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PZ BRAC BANK
Term Deposit Opening Form een Ua On
iat Customer Type
Retail |) Probashi |) SME |") Corporate
‘The Manager
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Branch
Please debit my/our below account and open a Term Deposit with your bank in the name of
The Account || Primary Applicant |) First Joint Applicant |") Second Joint Applicant
Link Account Name (in BLOCK letters)
Link Account No.
‘Term Deposit Type: Fixed Deposit (FD) | Deposit Premium Scheme (DPS)
‘Term Deposit Product Details:
Renewal (at the prevailing rate of interest) & Payment Instructions for Fixed Deposit:
Renew Principal and Interest |") Renew Principal; credit Interest to Link Account
Nominee: |) Same as Link Account |) Different from Link Account.
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we have signed this application form as a token of acceptance of the aforesaid terms and conditions applicable for me/us and
also confirm that the information provided in above is correct
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‘Signature of Primary Applicant Signature of First ont Applicant Signature of Second Joint Applicant
Name: Name Name
Deposit Code Acquisition Channel Sector Code
Ps0 wPso Cost Centre
Signature Verfied &Intates by Approved by
. a Sign with PIN & Seal ii a ‘Sign with PIN & Seal
Document Tove rove
Chected by Opened by Verte by
‘Term Deposit Account No,