Professional Documents
Culture Documents
ZvwiL:............................. .............................................kvLv/DckvLv
e¨w³K wnmve †Lvjvi dig (Individual Account Opening Form)
ÒGB wnmve MÖvnK I e¨vs‡Ki g‡a¨ Bmjvgx kixqvn m¤§Z gy`vivev/Avj-Iqv`xqvn bxwZi wfwˇZ cwiPvwjZÓ
e¨e¯’vcK, wnmve b¤^i:
Bmjvgx e¨vsK evsjv‡`k wjwg‡UW
......................... kvLv/DckvLv BDwbK MÖvnK AvBwW b¤^i:
wcÖq g‡nv`q, (e¨vs‡Ki e¨env‡ii Rb¨)
Avmmvjvgy AvjvBKzg|
Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i wnmve msµvšÍ I e¨w³MZ we¯ÍvwiZ Z_¨ wb‡¤œ cÖ`vb KiwQ:
cÖ_g Ask : wnmve msµvšÍ Z_¨vw`
1| wnmv‡ei wk‡ivbvg : (evsjvq) ..........................................................................................................................................
In English (Block Letter) .....................................................................................................................
2| wnmv‡ei cÖK…wZ [wUK w`b (√)] :
gy`vivev mÂqx wnmve : MSA-General MSA-Staff MSA-RDS SMSA MFSA MIESA MPA
Avj-Iqv`xqvn PjwZ wnmve (AWCA) gy`vivev we‡kl †bvwUk mÂqx wnmve (MSNA) ˆe‡`wkK gy`ªv wnmve: ........................................
bb-†iwm‡W›U Bb‡f÷im UvKv wnmve (NITA) Ab¨vb¨ (Others) ............................................................................................................
3| gy`ªv (Currency) [wUK w`b (√)] : UvKv Wjvi BD‡iv cvDÛ Ab¨vb¨ ..........................................
4| wnmve cwiPvjbv c×wZ [wUK w`b (√)] : GKKfv‡e †hŠ_fv‡e †h †Kvb GKRb †h †Kvb GKRb A_ev RxweZRb Ab¨vb¨ ...................
5| cÖv_wgK Rgvi cwigvY (As‡K) : .......................................(K_vq).....................................................................................................
6| AvaywbK e¨vswKs myweav [wUK w`b (√)] : Online Service ATM Service i-Banking SMS Service Others ...............................
wØZxq Ask : e¨w³ msµvšÍ Z_¨vw`1
wnmve b¤^i:
(e¨vs‡Ki e¨env‡ii Rb¨)
1| wnmveavixi bvg (evsjvq) :............................................................................................................................
In English (Block Letter) :......................................................................................................................
2| Rb¥ ZvwiL :............................................................................................................................ wnmveavixi
Qwe
3| wcZvi bvg :............................................................................................................................
4| gvZvi bvg :............................................................................................................................
5| ¯^vgx/¯¿xi bvg :............................................................................................................................
6| RvZxqZv :........................................................... 7| wj½:..............................................................................
(wnmveavix we‡`kx bvMwiK n‡j wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e MÖnY Ki‡Z n‡e)
8| †iwm‡W›U ÷¨vUvm [wUK w`b (√)] : †iwm‡W›U bb-†iwm‡W›U
(cÖ‡qvRbxq †ÿ‡Î e¨vsK KZ…©K MvBWjvBbm di d‡ib G‡·‡PÄ Uªvb‡RKkÝ-Gi wb‡`©kbv AbymiY Ki‡Z n‡e)
9| †ckv (we¯ÍvwiZ) :.....................................................................................................................................................
10| gvwmK Avq :.....................................................................................................................................................
11| A‡_©i Drm (we¯ÍvwiZ) :.....................................................................................................................................................
12| U¨v· AvBwW (TIN/eTIN) (hw` _v‡K) :.....................................................................................................................................................
13| (K) eZ©gvb wVKvbv : evwo b¤^i:................... moK/MÖvg:................................... †cv:.......................... _vbv:..........................
†Rjv:............................................... †dvb b¤^i:............................................ B-†gBj: ...........................................................
(L) ¯’vqx wVKvbv : evwo b¤^i:................... moK/MÖvg:................................... †cv:.......................... _vbv:..........................
†Rjv:............................................... †dvb b¤^i:............................................ B-†gBj: ...........................................................
14| cwiwPwZ cÎ : K) RvZxq cwiPqcÎ b¤^i ...........................................................................................................................................
A_ev, L) cvm‡cvU© b¤^i/ Rb¥wbeÜb b¤^i/ Ab¨vb¨2 (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) : ..............................................................................................
M) cwiPq`vbKvixi Z_¨ (RvZxq cwiPqcÎ e¨ZxZ Ab¨vb¨ cwiwPwZcÎ cÖ`v‡bi †ÿ‡Î) :
bvg :...................................................................................................................................................................................................
Rb¥ ZvwiL : ................................. ¯^vÿi (ZvwiLmn) :................................................ wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi ¯^vÿi
1. wnmveavix GKvwaK n‡j cÖ‡Z¨‡Ki Ges wnmveavix bvevjK n‡j wnmveavixi AwffveK (evev A_ev gv A_ev Ab¨ †Kvb AvBbMZ AwffveK) Gi e¨w³ msµvšÍ Z_¨vw` c„_Kfv‡e wØZxq As‡k ev
wØZxq As‡ki msjMœx wn‡m‡e hy³ Ki‡Z n‡e| †gvU ..... c„ôvi g‡a¨ ..... bs c„ôv
2. ïaygvÎ dvBb¨vwÝqvj BbK¬zkb †cÖvWv‡±i †ÿ‡Î e¨vs‡Ki wbKU MÖnY‡hvM¨ †Kv‡bv cwiwPwZcÎ|
Z…Zxq Ask : bwgwb msµvšÍ Z_¨vw`3
wnmve b¤^i:
(e¨vs‡Ki e¨env‡ii Rb¨)
1| bwgwb msµvšÍ Z_¨vejx :
Avwg/Avgiv G wnmv‡ei A_© Avgvi/Avgv‡`i g„Zz¨i ci wb‡¤œ 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‡`i G wb‡`©kbv †gvZv‡eK e¨vsK
A_© cÖ`vb Ki‡e Ges A_© cwi‡kva Kiv n‡j mswkøó AvgvbZ m¤úwK©Z hveZxq `vq cwi‡kva n‡q‡Q e‡j MY¨ n‡e|
K) bwgwbi bvg : .................................................................................. Rb¥ ZvwiL :.............................
L) eZ©gvb wVKvbv : evwo b¤^i:............. moK/MÖvg:.......................................... †cv:....................................... wnmveavix KZ©„K
_vbv:............................ †Rjv:......................... †dvb b¤^i:.................................. B-†gBj: ............................... mZ¨vwqZ
bwgwbi
¯’vqx wVKvbv : evwo b¤^i:............. moK/MÖvg:.......................................... †cv:.......................................
Qwe
_vbv:............................ †Rjv:......................... †dvb b¤^i:.................................. B-†gBj: ...............................
M) kZKiv nvi : ................................................................................................................................
N) wnmveavixi mv‡_ m¤úK© : ........................................................................................................................................................
O) RvZxq cwiPqcÎ b¤^i/cvm‡cvU© b¤^i/Rb¥ wbeÜb b¤^i/Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) : ..........................................................................
2| bwgwb bvevjK n‡j Zvi/Zv‡`i bvevjK _vKv Ae¯’vq wnmveavix/wnmveavixM‡Yi g„Zz¨i †ÿ‡Î e¨vsK †Kv¤úvbx AvBb, 1991 Gi 103(2) aviv Abyhvqx
bwgwbi c‡ÿ Avgvb‡Zi A_© MÖnYKvixi Z_¨:
K) bvg : ........................................................................................................................................................
L) ¯’vqx wVKvbv : evwo b¤^i:................ moK/MÖvg:................................................... †cv:....................................................
_vbv:............................ †Rjv:......................... †dvb b¤^i:.............................................. B-†gBj: .............................................
M) RvZxq cwiPqcÎ b¤^i/cvm‡cvU© b¤^i/Rb¥ wbeÜb b¤^i/Ab¨vb¨ (wbw`©ófv‡e D‡jøL Ki‡Z n‡e) : ...................................................................
N) bwgwbi mv‡_ m¤úK© : ........................................................................................................................................................
†NvlYv I ¯^vÿi
Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, DwjøwLZ Z_¨vw` mZ¨| Avwg/Avgiv e¨vs‡Ki Pvwn`v †gvZv‡eK cÖ‡qvRbxq Z_¨/`wjjvw` mieivn Kie Ges e¨vs‡Ki hveZxq
kZ©vejx cwicvjb Kie|
wnmve b¤^i:
(e¨vs‡Ki e¨env‡ii Rb¨)
Av‡e`bKvix(MY)4 Gi bvg ¯^vÿi
1.
2. wnmveavixi
Qwe
3.
4.
ZvwiL:
wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©v BAMLCO/Manager Operations kvLv cÖavb/Aby‡gv`bKvix Kg©KZ©v
bvghy³ mxjmn ¯^vÿi I ZvwiL bvghy³ mxjmn ¯^vÿi I ZvwiL bvghy³ mxjmn ¯^vÿi I ZvwiL
MÖvnK FATCA cwicvj‡bi Rb¨ †hvM¨ wK bv [wUK (√) w`b] n¨uv bv|
DËi nu¨v n‡j FATCA cwicvjb Aek¨B wbwðZ Ki‡Z n‡e| MÖvnK/wnmve cwiPvjbvKvixi Proof of Address Gi ¯^c‡ÿ WKz‡g›Um msMÖn Ki‡Z n‡e|
3. bwgwb GKvwaK n‡j cÖ‡Z¨‡Ki bwgwb msµvšÍ Z_¨vw` c„_Kfv‡e Z…Zxq As‡k ev Z…Zxq As‡ki msjMœx wn‡m‡e hy³ Ki‡Z n‡e|
4. wnmveavix bvevjK n‡j Av‡e`bKvixi ¯^vÿ‡ii ¯’‡j wnmveavixi AwffveK ¯^vÿi Ki‡eb|
D‡Ëvj‡bi Rb¨ †bvwUk 4 evi ev w¯’wZi 1/4 Ask ev 7 w`‡bi †bvwUk jvM‡e †h 4 evi ev w¯’wZi 1/4 Ask ev 2 evi ev w¯’wZi 1/4 Ask Zvi
50,000 UvKvi AwZwi³ n‡j †Kvb cwigv‡Yi Rb¨ 50,000 UvKvi AwZwi³ n‡j †ewk n‡j 7 w`‡bi †bvwUk jvM‡e
`ªóe¨: cÖ‡hvR¨ nv‡i b~¨bZg miKvix ï‡éi mgcwigvY UvKvi w¯’wZ msi¶Y Ki‡Z nq, Ab¨_vq e¨vsK †PK †dir †`qvi AwaKvi msi¶Y K‡i|
3. D³ wnmvemg~‡n eQ‡i `yBevi mvgwqK nv‡i (hv cwieZ©b‡hvM¨) gybvdv cÖ`vb Kiv nq, hv evwl©K P~ovšÍ jvf/†jvKmvb wnmv‡ei wfwˇZ mgš^q/wb®úbœ Kiv n‡e|
4. evwl©K jvf/†jvKmvb wnmve P‚ovšÍ nIqvi c~‡e© wnmve eÜ Ki‡j mvgwqK nv‡i jvf cÖ`vb Kiv nq, cieZ©xKv‡j gybvdvi P‚ovšÍ nvi †NvlYvi c‡i †NvwlZ P‚ovšÍ nvi mvgwqK nv‡ii †P‡q
†ewk n‡j wnmveaviK‡K Zv cÖ`vb Kiv nq|
5. D³ wnmvemg~‡ni †¶‡Î gv‡mi †h †Kvb Zvwi‡L †jb‡`b PjvKvjxb mg‡q A_© Rgv Kiv hvq| Z‡e gv‡mi 6 ZvwiL †_‡K mswkøó gv‡mi †kl Zvwi‡Li g‡a¨ msiw¶Z me©wb¤œ w¯’wZ jvf
cÖ`v‡bi wbwg‡Ë †m gv‡mi Rgv wn‡m‡e we‡ewPZ n‡e|
wnmveavix/wnmveavixM‡Yi bvg, ¯^vÿi I ZvwiL wnmve †Lvjvi mv‡_ mswkøó Kg©KZ©vi bvghy³ mxjmn ¯^vÿi I ZvwiL
AOF-1 Øviv gy`vivev mÂqx wnmve (MSA-General)/Avj-Iqv`xqvn& PjwZ wnmve (AWCA)/gy`vivev mÂqx wnmve ÷vd (MSA-Staff)/gy`vivev mÂqx wnmve AviwWGm (MSA-RDS)/÷z‡W›U
gy`vivev mÂqx wnmve (SMSA)/gy`vivev we‡kl †bvwUk mÂqx wnmve (MSNA)/gy`vivev dvg©vim mÂqx wnmve (MFSA)/gy`vivev ˆe‡`wkK gy`ªv Rgv wnmve (MFCDA)/gy`vivev BÛvw÷ªqvj
GgcøwqR mÂqx wnmve (MIESA)/gy`vivev †c-‡ivj wnmve (MPA)/ˆe‡`wkK gy`ªv wnmve (FCA)/bb-‡iwm‡W›U Bb‡f÷im UvKv wnmve (NITA) Ab¨vb¨ wnmve †Lvjv hvq|
`ªóe¨
1. hvPvB Gi ¯^v‡_© Dc‡ivwjøwLZ KvMRc‡Îi g~j Kwc Dc¯’vcb Ki‡Z n‡e|
2. NlvgvRv/KvUvKvwUi †¶‡Î Av‡e`bKvixi c~Y© ¯^v¶i w`‡q cÖZ¨vwqZ Ki‡Z n‡e|
3 mKj KvMRcÎ Bs‡iRx ev evsjv fvlvq n‡Z n‡e| Ab¨ †Kvb fvlvi †Kvb KvMR ev bw_ _vK‡j Zv Aby‡gvw`Z Abyev`Kvix KZ©„K Bs‡iRx ev evsjv fvlvq Abyev` K‡i Rgv w`‡Z n‡e|