wnmve †Lvjvi Av‡e`b dig Account Opening Form · Account Opening Form wnmve †Lvjvi Av‡e`b...

National Bank Limited


...............................................................Branch

A Bank for Performance with Potential

e¨w³K wnmveIndividual Account

wnmve wk‡ivbvg :(Title of the Account)

(Unique Customer ID Code)

wnmve bs :(Account No)

BDwbK Kv÷gvi AvBwW †KvW:

Account Opening Formwnmve †Lvjvi Av‡e`b dig

Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msμvšÍ Dc‡iv³ wbqgvejx/kZ©vejx c‡owQ Ges D³ wbqgvejx/kZ©vejx †g‡b e¨vs‡K wnmve cwiPvjbvq m¤§Z n‡qwQ| fwel¨‡Z Dc‡iv³ wbqgvejx/kZ©vejxi †Kvb cwieZ©b/ ms‡kvab Kiv n‡j Zv †g‡b wb‡Z eva¨ _vKe|(I/We confirm that I/We read the all terms and conditions related to the account and oblige to obey the all terms and conditions. I/we must obey any change/amendment of above terms and conditions in future).

wnmve †Lvjv msμvšÍ wbqgvejx Ges mb¥vwbZ MÖvnK‡ì ÁvZeë¨vs‡K cwiPvwjZ PjwZ wnmv‡e †Kvb gybvdv cÖ`vb Kiv n‡e bv|

cÖ‡Z¨K wnmv‡ei MÖvnK Zv‡ì wnmv‡e e¨vsK KZ©„K wba©vwiZ b~b¨Zg w¯’wZ msi¶b Ki‡Z n‡e| Ab¨_vq e¨vsK †PK †diZ †`qvi AwaKvi msi¶b K‡i|

mÂqx wnmv‡e 1 †_‡K 5 Zvwi‡Li g‡a¨ Rgv n‡Z n‡e| 5,000/- UvKvi Kg w¯’wZ _vK‡j my` cÖ‡`q n‡e bv| 5 ZvwiL †_‡K 31 Zvwi‡Li g‡a¨ wnmv‡ei me©wb¤œ e¨v‡j‡Ýi Dci mswkøó gv‡mi my` cÖ‡hvR¨ n‡e| c~e© †bvwUk e¨wZ‡i‡K 50,000/- UvKvi AwaK As‡Ki D‡Ëvjb mswkøó gv‡m my` cÖ‡`q n‡e bv| gv‡m 4 ev‡ii AwaK D‡Ëvjb my` cÖ‡`q n‡e bv| e¨v‡j‡Ýi 25% Gi †ekx D‡Ëvjb Ki‡j my` cÖ‡`q n‡e bv| 100/- UvKv ev Zvi Kg my` cÖ‡`q n‡e bv|†¯úkvj †bvwUk †W‡cvwRU (SND) wnmve n‡Z UvKv D‡Ëvj‡bi Rb¨ MÖvnK KZ©„K b~b¨Zg 07 (mvZ) w`‡bi †bvwUk cÖ`vb Ki‡Z n‡e| SND wnmv‡e `wbK mgvcbx w¯’wZi wfwË‡Z e¨vs‡Ki wba©vwiZ nv‡i 06 gvm AšÍi gybvdv cÖ`vb Ki‡Z n‡e|

¯’vqx Avgvb‡Zi wecix‡Z e¨vsK KZ…©K wba©vwiZ nv‡i wbw`©ó †gqv`v‡šÍ gybvdv cÖ`vb Kiv n‡e|Gd wW Avi- Gi MÖvnKMY Zv‡ì iwk` h_vh_fv‡e msi¶Y Ki‡eb|w¯‹g wnmv‡ei †¶‡Î mswkøó w¯‹‡gi wbqgvejx/ kZ©vejx cÖ‡hvR¨ n‡e|cÖ‡`q AvgvbZ/gybvdvi wecix‡Z MYcÖRvZš¿x evsjv‡`k miKvi KZ…©K Av‡ivwcZ/Av‡ivwcZe¨ mKj cÖKvi Ki/‡jwf/wWDwU ev Ab¨ †Kvb mviPvR© AvgvbZKvixi wnmve n‡Z KZ©b Kiv n‡e|gvwbjÛvwis cÖwZ‡iva AvBb 2012(2015 Gi ms‡kvabxmn), mš¿vm we‡ivax AvBb 2009 (2012 I 2013 Gi ms‡kvabxmn) I wbqš¿bKvix KZ©„c¶ KZ©„K mg‡q mg‡q RvixK…Z mvK©yjvi/bxwZgvjv Abyhvqx MÖvnK e¨vs‡Ki Pvwn`v †gvZv‡eK †h †Kvb Z_¨ mieivn Ki‡Z eva¨ _vK‡eb| e¨vsK †h †Kvb †i¸‡jUix A_wiwUi Pvwn`v Abyhvqx Z_¨ cÖ`vb Ki‡Z cvi‡e|†h †Kvb wnmv‡e †Kvb †jb‡`b A‰ea ev cÖZviYvg~jK wnmv‡e e¨vs‡Ki wbKU m‡›`n n‡j e¨vsK †mB †jb‡`b cÖwμqv cÖZ¨vLvb Kivi AwaKvi msiÿb K‡i| cÖZviYvg~jK ev A‰ea ev m‡›`nRbK Kvh©Kjv‡ci m¤ú„³Zv i‡q‡Q ev m¤ú„³ _vKvi m¤¢vebv i‡q‡Q G ai‡bi †jb‡`‡b e¨vs‡Ki wm×všÍ PzovšÍ wnmv‡e we‡ewPZ n‡e Ges AvgvbZKvix Zv †g‡b wb‡Z eva¨ _vK‡e| e¨vs‡Ki g‡Z hw` †Kvb wnmve m‡šÍvlRbKfv‡e cwiPvwjZ bv nq, Zv n‡j webv †bvwU‡kB H wnmve eÜ Kivi AwaKvi e¨vsK msiÿb K‡i| ZvQvov Ab¨ †Kvb Kvi‡YI e¨vsK ‡h †Kvb wnmve eÜ Ki‡Z cv‡i Ges Gme KviY MÖvn‡Ki wbKU cªKvk Ki‡Z e¨vsK eva¨ bq|

MÖvnK †PK eB‡qi Rb¨ wba©vwiZ dig Gi gva¨‡g Av‡e`b K‡i †PK eB msMÖn Ki‡Z cv‡ib| †PK eB MÖnY Kivi mgq MÖvnK‡K †PK eB‡qi cvZv ¸‡Y wb‡Z nq Ges †PK eB wbivc` ¯’v‡b (wbR¯^ †ndvR‡Z) msi¶Y Ki‡Z nq †hb †Kvb †PK Gi cvZv Pzwi/‡Lvqv ev Aceënvi bv nq| Pzwi ev †Lvqv hvIqv †Kvb †P‡Ki gva¨‡g RvwjqvwZ msNwUZ n‡j e¨vsK `vqx _vK‡e bv| wnmveaviK e¨vs‡K mieivnK…Z bgybv ¯^v¶i Abyhvqx †PK mB Ki‡eb| bgybv ¯^v¶i cwieZ©b Ki‡Z n‡j Zv c~e©v‡ýB wjwLZfv‡e e¨vsK‡K AewnZ Ki‡Z n‡e| e¨vs‡Ki mv‡_ †h †Kvb cÖKvi wjwLZ †hvMv‡hvMi †¶‡Î bgybv ¯^v¶i eënvi Ki‡Z n‡e|

†PK cwi‡kva eÜ (Stop payment) ivLvi wb‡`©k e¨vsK mZK©Zvi mv‡_ bw_f³z K‡i| wKš‘ fzjekZ D³ †P‡Ki UvKv cwi‡kvwaZ n‡j e¨vsK `vqx n‡e bv|MÖvn‡Ki wnmve e¨vsK mZK©Zvi mv‡_ AvKjb/weKjb K‡i| fzjekZ †Kvb A_© AvKwjZ/weKwjZ n‡j e¨vsK Zv ms‡kvab Ki‡Z cv‡i|wnmveaviK AeëüZ †PK eB †diZ w`‡q, wnmve eÜ Kivi PvR© cÖ`vb K‡i h_vh_ ¯^v¶ic~e©K Av‡e`b K‡i †h †Kvb mgq wnmve eÜ Ki‡Z cv‡ib|

Customer must maintain minimum balance in the account as determined by Bank. Otherwise, the Bank reserves the right to return cheque.

No interest will be paid in Current Account.

Deposit has to be made within 1st to 5th day of a particular month. No interest will be paid for account having balance below Tk.5,000/-. Interest is applicable on the lowest balance laid in the account within 5th to 31st day of the month. No interest will be paid in a particular month if customer withdraws more than Tk. 50,000/- without prior notice. No interest is payable if 25% or above is withdrawn from an account or if number of withdrawals is more than 4 times in a particular month. No interest is given if interest amount comes below Tk.100/-

Minimum 7(seven) days notice period is required by the Account Holder for withdrawal of any sum from SND Account. Interest in SND Account shall be calculated on the basis of day end balance and shall be paid on half yearly basis.

Interest on fixed deposit account shall be paid on the basis of fixed rates and period of maturity.

FDR account holder(s) should preserve their receipt properly.

For Scheme Deposit Account rules/conditions of particular Scheme will be applicable.

All types of Duty, VAT, Levy and Income Tax to be realized from the Depositor’s Account as per approved rate as circulated by the Government from time to time.

As per Money Laundering Prevention Act-2012(including amendment 2015), Anti Terrorism Act-2009(including amendment 2012 & 2013) & Circulars/Rules issued time to time by Regulatory Authorities customer is obliged to submit any information on demand of the Bank. The Bank can provide the account information to the Regulatory Authority, on demand.

Bank has the right to reject any transaction if it seems illegal and fraudulent. If any transaction is involved with or may be involve with fraudulent or illegal or suspicious activites in that case decision taken by Bank will be final and the depositor shall be obliged to accept it.

If any account does not operated satisfactorily, Bank may close the Customer’s account at any time without showing any reason and without giving any notice. Also Bank may close any account at any time for other reason and is not oblige to disclose any reason to the customer.

Customer can collect the cheque book applying through prescribed form.

Customer will count leaves of cheque book at the time of its receiving and the same should be preserved in secured place (self custody) so that no page is stolen/lost or misused. Bank will not be responsible for any fraud or forgery committed by stolen or lost cheque.

Customer will sign cheque as per his/her specimen signature provided to the Bank. Customer should inform the bank in written earlier if he/she wants to bring any change in specimen signature. Customer will use his specimen signature at the time of any written communication with the Bank.

Bank lodges the stop payment instruction carefully. Bank will not be responsible if the cheque is honored inadvertently.

Bank debits/credits customer’s account carefully. Bank can adjust the wrongly debited/credited amount.

Account holder can close his/her account through submitting an application duly signed with returning unused cheque book and paying closing charge.

Bwc‡RW I Ad-†kvi e¨vswKs BDwbU Gi wnmv‡ei †jb‡`b/Kvh©μg ‡ecRv Bwc‡RW/ evsjv‡`k e¨vsK/ê‡`wkK gy`ªv wbqš¿b AvBb I AvšÍR©vwZK Ad-†kvi e¨vswKs wbqgbxwZ Abyhvqx cwiPvwjZ n‡e|

Transaction/ operations of EPZ & Off Shore Banking Unit will be operated by the rules and regulations of BEPZA/EPZ/ Bangladesh bank/ Foreign Exchange Regulation Act and International Off Shore Banking Law.

mKj Gdwm, KbfviwUej, wbUv, eøKW UvKv wnmve, ‰e‡`wkK gy`ªv wbqš¿b AvBb I evsjv‡`k e¨vsK wewa weavb Abyhvqx cwiPvwjZ n‡e|

All FC, Convertible, NITA, Blocked Tk. Account will be operated under rules of Foreign Exchange Regulation Act and Bangladesh bank.

wnmv‡ei gvwjK‡K Pvwn`v †gvZv‡eK wnmve weeiYx cÖ`vb Kiv nq| 30 (wÎk) w`‡bi g‡a¨ wjwLZ †Kvb Awf‡hvM bv †c‡j wnmv‡ei w¯’wZ mwVK Av‡Q e‡j a‡i †bqv n‡e|

Account statement will be provided as per demand of the Account holder. The balance of the account will be considered as correct, if no written complaint is lodged within 30 days.

wnmveavi‡Ki wVKvbvi †Kvb cwieZ©b n‡j Awej‡¤^ Zv e¨vsK‡K Rvbv‡Z n‡e| e¨vsK mvaviYZt WvK/Kzwiqvi †hv‡M wnmve gvwj‡Ki mv‡_ †hvMv‡hvM i¶v K‡i| WvK/Kzwiqvi †hv‡M †cÖwiZ †Kvb wPwVcÎ h_vmg‡q ev Av‡`Š wewj bv n‡j e¨vsK `vqx _vK‡ebv|

The customer has to inform the Bank immediately, if any change occurs in the address of the account holder. Bank generally communicates with the Account holder through postal/courier service. Bank will not be held responsible, if no letters/documents are delivered in time or not at all through postal/courier service.

1991 mv‡ji e¨vsK †Kv¤úvbx AvBbvbyhvqx 10 (`k) eQi I Z yaŸ© †gqv` ch©šÍ †Kvb wnmv‡e †jb‡`b bv n‡j mswkøó wnmvewU A`vweK…Z (Unclaimed) wnmv‡e MY¨ K‡i D³ wnmv‡ei w¯’wZ evsjv‡`k e¨vs‡K ¯’vbvšÍi Kiv nq|

If no transaction occurs in an account for 10 years or more , then the account will be treated as an unclaimed Account as per Bank Company Act-1991 and the balance of that particular account will be transferred to Bangladesh Bank

e¨vsK †h †Kvb mgq e¨vsK wnmve msμvšÍ †h †Kvb wbqgvejx cwieZ©b,cwiea©b,ms‡kvab ev evwZj Ki‡Z cv‡i Ges wnmveavix Zv †g‡b Pj‡Z eva¨ _vK‡eb|

The Bank can change, add, amend or nullify any rules related to account at any time. The account holder is obliged to abide by the instruction made by the Bank.

bwgwbi Qwei wcQ‡b bwgwbi bvg _vK‡Z n‡e Ges Zv wnmveavix KZ©„K mZ¨vwqZ Ki‡Z n‡e| AvgvbZKvixi g„Zyï ci wbqg Abyqvqx Zvi g‡bvbxZ e¨w³ (bwgwb) Mw”QZ AvgvbZ MÖnY Ki‡Z cvi‡eb|GKvwaK g‡bvbxZ e¨w³i †ÿ‡Î MÖvnK KZ…©K wba©vwiZ As‡ki nv‡i Mw”QZ UvKv cÖ‡`q n‡e| Z‡e G‡ÿ‡Î g‡bvbxZ e¨w³/ e¨w³eM©‡K Zvi/Zv‡ì g‡bvbq‡bi ¯^c‡ÿ h_vh_ cÖgvb Dc¯’vcb Ki‡Z n‡e| ‡Kvb g‡bvbxZ e¨w³ bv _vK‡j AvgbZKvixi DËivwaKvix‡K cÖ‡hvR¨ †ÿ‡Î DËivwaKvi mb`cÎ †gvZv‡eK wnmv‡ei w¯’wZ cwi‡kva‡hvM¨ n‡e|

Name of the nominee has to be written behind the photo of the nominee and must be attested by account holder. In case of the number of nominee is more than one person then each nominee shell gets the fixed share percentage determined by account holder. In that case the nominated person/persons have to show proper evidence of their/his/her nomination. If there is no nominee then the balance of the account shall be distributed to the heir’s of the depositor as per succession certificate.

1g Av‡e`bKvixi bvg, ¯^v¶i I ZvwiL1st Applicant’s Name, Signature & Date

2q Av‡e`bKvixi bvg, ¯^v¶i I ZvwiL 2nd Applicant’s Name, Signature & Date

3q Av‡e`bKvixi bvg, ¯^v¶i I ZvwiL3rd Applicant’s Name, Signature & Date

4_© Av‡e`bKvixi bvg, ¯^v¶i I ZvwiL4th Applicant’s Name, Signature & Date

eë¯’vcK (The Manager)

................................ kvLv/ Branch

b¨vkbvj e¨vsK wjwg‡UW (National Bank Limited)

e¨w³K wnmve †Lvjvi Av‡e`b digAccount Opening Form for Individual Account

wcÖq g‡nv`q (Dear Sir),

Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡ì, wnmve msμvšÍ I e¨w³MZ we ÍvwiZ Z_¨ wb‡gœ cÖ vb KiwQt I/We, hereby, apply for opening an account at your branch. My/our detailed account related information and personal information are furnished below:

1. wnmv‡ei bvg (evsjvq) t

Title of Account (In Bangla)

Bs‡iRx‡Z (eo A¶‡i) tIn English (Block Letter)

2. wnmv‡ei cÖKwZ (wUK w`b) t…Type of account (please tick)

mÂqx (Savings)

PjwZ (Current)

GmGbwW (SND)

Gdwm (FC)

AviGdwmwW (RFCD)

GbGdwmwW (NFCD)

3. gy`ªv (wUK w`b)t Currency (please tick)

UvKv (Taka) Wjvi (Dollar) BD‡iv (Euro) cvDÛ (Pound)

Ab¨vb¨ (Others)

.....................

Ab¨vb¨ (Others)

.....................

4. wnmve cwiPvjbv msμvšÍ †NvlYv (wUK w`b)tDeclaration regarding Account operation

GKKfv‡e (Singly)

†hŠ_fv‡e (Jointly)

†h †Kvb GKRb (Any one)

†h †Kvb GKRb A_ev RxweZRb (Either or Survivor)

Ab¨vb¨ (Others).............

Ab¨ †Kvb e¨vs‡K cwiPvwjZ wnmve Av‡Q wK (wUK w`b)? Account maintained in other Bank (if any) (please tick)t

e¨w³ msμvšÍ Z_¨vejx (Customer Information): e¨w³ msμvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e (Please fill up Personal Information Form)

6. nu¨v (Yes) bv (No)DËi nu¨v n‡j (If yes)t

e¨vs‡Ki kvLvi bvg wnmve bsBank’s & Branch’s Name Nature of operating account (please tick)

K)

L)

M)

N)

O) 7.

FY wnmve (Loan A/C) Rgv wnmve (Deposit A/C)

FY wnmve (Loan A/C) FY wnmve (Loan A/C) FY wnmve (Loan A/C) FY wnmve (Loan A/C)

Rgv wnmve (Deposit A/C)




National Bank Limited............................................ Branch

ZvwiL Date w`b

Day

gvm Month

eQi Year

5. wnmve †Lvjvi D‡Ïk¨ (Reason for Account Opening)t

Account NocwiPvjbvK…Z wnmv‡ei cÖK…wZ (wUK w`b)

wnmve bst Account No BDwbK Kv÷gvi AvBwW †KvWt Unique Customer ID Code:

†m±i †KvW t Sector Code

SBS-2 Deposit CIB

e¨vs‡Ki eënv‡ii Rb¨/For Bank Use Only

8. GK ev GKvwaK wnmveavix bvevjK n‡j (If one or more account holder is Minor)t

K. wnmveavix (bvevjK) Gi bvg t Rb¥ ZvwiL/eqm t

wnmveavix (bvevjK) Gi bvg t Rb¥ ZvwiL/eqm t

wnmveavix (bvevjK) Gi bvg t Rb¥ ZvwiL/eqm t

L. Awffve‡Ki bvg t bvevj‡Ki mv‡_ m¤úK© t

Awffve‡Ki m¦v¶i t

bvevjK Ges AwffveK - Df‡qi Rb¨B Òe¨w³ msμvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e Ges bvevjK Av‡e`bKvixi †¶‡Î Dfq di‡gB Av‡e`bKvixi ¯^v¶‡ii ¯’‡j AwffveK KZ©„K ¯^vÿi Ki‡Z n‡e|(Personal Information Form must be filled in for both the minor(s) and the guardian. Both the forms must be signed by the guardian)

9. cwiPq`vbKvixi Z_¨ (Information of the Introducer) t

(K) bvg (evsjvq)/Name (In Bangla) t In English t

(L) wnmv‡ei bvg (Account Name) t

(M) wnmve bs (Account No) t

(N) kvLvi bvg(Branch Name) t

(O) MÖvn‡Ki mv‡_ cwiwPwZi m~Î/m¤úK© (Relation/ Connection with the customer) t

(P) ‡hvMv‡hvM gva¨g (Communication Medium) t †dvb bs (Telephone No) t †gvevBj bs (Mobile No) t

(Q) ¯^v¶i I ZvwiL (Signature & Date) t

cwiPq`vbKvixi Z_¨ cÖZ¨qbKvix mswkøó e¨vsK kvLvi Kg©KZ©vi bvg I ¯^vÿi [wmj I ZvwiLmn] (Introducer’s Information & Signature Verified by) t bvg (Name) t cèx (Designation) t ¯^v¶i I ZvwiL (Signature & Date) t

10. cÖv_wgK Rgvi cwigvY (Initial Deposit) t11. bwgwb msμvšÍ Z_¨ (Information of Nominee) t bwgbx msμvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e (Please fill up Nominee Information Form)

bwgwbi msL¨v /Number of Nominee (s) t12. m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv msμvšÍ Z_¨vejx (Transaction Profile Information)t TP msμvšÍ Z_¨vejx dig c~iY Ki‡Z n‡e (Please fill up Transaction Profile (TP) Form)

13. A‡_©i Drm/ Drmmg~n(mywbw`©ó I we¯ÍvwiZ D‡jøL Ki‡Z n‡e)/Source(s) of Fund (Specific & Details) t

14. Ab¨vb¨ Z_¨vw` (Others Information) tAvcwb ATM (†WweU/‡μwWU) KvW© eënvi Ki‡Z Pvb wK? [wUK w`b] Do you want to use ATM (Debit/Credit) Card? [Please tick] t ☐ nu¨v (Yes) ☐ bv (No) KvW© eënvi Ki‡j eënviKvixi bvg tCard User’s Name

Avwg/ Avgiv Ab¨vb¨ †Wwjfvix P¨v‡bj¸‡jv / †cÖvWv± myweav MÖnY Ki‡Z B”QzK I/we interested to take others delivery channel/ product

†Uwje¨vswKs (Tele Banking) GmGgGm e¨vswKs (SMS Banking) B›Uvi‡bU e¨vswKs (Internet Banking) †gvevBj e¨vswKs (Mobile Banking)

Ab¨ †cÖvWv±/†mev (Other Product/Service) ...............................

Avwg wb¤œewY©Z wnmveavix/wnmveavixMY Gi ‰ea AwffveK wn‡m‡e GB g‡g© †NvlYv KiwQ †h, wnmveavix/wnmveavixMY bvevjK| Zvi/Zv‡ì cÖ‡qvRbxq Z_¨ “e¨w³ msμvšÍ Z_¨vejxÓ di‡g cÖ vb Kiv n‡jv| wnmveavix mvevjK bv nIqv ch©šÍ wKsev Avgvi KZ©„K cieZ©x †NvlYv bv †`qv ch©šÍ êa AwffveK wn‡m‡e wnmvewU Avgvi ¯^v¶‡i cwiPvwjZ n‡e| (I, being the legal guardian of the account holder, mentioned below, declare that the account holder(s) is/are Minor(s). His/Her/Their required information are provided in the attached form. Until the account holder(s) reach(es) the age of majority (adult) or any further declaration is given by me, the account will be operated by my signature being the legal guardian.) (AwffveK ej‡Z evev A_ev gv A_ev Ab¨ †Kvb AvBbMZ AwffveK‡K eySv‡e)

Account holder’s Name (minor)



(Date of Birth/Age)

(Date of Birth/Age)

(Date of Birth/Age)

(Name of the guardian) (Relation with the minor)

(Signature of the Guardian)

15. bgybv ^v¶i KvW© (Specimen Signature Card)t

Title of Account t

A/C No t

^v¶iKvixi c~Y© bvg (Full Name of the Signatory) bgybv ^v¶i (Specimen Signature)

Recent passport size

Photograph [DulyAttested by the

introducer].

1.

2.

3.

we‡kl wb‡ ©kbv (hw` _v‡K)/ Special Instruction (if any)

Signature admitted by (Authorized Officer)

Signature Authorized by(Authorized Officer / Manager)

Signature Uploaded to CBS by (Authorized Officer)

1g Av‡e`bKvixi bvg, ¯v¶i I ZvwiL1st Applicant’s Name,Signature & Date

2q Av‡e`bKvixi bvg, ¯v¶i I ZvwiL2nd Applicant’s Name,Signature & Date

3q Av‡e`bKvixi bvg, ¯v¶i I ZvwiL3rd Applicant’s Name,Signature & Date

4_© Av‡e`bKvixi bvg, ¯v¶i I ZvwiL4th Applicant’s Name,Signature & Date

e¨vs‡Ki eënv‡ii Rb¨ (For Bank use only)

gšÍe¨ (Comments)t

wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi bvghy³ mxjmn ¯^vÿi I ZvwiLAccount opening officer’s Seal with name, Signature & Date

Aby‡gv`bKvix Kg©KZ©vi (kvLv eë ’vcK) bvghy³ wmjmn ¯^vÿi I ZvwiLAuthorized officer (Branch Manager) Seal with name, Signature & Date

cvm‡cvU© mvB‡RimZ¨vwqZ Qwe

16. †NvlYv I ^v¶i (Declaration & Signature) t Avwg/Avgiv GB g‡g© wbðqZv cÖ vb KiwQ †h, Avwg/Avgiv wnmve msμvšÍ hveZxq wbqgvejx/kZv©ejx c‡owQ Ges D³ wbqgvejx/kZv©ejx †g‡b Pj‡Z eva¨ _vKe| Avwg/Avgiv ^Áv‡b †NvlYv KiwQ †h, DwjøwLZ Z_¨vw` mZ¨| Avwg/Avgiv cÖ`Ë Z‡_ï AwZwi³ mswkøó †h †Kvb cÖ‡qvRbxq Z_¨/`wjjvw` e¨vs‡Ki Pvwn`v †gvZv‡eK mieivn Kie| (I/We confirm that I/We read all the terms and conditions of the account and oblige to obey these terms and conditions. I/We consciously declare that the information provided above is true. I/we will provide any other additional information/documents as per requirement of the Bank.

[K n‡Z M b¤î μwg‡K ewY©Z `wjjvw` n‡Z Avewk¨Kfv‡e †h †Kvb GKwU `wjj cÖ vb Ki‡Z n‡e| Z‡e Rb¥ wbeÜb mb` cÖ vbc~e©K wnmve †Lvjvi †ÿ‡Î Rb¥ wbeÜb mb`c‡Îi AwZwi³ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn Ab¨ †h †Kvb cwiwPwZ cÎ cÖ`vb Ki‡Z n‡e| bb-†iwm‡W›U Ges we‡`kx bvMwiK‡ì †¶‡Î mswkøó wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e cÖ`vb Ki‡Z n‡e| Av‡jvKwPÎmn cwiwPwZ cÎ bv _vK‡j †m wel‡q e¨vs‡Ki mš‘wó mv‡c‡ÿ Zv‡ì wbKU MÖnY‡hvM¨ mgv‡Ri MY¨gvb¨ e¨w³ KZ…©K cÖ`ËcwiP‡qi cÖZ¨qbcÎ cÖ`vb Ki‡Z n‡e| D³ cwiwPwZ cÎ ev cÖZ¨qbcÎ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn (Av‡jvKwP‡Îi Dc‡ii c„‡ô mZ¨vwqZmn)n‡Z n‡e| GQvov, cÖ‡Z¨K e¨vsK h_vh_fv‡e MÖvn‡Ki cwiwPwZi wel‡q wbwðZ nIqvi j‡ÿ¨ e¨vs‡Ki mš‘wó mv‡c‡ÿ Dc‡ii N n‡Z P b¤î μwg‡K ewY©Z `wjjvw`mn AwZwi³ Av‡iv ‡Kvb `wjjvw` Ges GB di‡g DwjøwLZ Z_¨vwì AwZwi³ Z_¨ msMÖn Ki‡Z cvi‡e|]

e¨w³ msμvšÍ Z_¨vejx(Personal Information Form)

m¤úªwZ †Zvjv cvm‡cvU© mvB‡Ri Qwe

(cwiPq`vbKvix KZ©„K mZ¨vwqZ)Recent passport size

Photograph

(Attasted by introducer)

1. wnmv‡ei bvg (evsjvq)/ Title of Account (In Bangla) t

2. MÖvnK/ †ewbwdwmqvj Ibvi/ wnmve cwiPvjbvKvixi bvg(evsjvq) tName of Customer /Beneficial Owner/ Operator (In Bangla)MÖvnK/ †ewbwdwmqvj Ibvi/ wnmve cwiPvjbvKvixi bvg (Bs‡iRx‡Z) t (Name of Customer /Beneficial Owner/ Operator in English (Block Letter)

3. wnmv‡ei mv‡_ m¤úK© (wUK w`b)/Relation with A/C (Please Tick) tcÖ_g Av‡e`bKvix (1st applicant) wØZxq Av‡e`bKvix (2nd applicant) Z…Zxq Av‡e`bKvix (3rd applicant) cwiPvjK (Director) Askx`vi (Partner)

GKK¯Z¡vwaKvix (Proprietor) wnmveavix bvevjK (Minor) AwffveK (Guardian) GUwb© †nvìvi (Attorney holder) Uªvw÷ (Trustee)

wnmve cwiPvjbvKvix (Account Operator) †ewbwdwmqvj Ibvi (Beneficial Owner) g¨v‡ÛU †nvìvi (Mandate Holder) Ab¨vb¨ (Others)...............

4. wcZvi bvg (Father’s Name) t

5. gvZvi bvg (Mother’s Name) t

6. ¯^vgx/¯¿xi bvg (Name of the Spouse) t

7. RvZxqZv (Nationality) t

8.cÖ‡qvRbxq †ÿ‡Î e¨vsK KZ©…K MvBWjvBÝ di d‡ib G·‡PÄ Uªvb‡RKkbm& Gi wb‡`©kbv AbymiY Ki‡Z n‡e

(For more information, if required, the same may be collected in accordance with “ Guidelines for Foreign Exchange Transactions”)

9. Rb¥ ZvwiL (Date of Birth) t

10. Rb¥¯’vb (‡`kmn) t(Place of Birth with Country)

11.

12. †ckv (cèxmn we¯ÍvwiZ) t[Occupation (Details with Designation)]

13. gvwmK Avq (e¨w³K wnmv‡ei †ÿ‡Î) t[Monthly Income (For Individual Account)]

(13 bs μwg‡Ki †¶‡Î we¯ÍvwiZ D‡jøLc~e©K cÖ‡hvR¨ †ÿ‡Î e¨vs‡Ki Pvwn`v †gvZv‡eK `wjjvw` cÖ`vb Ki‡Z n‡e)14. cwiwPwZcÎ (Identity Document) t

K) RvZxq cwiPqcÎ b¤î (National ID Card No.) t

L) cvm‡cvU© b¤î (Passport No.) t †gqv` (Expire Date) t / /

M) Rb¥ wbeÜb mb`cÎ b¤î (Birth Registration Certificate No.) t

N) B‡jKUªwbK-U¨v· AvBwW b¤î( E-TIN No.) t

O) WªvBwfs jvB‡mÝ b¤î (Driving License No.) t †gqv` (Expire Date) t / /

P) Ab¨vb¨ (wbw ©ófv‡e D‡jøL Ki‡Z n‡e) /Others (please specify) t



†m±i †KvW t Sector Code

SBS-2 Deposit CIB


†iwm‡W›U ÷¨vUvm (wUK w`b)/ Resident Status (Tick) t †iwm‡W›U (Resident) bb-†iwm‡W›U (Non-Resident)

wj½ (wUK w`b) [Gender (Please Tick)] t cyiæl (Male) gwnjv (Female) Z…Zxq wj½ (Third Gender)

ZvwiL Date w`b

Day

gvm Month

eQi Year

15. eZ©gvb wVKvbv (Avevm ’j) Present address (Residence)

16. ’vqx wVKvbvPermanent address

17. †ckvMZ wVKvbv Professional address

18. †hvMv‡hv‡Mi wVKvbv (Mailing Address) t

(K) wVKvbv (wUK w`b) [Address(Please Tick)] eZ©gvb (Present) ¯’vqx (Permanent) †ckvMZ (Professional)

19. Riæix cÖ‡qvR‡b †hvMv‡hv‡Mi Rb¨ g‡bvbxZ e¨w³ (Emergency Contact Person) t bvg (Name) t .................................................................................

wVKvbv (Address) t

wnmveavix/wnmve cwiPvjbvKvixi mv‡_ m¤cK© (Relation with the Account Holder/ Account Operator) t

†gvevBj b¤i (Mobile No.) t B-‡gBj wVKvbv (E-mail) t20. †μwWU KvW© msμvšÍ Z_¨ (hw` _v‡K) Information regarding Credit Card (if any) Bmy¨Kvix cÖwZôvb/e¨vsK (GKvwaK n‡j mKj e¨vs‡Ki bvg) [Issuing Organization(s)/ Bank(s) (Name of all Banks if more then 1)] t

K. ’vbxq (Local Card) t L. AvšÍR©vwZK (International Card) t21. Foreign Account Tax Compliance Act (“FATCA”)

Please Check “ √ ” Yes or No for each of the following ques ons: Yes No1 Avcwb wK gvwK©b hy³iv‡óªi bvMwiK? [Are you a U.S. Ci zen?]

2 Avcwb wK gvwK©b hy³iv‡óªi MÖxY KvW© aviY K‡ib A_ev Avcwb wK gvwK©b hy³iv‡óªi ‰ea wbevmx? [Do you hold U.S. Green Card or is a lawfulresident of the U.S.?]

3 Avcbvi wK gvwK©b hy³iv‡óª †hvMv‡hv‡Mi †Kvb wVKvbv A_ev †dvb b¤î A_ev B‡gBj wVKvbv Av‡Q? [Do you have a U.S. address (including P.O. Box) orU.S. phone number or U.S. e-mail address?]

4 Avcbvi wK gvwK©b hy³iv‡óªi †Kvb wVKvbv A_ev †dvb b¤î A_ev B‡gBj wVKvbv Av‡Q Ggb †Kvb e¨vw³‡K Power of A orney cÖ`vb K‡i‡Qb? [Have yougranted Power of A orney to someone who has a U.S. address or U.S. phone number or U.S. e-mail address?]

5 Avcbvi wK gvwK©b hy³iv‡óª eZ©gvb eQi mn weMZ wZb weQ‡ii g‡a¨ 183 w`b Ae¯’vb K‡i‡Qb? [Have you stayed in U.S. for 183 days 3-yearperiod including present year?]

6 Avcbvi wK gvwK©b hy³ivóª †_‡K †Kvb cÖKvi A_© Avq K‡ib? †hgb- my`, gybvdv, fvov, †eZb A_ev any other Fixed Determinable Annual Periodical[FDAP] income. [Do you receive payments sourced from USA? That is interest, Dividend, Rent, Payment for services (salaries), and anyother Fixed Determinable Annual Periodical [FDAP] income.]

Av‡e`bKvixi bvg t

e¨vs‡Ki eënv‡ii Rb¨ (For Bank use only)

(Applicant Name) )nmLiwvZ( iÿv¯ ixivKbè‡vA

(Applicant’s Signature with date)

wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi bvghy³ mxjmn ^v¶i I ZvwiLAccount opening officer’s Seal with name, Signature & Date

Aby‡gv`bKvix Kg©KZ©vi (kvLv eë ’vcK) bvghy³ wmjmn ¯^vÿi I ZvwiLAuthorized officer (Branch Manager) Seal with name, Signature & Date

MÖvnK/wnmve cwiPvjbvKvixi Proof of Address Gi¯^c‡ÿ WKz‡g›UmcÖ`vb Ki‡Z n‡e (Kgc‡ÿ 1 wU wVKvbvi ^c‡ÿ)

cÖPwjZ AvBbvbyhvqx Avwg b¨vkbvj e¨vsK wjwg‡UW‡K Avgvi AvqKi msμvšÍ Z_¨ cÖvmw½K AvšÍ©RvwZK ev Af¨šÍixY wbqš¿bKvix ms¯’vi wbKU cÖKv‡ki AbygwZ w`w”Q| AvšÍ©RvwZK ev Af¨šÍixY wbqš¿bKvix ms¯’v A_ev AvqKi KZ©„c‡¶i cÖ‡qvRb Abyhvqx; Avwg GB g‡g© Aby‡gv`b w`w”Q ev ¯^xKvi KiwQ †h, cÖPwjZ wbq‡gi AvIZvq e¨vsK Avgvi GKvD›U †_‡K Ki wn‡m‡e wbw`ó cwigvb UvKv †K‡U ivL‡Z cvi‡e|(Subject to applicable laws, I hereby consent for Na onal Bank Limited to share my informa on with domes c or overseas regulators, or Tax Authori es where necessary to establish my tax liability in any jurisdic on. Where required by domes c or overseas regulators, or Tax Authori es, I consent and agree that the bank may withhold from my account(s) such accounts as may be required according to applicable laws, regula ons and direc ves.)

*MY¨gvb¨ e¨w³ ej‡Z msm` m`m¨, wmwU K‡c©v‡ik‡bi †gqi, †WcywU †gqi I KvDwÝjiMY, RvZxq †eZb †¯‹‡ji 9g I Z`~aŸ© †MÖ‡Wi †M‡R‡UW Kg©KZ©v, cvewjK wek¦we`¨vj‡qi wkÿK, Dc‡Rjv cwil‡ì †Pqvig¨vb I fvBm †Pqvig¨vb, BDwbqb cwil‡ì †Pqvig¨vb, †cŠimfvi †gqi I †cŠi KvDwÝji, †emiKvix wek¦we`¨vj‡qi Aa¨vcK, †emiKvix K‡j‡Ri Aa¨ÿ, †emiKvix D”P we`¨vj‡qi cÖavb wkÿK, RvZxq ˆ`wbK cwÎKvi m¤úv`K, †bvUvix cvewjK, AvavmiKvix/¯^vqË¡kvwmZ/ivóªvqZ¡ ms¯’vi RvZxq †eZb †¯‹‡ji 7g ev Z ~aŸ© †MÖ‡Wi Kg©KZ©vMY Ges evsjv‡`k e¨vs‡Ki RvZxq †eZb †¯‹‡ji 9g I Z ~aŸ© †MÖ‡Wi Kg©KZ©vMY‡K eySv‡e|

(L) †Uwj‡dvb b¤î (Telephone No.) t (1) evmv (Residence) (2) Awdm (Office)

(M) †gvevBj b¤i (Mobile No.) t (1) (2)

(N) B-†gBj (E-mail) t (O) d¨v· b¤i (Fax No.) t

Avwg/Avgiv G wnmv‡ei A_© Avgvi/Avgv‡ì g„Zyï ci wb‡gœv³fv‡e wb‡gœ ewY©Z e¨w³/e¨w³MY‡K cÖ`v‡bi Rb¨ g‡bvbxZ Kijvg| Avwg/Avgiv DwjøwLZ g‡bvbqb †h †Kvb mgq evwZj ev cwieZ©‡bi AwaKvi msiÿY Kwi| Avwg/Avgiv GB g‡g© Av‡iv m¤§wZ Ávcb KiwQ †h, Avgvi/Avgv‡ì wb‡`©kbv †gvZv‡eK e¨vsK A_© cÖ`vb Ki‡e Ges GRb¨ e¨vsK †Kv‡bvfv‡e `vqe× n‡ebv| (I/We do hereby nominate the following person(s) to receive the entire amount deposited in this account in the event of my/our death. I/We do hereby reserve the right to cancel or change the said nominee(s) at any time. I/We do hereby also declare that the bank will not be held responsible for any transaction done as per instruction given by me/us.)

bwgwb msμvšÍ Z_¨vejx (Nominee Information Form)


m¤úªwZ †Zvjv cvm‡cvU© mvB‡Ri Qwe

(wnmveavix KZ©„K mZ¨vwqZ)

Recent passport size Photograph

(Attasted by A/C Holder)

1. wnmv‡ei bvg (Title of Account) t

2. wnmve b¤î (Account number) t

3. bwgwbi bvg (Name of Nominee) t

4. wcZvi bvg (Father’s Name) t

5. gvZvi bvg (Mother’s Name) t

6. ^vgx/ ¿xi bvg (Name of the Spouse) t

7. Rb¥ ZvwiL (Date of birth) t

8 . eZ©gvb wVKvbvPresent address

9. ¯’vqx wVKvbvPermanent address

10. †ckv (Occupation) t

11. bwgwbi cwiwPwZcÎ (Identity Documents of Nominee) t

K) RvZxq cwiPqcÎ b¤î (National ID Card No.) t

L) cvm‡cvU© b¤î (Passport No.) t (Expire Date) t / /

M) Rb¥ wbeÜb mb`cÎ b¤î (Birth CRegistration Certificate No.) t

N) B‡jKUªwbK-U¨v· AvBwW b¤î ( E-TIN No.) t

O) WªvBwfs jvB‡mÝ b¤î (Driving License No.) t (Expire Date) t / /

P) Ab¨vb¨ (wbw ©ófv‡e D‡jøL Ki‡Z n‡e) /Others (please specify) t

12. wnmveavixi mv‡_ m¤úK© (Relationship with Account Holder) t

13. kZKiv nvi (Percentage) t

[K n‡Z M b¤î μwg‡K ewY©Z `wjjvw` n‡Z Avewk¨Kfv‡e †h †Kvb GKwU `wjj cÖ`vb Ki‡Z n‡e| Z‡e Rb¥ wbeÜb mb` cÖ`vbc~e©K wnmve †Lvjvi †ÿ‡Î Rb¥ wbeÜb mb`c‡Îi AwZwi³ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn Ab¨ †h †Kvb cwiwPwZ cÎ cÖ`vb Ki‡Z n‡e| bb-†iwm‡W›U Ges we‡`kx bvMwiK‡ì †¶‡Î mswkøó wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e cÖ`vb Ki‡Z n‡e| Av‡jvKwPÎmn cwiwPwZ cÎ bv _vK‡j †m wel‡q e¨vs‡Ki mš‘wó mv‡c‡ÿ Zv‡ì wbKU MÖnY‡hvM¨ mgv‡Ri MY¨gvb¨ e¨w³1 KZ…©K cÖ`ËcwiP‡qi cÖZ¨qbcÎ cÖ`vb Ki‡Z n‡e| D³ cwiwPwZ cÎ ev cÖZ¨qbcÎ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn (Av‡jvKwP‡Îi Dc‡ii c„‡ô mZ¨vwqZmn)n‡Z n‡e| GQvov, cÖ‡Z¨K e¨vsK h_vh_fv‡e MÖvn‡Ki cwiwPwZi wel‡q wbwðZ nIqvi j‡ÿ¨ e¨vs‡Ki mš‘wó mv‡c‡ÿ Dc‡ii N n‡Z P b¤î μwg‡K ewY©Z `wjjvw`mn AwZwi³ Av‡iv ‡Kvb `wjjvw` Ges GB di‡g DwjøwLZ Z_¨vwì AwZwi³ Z_¨ msMÖn Ki‡Z cvi‡e|]

ïagvÎ e¨w³K wnmv‡ei ‡ÿ‡Î cÖ‡hvR¨ n‡e Ges G‡Ki AwaK bwgwb n‡j GKvwaK bwgwb dig c~iY Ki‡Z n‡e(Only for Individual accounts & separate form has to be filled up for each nominee)



ZvwiL Date w`b

Day

gvm Month

eQi Year

bwgwbi ¯^v¶i I ZvwiL (Hw”QK) Nominee Signature & date (Optional)

1g Av‡e`bKvixi bvg, ¯v¶i I ZvwiL1st Applicant’s Name ,Signature & Date

2q Av‡e`bKvixi bvg, ¯v¶i I ZvwiL2nd Applicant’s Name ,Signature & Date

3q Av‡e`bKvixi bvg, ¯v¶i I ZvwiL3rd Applicant’s Name ,Signature & Date

4_© Av‡e`bKvixi bvg, ¯v¶i I ZvwiL4th Applicant’s Name ,Signature & Date

MÖvn‡Ki ^v¶i hvPvBKvix e¨vsK Kg©KZ©vi bvghy³ wmjmn ¯v¶i Customer’s Signature Checked by (with named seal)

14. bwgwb bvevjK n‡j Zvi/Zv‡ì bvevjK _vKv Ae ’vq wnmveavix/wnmveavixM‡Yi g„Zyï †¶‡Î e¨vsK †Kv¤cvwb AvBb, 1991 Gi 103 (2) aviv Abyhvqx Avgvb‡Zi UvKv

MÖnYKvixi Z_¨ t [In case of death of account holders when nominee(s) being minor, The information of receiver of deposited money as per Banking company act, 1991 section 103(2)]

K) bvg (Name) t

L) wcZv/ ¯vgx Gi bvg t

M) Rb¥ ZvwiL (Date of birth) t

N) eZ©gvb wVKvbv (Present address) t

O) ¯’vqx wVKvbv (Permanent address) t

P) μwgK 11 Abymv‡i êa Awffve‡Ki cwiwPwZcÎ msμvšÍ Z_¨ (Identity information of Legal Guardian as per serial no. 11) t

Q) bwgwbi mv‡_ m¤cK© (Relation with nominee) t

(†Kvb Awbevmx‡K bwgwb Kiv n‡j Ges H Awbevmx mswkøó wnmv‡ei A_© cÖvß n‡j cÖvß A_© we‡`‡k †cÖi‡Yi †ÿ‡Î we`¨gvb ê‡`wkK gy`ªv wbqš¿Y AvB‡bi wewa weavb cÖ‡hvR¨ n‡e|)

*MY¨gvb¨ e¨w³ ej‡Z msm` m`m¨, wmwU K‡c©v‡ik‡bi †gqi, †WcywU †gqi I KvDwÝjiMY, RvZxq †eZb †¯‹‡ji 9g I Z ~aŸ© †MÖ‡Wi †M‡R‡UW Kg©KZ©v, cvewjK wek¦we`¨vj‡qi wkÿK, Dc‡Rjv cwil‡ì †Pqvig¨vb I fvBm †Pqvig¨vb, BDwbqb cwil‡ì †Pqvig¨vb, †cŠimfvi †gqi I †cŠi KvDwÝjiMY, †emiKvix wek¦we`¨vj‡qi Aa¨vcK, †emiKvix K‡j‡Ri Aa¨ÿ, †emiKvix D”P we`¨vj‡qi cÖavb wkÿK, RvZxq ˆ`wbK cwÎKvi m¤úv`K, †bvUvwi cvewjK, AvavmiKvix/¯^vqËkvwmZ/ivóªvqZ¡ ms¯’vi RvZxq †eZb †¯‹‡ji 7g ev Z ~aŸ© †MÖ‡Wi Kg©KZ©vMY Ges evsjv‡`k e¨vs‡Ki RvZxq †eZb †¯‹‡ji 9g I Z ~aŸ© †MÖ‡Wi Kg©KZ©vMY‡K eySv‡e|

(Name of Father/Husband)

m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile)


1. wnmv‡ei bvg (Title of Account)t

2. gvwmK m¤¢ve¨ Avq (Expected Monthly Income) t

3. gvwmK m¤¢ve¨ Uvb©Ifvi (cÖwZôv‡bi †¶‡Î) / Expected Monthly Turnover(For Organization)t

Rgvi weeiY(Particulars of Deposit)

UªvÝdvi/ BÝUªy‡g›U Gi gva¨‡gTransfer or by Instrument

BO (cyuwRevRvi) wnmve n‡Z Rgv/ ’vbvšÍiDeposit/Transfer from BO AC

gvwmK m¤¢ve¨ Rgvi msL¨v(No. of monthly deposit)

GKK m‡ev©”P Rgvi cwigvY(Maximum amount of a single deposit)

gvwmK m¤¢ve¨ †gvU Rgvi cwigvY(Total monthly deposit)

bM` (AbjvBb I GwUGgmn)Cash Deposit (including Online & ATM)

d‡ib BbIqvW© †iwgU¨vÝForeign Inward Remittance

ißvwb eve` cÖvßIncome from Export

Ab¨vb¨ (wbw ©ófv‡e)..................Others (Please specify)

me©‡gvUt

1g Av‡e`bKvixi bvg, ¯v¶i I ZvwiL1st Applicant’s Name, Signature & Date

2q Av‡e`bKvixi bvg, ¯v¶i I ZvwiL2nd Applicant’s Name, Signature & Date

3q Av‡e`bKvixi bvg, ¯v¶i I ZvwiL3rd Applicant’s Name, Signature & Date

4_© Av‡e`bKvixi bvg, ¯v¶i I ZvwiL4th Applicant’s Name, Signature & Date

evsjv‡`k dvBb¨vwÝqvj B‡›Uwj‡RÝ BDwb‡Ui wb‡`©kbv †gvZv‡eK MÖvn‡Ki m¤¢ve¨ †jb‡`‡bi AbygwZ gvÎv (Transaction Profile) ch©v‡jvPbv Kiv n‡jv|MÖvn‡Ki m¤¢ve¨ †jb‡`‡bi AbygwZ gvÎv (Transaction Profile) cwieZ©b Kiv/bv Kivi KviY t

Avwg/Avgiv wbgœ ^vÿiKvix (MY) G g‡g© wbðqZv cÖ vb KiwQ †h, m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv Avgvi/cÖwZôv‡bi ^vfvweK cÖK…Z †jb‡`b| Avwg/Avgiv Av‡iv wbðqZv cÖ`vb KiwQ †h, cÖ‡qvRb‡ev‡a Avwg/Avgiv m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv ms‡kvab/nvjbvMv` Kie| [I/We, undersigned, do hereby guarantee that this Transaction Profile(TP) is prepared according to my/my organization’s natural transaction. I/We do hereby also guarantee that I will, if necessary, revise/update this Transaction Profile (TP)]

UªvÝdvi/ BÝUªy‡g›U Gi gva¨‡gTransfer or by Instrument

BO (cyuwRevRvi) wnmv‡e Rgv/ ’vbvšÍiTransfer to BO AC

D‡Ëvj‡bi weeiY (Particular’s of Withdrawal)

gvwmK m¤¢ve¨ D‡Ëvjb msL¨v(No. of monthly withdrawal)

GKK m‡ev©”P D‡Ëvj‡bi cwigvY(Maximum amount of a single withdrawal)

gvwmK m¤¢ve¨ ‡gvU D‡Ëvj‡bi cwigvY(Total monthly withdrawal)

bM` (AbjvBb I GwUGgmn)Cash withdrawal (including Online & ATM)

d‡ib AvDUIqvW© †iwgU¨vÝForeign Remittance (Outward)

Avg`vwb eve` cwi‡kvaImport Bill

Ab¨vb¨ (wbw ©ófv‡e)..................Others (Please specify)

me©‡gvUt

cÖZ¨qbKvix e¨vsK Kg©KZ©vi bvghy³ wmjmn ¯^vÿi I ZvwiL

e¨vs‡Ki e¨env‡ii Rb¨




msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv? (Does collected document has been verified?)t nu¨v (Yes) bv (No)

7. wnmveavixi wVKvbv (mg~n) wKfv‡e hvPvB Kiv n‡q‡Q (we ÍvwiZ) ? How the addresses of the customers have been verified (Detailed)?

8. wnmv‡ei cÖK…Z myweav‡fvMx wba©viY Kiv n‡q‡Q wKbv? (Has the Beneficial Owner of the account been identified?) nu¨v (Yes) bv (No)

DËi nu¨v n‡jt cÖK…Z myweav‡fvMx Gi Avjv`v †KIqvBwm Ges e¨w³ msμvšÍ Z_¨vejxmshy³ K‡i‡Qb wK? (If Yes, does separate KYC & Personal Information Form of

beneficial owner attached?) nu¨v (Yes) bv (No)

9. cwiwPwZcÎ (Identity Documents) Kwc M„nxZ Copy Taken

hvPvBK…ZVarified

[wUK √ w`b] [Please Tick]

K) cvm‡cvU© b¤î t Passport No. (cÖ‡hvR¨ †¶‡Î)

L) RvZxq cwiPqcÎ b¤î t National ID Card No. (cÖ‡hvR¨ †¶‡Î)

M) Rb¥ wbeÜb mb`cÎ b¤î t Birth Registration Certificate No. (cÖ‡hvR¨ †¶‡Î)

N) B‡jKUªwbK-U¨v· AvBwW (E-TIN) b¤î t E-TIN No. (cÖ‡hvR¨ †¶‡Î)

O) WªvBwfs jvB‡mÝ b¤î t Driving License No.

(cÖ‡hvR¨ †¶‡Î)

P) Ab¨vb¨ (wbw ©ófv‡e D‡jøL Ki‡Z n‡e) t Others (Please Specify) (cÖ‡hvR¨ †¶‡Î)

10. Awbevmx (Non-resident) Ges we‡`kx‡ì †¶‡Î wnmve †Lvjvi D‡Ïk¨ (Purpose of account opening for Non-resident & Foreigner) t

K) wfmvi cÖK…wZ (Nature of Visa)t †gqv` DËx‡Y©i ZvwiL (Expiry Date)t

L) Kg©vbygwZ cÖvß‡ì wnmve †Lvjvi †ÿ‡Î Kg©vbygwZ cÎ I e¨vsK wnmve †Lvjvi Rb¨ h_vh_ KZ©„c‡¶i Aby‡gv`b i‡q‡Q wK bv (wUK w`b)/ Whether work permit holder have work permit and permission from the competent authority to open account ? (Please tick) t nu¨v (Yes) bv (No) (Awbevwm evsjv‡`kx‡ì †¶‡Î Avewk¨Kfv‡e cvm‡cv‡U©i Kwc Ges we‡`kx‡ì †¶‡Î Avewk¨Kfv‡e wfmvmn cvm‡cv‡U©i Kwc msMÖn Ki‡Z n‡e)

11. MÖvnK Politically Exposed Person (PEP)/cÖfvekvjx e¨w³ (IP)/ AvšÍR©vwZK ms¯’vi cÖavb ev D”P ch©v‡qi Kg©KZ©v Ges Zv‡ì cwiev‡ii m`m¨ ev Close Associates wK bv (weGdAvBBD KZ©…K RvixK…Z mvK©yjv‡i ewY©Z msÁv Abymv‡i)? [Whether Customer is a PEPs/Influential Person/Head of International Organization or High Officials

and Family Member or their Close Associate (As per definition of BFIU Circular)?] t nu¨v (Yes) bv (No)

DËi nu¨v n‡j (if yes) t K) wmwbqi g¨v‡bR‡g›U n‡Z Aby‡gv`b †bqv n‡q‡Q wK bv? (wUK w`b)t nu¨v (Yes) bv (No) Whether permission has been taken from the senior management? (Please tick)

L) MÖvn‡Ki gy‡LvgywL mv¶vrKvi †bqv n‡q‡Q wK bv? (wUK w`b)t nu¨v (Yes) bv (No) Whether face to face interview has been taken from the customer (Please tick)

1. wnmv‡ei bvg t Title of Account

2. wnmv‡ei cÖK„wZ t (Nature of Account)

3. MÖvn‡Ki †ckv (we¯ÍvwiZ) t Occupation of Customer (Detailed)

4. MÖvn‡Ki gvwmK m¤¢ve¨ Avq t Expected Monthly Income

5. A‡_©i Drm/Drmmg~n (we¯ÍvwiZ) t Source/Sources of Fund (Detailed)

6. A‡_©i Drm wbwðZ Kivi †¶‡Î msM„nxZ `wjjvw` (Documents collected to ascertain source of fund) t 1. 2. 3.

MÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)e¨w³K wnmve †Lvjvi †ÿ‡Î eënvh© (For Individual Account)



ZvwiL Date w`b

Day

gvm Month

eQi Year

μwgK bs (SL)

cÖK…wZ (Nature) wi¯‹ †¯‹vi(Risk Score)

12. mswkøó AvBb, wewagvjv I mvK©yjv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡ì wewfbœ †iRy‡jk‡bi AvIZvq mš¿vm, mš¿vmx Kvh© I e¨vcK aŸsmvZ¥K A¯¿ we Ív‡ii A_©vq‡b RwoZ m‡›`‡n ZvwjKvfy³ †Kvb e¨w³ ev mËv Ges evsjv‡`k miKvi KZ©„K ZvwjKvf~³ †Kvb e¨w³i ev wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvQvB evQvB c~e©K †Kvb wgj cvIqv wM‡q‡Q wK bv? (wUK w`b)/ At the time of verification, has the name of the customer been found similar with the sanction list as suspected by UN Security council in each different resolutions with regard to terrorism, terrorist activities and proliferation of any weapons of mass destruction and also

black listed by Bangladesh Govt. as per concerned acts, rules and circular ? (Please tick)t nu¨v (Yes) bv (No)Sanction Screening Software Øviv Screen Ki‡Z n‡eDËi nu¨v n‡j G welqK M„nxZ eë¯’vi weeiY (If yes, please mention in detailed the steps taken) t

13. wi¯‹ †MÖwWs (Risk Grading)t K) MÖvnK wK K‡ib/wK ai‡bi †ckvq wb‡qvwRZ i‡q‡Q? (What customer does/In what type of profession he/she is involved?)

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647

5(5)

5(5)

5(5)

5(5)

5(5)

5(5)

5(5)5(5)

5(5)

5(5)5(5)

5(5)

5(5)

5(5)

5(5)4(4)4(4)

4(4)

4(4)

4(4)

4(4)

4(4)4(4)

4(4)

4(4)

4(4)4(4)4(4)

3(3)3(3)

3(3)

3(3)

3(3)3(3)

3(3)

3(3)3(3)2(2)2(2)

2(2)

2(2)2(2)2(2)2(2)2(2)

2(2)

1-5 (1-5)

Ry‡qjvix/¯^‡Y©i eëmv/gyjëvb avZzi eëmv (Business of Jewelry/Gold/ Precious Metal)

gvwb †PÄvi/Kzwiqvi mvwf©m/‡gvevBj e¨vswKs G‡R›U (Money Changer/Courier Service/Mobile Banking Agent)wi‡qj G‡÷U †W‡fjcvi/G‡R›U (Real Estate Developer/Agent)wbg©vY cÖKí †cÖv‡gvUvi/wVKv`vi (Contactor/ Promoter of Construction Firm)wPÎKjv/Gw›U‡Ki wWjvi (Painting/Antic dealer)†iu‡¯Íviv/evi/bvBU K¬ve /AvevwmK †nv‡Uj/cvj©vi eëmv (Restaurant/Bar/Night Club/Residential Hotel/Parlour Business)Avg`vwb/ißvwb (Import & Export )Rbkw³ ißvwb eëmv (Manpower Export Business)A‡¯¿i eëmv (Business of Weapons)Mv‡g©›Um eëmv/ Mv‡g©›Um G‡·mwiR/ evwqs nvDR (Garments business/ Garments Accessories/ Buying House)cvBjU / d¬vBU G‡Ub‡W›U (Pilot/ Flight Attendant)Uªvw÷ (Trustee)‡kqvi/÷K eëmvq wewb‡qvMKvix (Investor of Share/Stock Business)mdU&Iq¨vi eëmv/ Z_¨ I cÖhyw³i eëmv (Software Business/ Information Technology Business)GKm&c¨vUwiAvU (evsjv‡`‡k Kg©iZ we‡`kx e¨w³) (Expatriate)Uªv‡fj G‡R›U (Travel Agent)evwl©K 1 †KvwU UvKvi AwaK A_© jMœxKvix eëmvqx‡d«BU/wkwcs/Kv‡Mv© G‡R›U (Freight/ Shipping/ Cargo Agent)A‡Uv eëmv (bZzb/wiKwÛkvb Mvox) (Auto Business (New/Reconditioned Vehicle)eëmv ( Pvgov I PvgovRvZ cY¨) (Business (Lather & Lather Oriented Product)evox wbgv©Y mvgMÖxi eëmv (Business of House Building Materials)†ckvRxex (mvsevw`K, AvBbRxex, Wv³vi, BwÄwbqvi, PvUvW© GKvDb‡U›U) (Professionals (Journalist, Lawyer, Doctor, Engineer, Chartered Accountants) wW‡i±i (cÖvB‡fU/ cvewjK wjwg‡UW †Kv¤úvwb) (Director (Private/ Public Limited Company)eûRvwZK cÖwZôv‡bi EaŸ©Zb Kg©KZ©v (High Officials of Multi National Company)M„wnYx (Housewife)

Z_¨-cÖhyw³ ‡ÿ‡Î PvKzwi (Job at Information Technology Sector)†L‡jvqvo/ wgwWqv †mwj‡eªwU/ cÖwWDmi/wbg©vZv (Sportsman/ Media Celebrity/ Producer/ Director)wd«j¨vÝ mdU&Iq¨vi †W‡fjcvi (Freelance Software Developer)eëmv-G‡R›U (Business- Agent)miKvix PvKzix (Government Service)evoxIqvjv (Landlord)myZv eëmvqx / SzU eëmvqx (Yarn Business /Jhut Business)cwienb Acv‡iUi (Transport Operator)ZvgvK I wmMv‡i‡Ui eëmv (Tobacco and Cigarette Business)we‡bv`bKvix cÖwZôvb/cvK© (Amusement Firm/ Park)‡gvUi cvU©m / IqvK©mc Gi eëmv (Motor Parts/ Workshop Business)

cÖvB‡fU mvwf©m g¨v‡bRvwiqvj (Private Service Managerial)wkÿK (miKvwi/‡emiKvwi/¯^vqËkvwmZ wkÿv cÖwZôvb) Teacher (Govt/Private/Autonomous Educational Institute )PvKzix (‡emiKvix) Employment (private)¶z`ª eëmvqx (evwl©K Uvb©Ifvi 50 jÿ UvKvi bx‡P) (Small Trader (Turnover less than 50.00 Lac per annum)¯^D‡`¨vMx †ckvRxex (Self Employed Professionals)Kw¤úDUvi/†gvevBj †dv‡bi wWjvi (Computer/ Mobile Phone Dealer)Drcv`bKvix (A¯¿ e¨ZxZ) (Manufacturers (Other than arms)QvÎ (Student)PvKzix n‡Z Aemi MÖnYKvix (Retired from Service)

K…wlRxex/kÖgRxex/grmRxex (Farmer/ Labor/ Fisherman)Ab¨vb¨ (mywbw`©ófv‡e D‡jøL Kiæb) Others (Please Specify)…………………………………………………………………………………

(MÖvn‡Ki SuywK wbiæc‡Y †ÿ‡Î MÖvn‡Ki †ckvi we¯ÍvwiZ Z_¨ we‡kølYKiZt eëmv‡qi †ÿ‡Î eëmv‡qi cÖK…wZ, A‡_©i gvÎv, eëmv‡qi GjvKv, eëmv‡qi AvKvi, wnmv‡ei cÖK…Z myweav‡fvMx BZ¨vw`mn Ab¨vb¨ we‡kl w`K we‡ePbvq wb‡q MÖvnK‡K D”P ev wb¤œ SyuwK m¤úbœ wn‡m‡e †kªYxKiY Ki‡Z n‡e| PvKzwii †ÿ‡ÎI Abyiƒcfv‡e we¯ÍvwiZ_¨ jvf KiZt we‡kl K‡i PvKzwii cÖK…wZ I `vq`vwq‡Z¡i wbwi‡L SzuwK wbiæcY Ki‡Z n‡e| Gme welqmg~n we‡ePbvq wb‡q MÖvnK †f‡` 16-46 bs †ÿ‡Î ewY©Z †¯‹vi A‡cÿv D”PZi †¯‹vi cÖ`vb Ki‡Z cvi‡e|)

L) MÖvn‡Ki gvwmK Av‡qi cwigvY (Monthly Income of The Customer)t

aib (Type)wi‡jkbkxc g¨v‡bRvi/kvLv KZ©„K (By Relationship Manager/Branch)

WvB‡i± †mjm/G‡R›U KZ©„K (By Direct Sales/Agent)

B›Uvi‡bU Gi gva¨‡g (Via Internet)/Non face to face

AhvwPZ / ¯^cÖ‡Yvw`Zfv‡e (Unexpected/Intentionally)/Walk-in

0 (0)3 (3)3 (3)3 (3)

wi¯‹ †¯‹vi (Risk Score)

M) wnmve †Lvjvi aib (Way of Account Opening)t

cwigvY (UvKvq) Amount (Taka)

1 j¶ ch©šÍ (Upto 1 Lac)

>1 n‡Z 3 jÿ ch©šÍ (> 1-3 Lac)

3 j¶vwaK (above 3 Lac)

0 (0)1 (1)3 (3)

PjwZ wnmv‡e †jb‡`‡bi cwigvY (j¶ UvKvq)Transaction in CD Ac (Amount in Lac)

mÂqx wnmv‡e †jb‡`‡bi cwigvY (j¶ UvKvq)Transaction in SB Ac (Amount in Lac)

0-10 (0-10)>10-20 (>10-20)

>20 (>20)

0-5 (0-5)>5-10 (>5-10)

>10 (>10)

0 (0)1 (1)3 (3)

wi¯‹ †¯‹vi(Risk Score)

PjwZ wnmv‡e †jb‡`‡bi cwigvY (j¶ UvKvq)Transaction in CD Ac (Amount in Lac)

mÂqx wnmv‡e †jb‡`‡bi cwigvY (j¶ UvKvq)Transaction in SB Ac (Amount in Lac)

0-5 (0-5)>5-10 (>5-10)

>10 (>10)

0-2 (0-2)>2-5 (>2-5)

>5 (>5)

0 (0)1 (1)3 (3)


N) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi cwigvY (Amount of Expected Monthly Transaction)t

PjwZ wnmv‡e †jb‡`‡bi msL¨vNumber Transaction in CD Ac

mÂqx wnmv‡e †jb‡`‡bi msL¨vNumber Transaction in SB Ac

0-15 (0-15)

16-25 (16-25)

>25 (>25)

0-10 (0-10)11-20 (11-20)

>20 (>20)

0 (0)1 (1)

3 (3)


PjwZ wnmv‡e †jb‡`‡bi msL¨vNumber Transaction in CD Ac

mÂqx wnmv‡e †jb‡`‡bi msL¨vNumber Transaction in SB Ac

0-10 (0-10)

11-20 (11-20)

>20 (>20)

0-5 (0-5)6-10 (6-10)>10 (>10)

0 (0)

1 (1)

3 (3)


O) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi msL¨v (Expected Number of Monthly Transaction) t

P) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi cwigvY (Amount of Expected Monthly Cash Transaction) t

Q) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi msL¨v (Number of Expected Monthly Cash Transaction) t

wi¯‹ †¯‹v‡ii †hvMdj(Total Risk Score)

mvgwMÖK wi¯‹ †iwUs(Overall Risk Rating)

>=14 (>=14)<14 (<14)

D”P (High)

wbgœ (Low)

14. mvgwMÖK SzuwK/wi¯‹ †iwUs wbiƒcY (Dc‡ii K n‡Z Q μwgK ch©šÍ wi¯‹ ‡¯‹v‡ii †hvMdj) Overall Risk / Risk Rating t

wi¯‹ †¯‹vi (Risk Score)

gšÍe¨ (Comments) t

(*wi¯‹ †iwUs 14 Gi Kg n‡jI Beneficial owner Gi D”P SzuwK we‡ePbvq KviY D‡jøL c~e©K Subjective we‡ePbvq MÖvnK‡K D”P SuywK m¤úbœ wn‡m‡e wbiƒcY Kiv †h‡Z cv‡i|)

cÖ¯‘ZKvix Kg©KZ©v (bvghy³ mxjmn ^v¶i I ZvwiL) (bvghy³ mxjmn ¯v¶i I ZvwiL)

BAMLCO/wØZxq Kg©KZ©v

kvLv e¨e¯’vcK/kvLv cÖavb(bvghy³ mxjmn ¯v¶i I ZvwiL)

(PEP/IP/AvšÍR©vwZK ms¯’vi EaŸ©Zb Kg©KZ©v Gi †ÿ‡Î Aby )v©ZK©gK bZ©ŸaE xivKb`vg‡(bvghy³wmjmn ^vÿi I ZvwiL)

15. wnmve I MÖvnK msμvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` Kivi ZvwiL tLatest date of review & update of account and customer information ch©v‡jvPbv Ges nvjbvMv`Kvix Kg©KZ©v (Review & Updated by)t

wmjmn ( i¶v¯ Signature with Seal) tbvg (Name) t

ZvwiL (Date) t

SUPERSAVERS TERM DEPOSIT ACCOUNT (SST)

Date: / /SST Account No

Terms & Conditions for " Supersavers Term Deposit Account (SST)”

I/we have read and understood the above terms & conditions and agree to comply with them and also such terms & conditions as may be amendedor supplemented from time to time.

Signature of the Applicant(s)

A. The name of the Scheme is- SUPERSAVERS TERM DEPOSIT ACCOUNT -SST

B. BENEFIT FEATURES: 1. The Period of the SST account will be of 1 (one) year

2. The interest rate of the Supersavers’ Term Deposit Account (SST) is to be 0.10% higher than maximum term deposit interest rate of 1 year that prevails at the time of opening the account.

3. Loan/ Credit Facility up to 80% of the deposited amount will be allowed against lien of the SST at 3% higher from the SST interest rate.

4. Locker facilities can be availed at 50% rent for the first year subject to the availability of locker facility in the respective branch.C. ELIGIBILITY FEATURE: 1. SST can be opened at multiple of Tk. 1,00,000 without any upper limit. 2. Bangladeshi citizen aged 18 years or above can open this account either singly or jointly. 3. Minor citizen of Bangladesh can also open this account. In that case, his/her legal guardian will operate the A/C. 4. One customer can open more than on SST with same branch or any branches of NBL.

5. The account can be opened in the name of Proprietary Firm, Limited Company, and Institution except Bank, NBFI or any other special type of finance or micro-finance Company.

D. ENCASHMENT FEATURES : 1. No interest will be paid if en-cashed or closed before 1 (one) month. 2. Interest will be paid at Lowest Slab Savings Bank Deposit rate prevailing in our Bank at the time of encashment or at the time of

issuance, whichever is lower, for the holding period if the account is en-cashed/closed after 1 (one) month but before 3 (three) months. 3. If the account is closed after 3 (three) months but before maturity, interest will be paid at 3 (three) months’ FDR interest rate of that

time or at the time of issuance, whichever is lower, for every completed 3 (three) months period and Savings Bank Deposit rate will be applicable for residual holding period as mentioned in Point-2 under Encashment Features.

E. OTHER CONDITIONS: 1. SST cannot be renewed upon its maturity. A fresh SST account has to be opened in case of reinvestment. 2. Minor’s account will not be entitled to avail the other benefit features; i.e. Loan & Locker Facility. 3. SST backing loan may be sanctioned up to the tenor of maturity of SST. 4. SST receipt is not Transferable. 5. Changes of Address must be informed immediately to the issuing branch of NBL. 6. In case of the instrument is lost, duplicate receipt will be issued in favor of the beneficiary/ beneficiaries after completing all process

& formalities. 7. Outstanding amount against Loan and Credit Card to be adjusted as per terms and conditions of the contract. 8. Bank can exercise the right of set-off, if necessary, in case of lien. 9. Excise duty, VAT and Income Tax to be realized from the Account as per approved rate as circulated by the Government from time

to time.F. DECLARATION OF NOMINEE:

1. If the Account Holder dies at any time during the period, the balance of the Account will be paid to the nominated person(s) of the Account Holder. If the Account Holder does not nominate any person(s), then the deposited money shall be paid to the successor on production of Succession Certificate.

2. An Account Holder may fix the share payment to each nominee by fixing the share of amount receivable by such nominee (s) in case of the number of nominee is more than one.

3. The nomination will be canceled if the nominee dies in the lifetime of the account holder. A new nominee may be nominated by the Account holder in such case.

4. In the event of Account holder’s death, his/her nominee(s) will not be allowed to continue the account. 5. A minor can also be made as a nominee, In that case the minor’s legal guardian will receive payment on his/her behalf. 6. Photograph of the nominee duly attested by the applicant to be enclosed along with the AOF at the time of opening the A/C


Date: / /

National Bank Limited NBL SERIOUS SAVERS ACCOUNT (SSA)

SSAAccount No

Terms & Conditions of NBL Serious Saver's Account (SSA):

I/we have read and understood the above terms & conditions and agree to comply with them and also such terms & conditions as may be amendedor supplemented from time to time.

Signature of the Applicant(s)

A. The name of the Scheme is “NBL Serious Saver's Account”-SSA.B. Any Bangladeshi above 18 years of age can open this account. A minor can also open this Account by his/her own name. In that case, his/her

legal guardian will operate the A/C.C. The Account may be opened either singly or jointly.D. The Account cannot be opened in the name of Proprietary concern, Partnership Firm, Limited Company and Institution.E. The SSA Account may be opened on any working day of a month preferably within 5th day of the month.F. Rate of Interest

• NBL Serious Saver's Account (SSA) holder shall receive 03% higher rate of interest than the prevailing minimum SB interest rate. For example, if prevailing Minimum SB interest rate is 04% p.a then 07% interest rate (available minimum SB interest rate of 04% + bonus interest 03%) will be allowed for SSA subject to fulfillment of clause (07).

• Interest rate on NBL Serious Saver's Account (SSA) is subject to change. • Interest will be calculated on the basis of daily available balance in the Account.

G. Opening of Account Serious Saver's Account for urban Branch Minimum initial amount to be deposited is Tk.20,000.00 Subsequently Tk.10,000.00 and above may be deposited in the SSA to become

eligible for receiving bonus interest of 03% in addition to existing normal minimum SB interest rate provided:- i. No withdrawal is made during a particular month. ii. Subsequent deposits are not below Tk.10,000.00. iii. Deposits are made by 5th day of a month. iv. Balance on any day during a month does not fall below Tk.20, 000.00. Serious Saver's Account for rural Branch Minimum initial amount to be deposited is Tk.10,000.00 Subsequently Tk.5,000.00 and above may be deposited in the SSA to become

eligible for receiving bonus interest of 03% in addition to existing normal minimum SB interest rate provided:- i. No withdrawal is made during a particular month. ii. Subsequent deposits are not below Tk.5, 000.00. iii. Deposits are made by 5th day of a month. iv. Balance on any day during a month does not fall below Tk.10, 000.00. The SSA shall be applied normal (minimum) interest rate if i) Subsequent deposits are below Tk.10,000.00 for Urban Branch and below Tk.5,000.00 for rural branch:- ii) Above 25% of the balance is not withdrawn. iii) Number of withdrawals are not exceeded 04 (four) during a particular month. iv) Deposits are made by 5th day of a month. The SSA shall not be applied any interest if i) Above 25% of the balance is withdrawn. ii) Number of withdrawals are exceeded 04 (four) during a particular month.H. Operation of Account The Account shall be operated like a Special Savings Bank Account. Normally no withdrawal in the Account shall be allowed/encouraged.

However, at the desire of the Customer, Cheque book may be issued in favor of the Account holder and withdrawals may be allowed.I. Declaration of Nominee

i) If the Account Holder dies at any time during the period, the balance of the Account will be paid to the nominated person(s) of the Account Holder. If the Account Holder does not nominate any person(s), then the deposited money shall be paid to the successor on production of Succession Certificate.

ii) An Account Holder may fix the share payment to each nominee by fixing the share of amount receivable by such nominee (s) in case of the number of nominee is more than one.

iii) The nomination will be canceled if the nominee dies in the lifetime of the account holder. A new nominee may be nominated by the Account holder in such case.

iv) In the event of Account holder’s death, his/her nominee(s) will not be allowed to continue the account. v) A minor can also be made as a nominee, In that case the minor’s legal guardian will receive payment on his/her behalf. vi) Photograph of the nominee duly attested by the applicant to be enclosed along with the AOF at the time of opening the A/C.

J. Service Charge/ Account maintenance fee Like Savings Bank Account, half Yearly Account Maintenance Fee shall be realizable from this account as usual.K. Realization of Excise duty/VAT/Income Tax etc. Excise duty, VAT and Income Tax shall be realized from the Account as applicable as per approved rate as circulated by the Government

from time to time.

wnmve †Lvjvi wbqgvejxmÂqx wnmve cÖK„wZi cÖvB‡fU d‡ib Kv‡iÝx (Gdwm) GKvD›U GKvD›U ‡Lvjvi Rb¨ Dchy³ e¨w³t we‡`‡k Kg©iZ/emevmiZ evsjv‡`kx bvMwiK, PvKzix/Awfevmb/¯^-Kg©ms¯’v‡bi j‡ÿ¨ we‡`k hv‡”Qb Ggb evsjv‡`kx e¨w³ eM©, evsjv‡`k

ev we‡`‡k emevmiZ Ab¨vb¨ RvZxqZvi bvMwiK, we‡`‡k wbewÜZ Ges evsjv‡`k ev we‡`‡k eëmvqiZ cÖwZôvb, evOjv‡`‡k Aew¯’Z K~U‰bwZK wgkb I wgk‡b Kg©iZ we‡`kx bvMwiK, evsjv‡`‡k/AvšÍR©vwZK cÖwZôv‡b Kg©iZ ‰e‡`wkK gy`ªvq †eZb‡fvMx evsjv‡`kx Kgx©MY Aby‡gvw`Z wWjvi e¨vs‡K cÖvB‡fU Gdwm GKvD›U Lyj‡Z cv‡ib|

cÖv_wgK Rgv Qvov GKvD›U ‡Lvjvi my‡hvM t PvKzix/Awfevmb/¯^-Kg©ms¯’v‡bi j‡ÿ¨ we‡`k hv‡”Qb Ggb e¨w³ eM© we‡`k hvIqvi c~‡e© †Kvb Rgv Qvov cÖvB‡fU Gdwm GKvD›U Lyj‡Z cv‡ib | we‡`k hvIqvi ciI cÖevm n‡Z cÖ‡qvRbxq KvMRcÎ cvwV‡q ev †`‡k ‡diZ Avmvi ci †h †Kvb mgq Giƒc Gdwm GKvD›U †Lvjv †h‡Z cv‡i|

GKvD‡›U ê‡`wkK gy`ªv Rgv `vbt G ai‡bi GKvD‡›U we‡`k n‡Z e¨vs‡Ki gva¨‡g ê‡`wkK gy`ªv cvVv‡bv hvq| cvkvcvwk, we‡`k n‡Z †`‡k Avmvi mgq mv‡_ Avbv ê‡`wkK gy`ªv/WªvdU BZ¨vw` Rgv †`qv hvq, Ab¨ †Kvb cÖevmx Øviv cvVv‡bv ev Ab¨ †Kvb Gdwm GKvD›U n‡Z cvVv‡bv ê‡`wkK gy`ªv Rgv ivLv hvq|

g‡bvwbZ e¨w³i gva¨‡g GKvD›U cwiPvjbv t wnmveavix wb‡R ev Zvi g‡bvbxZ e¨w³ G GKvD›U cwiPvjbv Ki‡Z cv‡ib| GKvD‡›U Rgv ivLv ê‡`wkK gy`ªvi eënvi t G GKvD‡›Ui Rgv ê‡`wkK gy`ªv UvKvq bM`vqb Kiv hvq, e¨vs‡Ki gva¨‡g we‡`‡k cvVv‡bv hvq Ges cybivq we‡`k hvIqvi mgq

bM‡` mv‡_ †bqv hvq (gvwK©b Wjvi †bvU AvKv‡i AbwaK 2,000 Ges Aewkó Ask Ab¨vb¨ ê‡`wkK gy`ªv, wUwm ev KvW© AvKv‡i ) GKvD›U Pvjy ivLvi mgqKvj t G GKvD›U hZw`b B”Qv (GgbwK ¯’vqxfv‡e †`‡k Avmvi ciI) Pvjy ivLv hvq| GKvD‡›Ui cÖK…wZ t G GKvD›U mvavibZt mÂqx cÖK„wZi n‡q _v‡K | G GKvD‡›Ui w¯’wZ †gqv`x AvKv‡iI Rgv ivLv& †h‡Z cv‡i| my` t G GKvD‡›Ui w¯’wZ 1/3/6/12 gvm †gqv`x AvKv‡i Rgv ivL‡j Zvi Ici cÖ‡hvR¨ nv‡i my` cvIqv hvq | cvkvcvwk, †gqv`x AvKv‡i Rgv bq Ggb Rgvi IciI (Rgvi

cwigvY Kgc‡ÿ gvwK©b Wjvi 1,000/cvDÛ ÷vwj©s 500/mgZzj¨ Ab¨ ê‡`wkK gy`ªv Ges Rgvi mgqKvj Kgc‡ÿ 1 gvm n‡j) my` cvIqv †h‡Z cv‡i| †gqv`x cÖK„wZi bb-‡iwm‡W›U d‡ib Kv‡iÝx wW‡cvwRU GKvD›U ev GbGdwmwW GKvD›U GKvD›U †Lvjvi Dchy³ e¨w³ t we‡`‡k Kg©iZ/emevmiZ Awaevmx evsjv‡`kx, we‡`‡k emevmiZ ˆØZ bvMwiKZ¡avix evsjv‡`kx, we‡`k¯’ evsjv‡`k wgk‡b Kg©iZ

evsjv‡`kxMb, we‡`‡k AvšÍR©vwZK /AvÂwjK cÖwZôv‡b ‡cªl‡Y/wbqwgZfv‡e wb‡qvwRZ miKvix/¯^vqZ¡ kvwmZ cÖwZôvb I ivóªxq gvwjKvbvaxb e¨vsK I Ab¨vb¨ wewae× cÖwZôv‡bi Kg©KZ©v I Kg©PvixMY G GKvD›U Lyj‡Z cv‡ib|

GKvD›U †Lvjvi mgq t we‡`k n‡Z cÖ‡qvRbxq KvMRcÎ cvwV‡q ev †`‡k †diZ Avmvi ci †h †Kvb mgq (GgbwK ¯’vqxfv‡e †`‡k Avmvi ciI) GbGdwmwW GKvD›U †Lvjv hvq|

GKvD›U ‡Lvjvi Rb¨ b~¨bZg Rgvi cwigvbt GKvD›U †Lvjvi Rb¨ b~¨bZg Rgvi cwigvb gvwK©b Wjvi 1000, cvDÛ ÷vwj©s 500 ev mgZzj¨ Ab¨ ê‡`wkK gy`ªv| we‡`kx bvMwiK/cÖwZôvb/wewb‡qvMKvixM‡Yi †ÿ‡Î Gi cwigvb b~¨bZg 25,000 gvwK©b Wjvi/mggvb|

GKvD‡›Ui cÖK…wZ t G GKvD‡›U 1/3/6/12 gvm †gqv‡ì Rb¨ gvwK©b Wjvi, cvDÛ ÷vwjs, BD‡iv ev Rvcvbx B‡qb gy`ªvq †Lvjv †h‡Z cv‡i hv cybtbevqb‡hvM¨| GKvD‡›U ê‡`wkK gy`ªv Rgv `vb t we‡`k n‡Z e¨vs‡Ki gva¨‡g ê‡`wkK gy`ªv cvwV‡q ev cÖvB‡fU Gdwm GKvD‡›Ui Rgv ¯’vbvšÍi K‡i ev ‡`‡k Avmvi mgq mv‡_ Avbv ê‡`wkK

gy`ªv w`‡q G GKvD›U †Lvjv hvq| Rgv ivLv ê‡`wkK gy`ªvi eënvi t G GKvD‡›U Rgv ivLv ‰e‡`wkK gy`ªv UvKvq bM`vqb Kiv hvq, e¨vs‡Ki gva¨‡g we‡`‡k cvVv‡bv hvq Ges cybivq we‡`k hvIqvi mgq bM‡`

mv‡_ †bqv hvq gvwK©b Wjvi †bvU AvKv‡i AbwaK 2000 Ges Aewkó Ask Ab¨vb¨ ê‡`wkK gy`ªv, wUwm ev KvW© AvKv‡i| my` t GbGdwmwW GKvD‡›Ui Rgvi Dci mswkøó gy`ªvi Rb¨ AvšÍR©vwZK evRv‡i Pvjy my`/gybvdvi nv‡i my`/gybvdv cvIqv hvq| my /gybvdv evsjv‡`‡k Kigy³| †gqv`c~wZ©i Av‡MI

Avmj A_© D‡Ëvjb Kiv hvq, Z‡e G ‡ÿ‡Î my`/gybvdv cvIqv hvq bv| wbevmx evsjv‡`kx‡ì Rb¨ †iwm‡W›U d‡ib Kv‡iÝx wW‡cvwRU GKvD›U ev AviGdwmwW GKvD›U GKvD›U †Lvjvi Rb¨ Dchy³ e¨w³ t wbevmx evsjv‡`kxMY we‡`k n‡Z †`‡k ‡diZ Avmvi mgq mv‡_ Avbv ‰e‡`wkK gy`ªv Øviv AviGdwmwW GKvD›U Lyj‡Z cvi‡eb| GKvD›U †Lvjvi mgqKvj t wbevmx evsjv‡`kxMY †`‡k †diZ Avmvi ci †h †Kvb mgq GB GKvD›U Lyj‡Z cv‡ib| D‡jøL¨, AbwaK 5000 gvwK©b Wjvi ev mgg~‡jï ê‡`wkK

gy`ªv we‡`k n‡Z ‡diZ Avmvi ci †h †Kvb mgq GKvD›U Rgv †`qv hvq; 5000 gvwK©b Wjv‡ii/mgg~‡jï AwZwi³ AsK ïé KZ©„c‡ÿi wbKU GdGg‡R di‡g †NvlYv †`qv mv‡c‡ÿ †`‡k †diZ Avmvi GK gv‡mi g‡a¨ Rgv †`qv hvq|

GKvD‡›U Rgv †`qv ê‡`wkK g„`ªvi Drm t ïay †`‡k Avmvi mgq mv‡_ Avbv ê‡`wkK gy`ªv G GKvD‡›U Rgv †`qv hvq| GKvD‡›U Rgv _vKv A‡_©i eënvi t GKvD‡›U Rgv ê‡`wkK gy`ªv UvKvq bM`vqb Kiv hvq, we‡`‡k cvVv‡bv hvq ev cieZ©x we‡`k hvÎvi mgq bM‡` (gvwK©b Wjvi †bvU AvKv‡i

AbwaK 2000 Ges Aewkó Ask Ab¨ ê‡`wkK gy`ªv, wUwm ev KvW© AvKv‡i) mv‡_ †bqv hvq| my` t G ai‡bi GKvD‡›Ui Ici cÖ‡hvR¨ nv‡i my` cvIqv hvq|K‡c©v‡iU ev eëmvwqK cÖwZôv‡bi wnmve e¨w³ gvwjKvbvaxb cÖwZôvb t †UªW jvB‡mÝmn wnmve cwiPvjbvKvixi (cÖwZôv‡bi ¯^Z¡vwaKvixi) wel‡q Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e| cvU©bviwkc t cvU©bviwkc wWW, †UªW jvB‡mÝmn Askx`viM‡Yi cwiwPwZi wel‡q Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iYmn †ewbwdwkqvj IbviGi msÁv Abyhvqx

cÖ‡Z¨K cvU©bvi/‡kqvi‡nvìv‡ii dig c~iY Ki‡Z n‡e| wjwg‡UW †Kv¤úvwb t mvwU©wd‡KU Ae BbK‡c©v‡ikb, AvwU©‡Kjm Ae G‡mvwm‡qkb, †g‡gv‡iÛvg Ae G‡mvwm‡qkb, †ev‡W©i mfvq M„nxZ AvbyôvwbK wm×všÍ (resolution),

cwiPvjK m¤úwK©Z †NvlYv Ges wnmve cwiPvjbvKvixi wel‡q Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iYmn †ewbwdwkqvj Ibvi Gi msÁv Abyhvqx cÖ‡Z¨K cwiPvj‡Ki/‡kqvi‡nvìv‡ii Rb¨ Òe¨w³ msμvšÍ Z_¨vejxÓ dig c~iY Ki‡Z n‡e| (†Kv¤úvwb ev Zvi cwiPvjKM‡Yi wel‡q cÖ‡qvR‡b Z_¨vwì mwVKZv hvPvB‡qi j‡ÿ¨ †iwR÷ªvi Ae R‡q›U ÷K †Kv¤úvwbR GÛ dvg©m& Gi mvnvh¨ MÖnY Kiv †h‡Z cv‡i| evsjv‡`‡ki evB‡i wbewÜZ †Kv¤úvwbi †ÿ‡Î wbeÜb `wjjvw` †h ¯’vb n‡Z Bmy¨K…Z n‡q‡Q, cÖ‡qvR‡b ‡mLv‡b †hvMv‡hvM K‡i `wjjvwì h_v_©Zv m¤ú‡K© wbwðZ nIqv ‡h‡Z cv‡i)|†Kv¤úvwbi †ÿ‡Î m‡e©v”P †kqviavix by¨bZg 5 Rb cwiPvjK ev †hme †ÿ‡Î 5 R‡bi Kg †m‡ÿ‡Î mK‡ji/Ab¨vb¨ cÖ‡hvR¨ †ÿ‡Î wbe©vnx KwgwUi m`m¨M‡Yi e¨w³ msμvšÍ Z_¨ msMÖn Ki‡Z n‡e|

miKvix wnmve (wewfbœ gš¿Yvjq, wefvMmn), miKvix gvwjKvbvaxb cÖwZôvb, Avav miKvix ev ¯^vqËkvwmZ cÖwZôv‡bi wnmve, wewfbœ gš¿Yvj‡qi Aax‡b cwiPvwjZ cÖK‡íi wnmve wnmve †Lvjv I cwiPvjbvi Rb¨ mswkøó Dchy³ KZ©„cÿ KZ©„K cÖ`Ë AbygwZ cÎmn wnmve cwiPvjbvKvixiÒe¨w³ msμvšÍ Z_¨vejxÓ c„_Kdig h_vh_fv‡e c~iY Ki‡Z n‡e|Ab¨vb¨ msMV‡bi wnmve K¬ve/†mvmvBwU t cwiPvjbv cl©`, evB-jR ev msweavb, wnmve †Lvjvi †iRjy¨kb, †iwR÷vW© n‡j miKvix Aby‡gv`bcÎ BZ¨vw`mn mswkøó mfvcwZ, m¤úv`K, †Kvlva¨ÿ I

Ab¨vb¨ wnmve cwiPvjbvKvixi Rb¨ Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e| mgevq mwgwZ/wjwg‡UW †mvmvBwU t †Kv-Acv‡iwUf Kg©KZ©v KZ©„K mZ¨vwqZ evB-jR, Awdm Kg©KZ©v‡ì (office bearers) weeiY, wnmve ‡Lvjvi wel‡q wm×všÍ

(resolution), mvwU©wd‡KU Ae †iwR‡÷ªkb BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi wel‡q Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e| ‡emiKvix ¯‹zj, K‡jR, gv`ªvmvt Mfwb©s ewW ev g¨v‡bwRs KwgwUi m`m¨M‡Yi c~Y© cwiwPwZ, wnmve ‡Lvjvi wel‡q wm×všÍ (resolution) BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi

wel‡q Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e| Uªvw÷ t wWW Ae Uªv÷ Gi mvwU©dvBW Kwc, Uªvw÷ †evW© Gi m`m¨M‡Yi c~Y© cwiwPwZ, wnmve †Lvjvi wel‡q wm×všÍ (resolution) BZ¨vw`mn mswkøó wnmve cwiPvjbvKvixi wel‡q

Òe¨w³ msμvšÍ Z_¨vejxÓ dig h_vh_fv‡e c~iY Ki‡Z n‡e|

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