Uttara Bank Limited

Account Opening Form

Non-Individual

Date: Account Number

D D M M Y Y Y Y Customer ID
Customer IC
Customer Group ID

The Manager / e¨e¯’vcK

Uttara Bank Limited / DËiv e¨vsK wjwg‡UW
…………………..… Branch / kvLv|
………………………….

Dear Sir/ Rbve,

I/We request you to open an Account in the name of underlying title with your Branch. The detailed information is
given below (Avwg/Avgiv Avcbvi kvLvq wb¤œiƒc GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i we¯ÍvwiZ Z_¨ wb‡¤œ cÖ`vb Kijvg):

1. Title of Account/
(In Block Letter) :

wnmv‡ei bvg :

2. Nature of Organization (√)/ Private Ltd. Co/ cÖvB‡fU wj: †Kv: * Public Ltd. Co/ cvewjK wj: †Kv:
cÖwZôv‡bi aiY (wUK w`b)* :
Partnership/Askx`vix Joint Venture/†hŠ_ D‡`¨vM
Sole Proprietorship/GKK gvwjKvbv Govt./ miKvwi NGO/GbwRI

Club/K¬ve Society /†mvmvBwU Corporation/K‡c©v‡ikb

Co-operative/‡Kv-Acv‡iwUf Trust/Uªv÷

Others (Please Specify)/Ab¨vb¨ (wbw`©ó K‡i): ……………………

3. A) Name of Proprietor/¯^Z¡vwaKvixi bvg :

B) Name & % of share of Partners

Askx`vi‡`i bvg I As‡ki cwigvY :
C) Name & Designation of Directors
cwiPvjK‡`i bvg I c`ex :
(†Kv¤úvbxi c¨v‡W mshy³ Kiæb):

4. Type of Account/ Savings/mÂqx Current/PjwZ SND/ Gm.Gb.wW.

wnmv‡ei cÖKvi (√) :
FDR/¯’vqx FC/ˆe‡`wkK gy`ªv Other/ Ab¨vb¨ ………..

5. Currency/ gy`ªv (√) : Taka/UvKv Dollar/Wjvi Euro/BD‡iv Pound/cvDÛ Other/ Ab¨vb¨ … … … …

6. Organization Address/ cÖwZôv‡bi wVKvbv :

a. Registered Address/†iwRóvW© wVKvbv : ………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………..

Telephone/ ‡Uwj‡dvb : …………………… Fax/ d¨v· : ………………………………… E-mail/ B-‡gBj : …………………………..

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

…………………………………………………………………………………………………………………………………………………

Telephone/ ‡Uwj‡dvb : …………………. Fax/ d¨v· : …………………………………… E-mail/ B-‡gBj : ………………………………

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

Telephone/ ‡Uwj‡dvb : …………………. Fax/ d¨v· : …………………………………… E-mail/ B-‡gBj : …………………………..

Page 1 of 14
7. Trade License No./†UªW jvB‡mÝ b¤^i : Date/ D D M M Y Y Y Y Y
ZvwiL:
Issuing Authority/ Bmy¨Kvix KZ©„cÿ :

8. Registration Authority & Country/wbeÜb KZ©…c¶ I †`k :

(Applicable for both Local/Foreign/ †`kx / we‡`kx Dfq ai‡bi
Rb¨)
9. Registration No./wbeÜb b¤^i : Date/ D D M M Y Y Y Y Y
ZvwiL:

10. Taxpayer Identification Number (TIN)/U¨v·‡cqvi AvB‡WbwUwd‡Kkvb b¤^i(wUAvBGb) :

11. Business Identification Number (BIN)/weR‡bm AvB‡WbwUwd‡Kkvb b¤^i (weAvBGb) :
12. VAT Registration No. (If any) Date/ D D M M Y Y Y Y
/f¨vU †iwRt b¤^i (hw` _v‡K) : ZvwiL:
13. Nature of Business (Details)
/ e¨emv‡qi cÖK…wZ (we¯ÍvwiZ) :

14. Date of Establishment : D D M M Y Y Y Y Number of year in Business/

cÖwZôvi ZvwiL e¨emv‡qi mgqKvj : ………………………….

15. Other Bank A/C(s) of the client (if any), MÖvn‡Ki Ab¨vb¨ e¨vsK wnmve (hw` _v‡K) :
Name of the Bank (e¨vs‡Ki bvg) Branch (kvLv) Type of Account (√)/ wnmv‡ei cÖK…wZ (wUK wPý
w`b)
A) A) Deposit/ Loan/ Others/
K. K. Rgv wnmve FY wnmve Ab¨vb¨ ………
B) B) Deposit/ Loan/ Others/
L. L. Rgv wnmve FY wnmve Ab¨vb¨ ………
C) C) Deposit/ Loan/ Others/
M. M. Rgv wnmve FY wnmve Ab¨vb¨ ………
16. Introducer’s Information/cwiPq`vbKvixi Z_¨ :

Name/bvg :

Father’s Name/ :
wcZvi bvg
Mother’s Name/ :
gvZvi bvg
Spouse Name/ :
¯^vgx/¯¿xi bvg
Present Address/ :
eZ©gvb wVKvbv

Permanent Address :
(Urban)/ ¯’vqx wVKvbv
(kni)

Permanent Address :
(Rural) /¯’vqx wVKvbv
(MÖvg)

Telephone :
Number/‡Uwj‡dvb b¤^i
Account Number/ :
wnmve b¤^i
Branch Name :
kvLvi bvg
I declare that, I know the applicant(s) /signatory(ies) and confirm the occupation and address of the
applicant(s) / signatory (ies) : (Avwg †NvlYv cÖ`vb KiwQ †h, Avwg Av‡e`bKvix / ¯^vÿiKvix (MY) †K wPwb Ges Zv‡`i †ckv I
wVKvbv mwVK e‡j wbwðZ KiwQ)
Introducer’s signature verified by :
Signature
(with PA
Number):
Introducer’s signature with date
(cwiPq`vbKvixi ¯^vÿi I ZvwiL)
Name :
* Introducer’s Information is not applicable for Limited Company./ * wjwg‡UW †Kv¤úvbxi †ÿ‡Î cwiPq`vbKvixi Z_¨ cÖ‡qvRb †bB|

Page 2 of 14
17. Initial Deposit/cÖv_wgK Rgv (√) : Amount/cwigvY :

Cash/bM` Transfer from UBL Account

/BDweGj wnmve b¤^i (¯’vbvšÍ‡ii Rb¨)

Instrument Number/BÝUªy‡g›U b¤^i … … … … … … ……. Drawn on/ cÖ‡`q kvLv … … … … ……………….

Date/ZvwiL …………………… Bank/e¨vsK ……………… …………… Branch/ kvLv … … … … ……………………...

18. Please provide me/us a Cheque book containing .................. leaves / `qv K‡i Avgvi/Avgv‡`i e¨env‡ii Rb¨
…. …. ……. cvZvi GKwU †PK eB cÖ`vb Kiæb|
19. Information about FDR A/C/¯’vqx AvgvbZ msµvšÍ Z_¨ : Amount/cwigvY:

Interest Rate/my‡`i nvi : …. ………. Currency/gy`ªv …. …………………………….

Maturity Date/ D D M M Y Y Y Y
Period/†gqv`Kvj:………Year/eQi……..…Month/gvm ….….. Day/w`b ‡gqv`c~wZ©i ZvwiL:

For Renewal : Principal with Interest Principal only and pay interest in cash
bevq‡bi ‡¶‡Î Avmj Ges my` bevqb Kiæb ïaygvÎ Avmj bevqb Kiæb, my` bM‡` cÖ`vb Kiæb
(√): Principal only & credit Interest
to A/c No/ïaygvÎ Avmj bevqb Kiæb,
my` DwjøwLZ wnmv‡e Rgv Kiæb
Not Applicable/ cÖ‡hvR¨ b‡n

20. Source of Fund/ A‡_©i Drm : …………………………………………………………………………………………………………..

21. Purpose of Account Opening/ wnmve †Lvjvi D‡Ïk¨ : …………………………………………………………………………….

22. Statement Frequency : Monthly/ gvwmK Quarterly/ ˆÎgvwmK Half Yearly/ lvb¥vwmK Yearly/evwl©K
‡÷U‡g›U wd«‡Kv‡qwÝ
23. ATM/Q-cash Transaction/GwUg/wKD-K¨vk †jb‡`b : Yes/ nu¨v No/ bv
24. Statement Delivery (√) : (Any One) ‡jb‡`b weeiYx †cÖiY (√) †h †Kvb GKwU :
Collection from Branch/kvLv n‡Z msMÖn By mail to Office Address/Awd‡mi wVKvbvq †cÖiY By E-mail/B-‡gBj
25. Declaration & signature of the Account Operator(s)/ wnmve cwiPvjbvKvix msµvšÍ †NvlYv I ¯^v¶i :
I/We have read and understood and hereby agree to abide by all the terms and conditions related to the
account. I/We do hereby consciously declare that all the information provided herein above is correct. I/We also
confirm that we will provide further information /documents in addition to the supplied information /documents
as per your requirements. (Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµšÍ hveZxq wbqgvejx/kZv©ejx c‡owQ
Ges D³ wbqgvejx/kZv©ejx †g‡b Pj‡Z eva¨ _vKe| Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, Dc‡ivwjøwLZ Z_¨vw` mZ¨| Avcbvi Pvwn`v
†gvZv‡eK cÖ`Ë Z‡_¨i AwZwi³ mswkøó †h †Kvb cÖ‡qvRbxq Z_¨vw`/`wjjvw` mieivn Kie|)

Signature of the signatorie(s)

( wnmve cwiPvjbvKvix (MY) Gi ¯^vÿi )

A/C Holder’s Name/ Designation/ c`ex Signature/¯^v¶i Date/ ZvwiL

wnmve cwiPvjbvKvix(MY) Gi bvg

1)

2)

3)

4)

5)

Page 3 of 14
 For Bank’s use only

Cheque Book issued containing … … …. …. …. leaves from No …………………………………… to No …………………………

Date : Cheque Book issuing

D D M M Y Y Y Y Officer’s signature : ……………………………………………..

SBS Codes CIB Codes

Sector Code : Borrower Code :

Economic Purpose Code : Borrower Type :

Security Code : Sector Type :

Type of Deposits/Product Sector Code :

Code :
SME Code : Type of Institution:

Remarks : …………………………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………………………………………

A/C Opened by : A/C Approved by :

Name : Name :

Designation : Designation :

Date : Date :

(Signature with Seal) (Signature with Seal)

Page 4 of 14
 Account Opening Form: Personal Information Photograph duly

wnmve †Lvjvi dig t e¨w³ msµvšÍ Z_¨vejx attested by the

introducer
(The form, after being filled in, is to be attached to the original Account Opening Form of Personal and Corporate Banking) (cwiPq`vbKvix KZ©„K
mZ¨vwqZ Av‡jvKwPÎ)
(GB digwU c~iYc~e©K e¨w³ I Ae¨w³K wnmv‡ei g~j As‡ki mv‡_ mshy³ Ki‡Z n‡e)
Date : Account Number
D D M M Y Y Y Y Customer ID
Customer IC

01. Name of the customer :

MÖvn‡Ki bvg :

02. Relation with Account/wnmv‡ei mv‡_ m¤úK© (bx‡P cÖ‡hvR¨ ‡¶‡Î wUK w`b) t
1st Applicant/1g Av‡e`bKvix 2nd Applicant/2q Av‡e`bKvix 3rd Applicant/3q Av‡e`bKvix
Director/ WvB‡i±i Partner/ Askx`vi Minor/ bvevjK Guardian/AwffveK

Attorney Holder/ G¨vUbx© †nvìvi Signatory/wmM‡bUwi Others(Please Specify)/ Ab¨vb¨ : … …

03. Father’s Name/wcZvi bvg :
04. Mother’s Name/gvZvi bvg :
05. Spouse Name/¯^vgx/¯¿xi bvg :
06. Nationality/RvZxqZv :
07. Date of Birth/Rb¥ ZvwiL : D D M M Y Y Y Y

08. Sex(√)/wj½ (wUK w`b) : Male / cyiæl Female / gwnjv

09. Educational Qualification/wkÿvMZ †hvM¨Zv :
10. Religion / ag© :
11. Occupation (with Designation)/†ckv
(c`exmn) :
12. National ID Number/RvZxq cwiPqcÎ b¤^i :
13. Passport Number (if any )/cvm‡cvU© b¤^i(hw` _v‡K) :
14. Taxpayer Identification Number (TIN), if
any/ U¨v·‡cqvi AvBwW b¤^i ( আই এন) (hw` _v‡K) :
15. Driving License Number, (if any)/
WªvBwfs jvB‡mÝ b¤^i (hw` _v‡K) :
16. Present Address (Residence)/
eZ©gvb wVKvbv (Avevm¯’j) :

Permanent Address (Urban)/ ¯’vqx wVKvbv(kni) :

17. Permanent Address (Rural) /¯’vqx

wVKvbv(MÖvg) :

18. Occupational/Business Address/†ckvMZ

wVKvbv :
19. Name of the Organization/ Designation/
cÖwZôv‡bi bvg : c`ex :
Contact Number/†hvMv‡hvM : Mobile(†gvevBj)…………….……….……
Telephone/†Uwj‡dvb : Residence/Avevm¯’j …………………………. Office/Awdm : ….………….………
E-mail/B-‡gBj : …………………………………………. Fax/d¨v· : ………………………..
20. Credit Card Information : (if applicable)/ †µwWU KvW© msµvšÍ Z_¨ (hw` _v‡K)
Issued by/Bm¨yKvix cÖwZôvb : Credit Card No/ KvW© b¤^i :
1.
2.
21. Residence status(√) /‡iwm‡WÝ ó¨vUvm (wUK w`b) : Resident/ †iwm‡W›U Non Resident/ bb-†iwm‡W›U
(Bank shall collect information as per Guidelines for Foreign Exchange Transactions, if necessary)(cÖ‡qvRbxq †¶‡Î e¨vsK MvBWjvBÝ di d‡ib
G·‡PÄ Uªvb‡RKkbm& Gi wb‡`©kbv AbymiY K‡i Z_¨ msMÖn Ki‡e)

Signature with date

Page 5 of 14
 Account Opening Form: Personal Information Photograph duly

wnmve †Lvjvi dig t e¨w³ msµvšÍ Z_¨vejx attested by the

introducer
(The form, after being filled in, is to be attached to the original Account Opening Form of Personal and Corporate Banking) (cwiPq`vbKvix KZ©„K
mZ¨vwqZ Av‡jvKwPÎ)
(GB digwU c~iYc~e©K e¨w³ I Ae¨w³K wnmv‡ei g~j As‡ki mv‡_ mshy³ Ki‡Z n‡e)
Date : Account Number
D D M M Y Y Y Y Customer ID
Customer IC

01. Name of the customer :

MÖvn‡Ki bvg :

02. Relation with Account/wnmv‡ei mv‡_ m¤úK© (bx‡P cÖ‡hvR¨ ‡¶‡Î wUK w`b) t
1st Applicant/1g Av‡e`bKvix 2nd Applicant/2q Av‡e`bKvix 3rd Applicant/3q Av‡e`bKvix
Director/ WvB‡i±i Partner/ Askx`vi Minor/ bvevjK Guardian/AwffveK

Attorney Holder/ G¨vUbx© †nvìvi Signatory/wmM‡bUwi Others(Please Specify)/ Ab¨vb¨ : … …

03. Father’s Name/wcZvi bvg :
04. Mother’s Name/gvZvi bvg :
05. Spouse Name/¯^vgx/¯¿xi bvg :
06. Nationality/RvZxqZv :
07. Date of Birth/Rb¥ ZvwiL : D D M M Y Y Y Y

08. Sex(√)/wj½ (wUK w`b) : Male / cyiæl Female / gwnjv

09. Educational Qualification/wkÿvMZ †hvM¨Zv :
10. Religion / ag© :
11. Occupation (with Designation)/†ckv
(c`exmn) :
12. National ID Number/RvZxq cwiPqcÎ b¤^i :
13. Passport Number (if any )/cvm‡cvU© b¤^i(hw` _v‡K) :
14. Taxpayer Identification Number (TIN), if
any/ U¨v·‡cqvi AvBwW b¤^i ( আই এন) (hw` _v‡K) :
15. Driving License Number, (if any)/
WªvBwfs jvB‡mÝ b¤^i (hw` _v‡K) :
16. Present Address (Residence)/
eZ©gvb wVKvbv (Avevm¯’j) :

Permanent Address (Urban)/ ¯’vqx wVKvbv(kni) :

17. Permanent Address (Rural) /¯’vqx

wVKvbv(MÖvg) :

18. Occupational/Business Address/†ckvMZ

wVKvbv :
19. Name of the Organization/ Designation/
cÖwZôv‡bi bvg : c`ex :
Contact Number/†hvMv‡hvM : Mobile(†gvevBj)…………….……….……
Telephone/†Uwj‡dvb : Residence/Avevm¯’j …………………………. Office/Awdm : ….………….………
E-mail/B-‡gBj : …………………………………………. Fax/d¨v· : ………………………..
20. Credit Card Information : (if applicable)/ †µwWU KvW© msµvšÍ Z_¨ (hw` _v‡K)
Issued by/Bm¨yKvix cÖwZôvb : Credit Card No/ KvW© b¤^i :
1.
2.
21. Residence status(√) /‡iwm‡WÝ ó¨vUvm (wUK w`b) : Resident/ †iwm‡W›U Non Resident/ bb-†iwm‡W›U
(Bank shall collect information as per Guidelines for Foreign Exchange Transactions, if necessary)(cÖ‡qvRbxq †¶‡Î e¨vsK MvBWjvBÝ di d‡ib
G·‡PÄ Uªvb‡RKkbm& Gi wb‡`©kbv AbymiY K‡i Z_¨ msMÖn Ki‡e)

Signature with date

Page 6 of 14
 Transaction Profile/ m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv
1. Name of the Account/wnmv‡ei bvg :

2. Type of Account / wnmv‡ei aiY :

3. Account / Reference Number :

wnmve ev m~Î (Reference) b¤^i
4. Customer ID / Kv÷gvi AvBwW :
5. Customer Group ID/Kv÷gvi MÖæc AvBwW :

6. Maximum Size of Amount Total Value

No. of Transactions
(Per Transaction)/ (Monthly)/
Description/ weeiY (Monthly)/‡jb‡`‡bi msL¨v
m‡ev©”P †jb‡`‡bi A¼ ‡gvU cwigvY
(gvwmK) (gvwmK)
(cÖwZwU †jb‡`‡bi)
Deposits / Rgv :
Cash Deposits (including on-line)
bM` Rgv (AbjvBbmn)
Deposits by Transfer/Instruments
UªvÝdvi/ BÝUªy‡g›U Gi gva¨‡g Rgv
Deposit of Foreign Remittance
d‡ib †iwgU¨vÝ Rgv
Export Proceeds/ ißvwb n‡Z Avq
Others (Specify)/ Ab¨vb¨
(wbw`©ófv‡e)...........................
Total Expected Deposits / †gvU m¤¢ve¨ Rgv :

Withdrawals/ D‡Ëvjb :
Cash withdrawal(including on-line/ATM)
bM` D‡Ëvjb (AbjvBbmn/G.wU.Gg mn)
Payment by Transfer/Instruments
UªvÝdvi/BÝUªy‡g›U Gi gva¨‡g cwi‡kva
Foreign Remittance withdrawal
d‡ib †iwgU¨vÝ D‡Ëvjb
Settlement of Import Expense
Avg`vwb eve` e¨q
Others (Specify)
Ab¨vb¨ (wbw`©ófv‡e)...........................
Total Expected Withdrawals / †gvU m¤¢ve¨ D‡Ëvjb :
7. Source of Fund of Transactions : ……………………………………………………………………………………………
†jb‡`bK…Z A‡_©i Drm
……………………………………………………………………………………………
Customer Declaration :
I / We, the undersigned hereby confirm that this Transaction Profile truly represents the expected normal transactions
of mine or my/our institution. I / We also confirm that I / we will revise/update my / our Transaction Profile, if
necessary, from time to time. (Avwg/Avgiv wb¤œ¯^v¶iKvix(MY) G g‡g© wbðqZv cÖ`vb KiwQ †h, m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv
Avgvi/Avgv‡`i 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|)
Signature Signature
/¯^v¶i /¯^v¶i

Name/ bvg Name/ bvg

Designation Designation
/ c`ex / c`ex
Date/ ZvwiL Date/ZvwiL

Signature Verified by :
Page 7 of 14
 KYC Profile Form : For Personal & Corporate banking

Customer ID
Customer IC

………………………………………………………………………………………
01. Name of the Account :
……
………………………………………………………………………………………
02. Type of Account :
……
………………………………………………………………………………………
03. Account / Reference Number :
……
………………………………………………………………………………………
04. Name of the officer opened the account :
……
Nature of Business & Source of Fund : ………………………………………………………………………………………
05. …
…
06. Describe how the sources of funds have been confirmed/verified and comment whether the amount of
transactions are commensurate with nature of the business :

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

07. Information regarding the beneficial owner of the account (In case of company, detailed information of
the shareholders who control the company and the shareholder holding 20% or above shares of the
company) :

………………………………………………………………………………………………………………………………………………………
……

………………………………………………………………………………………………………………………………………………………
……

Photocopy obtained ?
08. Passport No. :  Yes  No

09. Voter ID Card Number :  Yes  No

10. National ID Card Number :  Yes  No

11. Taxpayer Identification Number (TIN) :  Yes  No

12. VAT Registration Number :  Yes  No

13. Driving License Number :  Yes  No

14. Reason for opening account of Non-resident and Expatriate :

………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………
Type of Visa (Residence/Work) :

………………………………………………………………………………………………………………………………………………………

Page 8 of 14
15. What does the customer do ? / In what type of business the institution is engaged ? :

Sl. No. Category Risk Level Score

01. Jewellery / Gems Trade High 5
02. Money Changer/Courier Service Agent High 5
03. Real Estate Agent High 5
04. Construction Promoters of Projects High 5
05. Off–shore Corporation High 5
06. Art / Antique Dealers High 5
07. Restaurant / Bar / Casino / Night High 5
Club/Residential Hotel Owners

08. Import / Export Agents High 5

09. Cash Investor with a turnover of Tk.25 lac High 5
per month

10. Share / Stock Dealer High 5

11. Man Power Business High 5
12. Operations in multiple locations High 5
13. Film Director/Producer High 5
14. Arms Business High 5
15. Mobile Phone Operator High 5
16. Traders with a turnover of more than High 4
Tk.1.00 Crore per annum

17. Travel Agents High 4

18. Transport Business/Operator Medium 3
19. Auto Dealers (Used / Reconditioned Cars) Medium 3
20. Leasing/Finance Company Medium 3
21. Freight /Shipping/Cargo Agent Medium 3
22. Insurance/Brokerage Agency Medium 3
23. Religious Institution /Organization Medium 3
24. Amusement Institution /Park Medium 3
25. Motor Parts Business Medium 3
26. Tobacco/ Cigarette Business Medium 3
27. Auto Primary (New Car) Low 2
28. Shop Owner (Retail) Low 2
29. Business-Agent Low 2
30. Small Trader (Turnover less than Tk.50 Low 2
Lac)
31. Self employed professionals Low 2
32. Corporate Customers Low 2
33. Construction materials business Low 2
34. Computer/Mobile Phone dealer Low 2
35. Software Business Low 1
36. Manufacturers (Other than Arms) Low 1
37. Retired from service Low 0
38. Service Low 0
39. Student Low 0
40. House Wife Low 0
41. Farmers Low 0
42. Others ( Bank will provide risk score
depending on category)

Page 9 of 14
(Upper limit of table No. 16 to 21 will be considered as the same level e.g. Taka 50.00 lac will be included in the range of 0-50).

16. The Net Worth Amount of Customer :

Amount (Tk.) Risk Level Risk Rating

1 Lac to 50 Lac Low 0
50 Lac to 200 Lac Medium 1
Above 2 Crore High 3

17. How was the Account opened ?

Mode Risk Level Risk Rating

Relationship Manager / Officer of the Branch Low 0
Direct Sales Agent Medium 1
Internet High 3
Self motivated/Walk-in High 3

18. Expected Value of transactions on a monthly basis :

Value for Current A/C Value for Savings A/C Risk Level Risk Rating
0 to 10 Lac 0 to 5 Lac Low 0
10 Lac to 50 Lac 5 Lac to 20 Lac Medium 1
Above 50 Lac Above 20 Lac High 3

19. Expected Number of transactions on a monthly basis :

Number for Current A/C Number for Savings A/C Risk Level Risk Rating
0 to 100 0 to 20 Low 0
100 to 250 20 to 50 Medium 1
Above 250 Above 50 High 3

20. Expected Value of Cash Transactions on a monthly basis :

Value for Current A/C Value for Savings A/C Risk Level Risk Rating
0 to 10 Lac 0 to 2 Lac Low 0
10 Lac to 25 Lac 2 Lac to 7 Lac Medium 1
Above 25 Lac Above 7 Lac High 3

21. Expected Number of Cash Transactions on a monthly basis :

Number for Current A/C Number for Savings A/C Risk Level Risk Rating
0 to 15 0 to 5 Low 0
15 to 30 5 to 10 Medium 1
Above 30 Above 10 High 3

Total

22. Overall Risk Assessment :

Total Risk Rating Risk Assessment

Above / Equal to 14 High
Below 14 Low

Page 10 of 14
 Comments :
………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………

(* If the overall risk rating is below 14, customer can be categorized to high risk based on subjective judgement)

Has the address of the customer been verified ?

23.  Yes  No

If yes, then how it has been verified ?

24. ……………………………………………………………………………………………

Politically Exposed Persons (PEPs as per BB, AML Circular No-14 dated: 25.09.2007)
25.

A. Has the approval of Senior Management been taken ?

 Yes  No

B. Source of wealth ?

……………………………………………………………………………………………………………………………………………………

C. Has face-to-face interview with the Customer been taken ?  Yes  No

Prepared by(Account Opening Officer/Relationship Manager) Reviewed by [Operation Manager(2nd Officer)/Branch In Charge]

Signature (with seal) : Signature (with seal) :

Date : Date :

26. When the information of the account has been reviewed and updated lastly ?

Reviewed and Updated by :

Name : Designation :

Signature : Date :
(with seal)

Note: KYC Profile & Transaction Profile must be updated & re-approved at least annually for ‘High Risk’ accounts.
When an account is re-classified as ‘High Risk’ or needed to be re-classified as ‘High Risk’ in the event of
investigations of suspicious transactions or for any other reasons, it must be updated.

Page 11 of 14
 KYC Profile Form : Special Scheme /FDR

1. Name of the Account : ……………………………………………………………………………………

2. Type of Account : ……………………………………………………………………………………

3. Account / Reference Number : ……………………………………………………………………………………

4. Customer ID : ……………………………………………………………………………………

5. Customer Group ID : ……………………………………………………………………………………

6. Name of the officer opened the account : ……………………………………………………………………………………

7. Source of Fund & how the source of fund has been confirmed / verified? (if applicable) :

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

8. Information regarding the beneficial owner of the account (In case of company, detailed information of the
shareholders who control the company and the shareholder holding 20% or above shares of the
company) :
…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

Photocopy obtained ?

9. Passport No. : Yes No

10. Voter ID Card Number : Yes No

11. National ID Card Number : Yes No

12. Taxpayer Identification Number (TIN) : Yes No

13. VAT Registration Number : Yes No

14. Driving License Number : Yes No

15. What does the customer do ? (Describe the details of the customer’s profession) :

16. Remarks (if any) :

(Comment regarding the customer’s Risk on subjective consideration may be inserted)

……………………………………………………………………... ……………………………………………………..
Account Opening Officer / Relationship Manager’s Signature Signature of the approving Officer
Name with seal and Date Name with seal and Date

Page 12 of 14
mÂqx wnmv‡ei wbqgvejx

1| K) ‡h †Kvb K¬ve, mwgwZ Ges Abyi~c †Kvb msMVb ev cÖwZôvb e¨vs‡Ki wbKU MÖnY‡hvM¨ evB-j cÖ`vb mv‡c‡¶ H msMVb ev
cÖwZôv†bi bv‡g mÂqx wnmve Lyj‡Z cvi‡eb|
L) hw` wnmvewU `yB ev Z‡ZvwaK e¨w³ wnmve cwiPvjbv K‡ib Zvn‡j wnmve cwiPvjbvi aiY wnmve †Lvjvi di‡gi
mywbw`©ófv‡e D‡j-L Ki‡Z n‡e|
2| e¨vs‡Ki †h †Kvb kvLvq GK bv‡g GKwUi †ekx wnmve †Lvjv hv‡e bv|
3| cÖ‡Z¨KwU wnmv‡ei Rb¨ GKwU c„_K b¤^i †`Iqv n‡e| wnmv‡e ‡jb‡`b I wPwVcÎ Av`vb-cÖ`v‡bi mgq cÖ‡Z¨Kevi D³
b¤^i D‡j-L Ki‡Z n‡e| eZ©gvb wVKvbv I †Uwj‡dvb b¤^i cwieZ©b n‡j e¨vsK‡K Zv h_vmg‡q wjwLZ fv‡e Rvbv‡Z n‡e Ges
mKj †PK I wPwV cÎvw`‡Z Aek¨B cÖ`Ë bgybv ¯^v¶i Abyhvqx ¯^v¶i Ki‡Z n‡e|
4| wnmv‡e hZevi Lywk UvKv Rgv w`‡Z cvi‡eb| evnK ev Av‡`k †PK, WªvdU, †c-AW©vi, wWwf‡WÛ Iqv‡i›U, BZ¨vw`i A_©
msMÖ‡ni `vwqZ¡ e¨vsK MÖnY Ki‡Z cv‡i| wnmv‡e Rgv †`qvi c~‡e© mKj †PK, WªvdU, †c-AW©vi BZ¨vw` †iLvswKZ (µm) K‡i
w`‡Z n‡e|
5| mÂqx wnmve †Lvjvi Rb¨ cÖv_wgK fv‡e b~¨bZg 1000 UvKv Rgv w`‡Z n‡e| wnmv‡e w¯’wZi cwigvY 1000 UvKvi Kg
n‡j e¨vsK B”Qv Ki‡j wnmve eÜ K‡i w`‡Z cvi‡e|
6| †Kej e¨vsK KZ©„K mieivnK…Z wba©vwiZ †PK Øviv mswkó wnmve n‡Z RgvK…Z UvKv DVv‡bv hv‡e|
7| †P‡Ki gva¨‡g KvD‡K 1,00,000/-ev Z`~a© UvKv cÖ`vb Ki‡j cwRwUf †c‡g‡›Ui wel‡q wnmveavix†K m¤§wZcÎ cÖ`vb
Ki‡Z n‡e|
8| K) GKRb AvgvbZKvix Zuvi mÂqx wnmve n‡Z mßv‡n gvÎ `yB evi UvKv DVv‡Z cvi‡eb, Gi Rb¨ kwbevi †_‡K
cieZx© e„n¯úwZevi‡K mßvn wnmv‡e MY¨ Kiv n‡e|
L) AvgvbZKvix cÖwZ mßv‡n Zuvi wnmv‡e RgvK…Z A‡_©i kZKiv 25 fvM ev GK j¶ UvKv G `y‡qi g‡a¨ †hUv Kg †m
ch©š— DVv‡Z cvi‡eb|
9| hw` †Kvb AvgvbZKvix Zuvi RgvK…Z A_© n‡Z mßv‡n `yB ev‡ii AwaK ev kZKiv 25 fvM A_ev GK j¶ UvKv G `y‡qi g‡a¨
†hUv Kg Zvi AwaK As‡Ki UvKv DVvb Z‡e †m ‡¶‡Î D³ wnmv‡e m¤ú~Y© w¯’wZi Dci H gv‡mi Rb¨ †Kvb my` cÖ`vb Kiv
n‡e bv|
10| wnmv‡e ch©vß UvKv bv _vKvi Kvi‡Y hw` †Kvb †PK †dir †`qv nq †m‡¶‡Î e¨vsK cÖPwjZ nv‡i Rwigvbv Av`vq
Ki‡Z cvi‡e|
11| cÖ‡Z¨K gv‡mi 6ô w`‡bi †k‡l Ges gv‡mi †kl w`‡bi ga¨eZx© me©wb¤œ w¯’wZi Dci my` cwi‡kva¨ Ges cÖwZ ermi Ryb I
wW‡m¤^i gv‡m AvgvbZKvixi wnmv‡e Zv Rgv Kiv n‡e|
12| †Kvb mÂqx wnmv‡e cÖwZ 6 gv‡m †`q my` 10 UvKvi Kg n‡j Zv G wnmv‡e Rgv Kiv n‡e bv| miKvwi wb‡`©k †gvZv‡eK
e¨vsK my‡`i AsK/w¯’wZ n‡Z Drm Ki ev †jwf ev mviPvR© A_ev miKvi KZ©„K Av‡ivwcZ/ Av‡ivwcZe¨ PvR© Av`vq Ki‡Z cvi‡e|
13| hw` †Kvb AvgvbZKvix Zuvi mÂqx wnmve eÜ Ki‡Z Pvb †m‡¶‡Î cÖPwjZ nv‡i †K¬vwRs PvR© †K‡U †bqv n‡e|
14| AvgvbZKvixi wbKU Zvi wnmv‡ei weeiYx cÖwZ Qq gvm Aš—i RyjvB I Rvbyqvwi‡Z mieiv‡ni weavb i‡q‡Q| Gi AwZwi³
cÖ‡qvRb n‡j cªwZ weeiYxi Rb¨ e¨vsK KZ©„K wba©vwiZ nv‡i PvR© w`‡Z n‡e|
15| AvgvbZKvixi Aby‡iv‡a AÎ e¨vs‡Ki GK kvLv n‡Z Ab¨ †h †Kvb kvLvq wnmve ¯’vbvš—i Kiv †h‡Z cv‡i| Z‡e G‡¶‡Î
e¨vsK AvgvbZKvixi wbKU †_‡K cÖPwjZ nv‡i PvR© Av`vq Ki‡Z cvi‡e|
16| e¨vs‡Ki wbKU †Kvb wnmve m‡š—vlRbK e‡j cÖZxqgvb bv n‡j e¨vsK †m‡¶‡Î †Kvb KviY `kv©‡bv e¨wZ‡i‡KB mswk-ó wnmve
eÜmn †h‡Kvb wm×vš— MÖnY Ki‡Z cvi‡eb|
17| mÂqx wnmve‡K †Kvb Ae¯’v‡ZB PjwZ wnmv‡ei gZ e¨envi Kiv hv‡e bv|
18| cªwZ Qqgvm Aš—i A_©vr Ryb I wW‡m¤^‡i e¨vs‡Ki cÖPwjZ wbqg Abymv‡i wnmve n‡Z wbw`©ó nv‡i i¶Yv‡e¶Y PvR©
KZ©b Kiv n‡e| miKvwi wb‡`©k †gvZv‡eK e¨vsK wnmv‡ei w¯’wZi Dci wba©vwiZ nv‡i ïé Av`vq Ki‡Z cvi‡e|
19| wnmve †Lvjvi mgq AvgvbZKvix/AvgvbZKvixM‡Yi mbv³K…Z/mZ¨vwqZ `yB Kwc cvm‡cvU© mvB‡Ri Qwe e¨vs‡Ki wbKU
Rgv w`‡Z n‡e|
20| wnmve cwiPvjbvi †¶‡Î gvwb jÛvwis cÖwZ‡iva AvBb-2012, mš¿vm we‡ivax AvBb-2012 Ges e¨vsK †Kv¤úvbx AvBb-1991
I 2013 Gi mswk-ó avivmg~n cÖ‡hvR¨ n‡e|
21| e¨vsK KZ©„c¶ †h †Kvb mgq wnmve msµvš— †h †Kvb wbqgvejx cwieZ©b, cwiea©b, ms‡kvab ev evwZj Ki‡Z cvi‡eb Ges
AvgvbZKvix cªwZôvb Zv ‡g‡b Pj‡Z eva¨ _vK‡eb|
Avwg/Avgiv Dc‡i ewY©Z wbqgvejx I kZ© mg~n h_vh_fv‡e cwicvjb/†g‡b Pjvi A½xKvie× njvg|

AvgvbZKvix/AvgvbZKvix‡`i ¯^v¶i

PjwZ wnmv‡ei wbqgvejx|

1| A-e¨w³K/ cÖwZôv‡bi wnmve †Lvjvi †¶‡Î cÖ‡hvR¨†¶‡Î ‡UªW jvB‡mÝ, †iwR÷vW© cvUbviwkc wWW, †iRy‡jkb, †g‡gv‡iÛvg
GÛ AvwU©‡Kjm Ae G‡mvwm‡qkb, GbwRI e¨y‡iv mvwU©wd‡KU BZ¨vw` Av‡e`b c‡Îi mv‡_ Rgv w`‡Z n‡e|
2| e¨vs‡Ki †h †Kvb kvLvq GK bv‡g GKwUi †ekx wnmve †Lvjv hv‡e bv|
3| PjwZ wnmv‡ei UvKv Rgv/†Zvjvi †¶‡Î †Kvb eva¨evaKZv †bB|
4| PjwZ wnmve †Lvjvi Rb¨ cÖv_wgK fv‡e b~¨bZg 2000/- UvKv Rgv w`‡Z n‡e| †Kej e¨vsK KZ©„K mieivnK…Z wba©vwiZ †PK
Øviv mswkó wnmve n‡Z RgvK…Z UvKv DVv‡bv hv‡e|
5| miKvwi wb‡`©k †gvZv‡eK e¨vsK wnmv‡ei w¯’wZi Dci wba©vwiZ nv‡i ïé Av`vq Ki‡Z cvi‡e| cªwZ Qq gvm Aš—i A_©vr Ryb
I wW‡m¤^‡i e¨vs‡Ki cÖPwjZ wbqg Abymv‡i wnmve n‡Z wbw`©ó nv‡i i¶Yv‡e¶Y PvR© KZ©b Kiv n‡e|
6| hw` †Kvb wnmveavix Zuvi PjwZ wnmve eÜ Ki‡Z Pvb †m‡¶‡Î cÖPwjZ nv‡i †K¬vwRs PvR© †K‡U †bqv n‡e|
7| e¨vs‡Ki wbKU †Kvb wnmve m‡š—vlRbK e‡j cÖZxqgvb bv n‡j e¨vsK †m‡¶‡Î †Kvb KviY `kv©‡bv e¨wZ‡i‡KB mswk-ó wnmve
eÜmn †h ‡Kvb wm×vš— MÖnY Ki‡Z cvi‡eb|
8| hw` wnmvewU `yB ev Z‡ZvwaK e¨w³ wnmve cwiPvjbv K‡ib Zvn‡j wnmve cwiPvjbvi aiY wnmve †Lvjvi di‡gi
mywbw`©ófv‡e D‡j-L Ki‡Z n‡e|
9| evnK ev Av‡`k †PK, WªvdU, †c-AW©vi, wWwf‡W›U Iqv‡i›U BZ¨vw`i A_© msMÖ‡ni `vwqZ¡ e¨vsK MÖnY Ki‡Z cv‡i| wnmv‡e
Rgv †`qvi c~‡e© mKj †PK, WªvdU, †c-AWv©i BZ¨vw` ‡iLvswKZ (µm) K‡i w`‡Z n‡e|
10| wnmv‡e ch©vß UvKv bv _vKvi Kvi‡Y hw` †PK ‡dir †`qv nq †m‡¶‡Î e¨vsK cÖPwjZ nv‡i Rwigvbv Av`vq Ki‡Z cvi‡e|
11| †P‡Ki gva¨‡g KvD‡K 1,00,000/-ev Z`~a© UvKv cÖ`vb Ki‡j cwRwUf †c‡g‡›Ui wel‡q wnmveavix‡K m¤§wZcÎ cÖ`vb Ki‡Z
n‡e|
12| e¨vs‡K msi¶‡Yi Rb¨ AvgvbZKvix/AvgvbZKvixM‡Yi bgybv ¯^v¶i `vwLj Ki‡Z n‡e Ges mKj †PK I wPwV cÎvw`‡Z
Aek¨B cÖ`Ë bgybv ¯^v¶i Abyhvqx ¯^v¶i Ki‡Z n‡e|
13| wnmve †Lvjvi mgq AvgvbZKvix/AvgvbZKvixM‡Yi mbv³K…Z/mZ¨vwqZ `yB Kwc cvm‡cvU© mvB‡Ri Qwe e¨vs‡Ki wbKU Rgv
w`‡Z n‡e|
14| †Kvb mÂqx wnmve cwiPvjbvKvix ev e¨vs‡K Kg©iZ †Kvb Kg©KZ©v/Kg©Pvix PjwZ wnmve mbv³ Ki‡Z cvi‡e bv|
15| wnmve cwiPvjbvi †¶‡Î gvwb jÛvwis cÖwZ‡iva AvBb-2012, mš¿vm we‡ivax AvBb-2012 Ges e¨vsK †Kv¤úvbx AvBb-1991
I 2013 Gi mswk-ó avivmg~n cÖ‡hvR¨ n‡e|
16| e¨vsK KZ©„c¶ †h †Kvb mgq wnmve msµvš— †h †Kvb wbqgvejx cwieZ©b, cwiea©b, ms‡kvab ev evwZj Ki‡Z cvi‡eb Ges
AvgvbZKvix cªwZôvb Zv ‡g‡b Pj‡Z eva¨ _vK‡eb|
Avwg/Avgiv Dc‡i ewY©Z wbqgvejx I kZ© mg~n h_vh_fv‡e cwicvjb/†g‡b Pjvi A½xKvie× njvg|

AvgvbZKvix/AvgvbZKvix‡`i ¯^v¶i

wظY gybvdv wfwËK AvgvbZ wnmv‡ei wbqgvejx|

1| A-e¨w³K/ cÖwZôv‡bi wnmve †Lvjvi †¶‡Î cÖ‡hvR¨†¶‡Î ‡UªW jvB‡mÝ, †iwR÷vW© cvUbviwkc wWW, †iRy‡jkb, †g‡gv‡iÛvg
GÛ AvwU©‡Kjm Ae G‡mvwm‡qkb, GbwRI e¨y‡iv mvwU©wd‡KU BZ¨vw` Av‡e`b cÖ‡Îi mv‡_ Rgv w`‡Z n‡e|
2| GKKvjxb Kgc‡¶ 1,00,000/- UvKv ev Zvi ¸wYZK †h ‡Kvb cwigvY AvgvbZ MÖnY‡hvM¨|
3| Avgvb‡Zi †gqv`Kvj 6 eQi | RgvK…Z UvKv 6 eQ‡i wظY n‡e|
4| hw` wnmvewU `yB ev Z‡ZvwaK e¨w³ wnmve cwiPvjbv K‡ib Zvn‡j wnmve cwiPvjbvi aiY wnmve †Lvjvi di‡gi
mywbw`©ófv‡e D‡j-L Ki‡Z n‡e|
5| AvgvbZK…Z UvKv ‡gqv` c~wZ©i c~‡e© D‡Ëvjb Kiv hv‡e, †m†¶‡Î mÂqx wnmv‡e cÖ‡`q nv‡i my` cÖ`vb Kiv n‡e| Z‡e 1 (GK)
ermi c~wZ©i c~‡e© UvKv D‡Ëvjb Ki‡j †Kvb my` †`qv n‡e bv|
Page 13 of 14
6| Avgvb‡Zi wecix‡Z m‡e©v”P 80% FY cÖ`vb Kiv ‡h‡Z cv‡i|
7| AvgvbZ/gybvdvi wecix‡Z MYcÖRvZš¿x evsjv‡`k miKvi KZ©„K Av‡ivwcZ/Av‡ivwcZe¨ mKj cÖKvi Ki/‡jwf/wWDwU ev
Ab¨ †Kvb mviPvR© AvgvbZKvix‡K enb Ki‡Z n‡e|
8| AvgvbZKvix wVKvbv cwieZ©b n‡j Zv Awej‡¤^ e¨vsK KZ©„c¶‡K Rvbv‡Z n‡e|
9| GB Avgvb‡Zi wecix‡Z †Kvb †PK eB Bmy¨ Kiv n‡e bv|
10| wnmve cwiPvjbvi †¶‡Î gvwb jÛvwis cÖwZ‡iva AvBb-2012, mš¿vm we‡ivax AvBb-2012 Ges e¨vsK †Kv¤úvbx AvBb-1991
I 2013 Gi mswk-ó avivmg~n cÖ‡hvR¨ n‡e|
11| e¨vsK KZ©„c¶ †h †Kvb mgq AvgvbZ msµvš— †h †Kvb wbqgvejx cwieZ©b, cwiea©b, ms‡kvab ev evwZj Ki‡Z cvi‡eb Ges
AvgvbZKvix cªwZôvb Zv ‡g‡b Pj‡Z eva¨ _vK‡eb|
Avwg/Avgiv Dc‡i ewY©Z wbqgvejx I kZ© mg~n h_vh_fv‡e cwicvjb/†g‡b Pjvi A½xKvie× njvg|

AvgvbZKvix/AvgvbZKvix‡`i ¯^v¶i
¯’vqx/†gqv`x AvgvbZ wnmv‡ei wbqgvejxt-

1| A-e¨w³K/ cÖwZôv‡bi wnmve †Lvjvi †¶‡Î cÖ‡hvR¨†¶‡Î ‡UªW jvB‡mÝ, †iwR÷vW© cvUbviwkc wWW, †iRy‡jkb, †g‡gv‡iÛvg
GÛ AvwU©‡Kjm Ae G‡mvwm‡qkb, GbwRI e¨y‡iv mvwU©wd‡KU BZ¨vw` Av‡e`b cÖ‡Îi mv‡_ Rgv w`‡Z n‡e|
2| ¯’vqx/†gqv`x AvgvbZ wnmv‡e RgvK…Z UvKv †gqv`v‡š— g~j iwk` Dc¯’vcb mv‡c‡¶ my`mn cwi‡kva‡hvM¨| Z‡e miKvwi wb‡`©k
†gvZv‡eK AwR©Z my‡`i AsK n‡Z e¨vsK Drm Ki, †jwf, mviPvR©, f¨vU BZ¨vw` KZ©b Ki‡Z cvi‡e| miKvwi wb‡`©k
†gvZv‡eK e¨vsK wnmv‡ei w¯’wZi Dci wba©vwiZ nv‡i ïé Av`vq Ki‡Z cvi‡e|
3| ¯’vqx/†gqv`x AvgvbZ wnmv‡e RgvK…Z UvKv I Gi Dci AwR©Z my` †gqv` c~Y© nIqvi Av‡M wb‡Z PvB‡j cÖPwjZ wbqg
Abymv‡i nªvmK…Z nv‡i my`mn RgvK…Z UvKv †diZ †`qv †h‡Z cv‡i|
4| wbw`©ó †gqv`v‡š— UvKv bv DVv‡j Ges †gqv` c~wZ©i Aš—Z 1 (GK) gv‡mi g‡a¨ wnmvewU bevqb bv Ki‡j Zv wZb gv‡mi
Rb¨ cÖPwjZ my` nv‡i ¯^qswKªqfv‡e bevqb e‡j MY¨ n‡e|
5| hw` wnmvewU `yB ev Z‡ZvwaK e¨w³ wnmve cwiPvjbv K‡ib Zvn‡j wnmve cwiPvjbvi aiY wnmve †Lvjvi di‡gi
mywbw`©ófv‡e D‡j-L Ki‡Z n‡e|
6| wnmve cwiPvjbvi †¶‡Î gvwb jÛvwis cÖwZ‡iva AvBb-2012, mš¿vm we‡ivax AvBb-2012 Ges e¨vsK †Kv¤úvbx AvBb-1991
I 2013 Gi mswk-ó avivmg~n cÖ‡hvR¨ n‡e|
7| e¨vsK KZ©„c¶ †h †Kvb mgq wnmve msµvš— †h †Kvb wbqgvejx cwieZ©b, cwiea©b, ms‡kvab ev evwZj Ki‡Z cvi‡eb Ges
AvgvbZKvix cªwZôvb Zv ‡g‡b Pj‡Z eva¨ _vK‡eb|
Avwg/Avgiv Dc‡i ewY©Z wbqgvejx I kZ© mg~n h_vh_fv‡e cwicvjb/†g‡b Pjvi A½xKvie× njvg|

AvgvbZKvix/AvgvbZKvix‡`i ¯^v¶i
Gm Gb wW wnmv‡ei wbqgvejx t-

1| A-e¨w³K/ cÖwZôv‡bi wnmve †Lvjvi †¶‡Î cÖ‡hvR¨†¶‡Î ‡UªW jvB‡mÝ,†iwR÷vW© cvUbviwkc wWW, †iRy‡jkb, †g‡gv‡iÛvg
GÛ AvwU©‡Kjm Ae G‡mvwm‡qkb, GbwRI e¨y‡iv mvwU©wd‡KU BZ¨vw` Av‡e`b cÖ‡Îi mv‡_ Rgv w`‡Z n‡e|
2| Gm Gb wW wnmv‡e †h †Kvb cwigvY UvKv DVv‡bvi c~‡e© e¨vsK‡K b~¨bZg 7 (mvZ) w`‡bi †bvwUk cÖ`vb Ki‡Z
n‡e | †bvwUk cÖ`vb bv K‡i UvKv DVv‡j mswkó gv‡m †Kvb my` cÖ`vb Kiv n‡e bv|cÖwZwU D‡Ëvj‡bi Rb¨B c„_Kfv‡e †bvwUk
cÖ`vb Ki‡Z n‡e Ges wcQ‡bi ZvwiLhy³ (back dated) ‡Kvb †bvwUk MÖnY Kiv n‡e bv |
3| hw` wnmvewU `yB ev Z‡ZvwaK e¨w³ wnmve cwiPvjbv K‡ib Zvn‡j wnmve cwiPvjbvi aiY wnmve †Lvjvi di‡gi
mywbw`©ófv‡e D‡j-L Ki‡Z n‡e|
4| G wnmv‡ei wecix‡Z Avewk¨Kfv‡e †PK eB Bmy¨ Ki‡Z n‡e hv‡Z wnmve n‡Z mivmwi UvKv D‡Ëvjb Kiv hvq|
5| †P‡Ki gva¨‡g KvD‡K 1,00,000/-ev Z`~a© UvKv cÖ`vb Ki‡j cwRwUf †c‡g‡›Ui wel‡q m¤§wZcÎ cÖ`vb Ki‡Z n‡e|
6| Gm Gb wW wnmv‡e ˆ`wbK mgvcbx w¯’wZi (day end balance) wfwˇZ my` wnmvevqb Kiv n‡e Ges AwR©Z my` lv¤§vwmK
wfwˇZ/wnmve e‡Üi mgq cª‡`q n‡e|
7| G wnmv‡ei †Kvb wbw`©ó †gqv` bv _vKvq my‡`i nvi ïaygvÎ Avgvb‡Zi cwigvY †f‡` ZviZg¨ Kiv hv‡e| MÖvnK †f‡`
/ ‡gqv` ‡f‡` my` nv‡i ZviZg¨ Kiv hv‡e bv|
8| cªwZ Qqgvm Aš—i A_©vr Ryb I wW‡m¤^‡i e¨vs‡Ki cÖPwjZ wbqg Abymv‡i wnmve n‡Z wbw`©ó nv‡i i¶Yv‡e¶Y PvR©
KZ©b Kiv n‡e| miKvwi wb‡`©k †gvZv‡eK e¨vsK wnmv‡ei w¯’wZi Dci wba©vwiZ nv‡i ïé Av`vq Ki‡Z cvi‡e|
9| Gm Gb wW wnmv‡ei †¶‡Î Mo AvgvbZ w¯’wZi wfwˇZ 5wU fv‡Mi wecix‡Z cÖPwjZ nv‡i my` cÖ‡`q n‡e| e¨vsK KZ©„c¶
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AvgvbZKvix/AvgvbZKvix‡`i ¯^v¶i

DOCUMENTATION CHECKLIST OF THE ACCOUNT (if obtained please tick)

Name of the A/C:…………………………………………………………..……..… A/C No.:

A) Trade Licence B) Registered Partnership Deed C) Regulation

D) Memorendum and Articels of Association E) Duly attested passport sized photographys of A/C holder(s)

F) Signature(s) of A/C holder(s) G) Personal Information Form(s) of A/C holder(s)

H) KYC (Know Your Customer) Profile I) Transaction Profile

J) All applicable columns have been duly filled–in by applicant

Certified that all required papers have been obtained and have been verified by us.

Operation Manager(2nd Officer) Branch In-Charge

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