ONE Bank ssseene Branch APPLICATION FORM TO OPEN AN ACCOUNT (feara catata wear A") INDIVIDUAL ACCOUNT (fe# fee) Dae EE EEDDED) ‘Account Number The Manager (187 77) ONE Bank Limited (ura =e (RE) Dear Sir, (0 Hee) We hereby apply to open an account with your branch. My/Our detailed account related and personal information is furnished below: (event erate tera aco feo cana ry acer ea Tape Poara RHNS feoitae ‘ea fare state wate) 2 Part-1 : Account Related Information 1, Account Name : (&I#) In English Block Letter): bn 2. ‘Type of Account (Put ¥): 1] Savings Current Os) p OF sa afe cere oa O nrcp Ona Dorthers.... eS arena ‘Serr 3. Curreney (Put ¥): O Taka O Dollar = Euro 1D Pound 1D Others Bret wane Beat ose ‘ray 4. Instructions Regarding Account Operaton (Put ¥): O Singly (#8) C) Jointly (@wsr=) Any One Can Operate (crcerent wera) Bither or Survivor (orcarent «ram a1 Hite em) C] Others (sara) . 5. Initial Deposit : Amount: In words 6. Ifone or more of the Account Holder(s) isiare Minor(): asthe legal guatdan of the account holder named below, declare tha, the Account Holder isa Minor. His Her quite information is fuisbe in the sttached form. The account wil be operated under my signature asthe legal guardian unt such cme the acount holder becomes an adult run further ‘writen instructions from me. (Guardian mean father or moter or others legal guardian) ‘Name of the Account Holder (Minor)... ee Date of Bitth ..rnnonnnenn Mlemtity Papers ‘Name of of the Guardian =. o Relationship with the Minor: Signature of the Gi wrdian Part-2 : Personal Information * 1. Name of Account Holder/Beneficial/ Account Operator's Name “arom In English (Block Letter) : «0... 2. Relationship with the Account (Put ¥) Applicant CF 20 Applicant (3°! Applicant C1 Minor &) Guardian CQ) Attomey Holder D Signatory — Beneficial Owner 1 Others... - 3, Date of Birth seen Pla 4. Father's Name 5. Mother's Name 6. Name of Husband/Wife : 7. Nationality (incase of foreigner, copy of Baspor along with Via mast be obtained) 8. Residence Status (Put): [J Resident =] Non-Resident (nade siction tbe followed ex perth guidelines for Foreign Exchange Tascctons) 9. Gender (PutY) :()Male (Female Third Gender 10. Profession (in details) see soe 11, Monthly Income = (Uf neded, elated documenis mentioning details o be provided asp the Bank's requirement) 12, Source of Income (details) 13, Identity Papers : a) National 1D Number b) Passport No./Birth Reg. Certificate No./Others **(please specify): ©) Introducer’s Information (needed in case A/C holder has no NID): Name : ‘AIC NoNID No. DoB: Introducer’s Signature (with date ) oe (repartee asim ea i 9S TE wT TE FO cE ee TT Ree EME Soe tenniie ramen rr ee er FO ete ae ef fe vf eS ae reere ey Ser ee reresit puoi up oo np en tey s s apcnng este is poy Seen seta we ‘Account Application Form = Individual Account Page 1 of4 “in ease of ot account, ifomation of ach person to be ebained. "BN WaT RR Ra CATTERY Cer CEN BD CRM ATE) Initial of Account Opening Ofer.14, ‘Tax ID Number. (if any): 15.4), Present Address: House No RoadMillage UpscilayThana = District: - Post Code: OOOO Phone No.: Mobile No. semi: ), Permanent Address: Road Village: PO: =] Upazila‘Thana :. District: Post Code -OIOOOO = — jntosninttater tone c). Correspondence (Put): [J Present Address [J Permananet Address oF sess) Part-3 : Nominee Related Information * {We nominate the following person to receive the balance of my/our account fer mylour death. UWe reserve the right to cancel or change the nomination a any point of time. /We also confiem my/our agreement to the effect that the Bank will not be responsible o able in any sway for execution of transactions as pee my/our instruction. 1. Nominee Related Information: 8) Name of Nomine by Address ©) Percentage to be entitled 4) Relationship with the Account Holder: sos €) NID No.Passprt No Bh Reg, Cetiieate No Others (lease specif. 2. Incase the nominee isa minor, the deposit recipient information during minority period ofthe nominee, in case of dent coun Hole), pe etion 1032) othe Bak Company At, 1991 a) Name = a by Permanent Address: «) NID No./Passport No/Birth Reg. Certificate No./Others (please speci) 4) Relationship withthe Nominee (incase the Nominee is. nonresident and enti vo the Proceeds, DoB:... prevalent Exchange Conrol Rules and Regulations will be applicable at foie fromitnce fie occels onde Bangle) Foreign Account Tax Compliance Act (FATCA) Please put (7) in the applicable box below YES / NO 1. Areyoua US. Citizen’? es 2. Are youa US. Green Card Holder ? SS 3. Are you a U.S. Resident ? a ca Subj! spl lea ws, UW hey comet for ONE Bek Lined or nyo is flies (cing hace) ole “the Bak”) sie myo inforaion wit ows ovens eat er a uses Wht esa ¥ eSablsh my abit ay jarbicon. Wher ete by doves or veneer or tex abi, We com dare tt he Bank my wild ro my serunt) ock tn ay be eared eso ape tows regulations ard cvs LWesdeakeo nt the Ban win 30 clnr as her change ay iafraton wih tae pv he Banke Account Operator's Declaration and Signatures (ae #fiowater ars cere =) We confirm ou assurance that, We have read al the rulesterms and conditions governing the account and willbe bound to comply ‘withthe same. We consciously and in sound mind declare tha ll the information fused above is rue and correct. We wil also fumish any addtional documents and/or information as per your requirements. (Vara a Ket Froeet eee, aR Fee Te MSN TAA STA eG ee BE EMTAMECA eR ACS ANG ATR RTA TR 6 Hw MOH TT Fae, SCRTARTS ‘wen eve re were ME mE cc rea IMA MTT WA CEE ATT TA) Signature of Applicant Signature of Applicant ‘Signatare of Applicant Name Name Name FOR BANK USE ONLY Approved by : (Branch Manager or BSM) ‘Name: Signature: Seal & Date: ‘Account Application Form - Individual Account Page ola “incase of move nan one nominee, Nominee related ifomaton of her nominee tbe obtsinedasggassse » ° » ° » ° » » 3 ° ‘TERMS & CONDITIONS | apse may deposit money allen 2 eo abe iss Cheques, Da td Din Warns wil be cep or cllecton and cree ater eatin to Sevens Han Actor) provide Ban seine so ety fhe aos ‘The miu tla raguie o Be mained sll timer Te S000 sd te an sre hight chang he iia lanes regu nfo ‘ore rch scout witht rr note he ne fal below hs mount ‘he ank reserve tc tei at py any shege pened tht orate th rls, Inthe event och Being ree fr wan of is, penaly ‘hag posh of eage wil eae. ‘Witt lowed tees woxk Ls sgh times # mont vp 125% ofthe ttl laoe in the ase. Witdeawal byond the masa ii wil eo er oat rhe oc which be wih a, ‘Napotor anot witha osu oe sala Th S ‘atin ate yb are oie oie, Any lon nat wil be dpa. Inte il e allowed aly on sou Sern min ance fT. .0-pe clndar owth Sabjt oth foregoing cleuaton willbe made ea Sold a ass lord any ie, acount closing cage abe ead a pa chal of charge. Testo be eet ofthe acon older ht cvery hme of es eat othe Back pomp opr fers “The Bark eseres ithe gto clos any accu wou assigning ey ese hee Ifthe provisos of thse usar one Cotinal he Bank wl be enpwere olen serie care at darn ‘The Bak sees lhe gt le rad obs st a ine ‘The Bk shallbe fe fo ny and al pay (>) ast yon or nage fans, eer propery depose wi th Bak eo ayer of Goverment or ter Aubry a ley, eta, orton chaise or any tr use whore bese en tan beh hese as in uae png operat Ast hy Sg uy Te eat ne A en for: eo few ewe crouse {Free 000 Br fre eee me fe rSoe er m wre F E sre oe FE RS IRE UAE GF GROEN TST FU TE AEN FY ee RE NOT EO ATTN TONE Owe a AGS EE aut a wale ee WRee aie or wee wen a Fen ne tr Brat we cfs Pa Bow Beer eH, ck ON BEM CE OF ONE carers ec “erenié coo) bere ax ape Bet Seater sace neeer ‘ronnie a fee are oa Reo co fede en sae Ff ti, 200 es wm 3 owe RY AE BE TIO a ore eH OFT AR UE OE Sew ae, od ow aes sat an a oats roa afonge ORG.CN GRICE HE sce cmc oe on Ee cre ee EE TT RENT CE sete fier ence eee Sh oe se Ac PE x creme eine ee ee NEN BRET ANE REOT BE “sree wear ear eye, ES, OFF, OT, eR, TET or we, Fy er me wo wear aCe Ha NGS TT ES sfen, SOTAR x fe cnet orien Co WHET fare Fe se rc A CU FU PES WHT NEY EAM STE RR OL TMT PT I eer RAC een eT AS a AE (GENERAL. CONDITIONS GOVERNING ACCOUNTS “The wus ad gua of Bagldsh sua ston and procedures common to Banks ia Bugldcsh wil aply and gover the conc ofthe count pened be Bank [Ry penn opening 2 acount wil be decd to ve read ane and acct the es goveing the scout Minna bance 1 be mitin ‘Comanand SND AC Tk. ThA: sd in Ssvings ACT. 5,000- on ‘sbi iadacion in apts cs) by nce aceabe to he Bank i rege rior oping of ny acount Reset phsoarans of he scout ‘poner dy steed ye ts mae prod ch account wl be gis cne aout numb. This nurs Be roe que on leer nd or dca aes the Bak nd onl depos ss. The Bank will te eponsible fr any os or damage ce uring eu of wong quoton of accutane. Interesommisneirvie or maninace of ccunt harps wil kv by th Bk seins by th Bank fo ine tine ands per Bangladesh Bank repltion “Te nds saa in any ofthe ccunt older scat (he csr with the ek il be comidey he Hank bea sent any cman) he Bank in ented without gs pr ice the castor wz rch fds gn the gion) and acme) othe rer te aie ‘Any sateen of scout dpc wo tector wl be cnscred ay approved unless ay repens) she potiedi wriig te ack wii 1S ‘hy om the date of pth The Bank isnot responsible for dls cr onder de Toma problems Steet of accu © be che up Wl be ‘vesideed a proved even a picked up Ts eae ae he te heya produced. ements of cea ae tatpofueed whe he io operation Sng ‘ernouth Tone an bobs on spel eae ‘Aso holler mus rovid mmm sent oth tego in te posteson nd te Bank st espns or any los aceuing uo nadsgay ‘tse. Any cague book aso masse must be medal vprtl toh Bank and confined Wig witht dl. Yh dpnt ae say tras reson ry ae arse aca clio a Seri ha perch of ew “The Hk eerste ight to cle ny aesamt witout ving prior mice if the cond fhe cont is nest inthe opinion ofthe Banko fray She ens) haere. The tlc in be scour is payable sly at ONE Back Limited and hl be governed by a sujet "avs in effet in Banglades, As we Herein Laws line Bank Crus, Moieatons, Repalatias an Ores the Goverment and Bangla Bank iteuding pra of ning “The Han reserves the ih to amd th preset rss sy te any manner with or wie ing ple nos fe acre Rll) spurl oro he publ, The choquc bok wl tbe iu ules owt lhe rquted oneal te compel. ‘Te customer most atl ies exe eco prevent hae a ing tered fered aa manner which my eit al Ish eves, he Bask 7 dys pcr note ce GFSND AIC leur to wire fd wie made witout abso ft ree wien atic, one wl be yest hat sont fr he month [The acount wich opened and oped fr il collasion IPO calcson ei ae Haro Ascot nd writen apm ‘et brent cstomer andthe Han to scfm hs ssn eran nee ean 7) ae xed om som of wre | ‘The Bank ay ie to proces ay tanto on ary customers ascout) ithe Bk suspects do eat tees The Bank’ ein on wets he ‘sat ily be veda ado inequity sal be fl and conchsive and Ding one sone “Te Bak seus the gto debit ny acount hat may lave ben haere ceded wit an eseasacton svbsequy aad calle dette Tobe th wrong ety wing ny Intra oe eure ‘fe ang Rating Copy A cared pit oe (ute mie aga ak ‘Be Aa idee ptt Py ine Bn nk hc Th a icin cg ce een Ae ‘Account Application Form - Inivdual Account Page dol3 44" sae sae 98 548 353s 93 fee ots ote i cence WR, Fe, ere A 8 ee ce CH eee ee es {Rf gre fe Soe fer mA A, OU ANE ETE Hom Ke TEN He © ENTE fEE 20,000. ee FE 000 ‘ery fe nems ece ee or Se A SION RTE RPE AERTS SEN MAREN (AT CR) ee ANS eee ey ME TR Tae com tao 3 Forte We COP Eee a TE ON A HHT RTE HT NEE a SMMC AT wa A Be UN TS 1a ge ee ate een wo ANN OT ATE ON TC BTR RT| cern are fee a Se ere mee Foe ee a em Pc OH se enfoeis xcafrcefenas c eneca cae race Fi ars fee eens x Be erase te ee eer aerseer se ere Fee cr eer kerf a we ACTIN TCE MPO TEE Tk Fea RE TO TH 1 eg Frees Poe ea Rees 1 ROU BaF MICE TH NT HON ATA TOP 30 FEN OM AS LON OW MRT AON AS WE COATT wer eB Fe aA TA aa Hm AT ee THC Fe aA ro re ewe enh wn vw tare hte Fan ws rare ak fs Ree were Bere SFE eo a Ce ow A KN He arse em ge eee Bl Rec HCE eee rer mR ARE Ce RENMEI COM WaT VHT HE, CH IM EH TRI WT ANE RH Be TE CE ccm SB ‘ee ft mee ve ee [CER re Oo TE OO YH ET OEE TE ER EI EG TE TEE SAE TE cen Ff rena on ae MNES wpe OH ET ee BETAINE eS wT UAE ee Pe REARS NT, eT, TT 2 TO AT FG COAG CE TE TE A A FO HTS rae er eae CEM GO HEA AC STS GT HEN TE PRE ATE IE CTE AINE MS FH TEA re ers gem of com ee coe a Ry CEH me corn ay et we ws, ere eee are ore ee cea nfs TUTE em ANE Sa RAY EON WT ceo errata mf eer SN TT AT SE TEN 8 EE ON CEH A Bn rs Bt SER Ta OEE 2 NON OE ER A BRT [END AM) WAM 8 AOE eM cow HAA FON OTE HE RATT 6 SE STE TORY We MN FRE MET BG eno (aT 9 ya TR | oe NCR cD RO CCRT =) em NEN TNT ART MERE AT OA TMI ETS MEL HER ETN RA REE Ft FE TE ree pe ae Bt er en ee me com ec fr cn em ps eR eo ca aT REE ee AE cH EY ET TC OTS ieee “ere cor a ee 30 ae oF CO ERE SH TOTEM AR ATE TF 0, SURG, ROE, TEE HT ETS OES FE ET TET ‘reoree crn ee EU Te we ATSB OFA FHC) A AY a KO AN HOU RE oT bor Bees ere Ren ere wr ean oe RU RTE (CD) So FH AGREEMENT pf: ey eg a na lo gnature of 2 Applicant ‘Name Two copies of aca ptogph othe Aout lle) latest by the nodes & photograph of Nomis o beast by th Aca Hole Acsout abe reuee rope naples) Inodicers Signature AOF abe vei by an Oi ur fal sgt Later f ks to Acct oles) 1 be en under ested postr tous oui series uring rope cod Incas oft ocr, prt introns are tbe sped by th jin scr ldo. Peon eset of Account Halder), Photocopy a PassporvNatons ID cr ot Bt Registration Cerca alg wih ther phat 1D enon etn of Nerin, Potcopy of PasertNaonal ID cad Bits Repstaton Crete slong with er ph ID. Copy of TN Cait aie) ese ut the word-MINOR™ ete ile ofthe scot Pees oor psi indraon of operat ofthe coun ‘Documents equiced for NFCD, NITA Accouat: Copy a sso long wih aid suo por (eae ffs passport caste sed opie te copy of°No Vis Regu fr Bugle” ag) ee ee eer ee arene ee See eee ae mare eran dcp aed pomp oc optical ep gp cn Cwm eye tt Masoalpo eat cng ato fast en ropomeapeeg ht Wnt eons pc ogres ep Mandy SS Code (pe eg unk Glin) SL LUD 1. Marrone Infrmalo= (Fr SBS Repoing) Sector end Ses code a —— eon Fupoe cove Seca coe Frepared by ee by pared Signature — _ Noe Nee New ‘Account Application Form - Individual Account Page sol