K

ISLAMIC BANKING BRANCH

Applicqtion for Opening Accounls

Nome :

Account No. t []l n-n

LIM

APPLICATION FOR

ITED

OPENING ACCOUNT 2 p.p sizephologrophs of the

Applicont

Dote ..........................

The MonogerDhoko Bonk Limited(lslomic Bonking Bronch) AccouNT NUmBER [l]-l [T-t-l

lC No.

lD No.Deor Sir,

Assolomu Aloikum

IAV'e the undersigned hereby requesi you to open on:

I RL-Wodioh (Current) Account f, Mudorobo Soving Account f] St.,ro,'t Noiice Deposrt (SND) Account

in the nome ond style

l/ \Ne am/ ore owore of the rules of opening ond operoting of the occount ond l/we ogree to obrde o' :ie Tu es o{ the bonk {or the conducl

o{ such occouni.

1. Type o{ the Account :

Co-ope'otive /

2. Nome o{ ihe Applicont (s)

lndlvid uo l/ Joint/ Proprietorship/ Po rinersh i p/' Linriied Com po nylCl u b / Socieiy /

Molhels Nome Folhers,/Husbond s Nome

i)

ii)

il)

i)

ii)

iii)

i)

ru

iii)

3. Present Address

4. Permonent Address

Number Dote o{ lssue Dote of expiry Ploce of lssue

5. Possporl Detoiis

6. Dote of Birth

7. Notionolity

B. Occupotion

9. Telephone

10. Nominee (s)

Olfice: Resi d e nce: /vto D ile:

ln cose o{ my/ our deoih, i/we nominote the following person(s) to poy the bolonce

of ihe occounl. l/we con chonge or concel my/our nominotion oi ony'lime.

12. Initiol Deposii : ! Cosh I Ch"que

'l 3. Personol Declorotion under Money Loundering Prevention Acl 2002Moximum Possible yeorly debit onci credit tronsociion Tk. (Debit) Tk (Credit)

14. Specimen Signoture(s) o{ the oppliconl(s)

I 5. lnlroducers lnformotionNome

Account Number

Signo'ture

Nome & Address Dote o{ Birth Relotion Shore %Signoiure or

Thumb impression

TK,

t. 2.

Signoture oi the Applicont(s)

ffi :.,

Totol

Speciol lnsiruction for operolion of ihe occount:

ATM Cord Detsils

Cord No. ({r:r o{{ice use only)

Moximum omouni to be withdrown through ATM/Debit Cord per Doy Tk.

How do you wrsh your nome to oppeor on the cord? Pleose leove o box blonk to deno'ie spoce

Appliconi

Joini Appliconi

Ulility Bill poyment option:Grcmeen f,!oie ,,ic! .crr poy crlis o{ moximum three seporcte mobile phones through ATM Cord)

Subs-rrbe.. Nc.re:

Billing Address

Telephc"e \: *ce r:

Sobscnbers \cre:

Billing Address

Teieohone Number:

Subscribers Nome:

Billing Address

Telephone Number:

I arra (you con poy

Subscribers Nome:

Billing AddressT,elephone Number:

Subscribers Norne:

Billing Address

Telephone Number:

Subscribers Nome:

Billing Address

Telephone Number:

Account No

Re otionshrp rvlth ihe ATlvl Cordholder

Aacornl i\c

Reict onship with the ATM Cordholder

Account No:

I Reloiionship with the ATM Cordholder

bills oi moximum rhree seoo'cle crones through ATM Cord)

Relotionship with ihe ATM Cordholder

Relotionship wiih the ATM Cordholder

Relotionship with the ATM Cordholder

Specimen Signoture Signoture of Verifying Officer

Authorised Signolure

Yours {oithfully

Applicont's Signoture

Joint Applicont's Sig noture

I NDIVI DUAL/ JOI NT/ SOLE PROPRT ETORSH I P ACCOU NT

l, the underslgned enclose the {ollowing documents ond request you to open on occount to be enliiled which is in my/our nclme or o{ o {irm o{

which I om sole proprietor outhorize you until l/we give you notice in wriiing to the controry to honour ond poy,to the debit of such occount oll

.n"qr"r, d*tr, ori"o, bills occepted ond oll noies mode when signed/endorsed by me/us ensuring ot oll times thot ihe occount is no'i

overdrown. We enclose the {ollowing ior your record:

f Specimen Signoture Cord

Signoiure

Portnels Signoture

Nome

Authorized's Signoture

Nome

! Photogroph

Auihorized s Srgnoture

Nome

I Trode License

Por-tner's SignctureNome

Authorized's Signoture

Nome

E Portnership Deed

Signolure

Portner's Signoture

Nome

Authorized s Signolure

Nome

PARTNERSHIP ACCOUNT-We request ond outhorze you until cny one o{ us shol give you nc- ce - "

- ^: -: --: :: - ':- -' -c'.rou' ond debit to the {irm's occount oll

Cheques, Guorontees, Negolioble Instrumenis, or other-Orders'rh,c' "., .: :'1"- :- : : -::::-ec or Noies rncrde or Receipts {or lvloney

owing by ycu to the tirm signed by ony one of us in the ncme or on be'o i ci --: t'-- -:'-:.--:: '-s Account be forthe tinre beinq in credjt

or overdrown or nroy become overdrown in consequence o{ such de,: r oi'o -'. .. : -- ' :-:r ::':-: ,v respcnsible ior ihe repoymeni of ony

suchoverdroitondlnteresithereogcrinst 'mpniof-nu-neoi.i ^'-: ronCheques,orders,Blls,

- We oiso request ond outhorize you to crccept lhe endorsemeni of ony one oi -s ^ '-: -r--: - :- ::-: - c- -:e ilrn

Notes or oiher Negotioble instruments.

-Ycu cre hereby cuthorized to corry oui ony insiruction ln connections. wtr i': :::-' - -- I -:- -:- 'rs ccunteTmond poyment o{

cheques,Billsoi ExchcrngePromissoryNoiesororcierforpoyment) whensuchinsrr:c:-:':-'': i'-: I :.:^ ::eof us'

-Any security cr other propedy of or deposited in the nonre o{ ihe {irm moy be 't"-c': ' '-t '-

--:-: -:r' :: 5c-ro"'ed {rom you in the

nomeoronbehcrLf of thelirrnond.o;,t",u.ur"a ncnymonneruponcnysecJrlivi'.,':' - ' -:: :-: -:-::-e:ir+henomeoithefirn'bf ory on" of us cnci we wi i ciniv cnd severolly be responsible for repovmeni of such ':c:: "

'- ':: : - l. :: :^l :'i'erses

- Any licbiLity whctsoever lncurred ;n respeci of ihe cccount shcll be ioinl c,nd severoi.

-This ouihority shoil rernoin ir, iorce unii revoked norwithstonding ony, chonge in ihe ccns---- -- :- -:^: :' - - : -- :'c shol cppl;'

notwilhstonding ony chonge lr the nerrbersrip o{ ihe {irrn by deo"th, b,:nkruptcy, ond reilrer:e:' '. :'-:- i: : - - j l' ne'\

portner(s). (Thii occount openi;rg iorm nusi oe s gr:ed by o1i lhe Porlners,)

Portnership deed is enc oseci l-rerervif h

LIMITED CONAPANY

Ai o meeting of the Boord of Directors/ Generol,.%,, Meeting of ...... ....:..:............... Limiied held ot its officer ot

..... ., ........:..__;h; ;;o;;; a".il"J ro"open on Al-wodioh (current)/ . Accounr wirh (Dhoko Bonk Limited)

... Bronch ond we hove been outhorized to odvise the bonk occordingly'

We enclose the iollowing documents {orihe purpose:

o. cerlificote true copy oi the Memorondum Ariicles o{ Associotion o{ the compony.

b. Certificote of lncorporotion of lhe compony for inspeciion ond re'iurn olong with o duly cerii{ied photocopy for bonk's records'

c. Certificote from the Regisiror o{ Joinl Siock Componies thot the compony is entitled to commence business (in cose oi Public Ltd Co )

Ior inspection ond retuin olong with o duly certi{ied photocopy {or bonk's records.

d Lotest copy o{ Bolonce Sheet.

e. Extroct of Resolution of 'the Boord/Generol Meeiing of the compony for opening the occount ond outhorizoiion {or its operotion duly

certiiied by the Chol.mon /Monoging Director o{ the compony'

f. List o{ directors with oddress (o lotest cedi{ied copy o{ the Form-Xll)

We would now request vou ie open Al-Wodioh (Current)/ "" " 'Account in the nome of the

compony.

We underioke to odvise the bonk o{ chonges in the outhorized signotures ond thrse wil! be supported by {urther resolution of the compony' We

"gr* " ."rpf ', *ith the ,rles gou"r"i"g th" occou.+ o{ Dhoko BJnk Llmited ond ogree to comply with the Schedule o{ Chorges o{ the bonk

GENERAL CONDITIONS GOVERNING ACCOUNTS:I . A declorotion to be signed under Money Loundering Prevention Act 20022. lncose of Ai-Wodioh Account deposit occepted on the bosis o{ 'Al-Wodioh principles ond bonk invest the some os per owr r::::- -

occumuloted wiih other deposits in the line of Shorioh. The client will not shore on omount of the pro{ii.

3. ln cose o{ Mudo,ooo Sov rqs Accourt bonL receives/invesls ll'e deposits on lhe bosis oI Shorior Princip es. -he pto{ils lro-r i' es--:-- :':ihor"J o-ong the depositoi os per oonks Shor'or rules ofier complelion o1 yeo'ly Prolii ond Loss Accounr. At-he beginr'ng oi'^e .::- ::-'oeclores o prov,sionol "ole or prolir 1o the deoosilors.

4. The low, ru'les ond regulotioni of Bonglodesh, usuol customs ond procedures common to bonks in Bonglodesh wil opply to ond go :'- ---conducl of occount opened with the bonk.

5. An oerson openinq on occouni will be deemed to hove reod, understood, ond occepted ihe rules governing the occount Minimun DC c^:: -:be mointoined in A-Wodioh (curren'i) occount in Tk.

,1000.00 ond Mudorobo Sovings occount.

6. A sui-cible ,nlroduction by on inl"ciucer occeplobre to rhe Bonk :s requried or.iolo ope^ing ol onv occo'rt. R^ecent Pl'oiog'o3-s :t. --:occounl openersdtrvottesied byon inlroouceroccep-oolelo+he bork is'equired orior*oopening otonyoccour-. tecen otso-og';c^s : -:occounl openers duly orles ed oy tne inl"oducer m;s1 be produced.

7 . Eoch occoun't wiil be qiven one occount number. This number is to be properly quoted on oll letters ond or documents oddressed to i;e l:-';;i "; ;il deposit sl;p"s. The Bonk will not be responsible {or ony loss oi doroge o..rrring os o resuli o{ wrong quoiotion o{ occounl r--o:r

8. Fees/commissions/service os determined by the Bonk {rom time to time ond os per Bonglodesh Bonk reguoiions. -g. fh"irndrovoilcrbieinonyo{'theoccountholders(thecus'iomer) occountwilhtheBonkwill be,considered.bytheBonkiobe.o,securiryic-:-.

."..itr"nfti) o"o or. ob.iootior(sl o.esent and or furure o{ the cuslomer ro lhe Bon". lr lhe evet o'disronour o'uef'lrtrnee: cj:-:-

"Ltiqrti""trt'o,rd or comniii."nilr), thu Bonk is entitled without giving prior notice to the customer to utilize such {unds ogolns- --"

oblilotion(s) ond or commitment(s) oi the customer tc the Bonk.I 0. Anv"stoiener^l o{ occour.l d spotcl-eo -o lre customer will be considered os opproued unless d:sc'eponcy(ies) ore roti{ied in wr'tin-g -o -'e oc- '- *irfii" f S dovs {rom the doie or d,soojch. The Bonl. is nor resporsibie {or deloys or nor-delivery oue lo noil. problems. Stoter-e--: :'

occounts ro be p;cled-up will b: considered os opp.oved even f not picked-up 15 doys o{rer'he dote the ore produced. Sto e-e'-s :-occourts or. -ol proorced when there s no ope'ot on during lhe month. Ihose con be obtoined on speciol requesl'l l. Account holders must ensure moximum security io the cheque books in their possession ond the bcrnk is not responsible for.ony :c::

occurring due to tnodequocy oi security. Any cheque book,,,. loss or misuse must be immediotely reported to the bonk ond conflrmec 'w'i-irg w,ln6g- ony de.oY.

I 2. When" c^eques ceposited ore poyobie by otner bonks or oulslotior bronches hey ore ovoiloole o{ter cleoring or collec'ion only. Se" :e.Lo.ge * I

'6" ."6lged (c) Tk IbO'.OO in AL-Wodloh occount (Curre^t) ond Tl.. 50.00 in Mudorobo Sovi^gs occorni yeorly o'os chonged Ithe Bo^. {ron lir.e -o tine os o'd when required.I 3. The bonk reserves the right to close ony occount withoui giving, prior notice if the conduct o{ occount is unsotis{octory in the opinion of ihe

bonk or for ony other reoson(s) whotsoeverI 4. The bo once in the occount{sj is povoble solelv ol Dhoko Bonk Limited ond sholl be governed by ond subjecl to Negotioble Inslrument Act onc

lows in effect in Bonglodesl-r. As used herein 'iows will included Bonk Circulors, Modi{icotion, Regulotions ond Orders of the Governmenl ond

Bonglodesh Bonk iniiuding proctice of, bonking.'l 5. ihe bonk reserves thJriqht 1o umend the

-presen't ruies of ony time 16 Q%ny .i monneT wi'ilr or wilhout giving prior notice to the occoL,nr

holder(s) seporotely orto the"public. The cheque book will not be issued unless ond until ci the required formolilies ore completed.l6.The teims ond conditions stoted in this Agreemenl relote to the ovoiling of cosh withdrowol ond other elec'tronic poyment seruices by usirq

Dhoko Bonk Limited E-cosh ATM/ Debit C-ord on'the Cordholders%, ,occount designoted {or the purpose. ln this Agreement, unless oiherwise

specified.(o) "The Agreement meons these terms ond conditions os omencled or supplemented(U) ffN ,""o6 Elecironic Tronsociions Network Llmi.ied, provider of the Electrowoys network of shored ATM, POS, ond the electronic

poyment service in Bonglodesh.(c) besignoted Account meons the occount(s) opproved by the Bonk to be occessed through the Cord.(d) CorJ,-,"on.DhokoBonkLimitedE-coshATM/Deb;tcordissuedbyfheBonkondETNlotheCordholder(e) Cordholder meons ihe person to whom Cord hos been issued by the Donk ond ENT

iij PN."onrpersonol ldentificotionNumberond/orPosswordond:./or:onyother{romo{electronicidenti{icotion/signolureissueci bt-he Bonk ono ETN to t'e cordholder ot lhe Cordhoiders request.

(g) Tronsoction meons ony fronsoction or insiruc'iion effected or issued', or purpoded to be effected or issued the Cordholder through cord,([) 1n{o,motionmeonsinformoticnregordingihemoneyoroiherrelevonlpodiclulorsrelotinglothecordholdeqorlheAccounloronytronsoctioni I j VAT ,"onr ony vo ue odded tox, includi"ng ony fox o{ do similor noiure thoi moy replocJ i{ or levied in oddition to ii, by whotever nome col ed

(i) ATM meons Auiomoted Teller-Mochine(k) POS Meons Point OF Sole lerminols.' 1i A ,ne Appl co-ts requesr, rhe Bor.< moy issue tne Cordnolder o cord ono PIN 't rhe Apolicor- is deoosijor or the Bo^\ or.o

rointo ^s on occouni ol onv of i'ts bronches ;n Bonqlodest. The Bork reserv he righi lo Teruse ono Applicolion {or the issucr^ce o^o o'r"r"*"i

"+ " Cord ond/ o, PiN. lf seporole Cords ore'issued to holders o{ o ioint occdunt then eoch Cordholder sholl be joinily ond severoll'lioble to the Bonk under this Agreement.I 8. The Cord is the orooertv oithe Bonk ond. musl be relurned to ihe Bonk on request cr on concellotion or terminolion o{ the Cord ond/or this

Agreement. The Cord is'to be used solely by the Cordholders, ond must nol be trons{erred or pledged os security under ony circumstonces.

I i. The Cordholder sholl collect ond soieguord the PIN ond/or Cord issued io him, ond observe every procedurcrl, security ond olher .

requirement if the Bonk ond/or ETN r."gorling their use. The Cordhclder undertokes to no'tify the Bonk ond/or ETN immediotely if (o) the

PIN is loy or disclosed to ony person oi (S) tn" Cord is losl domoged or used by ony other-person or (c) if ony oihe-r event occurs which

would,underthetermso{thisAgreemen't,oliowtheBcnktosuspendorconcel iheuseo{theCord.Afterreceiplo{onysuchnotice..purpoding to come {rom the Coidholder, the Bonk oy suspend or concel the Cordhoid-^/s use of the Cord ot ony tlme, The Bonk sholl

not'be reiponisible for ony unouthorized lronsoction ihrough1he Cord ond'the Cordholder ogree s to hold the Bank hormless if ony otherperson obtoins possession o{ the CorC ond/or PlN. Following the occurrence cf ony such event, the Bonk inoy ot its discretion issue o-eo ocement Cord ond PIN on the prevcriling terrns ond conditions ond chorge o replocement fee.

.' - - - -.- c-c der wiir be responsible ror oli ionsoct ors mode by ihe use o{ 'he Co'd by ony oerson pu"oo'1 ng ro be the Co'dr^o'oe', ,.-f :'.. ": -'--? ::-oro Ce' s o.ihori v, I r-owledqe or consent, oad moy not cloiryr oqoinst'he Bon< in respect o{ ony sucl' use or ourooded use. - .

:---.::j: j'r rs:-'es*r-l^-heBonrorEiobesettledbeiweer-heCo,onoloe.ondti-eBon<.TreCordholderwill noicloirogoirsi !T\ -

'-: -:::::-l --= l:-.. -:. l- 3./ ilme, without noiice lo the Cordholders cnd withoul cssigning ony reoson thereof, ond without liobiiiiy for o:r,--:-.:r:--: :::::-troeo.inlurysufferedbytheCordhoLderoronythlrdpcrrty(o) limit,suspendtermino'teonyoroll useofiheCo.d;o'

:::::r.:-,--:-:::-r-:-'cowo'lronsoctionsublecttosucnconditionsostheBonksees{it,or(c)revol'eorsuspendtheCordhcldersrlg";l-: r,--:--, -: -:: --: 1:':: c''oi reioin or reiect ony Cord o/PlN.

22.--z l:.:'::=- ,. :r, s-.- :-o:ges cnd fees (os ie't {orth in Ciouse 38 below) {or the provision of Cord ond/or PIN os the B:rno'c-:s:-::--.^-'------*=..-.'i..5,roitheCordholderin{octmckeuseof iheCordondzorPlNif Voiispoyoble,theCordholderv,': trc\sr.- ,:- - ..-- :^ -: : s--s ocic5 e cnd rnciemni{y the Bonk ogoinst ony poyment the BonL is required, by low to colleci oni -cke ''1....- .- i.: .-- --.: ::-. i :- -:':eo -o deo-'he Cordho,de'i Desig roied Account(s) fo" oll chorges, {ees wlhd'owols o'c 31,-':-':lo.--e:.--.i:- l-: : i::r'-: l:-:o c o-Pl\ordrlvc'eerlobiri'ies,o,ondlosssuffe'edby, lheBonkosoresult of '-e:': s:-ond,rc, use ci --e ::'::-: o') \ :.ir t suc" debi'i ng resu t in Designoied Account(s) becoming overdrown.

rt\/

HtH

aa f ony poyment hos been mode by the Bonk os o result o{ the Cordholder s use of purpoded rse of the Cord ond/or PIN ond theDesignoted Account wos consequenily debited, but the debit wos reverseci in error or the designoted Account wos not debited ot ollthen the Bonks sholl be entitled 10 correct the Deslgnoted occouni (i) Debiting the Designoied Account with the cmount poid by theBonk; or (ii) by dishonouring or reiurning cheques or other insirumenls ond reversing the poyment inslruction, i{ there ore insufficient{unds ovoiloble in the Designoted Account, os the cose moy be.Ali Tronsoclions including utili'ty bill poyment inilioted by the use or purported use of tlre Cord ond/or PlN, wheiher electronicolly or otherwise,shoi be debited {rom the Cordholdbrs Designoted Accounl. The records r:f Tronsoctions o{ the Bonk ond,/or ETN, generoted electronicolly orotheroise, shol be debited irom the Cordholders Designoted Account. The records of Tronseclions ond/or ETN, generoted Elecironicoiiy oroi-etu.se. s^o,l be conc -sive ord oinding on lhe C;'dholder e^cep' in j.e cose o; corrpu.ol:on ond o' roni'es- error. ire omount)spo.eoon-reATMsc,ee-ord/orp.in'eio.ll'eATMtronsoulion'eceirr-"hol rorbeioLenosco.clusveoitrtes-o!eot heCo'dhodersJes;'o-ed acco---s ri- f'e Bon..:re Bcrk sholi delermine lhe minimum bo once the Corcihoider is require.J i: mointoin in Designoteci Account(s) ior the use o{ ATfl, POS

:-:---.-. iij-- -oc/,-er.se-.cesote.edi.o-g1 i eCoroctcorPl\ T:eBo-\moyol orytre-'1\noicetotheCcrdholOe'{c:ser-:-- - L:: - c: c r. )e.e-* -e o.o /o1 -he -riq:e.c, o-o nro-n?. l+ use :i aJ.d. .orsociior lin rs, ooc.o'irg noLrs, iypes oi locilit;es:-: ..-. ::s l..ic:: i^.c;g^ ire Ccrd. The Bcnk onri,'cr ETN rese-;es rhe rign'ro sei limilotions on individuol lronsoctions, includ;rg doily'.'-. :- :::- s c"c -c dec oe cn rne denominclior s' -rc; 'tcu C be drspensed from the ATM.

--:::-..:-::-l-\.:-:.3-ce.esocrsrblen.onywryiorrorc,rcilobl it'/o{Aii,4/POSservicesforonyrecsonvrhcisoevercndhoursoeverr- r r: :: r '::- - :' -^3 :-1. : cr oi :ne Ccrd or AT't.1, ,ns.filc:enc:,, c{ funcls in such mochl"e mechcnicol, or pcwer supply ioilure or: -:-,.::-^: l:-:-: ::- ,,, -.e-^ -. '-e B;-, c jo 1s- cf ! robr1ii1. css. domoge, including solicilor ond clienl cosis ond expenses. (legol or-'-.-r. :: .. - :- -: :c-. rcu s;srcin cr -ncur,

direciiy. cr nilreciiy, by reoson of oui hoving mode ovciioble the Cord ond lor PiN or-3. -: e--e"eJ -r3 -r 5 ,igrs6aeni wirh ihe Cordholder or enforcernent of the Bonks righls under this Agreemenl.or in octrng upon orr)^:''-:- o's r,ri;x -.s Ccicnc ier moy give ln relotlon to the cord on /or PIN or ony negligence, froud- ond/or misconduci on the,3:-o:c oers ccr+ or on :he oori oi ony cgin't or represenlotive oi the Cordhoider cr the Cordholders breoch o{ this Agreenrent.--: C:.c-ooe- ^it cro,:ce i^e Bonf ,'t" o^v irio.'noi,o. onc clocunenio'on l-o- ire Bcr. mcy reosonotry req-esl relo'ing to tLeC:,d.oloe.s use of --e Coro .:no o. PIN ono sho coope-o'e ' .ith -he Bc.k in o:y reloted n,gsligo or or l;tigotion. Tre cordho derconsenis to ihe bonk disc osinq ony informotion, whe'ther in Bongiodesh or other wise (o) to ETN who hos o legilimote business p-ur-pose forobtoinlng such in{ormotion, intluding offering the cordholders Irociucts or seryices in ccnneciion wth or to {ocilltoie the use of ihe Cordond/or P"lN, (b) To ony person usingiihe cori ond/or PIN purportrng to be the Cordhclde., or (c) Where such ciisclosure i's necessory tocomplete o Tronsoction.All communicotions ond,/or questions regording the use o{ the ccrrd oird/or Pll.l should be directed to the Bonk's ccrd centet All notices oroiher communicotions given by ihe Bonklo the-cordholder i{ (o) senr by posi or 1e{t ot the cordholders losi known oddress wili be deemed tobe "ece red bv tne corihoider on the doy [ollowinq such poitino or o- he ooy *her it so lerl. or (o1 corr-ricoted rrrough ony prinr ore ecl.onic red,o os Bonk moy select will be dee-med to be no'i{ied to lre cordlro de' on -1e do e oj p-ol;cc- or or broodcosi. Eoch

cordholder of o ioint occounl ocknowledges thot seporote noiice is not required.This Agreement sholl ceose 1o be volid ond the Cord ond/or PIN issued to the Cordholder must be reiurned to ihe Bcrnk in the event of (o)

".o ,oiion of the Coro ond'or PrN; o" (b) rh" Bon^ requests Ihe Co"dholder lo reiL.n the Cord: cr lc7 c osUre oI -he Designoted Accorrt(s) or

roi rhe Co.dholder's outho ity lo operole tae Desiqnoied Accouni is terminoted or 1e) deot. or'he Cordholoe Tre Co'dholde'rov terninoteihis Agreement by giving ihe BonI wrltten notice'ond surrendering ony Cord ond'PiN issuec io rhe Cordholder by ihe Bonk. The Bonl. mcywithou"i giving ony i"o.Jn lerminoie ihis Agreement o{ ony time riith or without notice to the Cordhoider Upon ierminollon the Cord holderwill noi use ottempt to use the Cord ond/oiPlN. Any such sholl be {roudulent.ia odditor to l"tis Aqreement. usoge c{'he cord ;s olso subiec- 'o

-he Bon<s p'evoi ing Te'rs o'o Cordiitrs Go'ernirg i'e oesigno'edAcco,rts. 11 tnere ,s o"ny conliict or inconsistercy oeveen This Agreemenl ord the Terns o.o Cc'c'ioe s Go'e-^ ^g qcco-.-s, this Agreemeniwill prevoil. Tne tows of rhe People's Republic ol Bonglodesh govern tnis Agreemen-, Tne Co'dholoe :-o t-e Bc"l i--e,ocobli sub"ni's ro he

e'clJsive urisoiction o{ the couns o{ tne ps.t|.. Reprb'ic of Bonglodesh.l{ ony term o{ this Agreement is unlow{ul or unenforceoble under ony opplicoble low ond/or instructlon issued b_yihe Bonglodesh Bonk, it will,to the extent permiiled by such low ond or instructions, be severed {rom this Agreement ond rendered ineffeciive whEre possible wilhoui,oiii1li"g t|" tth", t"irr'"f thir Agreement. The Bonk moy by notice vory this AgTeemen't, such voriotion io toke e{fecl on the dote speci{iedbv ihe Bdnk, l{ the Cordholder use-s the Cord ond/or PlN ofier such dote, the Cordholder will be deemed io hc'.,e occepted such voriotionwilhout reseruotion, lf the Cordholder does not occepi the vorio'iion, the Cordholder must s'iop using ihe Cord ond,/or PIN ond terminote thisAgreement.Hllders of volid E-Cosh ATM/Debir cords ore eligible to enroll for ihe Uiil ty Sili Poymenl seruice using the_cord ond/ PIN ot ATM,.POS ondoiher poyment'terminols. The Bonk ond/or ihe U'il ity Compony reserve ihe nghr to refuse on opplicoiion {or ihe enrollment o{ bill poymenluslng the cord,Uoon en.ollmer', lhe cord mov be used ior ooy-e^- oI r- i-r o ls ;" occoroorce u:" i'e oe-ois g.en oi -s ' -he opplrcolion Form l,uWe

rnderoke ro noti{v bor. 'mmeoiotely or 6.y cholqe. Bo'k *il. dc' os or inre'ned ory o'} il ro^sle"ing 'unos {tom my/our DesignoredAccounl (s) ia serlenent o{ lne so:d bi ls. ,We .e.eo, i'.e,ocob y 'e eose'ne oor< ond ETN {rom ony iobi iy ior excess. insu4iclent, lote orincorrect povment oi rhe soio bil or ory conseqJe''rce lre'eor irc -d.rg, b,i not I mi-ed to, +ermino'ion oI seruice) or ony olher loss, cio-oge,cloins or'proceeiings tnot moy orise os o resuit of 'he poymer- or s"ch b Is by ,sing my/ our Cord ond ror PlN.

lr cose oi disputes ieqo.d'nq rhe poymerr ot bi 's ol .s ng -l-e Ca'd tor Pl\ ETN moy 01 my/oL" req...res' ce't;fy rhe o:^henl cily or Ut li'ypoyment rece:pts issuei Dy it; ATM'(si ord o. eieciron;c poirert'e'*irols. Bonk ond z or ETN iho,l no' resporo to. ond sholl nol be o ponyto, ony dispure regording lhe correciress oi'he b lls. or ony utili-y se'vice.The Bonk .oy oi ony time, without notice to 'the Cordholde(s) ond without ossigning ony reoson lhereof, ond wilhoul ,liobllity {or onyinconvenience, loss, domoge or iniury suffered by the Cordholder or ony third porty (of limit, suspend or terminoie the Utiliiy Bill poymeniser"vice, or (b) disolLow ony-Tronsoction or ollow o Tronsoction subject 1o such conditions os the Bonk sees fit, or (c) revoke or suspend theCordholders right ond ouihority to use the Cord for such poyments.The Bonk ond/or ETN sholl noi be responsible in ony woy{or non-ovoiiobility o{ the Utiliiy Bill poyment service {or ony reoson rvhotsoever ondhowsoever orising.The Bonk wlil block'ihe predetermined omount from my occount mentioned in my ATM Applicotion Form tc mointoin sufiiciency of iuno forATM Tronsoctions,The Bonk will outomoticolly replenish the Cord occount bolonce to the predetermined per doy wiihdrowol 1eve, meniicnecJ 1n my ATMopplicoiion Form by lrons{erring funds from my linked occount.The Cordholder undedokes 1o poy the {ollowing chorges ond fees {orthe provision oithe Cord PIN; ond uii iiv bills poyment ili ovoiied)o) Toko 500 (Toko {ive hundred only) onnuol fee for eoch cord.b) Toko 200 (Toko |wo hundred only) for replocement o{ eoch losl, stolen, or domoged cord,

24.

30

29

34.

3t

32

35.

36.

3/

JO,

39

44.

AGREEMENT

We hereby ogree to the obove Generol Condilions.

Signoture of the App iconi/Aulhorized Signoiure

Signoiure oi ihe Applicont./Authcrized Signoture

Signoiure of the Applicont/Auihorized Signoture

FOR BANK UsE ONIY

ProceCures !o be cornpleled & documenls lo be obtoined before opening the Accounl:'.. '.':.:: :i .r'c-c..oph oi me AcccL:ni hc ieris) ciu;i c;testeC oy ihe introducer to be obtcined.

- -::: -- -: a: -"rc" agl 9r3pe: r;.

: " :::,::.,. I J-a-!i: c..iCF'1,: oe',er,ied by rn oiiicer uircer iuli signoture.

- ---= ,t --:-.,s -a -:ca.ai rc cters ond riroducer 1o be senl unCer reqislered post.

, - :::: ::,:, -- -c:o,nl, ope:ciloic .siructions ore io be signe<.l by the Joint Accouni ho de;'s.

ln cose of Club/ Society:

'-. -. Ccre l;si cf oflice beorers

2 le -,. ecr copy oi resoluiion ior openirg crci operclion of the Account.

3 Cer:ij ed coDy oi ByefiLours onci Reoulorion,,Constitu'i orr.

..1. Copy o{ Gcvt. Approvol (i{ registered).

ln cose of Co-operclive Society/ Societies Limited:

l Copy of Bye-Lcv; duly ceriified by ihe Ccloperciiv-- O{iicer.

2. Up to dote lisi of office bec,rers.

3. Resoluiion of the Executive Committee os regords opening ond mciniolning o{ ihe Account

.4 Ced;fied copy o{ Cert,ificcte of Regisirotion issued b'i P.egistroi Coloperotive Socieiies.

ln cose of Non-Govt, €ollege/ School/ Modrossoh/ Muktob:1. Up to doie list of ihe Governing Body/ Nloncging C:T:r -ee

2. Copy of Resolution o{ ihe Governing Body, Mcnog ro Ccmr iee crirrorizlng ocen .g ond ccero'irng oi ihe Accounl duly certiiiedby o Gozeited Officer

ln cose of Truslee Boqrd:

I . Prior opprovoi o{ Hecd Office of the Bonk

2. Certified copy o{ Deed c{ Trust, up to dote lisi of mernbers oi the Trusiee Boord ond cer-tified copy o{ ihe resolution of Trustee Boordto ond operoiion o{ ihe Account.

ln cose of Minor's Accounl:

l. Pleose pu'ithe word'MINOR'ofierihetitle of,theoccount

2. Pleqse record specioi instruction o{ operotion of the occount.

3, The AOF is to be iilled in ond signed by either of ihe porents or the legcrl guordion oppointed by the Courl of Low ond not by theMinor.

Opened by Admified by Approved by

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