)4.

,{qs ft sL<'{/fr T<r{{ <r<qfcs fu"l&s <I;r(8 (what the customer does,4ln what type of business he/she is involved)

<l<nrlp6';q <r<q'l of Preciotrs c (5)

G
\9.
,BL{I,edE q!gT:u-{fs(gTI a
8. fu{i"f c
c. EqEVSE!=ltrTtr c
g. ,.1iq1i1ia;1,i-*rft;: Str.rlqEfTs 6tdq116F,aFf|.lRS..leurqitJrBjLql\igbt,Qtub/Resld_q!tj;{ F,to..teliparlour-_Bilri!.C.ilj .
c (5)
,s
!/,5"r ( lmDort l-\Dort & llnoorl Agent) c (s)
v. 3@-a3r|1l@ EE{ business/Garment a (5)
b. e.n{aEFYq Ii(rfi <jf- r Eroatriatc (Foriesn citizen rvorking in Baugladesh) a (s)
)o. rmr@Tl31l.l.EFrcrpfift (Lnu".sjq-sf Sl9r,er!.to,c}p*uqne!!)____- c
1-..1r3 qgral TI4Fi 1\1111po1rg1 Lrpon Bu.iness ) .. . ..
c
)\. trIf{ fi<{ (Brr:irrcs. ol Weapons) c (5)
)e. r,ii i,!i a
)& qiBrs$ ( Pilorl' Fli ght Auendentr G (s)
)c.
-* r$.:q r9,<t3rl&3[,
'.rr qr,e-lr (tlaYet Aqent)
a (5)
8 {.1)
.,
\;-'-'* q i.fu : mfi Bm< qRa sd,qfiiofr ASlft_(L,rsi!eisma4,lrq!1!g.111y9rt1sqrt morc_th-qn f!,ene cro,r_eJ An.nq4lJy . -. -
8 (.+)
)b. 8 (1)
sICb"I lg"tl< 4
\o. l3Il,GlHLg llrglgtr 8 (4)
q5. {rr,fr{<r<ql 8 (4)
ness ol House
:;;.,: ] i: ir .;.i:: qria€iii, elEK. QiBfiTK, urin6 eoiB+ctn)
t :
,.::1r'i
3

':';.: ,-rF.-
(GernaIst. Las'ver. Physician. Engincer.
Director ( Prir,atc ,i Public Lrmited Corrpany)
8 (4)
8 (4)
q8. :i .:: - 1.::. .'! r l:. -ii.5; aii.raj- i.ictrlorl:re.cutjrc of \{ultinationai Company) 4
a.c' s (4)
tg. (JoLr in the Intbrnration-T 8 (4)
Media Ce Producerr' q (4)
\b-. 8 (4)
qil
9o.
9I e (3)
=i-
- ..:.: \t ,:t ji: L .:t . , r.-1 ( li.i,iiL-, l \9
98 .; :,.; . :';.;.t7*:.0,::e:' l,rfl;g,r BLL\iila:: \,
9c fre-+iqrciii qfufu1,fl6 Entenaiment House park 1 ) 3
' : .,' ' /
':. ai-i -i-.i:a {,3T t\lotoi-pafls \\irtr:]t,.,: B Lr: i:r::: 3
qi€cEE T.llgJT
I
.fim-o (r<: fi.:-1. r::lai.-.. r (2)
eb. Seivice vale ) \ (2)

t 8o.
8). (aiITqFT
Co qqF
(Se1fi nitiated Prolfessional)
Small biisinessman iYe arir iLr'n lrl ir .:r. :ir.::: : .,. ,-.: { (2)

8q. C{fTltq cFfGI{ fu4K (Dealer of Computer / mobile Phone) s (2)

89 er (exccpt wcapons) q (2)
88 El@ (Student) (2
8C ryft<o (Rctired
S'1, T,ln6ra}/r (Farmeri Labourer,/
8q :!;liG:: qi6;I) Others (please mention specifically)
q $l 'reoi gisr$K <r<{lzlm <T c'f.ile +.ofu, sFrTrtls
't\\{ .ualri.'{.]{ qEI$T. ?r<qtrTm qrcr<. ,QFr<. qTs {kfiqft eyG ftmry f?r<D.ri{
fi3ai+.51sp).b-8qa.fu1pB.6F1g;c'i-fl<6ry6affieffiK'qc1ft-ltstrKCq.Feql;rq<?F"n=r< qr<r*o€rq1Eqrai,B1zanap$qoq1{]firur<
..-ts9-<1!-n
tjh ?i*.i"i -+xr:s qes
:' ltr r:i-l"e i-,i'scorirtg as nrentioncd in the serial Nos. 16-47, the KYC exccr.rting official ma-y rnalk the score hi-qh. considering customer's
;t.rlt;t'i ol bitsriti:si or prcriission. area of business. size of busincss and benc'ficia1 orvner of the account. if thc applicant is a student. thc
sillii-rlilir': ri-qli rcol'iag to be made lblloriing the table.
:, t, a ia;{rn' qf{<F q3;6 ",rrk'rlT"i, (Arnount of Monthly Income of Customer)
etfrTF,t (iT<qf") Amounr (in Taira) c$T{ (Score)
5 a'5; 1':16 i1hl-) o (r))

> ) afo e al"F ffig (above 11ac to 3 1ac) 5( 1)

i-
c c-r-r.[:i<; (nror.e than 3 iuc I s(3)
 icql{
{Sct (Nature) Ct-K (Score) *gffi i
fr-cq.f,rfrr, mfnq,rgl.nrrf .in r sr- Reirtionship \{anrger/[3ranch.r o (0)
olffi cryqrT €f6r6 o-ao rBr Diri,ut Sillcs \senr)
e (-1)

iSffi ,qT Ef<Ifi (Vir lnlernerl Non,lace kr lriccr e (i)

qefi,ollfiioslc{ ( walk i n )

5y. q-p-66s uqftu of probable monthly transaction of customer):

a{-.lTqfd-,{ fr-fiq P:rrri cu lars of fe-4&fr{ "1frnft

tratsactiort
(
fic c+-r*
r
(.{lroLinlol frirnrrcrion r ( Risk Scolc)
r,-(' ( 0-5 ) o (r))
adfdlFa"ta .t'<qt.r (qt, +Xr)
.\ntoLrlt ot 'fiirlsirction(Fig. il lac r
>?-)o (>5-it)1 ) (l)
>)r 1:''111; (l)
'9
o-)c (lj-l()t o l1))
6qa6u1r33 qifi
c--'o ii)-11)i ) (l)
(Numbcr of i ran:riclir-.n I

>ic 1 '16, s (l)

4riq (ilqzhT{4 "tIil,1"i 1lrIF Dm;t)
o-t (0-l ) o (0)

.\li11,Unt or (';1..1 J1311.;1..;11,11 >t-t (:'2-51 ) (l)

(Fig. in lac t

>a (>5) 0 {i)

rr-n l0-51 o (())
rf,flE-CffrFr.r{ Fifi
( Nurlber ol' Clrsh Trarstction) v-)o ((r-10) ) (i)
>)o (--, l0) e (-l)

)b. )c cclrs )y 15 to 18):

rt6 Flu" {ft{eT{6
rRisk R;.rtiugi (Nlture of Risk)
rf${ rl(erlarksr

>=)8 (>=14) .$m(tign

<)3 (<1.1) ftH(1u"1

(*ks cE( )8 q<$:i Ef,qs Beneflrcial owner-q{ BE {fu fre<Erm FLs $'l<"t &s"{Tfo Subjective fr-c<urtt$q-$mE6
(A customer may be graded high risky based on high risk ofbeneficial orvr.. u. t1h qv66cr< Fffiq $<f c{F "nr_< r)
a sirb;ective criterion, even though the score ofthe customer is less than 14)

- 1 - . -,-a tiiq,imi 5 5f5-s;i ;ft :l i;ier3 a?ir.a-F:r

i -ilal| <i-.i?T+Aif.,T e< iir
t';r4xj]i grllaa e:y a v1 1;;1s i*<lq r1=n € T,fr!t)
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1. rr
iamlo imEq qrFT s ork?f )
1

lrrnr flza rsil r :t,;r

\Jr lr:lar
-.r#- Sirl s ilh \itr.'.
Brdr(ir lxi!irlbrri lJcrd oiBranrh
,\srl * ith \rtrrtr. Sirnarurc & Dne ;

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p ir T.e5f-6 :q-6 gifsa E;:fffi q< caF(e 's-{rTiF;r?F,ri.+i s{e4 ?Ffui (_rlET5 irdJ}iA ai{ffi s Edi{)
, t,L

.-\Lithorizctl Sr.nirrr l liil;ir. in casc ol PEpr,tp/Senior olllcial 01-any Intcrnatiernal Agency (Seal
rvith Narne. Signarur* & l)are)

)-. '1.;-a : q-T= ,iitre. 1r,-a :,2-,.a q<( EfflfeiIq $TK W{q (Latest date of, reviclv & update of information with regard to
-

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"fftcTlrdl q4< Ef-fi.nq nliio:ffil (;ilryg;fi-{qq $q< e or{?{)

.ft t-rpdrting ()fllcer (Scal u,ith name. date)

i
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