving Authority (Branch Manager)(with name seal)

a:i:ro6 1r1- e,?zrdGr F:!P laFQ er<

Date :

qc'{Date :

Erfri

l Member of Parliament, Mayor, Deputy Mayor & Councilors of City Corporation, Gadgeted Officer of 9th & above grade as per national pay scale,Teacher

of public University, Chairman &Vice Chairman of Upazilla Council, Chairman of Union Council, Mayor and Councilors of Pourasava, Professor of Public

University, principal of Private College, Head Teacher of Private High School, Editor of National Daily, Notary Public and Gadgeted Officer of 7th & above

grade of Semi Government, Autonomous & Government Organizations as per national pay scale and Bangladesh Bank Official of 9th & above grade as per

national pay scale shall be.treated as Respectable Person.

){"[T]Ej {JG {drcs cql,i }iqqr, 66 q{5g6r< cqr{, retB crr< s dBfr+<'tq, q€h c+sr c$[EK br s u16 ctcu< (ui(qd-s mfl, "n<f+ ihtfrna< FiFs. E'l(grf flrqn

xr re EEY{ 6{rs{ T{Tsl'l.['s {+m

+ P.O. Box number will not be treated as foreign address.* Fts {g dffir$ Mlo 6+r*t fuqr< <t<{F T-:il <tr< Tl

Page 06of25

SL

ofr+srName of lssuing Organization

Wse6tcrffiLocal Card Number

6.TFft{SMfi-dlnternational Card Number

qts6&{sMryd

1

2

For Bank's Use only B{sfE <it<rs-{ <Ksl6T{ q{i

D

. ... Branch/.llrll

PERSONAT IN FORMATION FORM / T]& q(419 EAI'|?rdil(This form, duly filled in should be attached to Personal & Non Personal Accounts.Additional forms should be attached, if the number of persons is more than two.)

qRn-<qB "Fqtf,s<l&-+ e q-<l&+Rfl< 6{FTRqr<qr+{Fq(r.i-<q|catc({sr<rFrr< rvfur$rt1t q<qlisErqq&frsrrFrcq@<EnoRr< I

Date

EIR'.I

For Bank's use only e1l'to <fi(rsir <1"{lrT{ q-l;

Account NumberftcRiq{Customer lDErq+st?frCustomer lC.{rqoqRfi

1. TitleoftheAccountRcft<<rN

2. Name of Account Holder/ Beneficial Owner/ Account Operator/other related person as mentioned in SL-3\, ffid qfirs <fu fut<tft ql{ol efifrfiatE \e{</ fu{ qfrE]T{rfift/ q{]t{, xE! <,G< q{

ln EnglishAir<&co :..

3. Relationship with the Account (Please tick on the applicable field below):Rfic{<qlrat{9?6 (ftT ers'rq, rqroS-+ ft-q)

! lstApplicantrrqtr<n+otft

E sole Proprietore++rqrIffi

I Account Operator f, TrustytN<'ffi SB

! 2nd Applicantwstr<r+qft

I Accountholder Minorfqqt<{I?t qr<r++

! 3'd Applicantoz qr<R;rofft

f GuardianqGsle$

! Beneficial Ownerftqrr{ et-fo Ifr<Trsrft

! Director{froTET

I Partnerqrftnm

I Attorney HolderqiF c{r$<

I Others (Please specify)q-fi-ar 1$ffislFBraqcfl{)

Father's NameF&-r<dtl

Mother's Name$ER{N

Spouse's Name

'{fr/ff<it{Nationalityqlq!-sT

7.

(For foreign citizens, copy of passport with VISA must be collected.)ffi qt"ik+ qrq frqme "rm"n.tr{ 6f;r qr<Fr-set< €fqq efis sc< )

Resident Status (Please tick) :

cFEsnSIB{ (trsft{)f Resident

cFrct

I FemaleEE-r

I Non-residentqa.-r<Fns+

(Where necessary,the Bank shall follow instructions of Guidelines for Foreign ExchangeTransactions.)el.lTqnlT 655q (fl 16 fE$'fl Wqq r< Far{ €qa5 s E'l-dc6fi'Fm e< mF{ q{a{"i qdcg {c< |

9. Date of Birth 7 q-qqfr{:I

10. Place of Birth ,6.{{lr

1 1. Gender (Please tick):frr (E$fi-")

I Male

t+nn Third Gender

yO{ Es

Applicant's Photograph & Specimen Signature/qfr{qTfiA-d SR s T$l {lsir

Specimen Signature (Overlapping Signature is Void)

Recent Passport Size colourphotograph of Account

Holde(s) (not olderthan 03 months)

(Attested by lntroducer)

Rcr<<lft-< qrlfu rgrql,ifqr{'6qtw<AnEfr

(oe TlIJr< ql{s 'l{({l ail)(l1Mt qqs q.enfiro)

Signature admitted by:

Page 07of25

Signature of Bank Official with seal

D. I /r\ lrr'WffiWlffi K

5.

6.

Y Y Y Y

ts12. (a) Occupation (in details including designation)

c,F{I('fift+qffiv)

(b) Employment/ Business details: .

("t firiE/Tr<clkofrfi.t

Supporting documents, if available):i(A? FI'rqqE, {fi anrs

f Serviceffi<l

f Business<l<q1

I Others (Specify)q{rFi (BtErlfri)

1.

3.

2.

Name of the Organ ization: . . . Desig nation: . . .

sf,osrn<.n "rqat

Address/fu:

$ft+q! (<i&-+k{F< cs@)(Specify in details and provide documents, where applicable as per requirement of the Bank.)

fr -sffi s $m"l efi{ q<( €Ic{rw i:srq <ll(m< Dtfo-t c{ls](<-s qffi Eqr{ 6f,m

14. ldentity Documents/ flfr6&"r<

o. otBn "ifrDR"r€ ffi<

q. "i;aa4Ear< ffi-:rTq

c. Birth Registration Certificate No :

1. qq Fi{{d T{q1E.l{<

d.E-TIN No :...........E. tr-{-d6-$-birs qRfr ffi<

s. gEGiaRPrE;rr< cqTm

D. q;nl-dr ({6ffi9I< &grr ffl{)[Any one of the documents mentioned in Serial No. a to c is mandatory. But in cose of opening Account through Birth Registrotion Certificate, an additionalldentity Certificate with Customer's/Account Operotor's photograph has to be produced. For Non Resident and Foreign National, copy of passport with visa mustbe provided. lf the ldentity Certificate with photograph is not availoble, a certificate of citizenship or national identity shall have to be obtoined from aRespectoble Persont of the society accepted by the Bonk to its satisfaction.This Certificate of ldentity should be accompanied by Customer's/ AuthorizedPerson's photograph (duly attested on the upper side). Besides, to ensure proper identity of the Customer, additionol documents in oddition to those as requiredby SL d to f along with information other than those mentioned in the form may be collected to the satisfaction of the Bank.l

1o <ro q ifi' o&-co 4l4o qffi Qzo qrs'fo-+str< c4 cotq aofr qful Eqta €nro {r< t oR qq fr4q4 q;fi E6tq6o qq fr<qq 4asl@i qfuft@ qt?o/ fQcr< "tffiqnqefiEqE E;0 cq rcta qftfifu "la Eqrq wto q< ida-Rfrw+ q?( Arhfr a7t1fi7a1 6qa ry<8! &arq flqmidl ffi qt<fr@r< Eq4 oilp- qra r q/zq,gF<rq

"tfuBfuaq qr

Elon cq f?vnr qlrtrr rcB qTettv 6vqi ffi EqcffirtJ 4qttw .'t trqt1r 11&J o .oo s\e ,tR;al qomq"ta Eqta orre {& tEw qftfrfiiq@ q €rs7rnrrq qEoAqF "t?Etaat+.t?.a

(sffi6ti41 E"lc41 1t6 qsnf.t oqEl Ezo {r+ / 45iFI, n (o v<ts<,Ei,E qFa€tr "lfrGfitr fu4m f4FFo E\eIF 4rF, {r7<rf,n 4gfr ntqrr t"W< v {ro D ;rtn <rfi-ro {ffoffi sfuR@ qrn cafi qffi d<( qi Filrr 6A&E oqnftt qfufuo oqn c<qE oito ,l<tq tl

15.

16.

Present Address (Residence)

<!i{F,fr+m (Et<tr{q)

Permanent Addressqtff'Asrdr

1 7. Professional/Business/Correspondence Address (fl-1T'1-e/kJ<'qltr$/"iq crt'f]r<lrm frsrqt

Documents must be provided in support of proof of address of the Customer/ Account Operator (at least for one of the addresses mentioned in SL I 5 - 1 7).ffq+/RqT<fffir<trsl-dlisTHfuft<u$rlt{qqF'+;rcoq6(()ac{rs)1d(@fr"r$<ffuoq"rcs5frfta]amq"nrr)

1

18. Contact Details c$riffilr']< TrlB'

a. Address/fqq: I Present/ <6TiT ! Permanent/ qtft I Professiona l/ c"i'tlois

b. Telephone Number/ ffir+tl qr< Residence/ <Ftl Office/ sftq

Mobile No/rsKi.d ar< :.1......... .

Email/ i-rqt{

1 9. Nominated Person to be contacted for emergency w+ft scflqrq. 6{T'ltcsl-('R qiD :rr.4ae- 4fu:

Name/aFI :

2.

Addressz6+tqt

ftrr<kft/ ftw qfffi< qfiq 'r-16

..... Email addressE-rxte ft<rar

Page 08 of 25

20. Cred it Card I nformation (lf any) co&i orri q(@Ig scr 6fr rm+),

SLofreq(

Name of lssuing OrganizationQ1rctftqtu6r+*m

Local Card Numberc{rorrrTM{Yd

lnternational Card NumberqeqlB+or6qr-*

1

2

21. lnformation for Non Resident Bangladeshi (NRB)qffi{q4mf<qdl\oe[

Passport No.:

"fl:ryC"flf, cT<

lssuedby:....elil{flfta:p.ns

Valid up toktre-R otfr1

Occupationqffi1 6"1.1

Date of lssue

fuffiqDate of expiryclvra€z{< qfiq

lssued at:................... Date ofVlSA (ifavailable)t{r<qtn B{r< srl?i (fi {rs)

I I

lssuing Authority of VISA:...fufi qqtd-flAt r'e,rs

of NRB

ffi1-6fta;q*

Forei gn Phone Num ber/ l+rqFF arrlil T{<

Signature of Applicant/ Account Holder/Related Personqr<qr$ra/fuF{IaF<E? <fu-< .rrrName:ffiDate :

Efi{

For Bank's Use only tsflfq <II(r{{ <Frqlr<< q-{r

Signature of Account Opening Officer(with name seal)

ftw< c$er< i(E? t:fu< amrs fi-qqe rn'{i

Signature of Approving Authority (Branch Manager)(with name seal)

q1c{rrdsril cfu-6ra OFfi <t+ql"rs) rl:r1s ft+rq rt<

Date :

qfrlDate :

ETR"I

lMember of Parliament, Mayol Deputy Mayor & Councilors of City Corporation,Gadgeted Officer of 9th & above grade as per national pay scale,Teacherof Public University, Chairman & Vice Chairman of Upazilla Council, Chairman of Union Council, Mayor and Councilors of Pourasava, Professor of PublicUniversity, Principal of Private College, Head Teacher of Private High School, Editor of National Daily, Notary Public and Gadgeted Officer of 7th & abovegrade of Semi Government, Autonomous & Government Organizations as per national pay scale and Bangladesh Bank Official of 9th & above grade as pernational pay scale shall be treated as Respectable Person.

)qcrisF, <jfu T{co q<qh qq'qi. ftfi orlfr<rrr< r:rr<. cs"{E ca-r< c otEfuq=<lq, o16< r<sa. aflcqlr b{ c oq( rorw (frsr6s ofli, ,rr<FF RqREnetl{ fr+, Gtq+ tf+cq<

xx s u1v{ ctrc< o{osf'tcrrs 1+Tr< I

* P.O. Box number will not be treated as foreign address.* fn€ Tg rmrs Mrc fu-ot-{ fq6r6< <rrqr< afl qz< + r

Page 09 of25

?4

Recent Passport Size colourphotograph of Nominee

(not older than 03 months)(Attested by

Account Holder)

qfrFRfit& csTfl,ircr{6qriffin <gF Efr

(oe {r(T< qfii-{ Tfa{{ar)(ft:cF$? Fqo re-nfts)

.IMITED... Branch/.ltrlt

NOMINEE DECLARATION FORM (Where applicable)

1fifr< m'qctt,re (qr<l-qr mm)Please attach additional form for one more Nomineq/hftR qo'lfts <E qGR's r,'r'{ x{q oir;{ I

For Bank's use only ts{I,]q(J'fv€{{J{{rs< qfi

Account Number

Customer lD

Nominee lD

l/We do hereby nominate the following person (s) as per following details to receive the entire amount deposited in the above account in the event ofmylour death. lAVe reserve the right to cancel or change the said Nominee (s) at any time. l/We hereby further agree that the Bank will pay the amountaccording to my direction and will not be held liable for any transaction done.

cs<rFq $fr qftrqE<] qi rc( qtrfl q{fu GI"r{ s<& c{, ql$</qTrrF{ ffilTt cn]g]r{s (fiqa qd ERta 6{r< q<( q 6{i rJlqiF rslistr< qlr<a qc< 4 I

3. Details of Nominee/ 1frfr< ffi sclrtfr e

a. Nominee's Name/ififr< 'rm

b. Father,s Name/f;tioN il{c. Mother's Name/Ilsl< ;fl:T

d. Spouse's Name/ q$,r8r< ;flq

e. Date of Birth/wq ffiq

I. benoer/ q{

g. Present Address/ <6{q t{Fil

E tvtale/tes E FemaleAF{t L_.1 lhrrd Genderf,e-61-{ rdr,

,sL

("rnft e vft1a3$-Etql+E; 6"i{

Nominee's ldentity Documsnl5/ {frFi{ "t{io-*"rq:

i) National lD No./ o. 5€lT *F<lT'ig df{

ii) Passport Number/ rl. flfi{tr;rr<

iv) E-TIN Number/E. ffifip-trcq?fum<

v) Driving Licence No./ e. qEfuq ati-$E {r<

[Any one of the documents mentioned in Seriol (i) to (iii) is mondatory. But in case of Birth Registrotion Certificate, an additionol ldentity Certificate with Nominee'sphotograph has to be produced. For Non Resident and Foreign Notionol, copy of passport must be provided. lf the ldentity Certificate with photograph is notavailable, a certificate of citizenship or national identity sholl have to be obtained from a Respectoble Personl of the society occepted by the Bank to its sotisfoction.

This Certificate of ldentity should be accompanied by Customer's/ Authorized Person's photograph (duly attested on the upper side). Besides, to ensure proper identityof the Nominee, additional documents in oddition to those as required by SL (iv) to (vi) along with information other than those mentioned in the form moy be

collected to the sotisfaction of the Bank.l

[o <ts ,t dw qfrrc <fl\o qfuqfn <rc qt<Frosrr.< c4 cqrt4 q4rF qfuq EFlq o<eo <K t sm qq FRw adq Eqt4a c*etq q;n fraqq ,r.m,tTar qefr'o +fr8-+ w.n++6<rq qql c4 @tq

"thfrfu 4q Eqld o<(o 4R rq;lclf ,aa<fm-l ar1f176a 66r:r "tlqe,nf of4 qn?lqsr< qqF o<$ Ez< r qr-oro6'or< "tfaf;f1q at efacE m fiztnr an1laq agf ctteft otew6?F s<qarlf qarrw ,rTqqr ve'j o."'o Eqe "iaDGR qiq.4;rqq qqtq ofio {a+r Ee "tkfrfu"tq ? ercrfl{ra €rpoliqrr "tffia Etlqlofrqq< (qT4rcfr@ E"tma 1dcq-Ifr-ecE) {ro {r< / ,rq/97, {r(r rsm?eiR 4/i&-tr nfrfifu fr4eq frfuo {€{/? 4rri {r(r"T >7gP a17ov6 Sevja s {rg r :w" q;fnffi, 4f4o qffinqe qffio qno R;127 qm qai

st Fizr EA&E ost ?tr q&fi-s oe7 T(a? Fnzu ,r,?r" /Page 10of25

t I rr\ lf^,ffiffiW in:r.i

4.

5.

6.

Relationship with Account Holder/ ftnm{r'ft< >rlcct rr.16 : ... ... ..

a. Name/4FI

ln the event the Nominee is minor and the Account Holder (s) dies/die during his/her/their minor age, the following person is authorized to receive/draw theamount held in mylour account as per Section I 03 (2) of Bank Company Ait, I 991 .qfrfr 41<m1 EC; sf<p1rq1 iT-{-# "ftO

*qm R 1qotftrR.Tuo,Arfcclir IEr< q6q,qfi/ffifrGlEslFftA<fuv&-c,$qtqf<lENlctaRck<<ftEqltqSq/tr$ryF-<l<rq-{i<rt(s cslqfiqq{, ,nni .u ,oo (i) qtrTq.{{lfrsrETelss-{{ffit:

c. Mother's Namer!]sEt ;fl'q

d. Date of Birth/v-qstRq

e. Present AddressFMqrr 6oril B ........ ... .... ...... ... ... ... ..

f. PermanentAddressfqtttfi+f*t 8................................

g. lnformationabouttheidentityof Legal GuardianasperSL3(j)/afo611 3(l)qflr<?<<sGoNro<qfrffitEqqoruser:

h. Relationship with the Nominee/afrfi-i q16q ae6< s ..........

(lf ony Non Resident Bangladeshi is nominoted os the Nominee and becomes beneficiory of the account, rules ond regulations os per Foreign Exchange RegutationAct will be applicable while remitting the proceeds of the account. r.a.tq w6-d+rs 4fr& o.fl az4 .r?( A wfr-dffi ,(At fiflr<t q4 ilo <m qe qli frmc4 6wt tn cfa- RqTqta746qp14; pr fiaa"t waffi &ft &{tr 423/s' {ffi ,

Signature of Nominee with date (Optional)qfrfrd"qTr e srR{ (&frs)

Signature of 1st Applicant/ Account Holderlc clrrr-{sft/ Rfifil'ft? ?t$r

Signature of 2nd Applicant/ Account Holdercsqffi/ffi{'fi+{.rIF?

Signature of 3rd Applicant/ Account HoldereT qtcrcTstft/ RYr{fia-d ttrFr

Signature of Bank Official verifying Customer's Signature with name seal,{Rr$< .!ls< {ffi <fiqo s:ffi< a1ITs fi-r'.+q =rr<

'I Member of Parliament, Mayor, Deputy Mayor & Councilors of City Corporation, Gadgeted officer of 9th & above grade as per national pay scale,Teacher of

Public University, Chairman & Vice Chairman of Upazilla Council, Chairman of Union Council, Mayor and Councilors of pourasava, piofessor of publicUniversity, Principal of Private College, Head Teacher of Private High School, Editor of National Daily, Notary public and Gadgeted Officer of 7th & above gradeofSemi Government,Autonomous & Government organizations as per national pay scale and Bangladesi Bank official ofgth & above grade as per nationalpay scale shall be treated as Respectable Person.

mfs< o:ieolr"rco {<.'f<

Page 'l 'l of 25

DM

TRANSACIoN pRoFtLE FoRMwFtr cri-mrl-{ qtfrs fiqTPersonal and Non-Personal Account/ rfuo e q+tfu-s ftTt<

'l . Title of Accountftm-+< qtT

For Bank's use only u{qlnl <il(Frn <I({rfi s-{]

Account NumberRm<ar*

Customer lDaI{6qrifr

Expected Monthly lncome (tndividual)fiftr{smiqI-{ ($fu-s)

Expected Monthly Turnover (lnstitution)l.tftE qgkr ffsv-{ (sfrfirl< 6srql

Description Rrl"rExpected Number ofMonthly Depositcl&-swRtq{l{{r'fi

Expected Amount ofTotal Monthly Deposits$fi-rryR miiq$?qA$Gl

Amount of HighestSingle DepositeF{crfs qfl? qfrfiq

bv.=laocoo

Cash Deposit (including online & ATM)il! (rr4qrtn g qff.{$T{)

Transfer/ Deposit by lnstrumentITrF]</ ffiITn-(< I]$Fr qrr(Transfer through Outward Clearing and A/C to A/Ctransfer through Cheque/PO/DD/FC cheque)

Foreign lnward Remittance+z<-q t{sfi6 Gfrilq

Export Receipt<€1fi<Rh st€

Deposit/Transfer from BO (Capital Market) A/CgO {&-dw{ RcT< s(s qr&l{,ts<

Other Deposits Er-{i]n] q-{,|

[Transfer through BEFTN, RTGS, lnternet Banking/otherOnline Banking/ Fund Transferlnstruction & others .............................j

TOTAL{ffi

Description fr<m.fExpected Number ofMonthly withdrawalclfr+Br{rtr€lT{cc$t

Expected Amount ofTotal Monthly Wthdrawal$fr's rBm cq'F E?elqni {R$.1

Amount of HighestSingle Withdrawal,aF{{r{t$trsFrff{ iftflq

FbU

JP

oBt!!

=

Cash Withdrawal (including online & ATM)a'iq (qffiit{ c qfrcrrlR)

Transfer/ Payment by lnstrumentEta.+rn/ @1:ri-q< rTqzr {frrnq(Transfer through lnward Clearing and A/C to A/Ctransfer through Cheque/PO/DD/FC cheque)

Foreign Outward Remittance+TTq qIEi€TM GfrETq

lmport Paymentql{lqtfi<I<q qfrmq

Deposit/Transfer to BO (Capital Market) A/CBO (t&(lqr<) Rflz<q{IAl{Nr{

Other Withdrawals sdn-{i Brst-ffi

ITransfer through BEFTN, RTGS, lnternet Banking/otherOnline Banking/Debit Card/Fund Transferlnstruction & others .....

TOTAL{ffi

Page 12 of 25

HAI(A=h\N l/7A.

lAVe, the undersigned hereby acknowledge that the expected transaction limit is mylour organization's usual transaction. l/ We further acknowledge that ifnecessary, l/ We will change/ update the transaction profile.

efi/HtTfl qE|<l 6aq6 q$o a6 c(r.fiq{ArfiT'fl8 ftr< |

i . Signature of Account Holder/ Account Operator

iETR<Tft/ftIR "iffi<tt<

Name:4rDate :

Elfr{

2. Signature of Account Holder/ Account Operator

ftcT<$fti Rlt{ qftfia{Tr?t< .lt*-{3. Signature of Account Holder/ Account Operator

Rfi<$?r/fur< tkrr++oft<tt<

Name:qlT

Name:;I1T

Date :

qfrqDateUlfrq

I

I

Transaction Profile is reviewed as per instruction of Bangladesh Financial lntelligence Unit (BFIU):<l(qt[T'i FE;fifuflo Sfrcoq Aqid< fu.nr cq.Er.{+ n€1j1 m+cq6< qnfrs $Gr "ffiffit'fl u'{i {ffit I

Reason for changing/ not changing Transaction profile of Customers:qRm{ {g]<l cq-;l.qr{< q{frE xlqr iffi 6fl/ ili Ffl< sKq:

Signature of Certifying Officer with name seale-qrffifft Tfiqo offi< 41qq\s ffqr{ afs<

Date:E]ftI

Page 13 of25

For Bank's Use only sfllo <iltrf,< <i:r{r6<s q-$

i

DECLARATION ON FOREIGN ACCOUNTTAX COMPLIANCE ACT (FATCA)?ffifi-r RflrEd 6 1fr"X-aa qQl c(q;ls ffiFc1

Please tick 'Yes' or 'No' for each of the following questions:irrF{ sfoB erffi Bs{ tir'qq<I T'fis fF{

1. Are you a U.S. Resident? ! yesql"rfift$ffi{$r-dftffi? dr

2. Are you a U.5. Citizen? E yesw'El< ft {lffiq TF<16{ {I{fr'sr eil

3. Do you hold a U.S. Permanent Resident Card (Green Card)? ! yesw"nmftTs-cffiElftqffir<fl6(.ft.rorrr)q(qz sir

fruo{'|

IruoNI

I ttor1

4 DoyouhaveU.S.ResidenceaddressoraU.S.correspondenceaddress(includingaU.s.po.Box) oraU.s.telephonenumber?q"ram f+ T <rd z<t'ur!Ta'r{ qai rolan qT<Tko 6+rar, rqflr<r,R ffrflar.q:ril Tlr<ni:{ *ri* "oE,I tto

4T

E Yetor

Prior consent from U's citizen clients for reporting customer's account information to lnternal Revenue services (lRS) under FATCA obligations:e+ e E fr '4 - qi qrcsl{ qt{s Rrrr<r< sq tsm+rq c{cfrE flEffi $t qR qq)-q flrtmrr q-ir $ff{ {s{E ffi dlEr-s< t<ti{fu r

"subject to applicable laws, l/we hereby give mylour consent to Dhaka Bank Limited to share mylour information with domestic or overseas regulators, orTax Authorities where necessary to establish mylour tax liability with any jurisdiction. where required by domestic or overseas regulators, or TaxAuthorities, I consent and agree that the Bank may withhold from my account (s) such amounts as may be according to applicable laws, regulations anddirectives." e5fr\5 q]t{l{{]-tl cIfr EIol <tlco Efrfisrs qTt</qfirr{ qtr<r-{ q(G]s sqr qcBt qrsdrBo n qsl-sftq fiT-dcr{]fi csql< F"i erorf \tff f& rqstsfq i.lqtsdt&rc fiTqcrfif c(El qqFI qrr+-< +-'Y"rm-< emqi q{qrf, vrf ei fd qg{,lT{ f& <I f-sl< e<Q c{, EDFE f'sf{ ql$Em <ljss qlTri RcR (aIrs <r< R6{r< fFD "lRrr.f<r{ ardil{as {Kr<

DECLARATION ON UN RESOLUTIONS AND INTERNATIONAL SANCTIONSq'l&qqq eqq(t&'rfi-nnef aq5s ***

lAVe do hereby declare that l/we do not have any physical presence and commercial activities within the countries mentioned in the UN, EU, oFAC andany other lnternational Sanction List.

qlfrAlT{l cl TG( Gns"fi fi& rq wfui<s, lWmr+ tBfirq, qfi q{ F.T{ qlpi q6g1q ,!3i q.n rorq qrsqffa f-6s<re-R qsgg cs.F 6E bi qtl]</q]T|(q< ron <1E-< E"iftf c<rhfur+of,orc a8

Orl qQR]

Any of our Proprietor/Partner (s)/Director (s)/Affiliates is not engaged in any business with the entities mentioned in the uN, EU, oFAC and anylnternational Sanction List.

qlrlrh3r coli rqrfffitrqfiEli/flfrfii-sfc{.T1ft sG6F wBqrq, tEGfiFmF tBfiT{, qftq q.q sr<-{ qT[qi

qER Tl{qrd q-[at IEts 4ri I

odte a<( q{l cof{ qsBffia ft<<tu.r< qissri fr1ffi ron.

Signature of I st Applicant/ Account Holder:r vrr<66ffi78*Brtft< tq<

Signature of Verifying Officer with seal{raffia{sdr<-lts-{ (+{T{)

Signature of 2nd Applicant/ Account Holder$ wrc<Eq-sl-ft/ frTRqIfl-< .rtFi

Signature of 3'd Applicant/ Account Holderrrv vn-qq-{fiil7 RqRq[A-{,Tr$-{

Designation:

Name:N'lq

"Fi?

Dateqfrrt

Page 14 of 25

For the services as specified in se-rial 1 to 6 below, please fill up 'Alternate Delivery Service Enrollment Form, separately.firx-< r cetro s rr< qfr[T <trs nfufifr< q{, trs-slrr q-"rffi rsffi ql6c fi-<q-{ E<T' "I(cr F3Fr r

1. Debit Cardrgf<ts +.t\t

2. Direct Banking (lnternet Banking)tur-<E<irrftr(tffiiircft$

3. M Banking Solution (SMS Alert Service)er (n(ft('rT.tdr ((cq{qc qE1r {6cl

4. E-Statement EnrollmentEdfrs de?{'B c+miqrri

5. T-PlN Registration (Contact Centre)m-Pr* c<Cz{tq (4-ffi ffii.,u)

6. DBL GO (Mobile Apps)ffice cfl G$<riEq,l"lc)

l0.Printed Statement f yes

iairE-s dBrqn {I

I Yes

E vesqf

! Yesqt

! Yes

I Yes

I Yes

7. Cheque Eook E Yes (lf yes, please fill up 'Cheque Book Requisition Form')ru-+ <i Ot tqr {(E tF+ <i ffi"n +-<r' T<cr es-{)

8. credit card fl yes (tf yes, please fill up'credit card Application Form')c.$ eD ste ol (qr 5[F zclgri c:E aIGEf, s]N' elnd TiFn)

9. Locker Service I Yes (lf yes, please fill up ,Locker Application Form')ar+m q6q g-r tq1 <E q+13 qr64n Ffi' ,F6t TiF{)

I ttoi-t

fNo;il

E ttoi]

I tlo4l

INonl

E trto

TI

I tto4

tr

tr

T

NoiT

No{lNoil

Appl ica nt's Sig natu rel qIr<ri-t+fA-d rfqd Applicant's Signature/ qffis xf6-4

For Bank's Use only s{trc <rr(r$-< <rd{rr{ q-d]

1. ProductCode

2. Mandatory Fields for Regulatory Reporting:

Economic Sector Code Deposit Code

SME CodeSecurity Code

Nominee Sector Code

3. ldentity verified by: E National lD Card I passport E Driving Licence I Others . .

4, Address verified by : f Utility aill ! Rent Agreement I BTclTelephone Bill E visit by Branch official

! others

5. Result of Online Verification of NID Card lnformation(*lf no match found for Name, Photo, NID no. & Date of Birth, then application will not proceed for A/C opening.)

I Matched I NotMatched

Measures/decision taken if found Not Matched/ partially Matched

6. Result of Screening of Sanction List through 'nScreening, Software(xlf any match is confirmed by Branch then the application will not proceed for A/C opening.)

Measures/decision taken if found matched/false positive with Sanction List

Account Opening Officer(Full Signature with Seal)

Checked by Authorized by(Full Signature with Seal)

Page 15 of25

Applicant's Si g nature/ qfr{q-{stft{ $s'd

f, Partially Matched

I UN Security Council Sanction List f Match Found ! No Match Found

2 lnternational Sanction List (i.e. by EU, OFAC & others) ! Match Found ! No Match Found

Domestic Sanction List/Restriction by Local Law/Bangladesh Bank to open A/C I Match Found ! No Match Found

(Full Signature with Seal)

D

KYC PROFITE FORM/qR<' {RGBPIffiF-tr{(Applicable for opening of Non-Personal/Corporate/SME Account)

(s-<]fu+lorqffi/eq.flq ffi{ 6{qld 6srq rK{6)This Form is for Bank's use only./ <Q v+aE \s$lE <il<rf,{ Tr<qrr+{ q-lt'

I

1. Title of Accountfr{rm< qtT

3. Nature of lnstitution/Organisation (in details)

Type of Account . . .... .. . ... ....... . . .......RlrT< E-fG

aGbEi< aTC (Rqfto)

4. Net Worth of Organisation ... .. . ...qfu6w<FEqerh

Sources (s) of Funds (in details)qcd<Seff/Esc{q (ffigDocuments collected to ensure the source (s) of fund:crdi Esq fifts F<l{ c$m mt< qffi c(qq Frt qcree

ilI. ..... .......... ..

Whether collected documents have been verified: ! vesoi I Noql

Whether Beneficial Owner has been identified: I Yes Ol I lto at I Not Applicable SaI]q];R

ftflffi F 1fr{cgtft fi,ft<q efl <me fh-!r:(lf yes, iniormation regarding each Beneficial Owner has to be produced in Personal lnformation Form attached.

R€< qi {rd erqs e-fs lfrqrsrf,t qqfu sr,rft qcrls rifu cc@lg roqiir<fit q<-cr qna orcs qm )

(tn case of Company, KyC shoutd be completed for a single shareholder holding 200/o or more shares by collecting detailed information in Personal

lnformation Form attached. Besides, KyC should be completed for controlting sharehotder of the Compony by collectinq detailed information.

1.41w11fi4 6ry64 po% <l q< g/iq< alrf eFrR cElota qa ffio 6ffi ryq{6 ry&'w<+fs oe,7EA sfl{ aiqq164 rocvtr& q@ilq4 €<tp- <R I

,nqqrs rol*tlfra fiwrcffi flwFzqrore q< ffi<o oa\lfr 4<aE6o 6713vffi aqqa 6s6e q6a 7 ;Please tick (frs fi-{)

Copy collected 6fi r<flv) Verified ($EtT\5)

tr (where applicable)(ei(rlrqi ffirq)

(where applicable)(elcslqr cs@)

(where applicable)(eifrifqi CIFIF)

where applicabl-")(emlqr c1'(g)

tr

1 3. Purpose of Opening Account of Foreign Company/lnstitution (lf applicable) . ..... . . . '.. " "ftmft csr,fiFiq&n'rrd< ftw< crn-+m Ezw{i (E(slgi] csrq)

a. Nameof RegulatoryAuthorityconcernedq'6,n fi-sqcrofft s'ii.rTt-{ atr

b. Status of Approval . . . . . . . . . . . . .

q{(ItF{ C(c]s i5ar

n

T

'10.

E-TIN No......... trtFr€fr+-ircqEGffi<VAT Registration No................. Ieiti mG. ar<

1 1 . Registration No. of lnstitution IeGfirq<fr+mar<

12. OtherDocument IsldJl"lJ "ll1

nqQurffiTIrtIrfi<c{Iqft41Describe how the address(es) has/have verified (in details):

Eettr{< 6'$1-{T (qO ft-sfr<'{rdt F<I s.{(s (frsfiE)B

Page16of25

E'

il{AKol'={o\N K(

Account Numberfrit< qr*Customer lDsr{{qiG

14. Whether any Politically Exposed person (pEp)/ lnfluential person (lp)/ Chief of lnternational Organization or high level officials of lnternationalOrganization and their family members or close associates have any involvement with the lnstitutionil Customer (as per definition of BFIU circular)

c(B? lh 4l (frq+-qtiaB <r.6s erfuo {rfil(< <fiC c(6t q{ft<) ? (eIsTqr c$ra)

lf the answer is yes,E-s< qt <e,a. ls approval obtained from Senior Management?

frFrR $rww:ti sas w{rfltla GHI qc_rrcq ft ilrb. Has the Customer been interviewed face to face?

ep.q{ {Rl'tTR {sBFr< rq$ qrrrce fr atr

f Yesilr

E Yesiit

tr Yestr

f t"toql

n ruo"n

I Noat

15. In the process of screening in terms of applicable laws, guidelines and circulars, whether the Customer's name has been matched with the listedpersons/entities having suspicious involvement with the financing of terrorism,terrorist activities and spreading of weapons of mass destruction undervarious Resolutions of United Nations Security Council and any such listed persons or banned entities by Bangladesh Government?

I Yesif I woqta. If the answer isyes,details of actionstaken in this regard:

Bs< eI {ce,l ftwo 1Qs <rq-< f+e<"t:

to. Risk Grading ftq adfr's.

a. What type of business/activities the Company is involved with?o. efuSF ft ffi1.r" <<cT7 a:f$Trs ffi <crar

Serial Noqfr+{(.

Nature efg& Risk Scoreftr cqr<

01 Trade of Jewelry/Gold/Precious Metal qta-{IA {Tci/"ftf{ <r{cttTq,<H qlE< <l<{ s (a)

02 Money changer/courier service/Mobile Banking Agent{fi cFqk&GEri cttrrymFllt-{ ilrfr( erq'E s (a)

03 Real Estate Developer/Agent frff{ qrfrb 6usE"tk/ qrq'E s(a04 Contractor/Promoter of Construction Project fi{t+ ef$E c,$rl1tR/6'$tql< s(a05 Offshore/ Non-Resident Corporation qqctta/++ r<ffi +cfc<tq s(06 Restaurant/BarlNight Club/Residential Hotel/parlour Business ffiffii pt<ffis cqBtq/"Itsf< <FTI s(a07 lmport/Export & lmport/Export Agent qtrqt1?t/ <$ft 's ellfift ,AotA qrcrd 5(a08 Garments Business/Garments Accessories/Packaging/Buying House ftfiq$aa7a1ffiq erqcfr-q/"l]lrsG!ffi(EIEq 5(a09 Share/Stock Deaier, Broker, Portfolio Manager, Merchant Banker rffi<lFo &4j, Gloti, c"itffie 11rc+er{, n1rf,i Tfi(s6 s(c10 NGO/NPO ca&e/qfi;is s (()

11 Manpower Export Business w{,t& rqft <lrfi s(a12 Film Producer/Distributor uefuq qc$F{y"iR'r{fi qei s (c)

13 Arms Dealerqrs-<+'<qI s (a)

14 Mobile Phone Operator/lnternet or Cable TV Operator crrcti.{ crfl{ q"iltat-v tBrr6{i qaFfi slFq 6G s"flGB{ 5 (a)

15 Home/Land Purchase/Sale Broker (lnstitutional) qftffi <Fr< (e&fiFr-sl 5 (a)

16 Bank/Leasing/Finance Company <Iie/B&nffiffi 6o,@tifi s (a)

17 Tra n s port Operator,tk+{{ wttr<tr< s (a)

18 Insu ra nce/Brokerage Agency t1n<nftf+rre erofr s (a)

19 Religious lnstitution/organization and Educational lnstitution rff{ sbhryq<qt rg Fmr eftsrq s (a)

)o TrustErS s (c)

21 Business (Petrol Pump/CNG Station) $<'fi ((fl6H 'n-i/ frq4& 6E tn) s (a)

22 Tobacco & Cigarette Business ETnls e fr{ftFlB< <lTqj s (()

23 Software Business a+ic*I]< <FqT s (a)

1A Ship Breaking Business fr'1 gfri rJ<rl s (a)

25 Business (Clearing & Forwarding Agen| TJ<'fi (ffiq 's +<c*6< <rwil 4 (8)

26 Business (Dealer/Distributor/Agent) $<lI (1t{KffifrEB{Ar6n) 4 (8)

27 Bu si ness (l ndentin g) <rcn (i*uffig 4 (8)

28 Business (Outsourcing) Tt<'q,, (qrEErlrfil) 4 (8)

Page 17 of 25

Serial Noqfrsi( Nature eff& Risk Score

frr cqta

29 Event Management (trg-d qrt6{qFrB;4 (8)

30 Chartered Accountant Efu qsrB{(n-E4 (8)

31 Co rporate Cu stom er Frefrdi Ft${I< 4 (8)

32 Law/Engineering/Consultancy Firm qft1tsffiVffifr FIi 4 (8)

33 Energy & Power Production Companyqffi rg frWqEq"11E{ coF"fifr 4 (8)

34 Print & Electronic Media fti s ffifi-+ ftfust 4 (8)

35 Travel Agent/Tourism CompanyEirs-d qmn7lrfiqr Ft-tffr 4 (8)

36 Auto Dealer (Reconditioned Car)/qrfi&En Gmfus 6i, 4 (8)

37 Freight/Shipping/Cargo Agent/CNF Agent etrFffivr+trdt qrq''+/frcqo+ qrwi 4 (8)

38 Auto Primary (New Car) Business qdt efffi (;rgr fiq) <rfij 4 (8)

39 Home Construction Material Business <'t€i Fnft.f fiqfti <l<fi 4 (8)

40 Business (Leather & Leather Goods)rr<n (Er.q e sTlgtelo "i"t1

41 Telecommunication Company dlir+fiGfir<n"n rortfi42 Chain Store/Shopping Mall (oLq 6]"/ -fi"i( {i,) 4 (8)

43 Texti lelSpi n ni ng @rte,ffi ( 3 (e)

44 Amusement lnstitution/Park ffit Efdl-{/fi6 3 (e)

45 Motor PartsAvorkshop Business cq]tr< "flfq/srr6qfl q< (,<'cl 3 (e)

46 B u s i n ess Agent <r+at-erwi 3 (s)

47 Business (Pharmaceutical Manufacturing & Marketing) rr+n (bl.{ er€E € <rFr-{FrE+Tq) 3 (e)

48 Cold Storage Business ffi<q <l+fl (cst€ 6frdq) 3 (e)

49 Business (Frozen Food) <rcat (ffis "tTry) 3 (e)

50 Business (Hardwa re) <;qct (RI{isR]<) 3 (e)

51 Business (Advertisement) <lafi GErqcI) 3 (e)

52 Service Provider cTEc cerqtsrn 3 (e)

53 Computer/Mobile Phone Dealerrffitm/ mmtq 6F]q fufl< 2 (r)

54 Poultry /Daiy /Fishing Firm PnfrlptR,,ftftq or{ 2 (\)

55 Agro Business/Rice Mill Business/Beverage qifl ft-qrdcffiq frq ft-w-dqt<E1r<q 2 (r)

56 Manufacturer (Other than Arms) Es{E{flft (qs <rQs) 2 (r)

57 Shop (Retail Business) mrctq (r{F<r <rcfl) 2 (r)

58 Others (Specify in clear terms)qrqmr 11ftffivrr< Erg< :rm;1 s ()-a)

a. Business Based in High Risk Countries/Jurisdiction rjfs"J"f 6[{fqqsq cefr+ <rcn s (a)

b. Business of NRB & Foreign Nationalqffi <lram{l e er<rfik $Fror+Qfq rrqql s (a)

c. Foreign Embassy/Consu131s foFil fomqffi 5 (a)

d. Money Service Business/Cash Courier qtfi 46r <'laflffl,.i Tfi$< 5 (a)

e.

IWhile assessing Customer risk, Customer will be categorized in high or low risk grade after detailed analysis of profession and on lhe basis of nature ofCustomer's business, level of deposit, business areas, business size, beneficial owner of the account along with other specific areas ro consider.Taking intoaccount all the concerned issues, higher risk score may be assigned to different Customers as specified in serial no.25 to 57.dTcrs< th fte'rcm crrc ERrs< ('if( ft$ftro isqT frisfq<E: <l<q}rn< cFCE <FrTm< el1&, wqf tl,f, <1T{r*< ,lqrf, <r{cirrn 5-e=. =FFi e<=:fqngrf frq wanifrr.1! f-$ fr<5-{n f-c{ e1{sr bs a fX {f qqa Rzaz< Gsff"r q{&= E < I q:r< flTqg'f-mu41 frq oTq.4rsm tc ({rs ci of-e ;t- q..=

=< j1'ir1 EE-g;d 6sBr aql{ 5-s6s

tr+r< rI

b. NetWorth of the Institutionq. qGtIrdK 6i q*l[[< flfr'$q

Amount (Taka) "tRtn @rox) Risk Score frs 6sR

0- lcrore(o-)cflD) o(o)

>1 crore to 3 crore ( >r rotB-,, c<iIB) 1 ())

>3 crore (>e rsTE) 3(e)

Page18of25

c. How the Account was opened.ti. fu{ CrflEE {d"t

d. Expected value of monthly transactionsq. ef{l-$Rqfisr1fi-it 6fi1qriR1ff1.n

e. Expected numberof monthlytransactionss. .qR-+r w{is a1fra: 6q-ff'r{i qq$l

t.

5Expected value of monthly cash transactions,{Rr$< c-{Fi5 {lfr 's 1'tq 6s;Icq.'r{d {R{T6t

Expected number of monthly cash transactions,{lEt-$< q{FE $fr<r Trtq rdffc[rffi q({]f

1 7. Overall Risk Assessment (Summation of Risk Score from Seria! a to g)fi cAT {ftns cE( fa5 i.t @"mr* + q6s q qfi -+'f6 frS. 6$lffid c{rl+-q)

[" Despite the risk rating assessed below 14, Customer may be assessed as high risk considering higher risk profile of Beneficial owner on subjectivejudgment; in that case the reasons must be specified.l[* fffi 6E( 58 €R T{ E E€ ftwr+< erlo 1fr<rrefu Es 1}fr Rr<u.qn fo< omq srsqTrs subjective frr<ua]-r eirqoro Em {ft q*r{ fuqt< fi..*tq .rct crrrg eitm r]

s.E

Media r<"1

Through Relationship Manager/Branch frrflFtfti {Iriqk/ .fl{I F-Es o(o)

Through Direct Sales AgentsltrnB cq-q1 qrsrii:g.s' 3(e)

lnternet/Non Face to Face t6ffi/ E*+6 3(e)

Walk-inhqrfu< 3(e)

Value of transactions in Current Account (Fig in Lac Taka);ee fut< 6aq6q5a3 e1ftag (q$ ?lo1rr)

0-1 0 (o-5o) 0-5 (o-c) o(o)

>10-50 (>)o-c'o) >05-20 (> c-qo) 1 ())

> 50 (>ao) >20 (>1o1 3(s)

0-100 (o-)oo) 0-20 (o- 1o) o(o)

1 01 -250 ()o)-qao) 21-50 (q)-ao) 1 ())

>250 (>tco) >50 (>co1 3(.r)

0-1 0 (o-ro) 0-2 (o-1) o(o)

>10-25 (>)o-ta) >2-7 (>i-q) 1 ())

>25 (>ra) >7 (>c) 3(e)

Risk Score

Rt crt<0-1 5 (o-)c) 0-5 (o-c) o(o)

1 6-30 ()s-eo) 6-1 0 (,e-)o) 1 ())

>30 (>uo) >1 0 (>)o) 3(e)

>=14 ()8) High

<1 4 (58) Low

Commentslvff

Page 19of25

Risk Score R-s rsr<

Value of transactions in Savings Account (Fig in Lac Taka)c$ftRcTr< 6aa6qrn< qfrfiq (q$Bl{R)

Risk Score&'s 6{r<

Number of transactions In Current Account6q& R{r< cErarFw<q*lT

Number of transactions in Savings Accountq$ftR{Tr{ 6ficq-rf{qq1l

Risk Score&'r c+r<

Value ot cash transactions in Current Account (Fig in Lac Taka)l-qGfut{q"fh 6-a6qr{d "|krTct {qs?Fffi)

Value ot cash transactions in Savings Account (Fig in Lac Taka)qsfr ft{E< q{q 5q-{aqF{i ia$q r.Ts tror{)

Risk Scorefr-a 6sE

Number of transactions in Current AccountE-qeftw< 6i-rhza-<reqr

Number oftransactions in Savings Accountcs6ft fuftq riT6iri-:r c$i'f

Summation of Risk Score/frt 6$lGir c{l irFar Overall Risk Rating/wffi.+ fr"+ c<Er

MakerEeq+tft:Account Opening Officer/Relationship Manager

Rll< c".'lql'< slffit/ frr+t+ft't rnr+eK

Reviewed & Ensured by'6le:qlt-{l s fiffi5fu:(Branch Anti Money Laundering Compliance Officer)

"n"n$ffiqqfu-<1 ffioX-aa6ffi

Signature (with seal) fiqqq xts-<

Name:

Date :

Erfr{

Signature (with seal)ffsrs alt-n

Name:{TDate :

utfi=r

For pEp/lP/Head/High Official of lnternational Organization, High Official of the Bank to aPprove the account:qfrffir qqc{qq "fl<c-Veg<'1ff31&fq1e6fu+{* a*566qa{rsfr 6erqr,1(roq-{cttr;Tr$ txtrs*+{o-sfs

Ofice/Branch:..

(prior approval should be taken from High Officials of the Bank to open the account and copy of approval has to be attached with this form.)

ffi c{ek cvrq<fiqrs<Esfoqe'V"tr*< T,@E<qF{cs-E[-{ q<(q$ft"fq,siF{a{ictalq(Tsclroqr< I

1 8. Account and Personal lnformation of Customer was last reviewed and updated on:

frq]< s qlqo q(41ts semft Tfir"F "ldnert-dr ,{<( El+*rilq F<r< Elfr{s

Reviewed & Updated by:

'rffi qqqqa$'ttq-fiftafut:

Name:

Date :

EIR{

Signature (with seal) ft-eqE -r]T-{

Page 20 of 25

ffi

ACCOUNTOPENING FORMTERMS & CONDITIONS

A/C No.

Opening an AccountEligibility, interest, fees & charges, documentation requirements and other conditionsshall be applied as per feature of the product. Bank,s Account Opening Officer willexplain details of the product to the customer(s) before opening of the accounts.Thecustome(s) should ask the Bank's Officer on the product features and fees & chargesfor different services related to operation of the account. lnterest on ,Shukti, accountwill be given as mentioned in annexure.lnterest to be calculated on daily baiance and to be paid on June & December end.

Governing Law, Regulations and RulesThese terms and conditions shall apply to 'shukti' current accounts as offered by theEank to its Customers from time to time. The terms and conditions herein shall begoverned by the rules and regulations ofthe Central Bank of Bangladesh, Governmentof Bangladesh and the Bank's policies and practices.

Acceptance of RulesAny CMSME firm opening the account shall be deemed to have read, understood andaccept the terms and conditions herein governing the account.

lnformation about CustomersIt is the Bank's policy that it will offer high quality services to Customers but not toCustomers who are engaged in illegal activities and activities that are harmful to thewelfare of the people of the country. lt is therefore necessary for the Bank to obtaininformation about its Customers that are true and correct. The Customer agrees toprovide the Bank such information, particulars and documents as the Bank mayrequire from time to time in connection with Customer,s financial condition,background and dealings with the Bank and business.All information, particulars anddocuments that the Customer provides must be true, correct and complete and that ifthere are any change to the information provided, the Customer will immediatelyinform the Bank in writing. The Customer authorizes the Bank to obtain anyinformation that the Bank considers necessary from other banks. Organizations andsources that provide information relative to the customer's financial conditions. lt isthe Eank's policy to maintain confidentiality of Customer information. However, thelaws and regulations in Bangladesh may require disclosure customer's information toGovernment organizations and/or regulatory organizations such as the BangladeshBank. The Bank may also consider sharing Customer information in a way that itconsiders most suitable with other organizations to improve banking services. Thecustomer authorizes the Bank to disclose or share information at the sole discretion ofthe Bank and indemnifies the Bank from any accidental discrosure of informationduring the process of printing, transportation and filing of information.

lnitial deposit and minimum balanceFor Shukti Account, minimum opening balance is not required but for receiving freecheque book minimum balance must be Tk. ......._... and for receiving interest onbalance, minimum balance to be maintained as per above stated table. No interest to bepaid for the day if the day end balance is less than Tk.....................No interest to bepaid for the month if the client withdrawals more than ................ of the highest day endbalance ofthat month.

WithdrawalsCash yr'ithdrawals rvlll be made on printed cheque and Debit Card supplied by theBank.The Account shouid not be overdrawn nor should cheques be overdrawn againstfunds in course of realization unless the special arrangements have been made withthe Bank. No overdrafts are allowed on the Accounts.

withdrawals in the Account will be made as per terms and conditions set by the Bankfrom time to time. A depositor can deposit and withdraw from the Shukti Account asmany times as required and Cheques, Drafts, pay Orders are to be crossed at the timeof deposit.

Fees

The Bank shall be entitled without notice to levy or impose all customary banking andother charges and expenses (including collection fees and legal expenses) in respectof any account or in respect of any other banking facilities provided to the Customerby the Bank and to debit the relevant accounts, in accordance with Bank,s normalbanking procedure. Such charges are not refundable upon terminatjon of any or all ofthe Customer's accounts.

Unique Customer lD

Rryrs cqqrGil'fisl, iiffi ani qe-< Rln. ft s DIE{'q{q efmrsft{ sl,fqffifr e w+J]ir lsffi celwB-{f<Fl?] q{{fr ErlI-oI Trr(s ftqt< r{rffi "e'{ fr$< crflER 6:ffi ERIF< slrs .qrqi q.sft<({r+Bl oqt qrta ffir<q i,Sl{$'i6i <llis offi]l slTq &qI4 1ft6ffi q(ists iifi e-qj sTIBic(eE ftG{ rr<tn qEl elcq-{ {i {l 6l-€i TpiI<( frslfte cir{ Firfi e<i tsfu iil]r?r{ I{isi ffi$frnK f{ft< lBfucs >ri1c Fit{ crTEtr+s qqFr FdI qr< {lrt] qfu E'{ (<( fu.cr{ rilrc qh-tr431 t(<

qrqlq-rqrii,fi'{T s ffi$ q<.rffi <Ilqrfi Bfu E]q$tqsrc irs-rr r:trar Er€ fur{ q<( "tk[Tflr (FG €fc$s-i {r<EBfl.o .rffii <T(E]Iq{ qfl$tr{{ qEFcE qi-{ c rr&.r +nc+ q< ftfu froi.Fr]. efil]'I €<il(Isn efr fr{T e t51I'T-$ fllm er< I

frfi<wco-* frcreqsrq sfttl-{ jifr Rc.K riE.(<i ftfi fuR qk6rsd.tr cF(q .rr< ,i.6ffi 16qq-1,{r4rZE{ q<( €Rq dffirqd {re 'iql {r{ i

q]-{si*(68q1qfi <jT(F{ ilG fi {fi(T EslTffi{ 1frffi<l gl{sr$ eI.F {tr(<, fre .i q< e]{{. {.rhr d<{fl{qqt1 6q{ €<( oir.R {'ifr-€ch3 qti +fuofr+ <l e<( q6t s.tfrfl"i {a{, Elrhs F;ri qqlq6{a{ q'| I qeq< eTetrfi qEl s c6s oqt qroR o{.| <T(rs-it wr $a$q{ ,${+ Tfi($IT frfrH,fifuI ffiqr+s fi l:Fq Eali, f!-fift q11 Effi 4gfip s-rre= {aE q1Taq.r {i ${rs. qrf?f$q-{ql, 1}gfr (<i <It($ ,s El< (JTq]< qTcq q9fre- >FF"t \5?rT, ft-fift, qfrE EEftsq { .sl{seqla d{r{ El TEi, tift$ q<R.x{f <E q54 q<( eftF3s s6qfn f,a1i 1fr<6n. Erq Tfl($rs Ep'+ffisqr< B:li{tr{{ I ,$l{S q< q?ft{fus wdsl c-ia6 T{t <I?s, E<r €<( q(ET cq-rs oql c(qqd{" illell[n <n.isas $T9I Er,l4 F{r<i r €fi {fi(IFr ftG. eqro< s$ c'tt{fu <s.I F{T I

Eqfl {(4t[rk q{a g r<sm.r{ wlrtfil srn <I(qtq{ {{$|<, fr.{6s rrpt c{:1{ {Iismt<fi(r<i< fi--sB er+H 6{t Ea$qr q[\, "ll(T I <n({h( ffic{<I 1h-{ q{l {fl(rf< 6lrq {aafi"lTGFn<Go {tt ql'r Eflt{ TIT(T qitFr-t c<qT< qlr< qlE(-an EqT qmla-Ehf{ T{rE "iBl ,irfi{ qr{s<fl(ra$ oln 6c:m fo<rll< frfu.o St< { sql gsp1 <T qtfid-qnr T-:tR <It'it6 s-r5l eq14orrq e<( ftfr1 gfol], rfr-<qq, sqr *l?fr< ea +l-{ {ft E6itqfi,o $Ift"i aTE(€{ ,:st{ gql rb.q{, c{aTr(q <fl($ rslq ersln sGTn i qqti Ftrr{ it I

qRBsq{IsTl{s-{RGrgfu fiw< rrrl{l{ qfi

{rTr-o{ qff{ {rnq{ (ii ft€ fr-{T.-{i (F$ <? flm{ TiiNtftcr{ r-drsrAfu .....-....... il+l qerr ercnq;r (?( eq< QeT G"F TrtTI qT[s3r wi] 1+rw ffi. nrlss<rTi r$ q{IIIfil tR"nm e+rs << rTrtril s]Is{ qfl {d]s{ el,]_.TRs Qfu....... ... fu {(g{r< tnfr rfl{ A]{$ q< ffi-s fi$.{ Qfu {afl6 .........% Bffi Ecers-d sr-<i.. ctEra Us ftrRR{r< Qfr< Ern c+f{ 1.rt+r Efii r-{t << ir r

qTTtrsFn<ll$ $Y's i-{<<1ST\5 El"llffi rFs q<( (sfti {I6Eril qfi Elsfq-{ fit <tr{ <n$ 1iI]1< ci1Trqfrfr-s SasrE{ <1 q{'B qftfie rrs qEr{ mmerc<t stqi +l, {fr { <il(rs-it ft{ q rq@]gft-in cFli Ifu fi$frE {rr alr$ tsfu Rq]r{{ fr"ra-F ffil-di srtfuftg; (sstr$Tt) Snr 6-flelal r

ftfrE qqrr <X(T EE$ fidfrE 6rr € 16 q{qIft efu fur< Erglrn ffl :ll[it ,!dq;rq$qTsral EEI tfu &ct6d ITry6{ <E<1< g[{tq{ a6Fffi{ siraE {t{r{{ €<( (DT, $ai. (,i-q\6rj qlf fi€fi{ r1-{{r EI @.cs'F{(E Ea< I Tfl(T EI C(E,l{o C(El Rfi(< slq Frj ,!<( (E$c(,$R< qsK firstrfi rTirrlT qIlhtr{-n <lleilrT cfi({t hl.T_q}Ery <fi(F{ Efi r5tm al p<rra$lrdT qqrlT$E OT qcRI qdl iru!:r+-(< {Irrfi{ q{118 qd <ilr6 F.6s slrq4.ir{< qrfleT{$ Ersl{ail< qd, gT"il {r{{ { r

ftrF<i1i4 csla .{lE{ RM e}GE ilSf+( € Er;rAri EtEi c rJT (<p-tffi<'14 fF s qtii 1<r {<) -rl crr

ffii liqF qcffl n as]a Tfi{}r {R$< cft"rffi ceq nT qd e*rs "m< {<( Titir€n 1oE ifuT/Erftls fi<rr* :+r$ l€t fu< ccraiF 5]Eisrti ni{ro 'ttt< r eqE EEi.ql{rr{ fiqT</ &ql<q{q {{q€{]3IFF CrE<E({Ill er< q'l

I

Page 21 of25

Credits to the AccountThe Bank acts only as a collection agent and assumes no responsibility for therealization of any items deposited with the Bank for collection. Thus, proceeds ofcheques or other instruments deposited will not be available for withdrawal untilcollected by the Bank.The Bank reserves the right to debit any account that may haveinadvertently credited with an item subsequently unpaid on collection.

lssue and safety of chequesCheques will only be issued to a Customer when all documents considered necessaryby the Bank has been obtained. lt is the responsibility of the Account Holder to ensurecheques in their position and kept safely.The Customer must all time exercise due care

to prevent cheques, payment orders and other instruments from being altered orforged in a manner which may facilitate fraud. ln such events, the Bank is notresponsible for any loss suffered by the Customer or any other person. Any loss ormisuse ofthe cheques or other instruments must be immediately reported to the Bank

and confirm in writing without any delay. Cheque Book and other security documentswill be valid if signed/initiated by authorized Officials.

Changes ofTerms and ConditionsThe Bank may at any time as it deems necessary add/amend/delete the present termsand conditions. The Bank may give notice of such change where it considersappropriate to the Holders by ordinary mail/email.

Closure of AccountsWhen an account is closed either by the constituents or by the Bank,the constituents is

required to return all the unused cheques and cards if any to the Bank. A charge as per

our prevailing Tariff will be recovered from an Account Holder who closes an account.

The Bank reserves unequivocal right to close any unsatisfactory account as decided bythe Bank at its absolute discretion.

The Bank reserves the right to close any account or related service without giving priornotice if the conduct of the account is unsatisfactory in the opinion of the Bank or forany other reason whatsoeven The Bank shall pay Customer all available and finallycollected balance after all dues to the Bank have been recovered/realized at the timeof closure of the Account.

Minimum Balance and Interest PaymentThe minimum average monthly balance as prescribed by the Bank from time to time is

required to be maintained in Shukti Account.The Bank reserves the right to change theminimum balance requirement. No interest to be paid for the day if the day end

balance is less than Tk. ..............No interest to be paid for the month if the clientwithdrawals more than .... .... . of the highest day end balance of that month.

Periodic Statement and Advi(eThe Customer will be provided account statements on half yearly basis.The Customer

is required to promptly notify the Bank of the failure to receive an expected statementor advice. lf the Account Holder does not bring the errors, discrepancies orirreqularities to the notice of the Bank in writing within 1 5(fifteen) calendar days fromthe date of statement/advice, it will be constructed that the transactions shown in theaccount statement/advice are correct and complete.

Deposits, Withdrawals and Banking FacilitiesThe Bank shall meet its obligations exclusively at the Branch office where the Accountis maintained by the Customer. When appropriate telecommunication is possible,

deposits or withdrawals of money may be made at any of the Bank's Branches inBangladesh subject to the terms and conditions ofthe Bank.The Customer shall ensure

that there are sufficient funds (or prearranged credits) for the Bank to honour chequespresented to the Bank or for debits to the Account in accordance with the instructionsmade by the Customer for his/her Account provided always that the Bank may at itssole discretion carry out the instructions notwithstanding such inadequacy and may

do so without seeking prior approval from or notice to the Customer and the Customershall be responsible to repay the resulting overdraft, advance or credit thereby created

and for all related charges.

Cheque Books

l. 1.An application for a Cheque Book on Shukti Account must be made on theBank's requisition slip, duly ligned by the Account Holder (s). Cheque Book willnot be issued to a Customer until all the documentation considered necessary by

the Bank has been provided by the Account Holder (s) and duly obtained by theBank. lt is the responsibility ofthe Account Holde(s) to ensure that the cheques

in his/her/their possession are kept in safe custody.

2. The Bank reserves the right to refuse issuance of Cheque Book on such accounts

which are not maintained satisfactorily or when an excessive number of cheques

from the previous Cheque Book have remained unused.

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Tr{O.rn ;IT e-iI

6rqt qq-rq,q1q Efi fr{t'fg16Fs E{ni crqr14 atF T<I {r< {fi S|{+ eimffilT:r<rq Efudrc Tfi(srs qF-Fr i-{r{{ i (Es

<! fi<1.2a <r<r erqzo< ElftE r,$<s r<rllti E1-{ rrT <i ('i q61r q?r?.qdl @ .€Tdslr<

n(Ts6r 4TrTn {IE ro.Ft qtlffi S€TF {r{'i ill qlrs (zF(q- qlqrs< 5a1a1 a-15fu3 a146<ii(T q:r=E a5-{.r< ai a6s 11 qil ffi1qB qFlrrf CiId <1 ,!< a{l{ q'l<|{{f< <4 gtssft{sta<

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w{Cnft€ 4# 56. {'rfro/ sI.rTsfrE C{

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slF/tfcft €- {lxL{ ql{$lT qFnzs'II{ l

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{JrS .I{Tff fiF{<rqE c{LTEqt R{l< q?l<l R$<qq@lg Girl € F{Fr qft+F i$sct FGr

fi Rq|{ 1frst-ant q-{s!q-{-$ En clRI qil, 6+tt FlTrct r Qcl< Ts Ed< I:Rr Tfi(s qRors

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{r{srQfu q<(:F {frrfi{Xrdsr {lFrs ru Qfu <,lrrf{ liiia srcr< 1i6ifi TCE sfu ft{ft< {l.EE qr{ r <rt($ {nEnfif< "iAmq< er.Tlwffrrsl tffi esm srsl <ir{ sfi ftfu m .stl {:icr{ 1iror @ft(E (i.(I EIIfi s(< & crCT< qdl @]r{ {dlril <fi(F qliI{ Ftrr< rl, :rfr CTlr s]<s EI{ ?qFsRrR frfu< {r{E % ftof &EIf,{ 41-T{, sr<q Gs lrcr-< ftw< ftft< E"m ro"tTq+lqqll€flqr{{ I

ffi's Rc'rE fr{dft ,aa.. Frfia.rlirtdTqsr$ R{F fr<<ftrTq q{i{fiT ftftlg_ qr]T T3n 11< qR.$< E6- E]9I-6r& {fl<zo qi{lzal{i eotrFrc fbr< fffiift qq< ffi{rrfl arim Idh,{tq+ ftIT< fr+<ft qcm ffiffqErolR qq, qfil-{ &{f< fi{ne'{ =rfrl <s )a (elrd<) "tf&ol fi<rr< q4<l q1 q14T r51qril

,drqm{ fu< fi'a*fi-rs r< a{drrn FlTr;il a.:lrq <r Frf.r+m qi er*-fiar aq'$ <Trp cl cfi-$<ad <13 a;BTT aI< i

q{t, trslfi q<( Trtcft ( {fr $ft

'Iit Ftrr{ | dT{S <T(4]1h]r]< n1ci si <r:14< { aaF {<lT{ rn{Lri, ({rlrr{ {s[{ffiF1"6511'1 qE-{. <lirq< lffi< Tr=- 7- =T < -I=Fa. os(o "fi2< rel<+ q* frcl(<{csE {qfi (Ti q:n) <rr,z< :Irc= tt i'?-'= - e11_r--c< ffi61 ap q"i, "ikfil{ o4{T {fr elatrs< ftqtr< rar Fi.a;< ={t=- '<le ca< <ll(s ir]n F-qs j?r<r{T,fl< {T(Erfu <jeE q< f-}.r< (q-TT >i =;-. -<- t<a €<(qRrg< ft:ft< csn eelTg|+t,ufta qe].<I n+q ?EtiT 6:q< a.f? llF 5-=? 8.a6" sffi6 Ercr+Gr< il,flt< q<(c(eE Et['6<

{fi{I< qTT<h clFr<

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'[q q{Fss- erT+Tr <rtqs rqt elEsm clT <i iIl il rF{F qfuqF qq{+-{ ra<

Page22of25

3. When new Cheque Books are delivered to the customer by post it will beaccording to the address record kept by the Bank (or by such other means asdetermined by the Bank). Howevet the Bank assumes no responsibility for anydelay or loss caused by any mode of forwarding.

4. Undelivered Cheque Book will be retained by the Bank for up to 60 (Sixty) days.After 60 (Sixty) days undelivered Cheque Book will be destroyed by the Bank andnecessary charges will be realized from the respective customer account as perBank s tariff.

5. Account Holders should exercise care when drawing cheques and should notdraw cheques by any means which may enable a cheque to be altered in amanner which is not readily detectable.

6. The cheque will be returned unpaid if Drawer's signature differs from that onrecord at the Bank.The same style and model of signature as per specimen givento the Eank must be adhered to.

7. The Bank reserves the right to dishonour cheque(s) on reasonable ground. ln theevent of a cheque being returned, the Bank may realize a penalty charge for eachpresentation and return.

8. The Customer should comply with the conditions as printed on the inside of thefront cover of the issued Cheque Book.

Signing of ChequeCheque leaf is to be signed by the Account Holder/Account Operator as per specimensignature recorded with the Bank and any alteration and cutting should be confirmedby full signature. No cheque will be honored if the same is post dated, antedated (formore than 06 months) or mutilated. Bank reserves the right to impose fine for bounceof cheque for insufficient fu nd in the account.Stop payment of the ChequelAVe, the account holder(s), shall immediately notify the Bank if any of the cheuqueissued to me/us, is lost or stolen. l/we understand that the Bank may in its absolutediscretion, accept from me/us any stop cheque instructions (either orally or in writing)cases where l/we have lost the relevant cheque or, in other circumstances in which itshall be allowed by the law and agreed by the Bank. Should the Bank accept any suchinstruction from me,/us or from some other person purporting to be me/us, I/wehereby undertake to indemnify the Bank against any loss, damage, cost (including anylegal cost) or demand incurred by it as a result of or in connection therewith. A chargeas per our prevailing tariff will be recovered for recording stop payments.Fraud & forgery due to payment of ChequeThe Customer at all times must exercise due care to prevent cheques from beingaltered or forged in a manner which may facilitate fraud. ln such events, the Bank is notresponsible for any loss suffered by Customer or any other person. Any loss or misuseof the cheques must be immediately reported to the Bank and confirmed in writingwithout any delay.Positive Pay lnstruction (PPl)

As per instruction of Bangladesh Bank on Positive pay for clearing cheque, the accountholder must inform the Eank (DBL) in writing or through contact center after issuanceof cheque for the amount BDI l.0O (one) lac and above. Otherwise, the Bank mayreturn the cheque if presented through automated clearing house at the risk andresponsibility of the account holder(s).

General Rules

1. A newly opened account will be activated upon accomplishment of Know yourCustomer (KYC) as per the Bank's policy.The Bank reserves the right to close any account without assigning any reason.Nomination/Succession to the amount lying to the credit ofthe account and/oroperation thereof on the death of the person authorlzed to operate upon theaccount shall be in accordance with the rules for the purpose prescribed by theBank from time to time and effective at the time of the claim.ln the event of the death of one or more customer(s) in joint account, the right ofthe survivor(s) to operate the account will be ceased unless appropriate order isreceived from a court of competent jurisdiction (if applicable) for operation ofaccounts.The bank will not execute any customer transaction over phone, fax and e-mail(unless standard indemnity arrangements are already in place).Duplicate statements of past transactions are issued against payment of chargesas per our current tariff.Accounts upon which an attachment order or other legal notice prohibitinqoperation of the account has been received will be ruled off and no furtheroperation will be allowed till such time as the prohibitinq order is removed.Customer transaction will be entertained during normal banking hours that maybe in force from time to time.Account holder should notify the Bank of any change of address in writing.Otherwise, Bank will not be liable for delivering account statement/ Bankcommunication to the recorded address ofthe Account HoldeLThe Eank may without notice combine or consolidate account(s) with anyliabilities to the Bank and set off or transfer any sum (s) standing to the credit ofsuch accounts or any other suit(s) owinq to the Customer from the Bank in ortowards satisfaction or the Customer's liabilities to the Bank on any other respectwhether such iiabilities be actual or contingent, primary or collateral and severalor joint.

ln addition, to any general lien or other rights or remedies to which the Bankshall be entitled, the Bank may at any and from time to time apply any creditbalance to which the Custome(s) islare entitled on any account(s) with the bank(including the above account(s)) in satisfaction of any of its indebtedness to theBank. Further, any of the account(s) of the Custome(s) with any granch of theBank shall be treated as one combined account.

e. ,{Rzqn $Es E]rr{Ial c'f<Q 'fr]r{t ErE $Tir€{ Tlrs <ftE ${r$r 6-om s{{lat Et"rt' rral qc< (qnFr q-ii rfl4 B"frr Ers fi-otrq s] {fls+ Tris fififu <r) rEr{ a; Efi{l-6l[F Ctf<a e?rF <l fr-ara grrd 5il {lT?6 a-tx, -ir rm .a

a qfrfu+s rrr€ crfrm so th{ "|(s <llis R$lqco <T?fi {r< r so fa{ "l< ertrc"l"sft1i-.s\5 rrfit il($ i? $-(< (sEI.{ ,!<( EEfrs E]ft"-fi q*nit q<B? ,{$IBE qre €lcrtqjDtq qTqTT $<T 1r<

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6ErS trrF-d

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cu-+ ctv6qf;rqrqtqfilqlr{r 1T... rus qtkm r"ire <l ffr <q qq$ft$Et-r< <it<.oro qKRE or< r q.rfriqTr1q<'iE (s, 6Ff E]-{l-ffi< cTze qaFI w;nl] ql-;rfrh e <x(s Fy-s +.$E q<w {J.l(4 Er< Tlcfft-q fuilrT{ qfivqlTrzh{ sITt dfir$ { frftoElr< cqrr r;T qftrs{ M.i qE{ <irr< | cr(FGqfr/.qlr<l <t qwkfqTficr!-{ aftlif{1 E;<1 ffi.iEts q1n 16T {fis q(g1s 56,ra fiffi1sp"t T-{k$ro EqE CsI{ $fu, rd6q1t, ?KE (qt{

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l&Es c"tcwlsFnf.tffir orc* tGftv- r"i c(@ls <rq4kq-.i a1i66a ffii q-flrfil el<s +Er+ : qe brffi 6.sfqhld F{rq qOi? frFrcom <| fiffi mBtr< (T,|'Uzq'I'l sal <n$-r$ q<ft\, fiaT{ | qlrq]TnlT(F (Fs r+3s "tt}rc +rm < elq$r<t< fiq,q qtftIq q -rTsfun fr+m Er< "i-rhm q(1

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2. t. aslr4l skq Erdrl ir 6r{ <il(T r{ c$t{ fltr (T.IB-E {qi T<tr qftr|n q<s"t FGC]<s< T9,IE q4]Bri{ Es{Ifircrn fiftq, eslffi 1&9 fi-sF efsE {fB's fr,fu{ q E.6eotErB{ "ifrmfi, Er?ffi{ ll{ e}GE q<( c(A? ftsr.:t rr.{ rrzr s]-l($ Te=s fr,fiiisfim qllft fi'fiks <c<

d{ qol'ErEr (s <t qsfria qlqrc{ Ipirs qaF-o E € nqfmq fird.lrl (q.nqi csrq) 4Iqq "f{s qt aftq3 qs]Bd tkfl-fi]< rrr6t ffi qt6?-.<

dfrc+n, +its <I itrqlrq< rTrrfin 31.3t (sl6{'| (ry5q4 r'i{ ffir{ il r (:rfr aI q i?{.{-$rfi.{ fii{fu Ffu aI{$ € Tfiit6{ {r{j cDitr c[r aflm) i

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b. rqtT&-rd{ {ffiq mrIff q{{]ii.qtqs <11(s cdr{(Fd <:rac "nrmt, qt q+m qqm qffi{asfir{ I

s. #onr< Gr+l-n fir;R "iffi Eaq q]{s st {Ji(Frc frltrcerc< qtrIrfl tq{Htl <l].rsitonq nfuE qIqrfi ft$.Fit s-{3j-it c$Bn 6Bitrrif<1r..rr* s;iTFT fiI,ijI:fi't"rq "|lhri-t e.EEIn q{I <iT(Fas fift 6{t {r< il

)o. <il'($ qT{f,rs mlq r{lfr.i e}r;t SfVi eR({{ mF f,{IV hEn< fi"filcs rnqrs €]qirf{ rof{eol&d fte 6q 5a;a ffiqa qd gs ffiR/ Etffi frnAko, <t .aEqq(@is cot-{ Trr-qti {-?nF<qry qr{ls< <T {TT{ os[E 'llr{ t3t(rs< {Tat $qa?E{ € k-1T etco/ qgl(j. qRfrs. T{A{f$/ del {'R aqlf iT afii {fl(F ET qtqcrr .qrltrB{ ffcet qr{.{ Fffn qkrln <Ta?t r

5). <]l(s ({ (Tf4 {{-lt €<( iTI{ cstal El€{,l Elq <ll(r€{ qt"r r$F cl{E"i iftga a ql] 6a;aqfi-+t< <t qBorrr< E"m ,$'<Tn qrEi <r€ itfiirfir f :roB< atd er.:ttq+{ qF. ffitr"r< gfqre< qfii"sf{ Tct6s (E"]r<1@ ,!41B'i rt.F) <E ($ri fr6o 'iR64 I qE <I.(s1 6qast{ .r]rln <frg q]RrT{ €FtV€ ruR (sE ?..p q+tBE, ftcrr< 'icf rnt a.< I

a.

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11

Page 23 of 25

't2. OperationoftheNon-residenceaccountsshallbegovernedaspertheguidelinesof Bangladesh Bank. Holders of Non-Resident accounts should advice the Bank

immediateiy upon return to Bangladesh if they intend to take permanent

residence in Bangladesh. lt is also a responsibility of the Customer(s) to inform

the Bank in writing before leaving country.

1 3. The Bank may refuse to process any transaction on any Customers' account(s) lf

the bank suspects fraud or illegality therein.The Banks'decision on whether the

transactionisorlikelytobeinvolvedafraudorirregu|aritysha|lbefinalandconclusive binding on the customer.

14. The Bank reserves the riqht to close any account having zero balance without

transaction for one Year.1 5. Statements of accounts are issued based on product feature half yearly and/or

when a statement sheet is completed in case of Shukti accounts lf statements

are required in frequencies higher than the above, a charge will be levied as per

our current tariff.l6.TheBankreservestherighttoamendthetermsandconditions,currenttariff

without any notice

Compliance on prevention of money laundering and financing of terrorism

The Account Holder shall comply with the rules and regulations as per Money

Laundering Prevention Act 2012 (Amendment 2015 and Anti-Terrorism Act 2009;

Amendment zot 2 & 201 3) and other laws or regulations as may be imposed upon the

Bank by Bangladesh Financial lntelligence unit (BFlu), Bangladesh Bank and/or other

concerned authorities.The Customer(s) shall also comply with and be bound by all

other relevant internal circulars, policles, rules and regulations of the Bank includlng

any amendments made thereto from time to time.

Suspicious Transa<tionThe Bank may refuse to process any transaction on any account of the Customer if the

Bank, in its sole discretion suspects fraud or illegality therein The decision of the Bank

withregardstowhetheratransactionisorit,slikelytobeinvo|VingafraudorillegaIityor irregularity shall be final and conclusive and binding upon the Customer'

Collection of Cheque/Draft/Pay OrderThe Bank will refuse to accept an instrument for deposit through collection or internal

transfer ifthe Payee's name is not identical to the name ofthe Customer in the Bank's

record.The Bank acts as the collection agent and assumes no responsibility for the

realization of any instrument deposited with the Bank for collection Thus' proceeds of

thechequesorotherinstrumentsdepositedwil|notbeavailableforwithdrawaluntilcollected by the Bank.

Reversal of wrongly credited amountThe Bank reserves the right to debit any account that may have been inadvertently

credited with an item/transaction subsequently unpaid on collection or detected to

be the wrong entry without giving any information to the Customer'

Dormancy & Un(laimed Account

. Shukti Accounts being inoperative for one year will be transferred to Dormant

Status.(Asperclause35ofBankingCompanyACtlggl)AccountsWillbetransferredto

UnclaimedAccountstatusafterl0(ten)yearsiftherehasbeennotransactloninthe said account bY the customer.

. No customers' initiated transaction (except credit) is allowed in the Dormant

account unless the account holder(s) apply to DBL in writing to regularize the

status of account.

Overdrawn Accountlffor whatever reasons the Account has any unauthorized debit balance,the customer

shall pay interest and other Charges in accordance with the Bank's prevalent rate and

practice and shall regularize the Account on the same day, unless the Bank specifically

makes an excePtion.

E-Statement

a) lAVe fully understand the risk and accept that the bank does not use encrypted

e-mail and generally internet is not encrypted and is not a secured means of

transmissionoftheinformation.ltinvolvestheriskofunauthorizedalteration,usage and disclosure of the information by unwanted parties'

b) lAVa fuily understand the risk and accept that transmission of the information to

acorporatelDinvolvestherisksoftheinformationtobeviewed,altered'usedordisclosed to third parties who was/were once authorized, but may not be in the

employment of the organization in the future. I/We agree to indemnify the Bank

and hold the Bank indemnified and harmless from any and all costs' expenses'

liabilities,losses,resPonsibititieswhetherdirectorconsequential,arisingoutorinconnection with such view alteration, usage or disclosure of the information or

otherwise caused by using the internet as a means of transmission and also for

any error, delay or problem in transmission of the information'

c) Th;t mylour legal representatives, executors, successors-in-interest and assigned

are bound by this E-statement enrollment.

d) That this E-statement enrollment shall be governed by and constructed in

accordance with the laws of Bangladesh.

e) Electronic statement delivery will supersede hard copy statement delivery (if any)'

Contact Center

b)

a) l,A,&e authorize the bank (in its absolute discretion) to follow/act on my/our

oral or telephonic instruction (includlng required by or given by me/us' in

relation to these terms and conditions unless these terms and conditions

otherwise expressly state to the contrary).

lAVe shall not reveal mylourTelephonic ldentification Number (TlN) to anyone'

My/our oral instruction(s) identified by mylour correct Bank Account Number

and TIN shall be deemed to be Proper.

!a. e-{it d|{.r{ .!$rBE <.|iaftTt <-((z6n ftrh-';r-{I {diltfi "f<}rfiE q[< €l-$ft S]{$ {iA-tfsra< ffi<]ffi{ Ef il ffic'i ft..< vlcrd qerd q {1< 'l?cl

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Page 24 of 25

Accordingly, the Bank shall be entitled to or rely on any such instruction shouldthe Bank accept any such instruction from me/us, or from some other personpurporting to be me/us, l/we hereby agree to indemnify the Bank against anyloss, damages, costs (including legal costs), or demands incurred by the Bank as

a result of or, in connection therewith.c) The Banks may its absolute discretion require that written confirmation of

my/our oral instruction(s) be received by it within such period as the Bank mayspecify.Where any ofthe above accounts are opened by more than one personany such one person shall be entitled to give any such oral instructions and theBank shall be entitled to rely upon such instruction.

d) lAVe acknowledge that mylour use of call center shall be governed by theBank's prevailing Terms & Conditions.

Confidentiality and Eisclosure of lnformationWhilst the Bank maintains strict confidentiality in all matters relating to mylweaccount(s) and business, l/we hereby authorize the Bank (and/or/any of its Officers orEmployees) to disclose any information concerning me/us, my business, my accountsheld with the Bank or another Group member, or my relationship with the Bank oranother Group Member, to any of the following (a) any office or Branch of the Bank oranother Group Membeu (b) any agent, contractor or third party service provider or anyprofessional advisor of the Bank or another Group Member; (c) any regulatory,supervisory, governmental or quasi- governmental authority with jurisdiction over theBank or another group Member; (d) any person to whom the Bank is required orauthorized by law or court order to make such disclosure; (e) any person who is undera duty of confidentiality to the bank; (f) any Bank or financial institution with whichl,/we have or proposes to have dealings regardless of whether the recipient in each case

is located in Bangladesh or in another country, and regardless of whether suchinformation will be held, processed used or disclosed by such recipient in Bangladeshor another country.lndemnityThe Customer shall keep the Bank indemnified at all times against all loss, cost,damages, expense (including legal fees), claims or demands arising in any way inconnection with the Customer's account or in enforcing these terms and conditionsand in recovering of any amount due to the Bank or incuned by the Bank in any legalproceedings of whatever nature.5ervi(e DisruptionThe Customer agrees that the Bank will not be liable for any loss or any damage, if it is

unable to provide services in connection with any Customer accounts due to postal,courier, electrical, mechanical, telecommunications or computer failure or an act ofGod, catastrophe, war, civil or industrial disturbance.No Liability for LossThe Customer agrees that the Bank will not be liable for any loss, damage or liabilityincurred by the Customer in connection with any of its accounts with or servicesprovided or agreed to provide by the Bank or inaction on part of the Bank or any of itsofficers, agents, employees and representatives.The Customer agrees not to hold theBank liable for any loss or damage arising from; (A) non-discovery ofany forgeries orfrauds, except to the extent that the Bank has acted with gross negligence, (B) theBank closing the Customer account for whatever reason whatsoever, (C) directly orindirectly, the error, failure, negligence, act or omission or any other person, system,institution or payment infrastructure.WaiverNo forbearance, negligence or waiver by the Bank in the enforcement of any of theseterms & conditions shall prejudice the Bank's right thereafter to strictly enforce thesame. No waiver by the Bank shall be effective unless it is in writing.VariationsThe bank may amend these terms and conditions at any time by not less than 14(fourteen) days' notice to me/us specifying the effective date of amendment. lf l/weuse any banking facilities after the effective date of the amendment, lAVe shall bedeemed to have received notice ofthe amendment and to have decided to continueto use the banking facilities upon the revised terms and conditions. lAVe furtheracknowledge that in the event of any changes being communicated to me/us, theBank is not obliged to obtain mylour signature for receipt of such communication.Force Majeure/Technical ProblemNotwithstanding anything to the contrary contained herein, nothing herein shallapply if the Bank is preventing from discharging any or all of its obligation herein orotherwise due to any cause arising out or related to Force Majeure or Technicalproblem for any reason beyond the reasonable control ofthe Bank.Governing LawThese terms and conditions shall be governed by and constructed in accordance with,the laws of Bangladesh and l^Ve hereby irrevocably submit to the non-exclusivejurisdiction of the courts of law of Bangladesh. Such submission shall however, notprejudice the rights of the bank to bring proceedings against me/us in any otherjurisdiction or courts of law elsewhere. However, all accounts shall be subject to theprovision ofthe guidelines/circulars together with any alteration/modification theretoeffect by Bangladesh Bank from time to time.

lAVe have gone through the terms and conditions mentioned above and understoodthem in entirely and undertake to abide by those terms & conditions relating to theaccount. ll/Ve also agree to be bound by such terms & conditions as may be amendedor supplemented from time to time.

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I

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ffi{ { qrin mFoms qNFf{t{rcqn ft-sr6 cfl-rql <I{{I c'{r (qrs fr<E il4r{ { rfi\B {f{€FIUB <'r'(Etr.i {rt(r€{ 'flWn/.$tr.f {r{| <t lifi 'ik$r=,F{ 6tB{nfu{ <1 "iR<,(n ftfuqLefas ({.lqT.-r{rI.-],tffiq6 "l11<) IREAEqr{ r

qfriqw<t €t m( ftETq qqt{ T-{& rl, qtfr/qtr*t Ri:tr< qro'E B"llirs ffin\ir{at"tc<Q

q<( te ]Mtn6<ft 6[rn. sit{]< {,t(IT Rfi{ arftrn-+m xsr5 ccr& r sfi{JTo

cqr<t-s ffiI+ii<ft c+rq {ft-{.fifc..r.fir{'/q(r{fq{ +-<] ErE s1 s6a fr6e <|ql ?fiF< I

Signature of 1 st Applicant/ Account Holder

5qqTr<q;r€lft/RrRtfutm<Signature of 2nd Applicant/ Account Holder

'\r qI<E-{-{tfti Rff{fia-{ .flTrSignature of 3rd Applicant/ Account Holder

\rrqtr{F{s'rft/R{Rqrfutqq

Disclaimer:lf any confusion arises between Bangla and English version of the text mentioned above, the English version shall be deemed as correct.E"ma EEFts <tiq €<(i$r& c(Ftrcq< (d3i-€<) fi$ crtri't {flci{ ftElfun Eu< qre i(I{G qr:s<1 c6$ {.E fil s.<

Page 25 of 25 m

Registered Head Office:Bimon Bhobon, 100 Motiiheel C/A,Dhoko 1000, BonglodeshPhone: +8802 955 4514,957

,I006 -,l0Fox : +8802 955 6584

Corporate Office:71 , Purona Polton Lone, Kokroil, DhokoPhone: +8802 5831 4424'30,583] 4624-8Fqx: +8802 5831 4419Emoi I : i nfo@dhokobon k. com. bd, SW FT: DH BLBDDH

NA\ V<N'

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3.

4.5.

6.

7.

8.

9.

10.

1. lnterest bearing current account. lnterestto be paid on Daily Balance.

2. No lnterest to be paid for any day endbalance of Tk.25000 or below

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&fus Qqf{ T-fl EC< 1

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8. $1qt$f/Tt"tt{& r

c. aqfta cffl-fi-{ I

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b. cs€TEfr/trfli €<( q$rlr wst Trt(rs-< fu6 6rx-a13

{Hr{"tffi 'rffiT-{CsEr{ I

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qcwlfut{ftBt {{qc

). coH qq6a-s qgrRr ru Re eoo,ooo Bro a sr<sfi-+ qcE fi ql-6-4q"fl{ ffirEI {rq=T q< ffi qrffiDltcs o.ao% T'rIqr{ I

q. ct-w6m sfrfi w{o qr< <fr {fr.N atrc-{ ffi{Qe1@qoo,ooottotql I

e. fiqt{rer cu-+<t (co {rstf<Is{R-s)

No interest to be paid for the month if theclient withdrawals more than 50olo of thehighest day end balance of this month.Sweep out/Sweep in freeNo restriction on number of withdrawalTax and Excise duty to be deducted as perruleNo online charge for following quarter iflast 03 months average daily balance is Tk.500,000 or aboveAccount Maintenance fee of Tk. 200 & VATis to be charged on June & December end.KYC/TP and others to be maintained as perrule of any account opening process ofDBL

Documentary requirement to open thisaccount is as per document requirementof Current Account of DBL

Added Features1. Client to get O.5Oo/o less interest rate if

avails loan when last 06 months averagedaily balance is Tk.500,000 or above

2. Half Pay Order commissionif last monthaverage balance is minimum BDT200,000.00

3. Free cheque book (50 page/year)

Balance Shukti lnterest RateTk. 0 - Tk.25,000 O.OOo/o

Tk.25,001 -Tk. 100,000 1.5Oo/o

Tk. 100,001 - Tk.500,000 2.5Oo/o

Tk.500,001 - Tk. 1,000,000 3.5Oo/o

Tk.1,000,000 above 4.500/o

lnterest to be calculated on daily balance and to be paid on June & December end.* Condition Apply

rf.\eqf<l-sT

Annexure-1

www.dhakabankltd.com

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bffi 5,ooo,oo" Vffi 8.to%

,SHUKTI'- SME CURRENTACCOUNT - ATRANSACTIONAL/BUSINESS ACCOUNTWITH INTEREST

lnterest on 'Shukti'Account will be given in the following way:

D l /.t !{t\W&W 'twi?

t&d

e&R{ka Effir{qr$frflm"tr

LIMITED

Client Segment: To be input in the back of cover page -

CMSME Definition: According to SMESPD Circular no 2 dated June 29,2OL7

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). <iqqfr-s 6ffr-fi-{ @f+t ew)q. $ft Tr"lcq=rIRTH (ufr s fu<E <rfu-<rs) fii-q'p qq.r. qc{fm )ooo ET{ \efllq fuft 6oprX-q trl-Cq< q{,

I

* Annexue - 1

lndustryEnterprise/<Fl-rIl3t -t!P't

Sector/

{l-s

SME Definition as per BB*

eq.er.qqs{s' (<t.<'f. +-E **,

YearlyTurnoverin BDTlac *,

SpecialCondition/

tu16

Please tick onthe appropriate

boxl,rllfr$G-qfr-{ (/)

Fixed Asset Valueincluding

establishmentcost(excluding

land and building)in BDT lac *r.

Number ofManpower

<mfs6l

+{-u-rit< q(s

Mediurn/{<T:I

Tradelffi Not SME

Service/ m<t200.00-3000.00/qoo.oo-9ooo.oo

5t - t20tc5 - )Q.o

Manufacturing/er€E?Fff,$.

>1500.00 - 5000.00/))Goo - Cooo

r2t - 300/)i) - rroo

Maximum1000

ManpowerforRMG*,,

Small/cslb

TradelTqql10.00 - 200.oo/)o.oo - {oo.oo

16 - 50t59-Go

>100.00but not

>1200.00

Service/ c+<t10.00 - 200.oo/)o.oo - qoo.oo

t6 - 50/)g-Co

Manufacturing/ef€\e--Sl-Sg

75.00 - 1500.00/1G.oo - )Coo.oo

3t - t20/e) - )Q.o

Micro/Tq

Tradelff+ql < 10.00/( )o.oo

< t5/< )c'

100.00

Service/ cry<t< 10.00/( )o.oo

< 15/<)c

Manufacturing/er€E-sr<-s

< 10.00 -75.oo/( )o.oo - 1G.oo

16-30orless

Cottage/TE{trrs

Manufacturing/Service

q€Eslf,s/6{<t

< 10.00/( )o.oo

< 15/(Including

family member)

< )c''tfrfir<cqrrcc

! I t^t |,7^tffi$ff$XNl<r?X.)

LIMITED