TIGER IT (BANGLADESH) LIMITED EMPLOYEES PROVIDENT FUND

Form A

AGREEMENT FOR MEMBERSHIP

I, the undersigned employee of the Company, hereby declare that I am a Bangladeshi national or work
permit holder and that I have gone through the Rules of TIGER IT (BANGLADESH) LIMITED
EMPLOYEES PROVIDENT FUND and accordingly I agree (i) to become a Member of the Fund; (ii)
to contribute the Fund in accordance with the Rules; (iii) to authorize the Company to deduct the
contribution from my Monthly Basic salary; and (iv) to be bound by the Rules and any amendment
thereof from time to time.
Name in full : Saief Ahmad

Employee No : 334

Designation : Executive

Department : Legal and Compliance Department

father’s name : Akhter Ahmad

Mother’s name : Shahida Khanam

Date of Birth : 06/01/1990

Permanent address : Apartment No. C-2, house No. 9/14, Iqbal Road,
Mohammadpur, Dhaka-1207

Date of joining in continuous Service : 06/01/2020

Date of confirmation : 09/07/2020

Present Monthly Basic Salary : Tk. 33,000

Signature :

Date : 24/01/2021

Witnesses
1. 2.

_________________________________________________________________________________
Verification by the Office’s HR Department:
The employment data provided above are correct.
Authorized Signature
_______________________________________________________________________________
For the Board of Trustees use only:
The above employee is hereby accepted as a Member of the Fund.
Membership Number:
Membership Date:
Trustees Trustee
 TIGER IT (BANGLADESH) LIMITED EMPLOYEES PROVIDENT FUND
Form B
NOMINATION

To: The Board of Trustees

TIGER IT (BANGLADESH) LIMITED EMPLOYEES PROVIDENT FUND
I, the undersigned Member, hereby nominate the following persons to be my Beneficiary/ Beneficiaries, to
receive, in the event of my death or inability by reason of physical or mental incapacity, in person any amounts
due to me in accordance with the Rules:

Nominee 1 Nominee 2

Name of Nominee(s): Nazia Tasnim Hoque

Mother’s name: Syeda Zubaida Naznin

Religion: Islam

Occupation: Teacher

Age: 29

Permanent Address: House No. 55, Road No.

Laboratory Road, New Market-

1205, New Market, Dhaka

Relationship with Member: Wife

Percentage of Share: 100%

Nominee’s legal disability, if any: None

Name and address of the person(s) to Not Applicable

whom payment is to be made for the
minor or the persons suffering from legal
disabilities:

Please use additional From B in case the Nominees are more than two.
Witnesses:
1.
Member’s Signature:

Place and Date: Dhaka, 24/01/2021

Member’s Name: Saief Ahmad

Membership No:

2.