76

"INTERE5TED PER5ON5 ARE ENTITLED TO A PRO5PECTU5, IF THEY 5O DE5IRE, AND THAT COPIE5 OF
PRO5PECTU5 MAY BE OBTAINED FROM THE I55UER AND THE I55UE MANAGER."

Deshlandhu IoIvner Liniled

AIILICATION IORM
AIILICATION IOR SHARLS Y INVLSTORS OTHLR THAN NON-RLSIDLNT ANCLADLSHI (S)
WarnIng: IIease read lhe inslruclion al lhe lack of lhis forn. IncorreclIv fiIIed appIicalion nav le rejecled.

Thc ManagIng DIrcctnr
Deshlandhu IoIvner Liniled ankers SI. No.
Moslafa Cenlre H#59, R#27, anani, Dhaka - 1213

Dear Sir,
I/ve appIv for and requesl vou lo aIIol ne/us lhe .. nunler of Shares and I/ve agree lo accepl lhe sane or anv
snaIIer nunler lhal nav le aIIolled lo ne/ us upon lhe lerns of lhe conpanvs approved Irospeclus and suljecl lo
lhe Menorandun and ArlicIes of Associalion of lhe conpanv. Iurlher, I/ve aulhorize vou lo pIace nv/our nane(s) on
lhe Regisler of Menlers of lhe conpanv and deposil lhe said shares lo nv O (eneficiarv Ovner) Accounl and/or
Crossed (Accounl Iavee onIv) cheque in respecl of anv appIicalion nonev refundalIe lv posl/courier al nv/our risk lo
lhe firsl appIicanls address slaled leIov:

1. No. Ordinarv shares .... of Tk. 10 each.
2. Anounl of Tk. (in figure): ....., Taka (in vords): ......
onIv deposiled vide Cash/ Cheque/ drafl/ pav Order No.............Daled.............
on..... ank..............ranch.

3. Deposilorv (/O) Accounl Nunler
(If vnu dn nnt mcntInn vnur va!Id BO (BcncfIcIarv Owncrs) accnunt, vnur a!IcatInn wI!! bc trcatcd as In va!Id)

4. I/ve agree lo fuIIv alide lv lhe inslruclion given herein.
5. IarlicuIars of AppIicanl(s):
a) 5n!c/FIrst A!Icant
Nane:
Ialhers / Husland nane:
Molhers nane:
IoslaI Address:
Occupalion: NalionaIilv: TeIephone No.(if anv):
Fnr rcfund warrant (A!IcatInn wI!! nnt bc trcatcd as va!Id If anvnnc uscs a nnn-schcdu!cd bank. Tn avnId thIs cnm!IcatInn, Invcstnrs arc
rcqucstcd nnt tn usc thc namc nf anv nnn-schcdu!cd bank) P!casc wrItc thc cnrrcct and fu!! namc nf bank and branch.
Ior refund purpose: I/ve vanls refund lhrough ank Accounl* Hand deIiverv/Courier (pIease pul lick narks in vhich refund viII le
nade). Thc a!Icant sha!! rnvIdc wIth thc samc Bank Accnunt numbcr In thc a!IcatInn fnrm as It Is In thc BO accnunt nf thc a!Icant.
OthcrwIsc thc a!IcatInn wI!! bc cnnsIdcrcd Inva!Id and thc subscrItInn mnncv mav bc fnrfcItcd.
AppIicanls ank A/C No:
Nane of lhe ank:

b) 5ccnnd A!Icant
Nane:
Ialhers / Husland nane:
Molhers nane:
IoslaI Address:
Occupalion: NalionaIilv: TeIephone No.(If anv):

6. I/ve herelv decIare lhal I/ve have read lhe Irospeclus of Dcshbandhu Pn!vmcr LImItcd and have viIIingIv sulscriled for
... no. of shares of Tk 10.00 each.

7. 5ccImcn 5Ignaturc(s):
(i) Nane ( in lIock Iellers): Signalure:
(ii) Nane ( in lIock Iellers): Signalure:

*In case of deposil inlo lhe appIicanls lank accounl, lhe appIicanl viII lear lhe appIicalIe charge, If anv, of lhe appIicanls
lanker, and lhe issuer shaII sinuIlaneousIv issue a Ieller of inlinalion lo lhe appIicanl conlaining, anong olhers, lhe dale and
anounl renilled vilh delaiIs of lhe lank lhrough and lo vhich lank such renillance has leen effecled.
......................................................

ANKLRS ACKNOWLLDCLMLNT
Cerlified lhal lhis ank has received Tk. .... /- (in vord) ............ onIv forn
Mr./Mrs./Ms...................leing lhe appIicalion nonev for ......nos. of Ordinarv
Shares of Deshlandhu IoIvner Liniled.

Bankcr's 5!. Nn. 5ca! and Datc AuthnrIzcd 5Ignaturc
(Namc & DcsIgnatInn)


77
IN5TRUCTION5

1. As per provision of Deposilorv Acl, 1999 and reguIalions nade lhere under shares viII onIv le issued in
denaleriaIized condilion. IIease nenlion vour O (eneficiarv Ovner) Accounl nunler in lhe appIicalion forn.
If vou do nol nenlion vour vaIid O (eneficiarv Ovner) Accounl, vour appIicalion viII le lrealed as invaIid.

2. AII infornalion nusl le lvped or vrillen in fuII (in Iock Iellers) in LngIish or in engaIi and nusl nol le
allrevialed.

3. AppIicalion nusl le nade on lhe Conpanvs prinled forn/pholocopv or lvped copv/hand vrillen forn
lhereof.

4. AppIicalion nusl nol le for Iess lhan 5OO Ordinarv Shares and nusl le for a nuIlipIe of 5OO Ordinarv Shares.
Anv AppIicalion nol neeling lhis crilerion viII nol le considered for aIIolnenl purpose.

5. Renillance for lhe fuII anounl of lhe Shares nusl acconpanv each AppIicalion and nusl le forvarded lo anv
of lhe ankers lo lhe Issue. Renillance shouId le in lhe forn of Cash/ Cheque/ ank Drafl/ Iav Order pavalIe
lo one of lhe ankers lo lhe Issue A/C Deshlandhu IoIvner Liniled and crossed A/C Iavee onIv and nusl
le dravn on a ank in lhe sane lovn as lhe ank lo vhich lhe AppIicalion forn has leen senl.

6. In lhe case of Ioinl AppIicalion Iorn, lhe AIIolnenl Leller viII le dispalched lo lhe person vhose
nane appears firsl on lhis AppIicalion Iorn.

7. Ioinl AppIicalion forn for nore lhan lvo persons viII nol le accepled. In case of joinl AppIicalion, each parlv
nusl sign lhe AppIicalion Iorn.

8. AppIicalion nusl le in fuII nane of individuaIs or conpanies or socielies or lrusls and nol in lhe nane of
firns, ninors or persons of unsound nind. AppIicalion fron financiaI and narkel inlernediarv conpanies and
Irivale Conpanv nusl le acconpanied lv Menorandun and ArlicIes of Associalion and Cerlificale of
Incorporalion.

9. An a!Icant can nnt submIt mnrc than twn a!IcatInns, nnc In hIs/hcr nwn namc and annthcr jnInt!v
wIth annthcr crsnn. In casc an a!Icant makcs mnrc than twn a!IcatInns, a!! a!IcatInns wI!! bc trcatcd
as Inva!Id and wI!! nnt bc cnnsIdcrcd fnr a!!ntmcnt urnsc. In addItInn, whn!c nr art nf a!IcatInn mnncv
mav bc fnrfcItcd bv thc CnmmIssInn.

1O. No receipl viII le issued for lhe pavnenl nade vilh AppIicalion, lul lhe lankers viII issue a
provisionaI acknovIedgnenl lo lhe Issue for AppIicalion Iodged vilh lhen.

11. In lhe case of non-aIIolnenl of securilies, if lhe appIicanls lank accounls as nenlioned in lheir IIO
AppIicalion Iorns are nainlained vilh lhe ankers lo lhe Issue, refund anounl of lhose appIicanls viII le
direclIv crediled in lo lhe respeclive lank accounl as nenlioned in lheir IIO AppIicalion Iorns. Olhervise,
refund viII le nade onIv lhrough Accounl Iavee cheque(s) shoving lank accounl nunler and nane of lank
and lranch as nenlioned in lhe AppIicalion pavalIe al Dhaka or Chillagong, as lhe case nav le.

12. AIIolnenl viII le nade soIeIv in accordance vilh lhe inslruclions of lhe Securilies and Lxchange
Connission (SLC).

13. Making of anv faIse slalenenl in lhe appIicalion or suppIving of incorrecl infornalion lherein or suppressing
anv reIevanl infornalion shaII nake lhe appIicalion IialIe lo rejeclion and suljecl lo forfeilure of appIicalion
nonev and /or forfeilure of share (unil) lefore or afler issuance of lhe sane lv lhe issuer. The said forfeiled
AppIicalion nonev or share (unil) viII le deposiled in accounl specified lv lhe Securilies and Lxchange
Connission (SLC). This nav le in addilion lo anv olher penaIlies as nav le provided for lv lhe Iav.

14. AppIicalions, vhich do nol neel lhe alove requirenenls, or appIicalions, vhich are inconpIele, shaII nol le
considered for aIIolnenl purpose.

15. The ankers lo lhe Issue anks shaII le olIiged lo receive lhe A/C Iavee Cheque(s) on lhe cIosing dav of
lhe sulscriplion of lhe IIO.

16. Nn sa!c nf sccurItIcs sha!! bc madc, nnr sha!! anv mnncv bc takcn frnm anv crsnn, In cnnncctInn wIth
such sa!c untI! 25(twcntv fIvc) davs aftcr thc rnscctus has bccn ub!Ishcd.








78
BANKER5 TO THE I55UE













Namc nf thc Branchcs Namc nf thc Branchcs Namc nf thc Branchcs Namc nf thc Branchcs Namc nf thc Branchcs
Invcstmcnt CnrnratInn
Of Bang!adcsh (ICB)
Head Office, r, Dhaka
Chillagong r, Clg
Rajshahi r, Rajshahi
KhuIna r, KhuIna
arishaI r, arishaI
SvIhel r, SvIhel
ogra r, ogra
LocaI Office, Dhaka

5nuthcast Bank Ltd
IrincipIe r, Dhaka
Corporale r, Dhaka
Inanagonj r, Dhaka
Dhannondi r, Dhaka
Ullara ranch, Dhaka
N. LIephanl Rd r,Dhaka
KakraiI ranch, Dhaka
anai ranch, Dhaka
angshaI ranch, Dhaka
Nev Lskalon r, Dhaka
Agargaon r, Dhaka
Iragali Sarani r, Dhaka
ShanoIi ranch, Dhaka
Agarnagar r, Dhaka
Sal Mosjid r, Dhaka
Madhaldi r, N.shingdi
AshuIia ranch, Dhaka
Naravanganj r, N.ganj
Iovpara r, Dhaka
Savar ranch, Dhaka
Mouchak ranch, Dhaka
Konalari r, Cazipur
Tongi ranch, Cazipur
ashundhar r, Dhaka
Mohannadpur r, Dhaka
Madanlilir Hal r, Clg
ConiIIa ranch, ConiIIa
andar azar r, SvIhel
MouIvilazar r, M. azar
Helingonj r, SvIhel
Chouhalla r, SvIhel
LaIdhirpar r, SvIhel
ShajaIaI Uposhar r, SvIhel
KuIaura r, MouIvilazar
IalhanluIa r, SvIhel
Agralad r, Clg
Khalunganj r, Clg
IulIee Road r, Clg
HaIishahr r, Clg
Chovnuhani r, N.khaIi
CDA Avenue r, Clg
Coxs azar r, C. azar
ChhagaInaiva r, Ieni
Ieni ranch, Ieni
IaharliI r, Clg
ashurhal r, NoakhaIi
Monin Road r, Clg
Rangpur r, Rangpur
ogra ranch, ogra
KhuIna ranch, KhuIna
arisaI ranch, arisaI
Rajshani r, Rajshahi
Naogaon r, Naogoan

McrcantI!c Bank Ltd.
Dhannondi r, Dhaka
Kavranlazar r, Dhaka
Agralad r, Clg
Iovpara r, Dhaka
anani r, Dhaka
Rajshahi r, Rajshahi
Naogaon r, Naogoan
SvIhel r, SvIhel
oard azar r, Cazipur
Navalazar r, Dhaka
Khalunganj r, Clg
Mohakhani r, Dhaka
Mirpur ranch, Dhaka
AshuIia ranch, Dhaka
Ullara ranch, Dhaka
IuliIee Rd r, Clg
LIephang Rd r, Dhaka
MolijheeI r, Dhaka
Madan ilir Hal r, Clg
KhuIna ranch, KhuIna
Rangpur r, Rangpur
Salnasjid r, Dhaka
OR Nazin Rd r,, Clg
ogra ranch, ogra
Konalari r, Cazipur
CuIshan r, Dhaka
Ieni r, Dhaka
MouIvilazar r, M.azar
ijovagar r, Dhaka
Moghlazar r, Dhaka
arisaI r, arisaI
ConiIIa r, ConiIIa
Creeen Rd r, Dhaka
Sheikh Mujil Rd r, Clg
Lng. Insl. r, Dhaka
Mazar Road r, Dhaka
Dinajpur r, Dinajpu
Iessore r, Iessore
Irogali Sarani r, Dhaka
Chillagong LIZ r, Clg
Naravangonj r, N.gonj
Ialia r. Chillagong

NCC Bank LImItcd
Agralad r, Clg
AnderkiIIa r, Clg
anani r, anani
alulazar r, Dhaka
ijov Nagor r, Dhaka
angshaI r, Dhaka
araivarhal r, Clg
araIekha r. SvIhel
ogura r, ogura
Chakaria r., Coxs azar
CLIZ r., Chillagong
Chovhalla r., Sunangonj
Chovnuhuni r, NoakhaIi
ConiIIa r., ConiIIa
Coxs azar r, Coxs azar
Dhannondi r, Dhaka
DiIkusha r, Dhaka
LIephanl Rd r, Dhaka
Ioreign Lx. r, MolijheeI
Ieni r, Ieni
CuIshan r, Dhaka
Cazipur r, Cazipur
CuIshan r, CuIshan
Hajigonj r, Chandpur
HaIishahar r, Clg
IsIanpur r, Dhaka
Iessore r, Iessore
Iovdelpur r, Cazipur
Ialralari r, Dhaka
IuliIee Rd r, Clg
Kavran azar r, Dhaka
KhuIna r, KhuIna
Kushlia r, Kushlia
KadanlaIi r, Clg
Khalungonj r, Clg
Laxnipur r, Laxnipu
LaIdighirpar r, SvIhel
Majhirghal r, Clg
MolijheeI r, Dhaka
MaIilagh r, Dhaka
Moglazar r, Dhaka
Mirpur r, Dhaka
Milford Rd, Dhaka
Madaripur r, M.pur
Madaldi r, Madaldi
Naogaon, Naogoan
Naravangonj r, N.gonj
Navalpur Rd r, Dhaka
Ialgran r, LaInonilhal
Iragali Sharani r, Dhaka
Rajshahi r, Rajshahi
Rangpur r, Rangpur
Savar r, Dhaka
ShavnoIi r, Dhaka
TangaiI r, TangaiI
Ullara r, Dhaka

Bank AsIa LImItcd
Agralad r, Clg
AnderkiIIa r, Clg
ashundhara r, Dhaka
agra ranch, ogra
ahadderhal r, Clg
Corporale r, Noor Tover
C.R. Dulla Road, Dhaka
CDA Avenue r, Clg
Dhannondi r, Dhaka
Iessore ranch, Iessore
Khalunganj r, Clg
KhuIna ranch, KhuIna
Moghlazar r, Dhaka
MohakhaIi r, Dhaka
Mirpur ranch, Mirpur
MC Sk. Mujil Rd r, Clg
MC DiIkusha r, Dhaka
MC anani r, Dhaka
Milford ranch, Dhaka
Norlh Soulh Rd r, Dhaka
IrincipIe Office r, Dhaka
Rajshahi r, Rajshahi
SvIhel Main r, SvIhel
SvIhel Uposhahar ranch
Scolia ranch, Dhaka
Shanlinagar r, Dhaka
Slalion Road r, Clg
CuIshan ranch, Dhaka
Ullara ranch, Dhaka

Onc Bank LImItcd
IrincipaI r, Dhaka.
MolijheeI ranch, Dhaka.
Kavran azar r, Dhaka
CuIshan ranch, Dhaka
Mirpur ranch, Dhaka
Ullara ranch, Dhaka
Dhannondi r, Dhaka
anani ranch, Dhaka.
KakraiI ranch, Dhaka
Irogoli Sharani r adda
LIephanl Road r, Dhaka
Ialralari r, Ialralari
Navalganj r, Dhaka
angshaI racnh, Dhaka
Canaklari (LIZ) r, Dhaka.
Inanganj ranch, Dhaka.
Naravanganj r, N.ganj
Iovpara ranch, Dhaka
Agralad r, Clg
Khalunganj r, Clg
CDA Avenue r, Clg
Nanupur azar r, Clg
Coxs azar r, Coxs azar.
IuliIIe Road r, Clg
Chovnuhuni r, NoakhaIi
Chandraganj r, L.pur
Ieni ranch, Ieni
Raipur ranch, L.pur
Dagon huivan r, Ieni
SvIhel ranch, SvIhel
Sherpur ranch, Sharpur
IsIanpur ranch, svIhel
Iesspre ranch, Iessore
ogra ranch, ogra
Sirajgonj r, sirajganj
Lakshan ranch, coniIIa
Ranganj ranch, Iaxnipur
Maijdee Courl r, NoakhaIi
anasree r, Dhaka

DBBL
LocaI Office, Dhaka
MolijheeI Ior. Lxch. r
Nalalpur r, Dhaka
anani ranch, Dhaka
Kavran azar r, Dhaka
Shanlinagar r, Dhaka
Dhannondi r, Dhaka
alurhal r, Narshingdi
Naravanganj r, N.ganj
. Road ranch, N.gonj
Agralad ranch, Clg
MohakhaIi r, Dhaka.
CuIshan ranch, Dhaka
Mirpur ranch, Dhaka
Ullara ranch, Dhaka
Ialherhal r, Clg
Halhazari r, Clg
IsIanpur ranch, Dhaka
Dania ranch, Dhaka
KhuIna ranch, KhuIna
SvIhel ranch, SvIhel
Dhaka LIZ r, Dhaka
oard azar r, Cazipur
Nelaiganj r, N.ganj
ogra ranch, ogra
LIephanl Road r, Dhaka
arisaI ranch, arisaI
SinraII ranch, N.ganj
CDA Avenue r, Clg
Iovpara ranch, Dhaka
isvanalh r, SvIhel
Muradpur ranch, Clg
CoIapgonj r, SvIhel
Rajshahi r, Rajshahi
Nava azar r, Dhaka
Inangonj r, Dhaka
Savar azar r, Dhaka
Cazipur Chovrasla r
Ieni ranch, Ieni
ConiIIa r, ConiIIa
IuliIee Road r, Clg
KadanlaIi ranch, Clg
Mirzapur r, TangaiI
Coxs azar r, C. azar
Lohagara r, Clg
asundhara r, Dhaka
Ring Road r, Dhaka
Manikgonj r, Manikgonj
Ialikchori r, Clg
Konalari r, Cazipur
Chounuhani r, Ieni
Sonagazi r, Ieni
CoaIa azar r, svIhel
Khalunganj r, Clg
Mvnenshing r, M.hing
Shahzadpur r, Sirajganj
eani azar r, SvIhel
Chhalak r, sunanganj
andura r, Dhaka
Saidpur r, NiIphanarv
Rangpur r, Rangpur
Iessore r, Iessore
Mirpur r, Dhaka
HaIishahar r, Clg
MouIavi azar ranch
asurhal r, NoakhaIi
SrenangaI r, SvIhel
Kushlia r, Kushlia
Ialna r, Ialna
Narsingdi r, Narsingdi
Salnosjid Rd r, Dhaka
Dinajpur r, Dinajpur
hairal r, Kishorgonj
Dagonlhuivan r, Ieni
Colindaganj ranch
huIla ranch, N.gonj
SCIC ranch, N.gonj
Rapura ranch, Dhaka
Tongi ranch, Cazipur

NatInna! Bank Ltd
anani r, Dhaka
alulazar r, Dhaka
angshaI Road r, Dhaka
Dhannondi r, Dhaka
DiIkusha r, Dhaka
LIephanl Road r, Dhaka
Ioreign Lx. r, Dhaka
CuIshan r, Dhaka
Inanganj r, Dhaka
IsIanpur r, Dhaka
Ialralari r, Dhaka
Kavran azar r, Dhaka
Lake Circus r, Dhaka
MaIilagh r, Dhaka
Mirpur r, Dhaka
MohakhaIi r, Dhaka
Mohannadpur r, Dhaka
MolijheeI ranch, Dhaka
Naravanganj r, N.gonj
Nelaigonj r, N.gonj
Nev Lskalon r, Dhaka
N. rk HaII Rd r, Dhaka
Irgali Sarani r, Dhaka
Rokeva Sarani r, Dhaka
Savar azar r, Dhaka
Ullara ranch, Dhaka
Z.H Sikder r, Dhaka