A C oppening from final - FSIBL

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Transcript of A C oppening from final - FSIBL

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wnmve bs :

Account Number

MÖæc AvBwW bs : (Group ID)

ZvwiL (Date) :

D D M M Y Y Y YAe¨w³K wnmve (Non-Individual Account)

e¨e¯’vcK,

Managerdv÷© wmwKDwiwU Bmjvgx e¨vsK wjwg‡UW

First Security Islami Bank Limited

gynZvivg (Muhtaram)Avm&mvjvgy AvjvBKzg (Assalamu Alaikum)

Avwg/Avgiv Avcbvi kvLvq GKwU

wnmve msµvšÍ we¯ÍvwiZ Z_¨ wb‡gœ cÖ`vb Kijvg:

wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i cÖwZôv‡bi

kvLv (Branch)

(Account Name)

SBSCIB

evsjv‡`k e¨vsK †m±i †KvW t

wnmve †Lvjvi Av‡e`b dig (Account Opening Form)

&

Title of Account (in Block Letter) :

1. wnmv‡ei wk‡ivbvg (evsjvq)

ˆe‡`wkK:-

Ab¨vb¨ (Others):

FC RFCD NFCD ERQ NITA Others

mÂqx (SB) GmGbwW (SND) gy`vivev mÂqx:-

Avj-Iqvw`qvn:- PjwZ (CD) wcÖwgqvg (Shomman) gh©v`v (Morjada) 2. wnmv‡ei cÖKvi (wUK wPý w`b)

Type of Account (Please Tick)

GKwU wnmve †Lvjvi †ÿ‡Î

GKwU dig cÖ‡hvR¨)

9. cÖwZôv‡bi wVKvbv (Organization's Address):

K. †iwR÷vW© wVKvbv (Registered Address):

L. e¨emv¯’j/Awd‡mi wVKvbv (Business/Office Address):

M. KviLvbv/wkí cÖwZôv‡bi wVKvbv (Factory/Industry Address):

N. †UªW jvB‡mÝ bs : Bmy¨ ZvwiL ( Issue Date) : †Uwj‡dvb (Tel) : Trade Licence No.

Bmy¨Kvix KZ…©cÿ (Issuing Authority) : †gqv` (Validity) :

wbeÜb b¤^i : ZvwiL (Date) : wbeÜb KZ…©cÿ I †`k:

Reg. No. Reg. Authority & CountryO. B‡jKUªwbK-U¨v· AvBwW bs (E-TIN No. ): P. f¨vU †iwR.(hw` _v‡K):

10. cÖwZôv‡bi aib (wUK w`b) (Nature of Organization)

13. MÖvn‡Ki we‡kl wb‡`©k t Avwg/Avgiv, GB wnmve n‡Z Avgvi/Avgv‡`i wnmve b¤^i †Z D³ wnmv‡ei

(Customer's Special Instruction):

gvwmK wKw¯Íi A_© ¯’vbvšÍ‡ii gva¨‡g Rgv Kivi Rb¨ Aby‡iva KiwQ (¯‹x‡gi Rb¨ cÖ‡hvR¨)

(I/we are requesting to transfer the amount of monthly installment of the Scheme accountfrom my/our this account no.)

Bangladesh Bank Sector Code

GwUGg KvW© (ATM Card), Kv‡W© bvg †hfv‡e †`L‡Z Pvb (m‡e©v”P 17 Aÿi):

¯^vÿi (Signature)

GKKfv‡e

(Singly) †hŠ_fv‡e

(Jointly) †h †Kvb GKRb

(Any One) Ab¨vb¨

(Others) †h †Kvb GKRb A_ev RxweZ e¨w³

(Any one or Survivor) 4. wnmve cwiPvjbv msµvšÍ †NvlYv (hw` _v‡K):

Account Operation Related Instruction (If Any)

6. cÖv_wgK Rgvi cwigvY (Initial Deposit) :K_vq (In Word) :

5. wnmve †Lvjvi D‡Ïk¨ :

cÖvB‡fU wjt †Kv¤úvbx

Private Ltd. CompanyAskx`vix

Partnership

†hŠ_ D‡`¨vM

Joint Venture

GKK gvwjKvbv

Proprietorship

miKvix

Govt. Avav miKvix/ ¯^vqËkvwmZ

Semi Govt. / Autonomus

Gb.wRI/ GbwcI

N.GO /NPO

K¬ve/†mvmvBwU

Club/Society

wkÿv cÖwZôvb

Educational Center

K) e¨emvi aiY : †UªwWs †mev Drcv`b

M) e¨emvq wb‡qvwRZ †gvU Rbej (¯’vqx Ges A¯’vqx) : N) evwl©K Uvb©Ifvi/weµq :

O cÖwZôv‡bi wbU m¤ú` : P) Ab¨vb¨ Z_¨ (cÖ‡hvR¨ †ÿ‡Î) :

L) cY¨ ev †mevi aiY :

agx©q cÖwZôvb

Religious CenterUªv÷

TrustAb¨vb¨ (wbw`ófv‡e D‡jøL Kiæb)

(Others Details Mark)

cvewjK wjt †Kv¤úvbx

Public Ltd. Company

VAT Reg. No. (if any):

12. MÖvn‡Ki Ab¨ e¨vsK wnmv‡ei Z_¨ (hw` _v‡K): Other Bank account's Information (If any)

11. e¨emv msµvšÍ Z_¨ (Business Infornation ) :

1)

2)

kvLv

Branche¨vs‡Ki bvg

Name of Bank

GKvD‡›Ui aiY (wUK w`b)

Nature of Account (Please Tick)

wW‡cvwRU GKvD›U

Deposit Account Bb‡f÷‡g›U GKvD›U

investment Account Ab¨vb¨

Others

wW‡cvwRU GKvD›U

Deposit Account Bb‡f÷‡g›U GKvD›U

investment Account Ab¨vb¨

Others

MÖvnK AvBwW bs :

Customer ID

3. gy`ªv (wUK w`b)

B›Uvi‡bU e¨vswKs (Internet Banking) E-mail :

UvKv (Taka) BD.Gm.wW Wjvi (USD) BD‡iv (EURO) cvDÛ (GBP) Ab¨vb¨ (Others)

7. GmGgGm e¨vswKs Gi Rb¨ (SMS Banking) †gvevBj b¤^i:

8. wb‡Pi AvKl©Yxq †mev¸‡jv wb‡Z wUK w`b [ ]

I/we hereby apply to open an account with your branch. My/our information details are given below :

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