Dutch Bangla Bank Account Form PDF Details

At the heart of establishing a financial relationship with Dutch-Bangla Bank Limited lies the detailed and comprehensive account opening form, designed to cater to both individual and potentially connected business entities. This form facilitates a variety of account types including, but not limited to savings, current, and fixed deposit accounts, each with options for different currencies to accommodate the diverse needs of its clientele. Beyond the mere act of opening an account, this form serves as an avenue for customers to precisely dictate the operational nuances of their account(s) — whether it’s to be operated individually or jointly. It provides a space to disclose particulars about affiliated entities, existing banking relationships with other financial institutions, and even the intricate details concerning nominees who are designated to manage the account posthumously. Additionally, the form extends into areas concerning initial deposits, special scheme deposits, and the sources of these funds, demonstrating a thorough vetting process aimed at ensuring financial security and compliance. Applicants are asked to specify their requirements for cheque books, clearly indicating a customization of service delivery. Importantly, the form doesn’t shy away from capturing essential identification data and personal information for both the account holder and, if applicable, their guardians, establishing a clear pathway for transparent and responsible banking. The closing sections seek confirmatory declarations from the applicants about the veracity of the information provided and their understanding of the bank’s terms and conditions. This meticulous attention to detail underscores the bank’s commitment to compliance, security, and customer satisfaction, crafting a banking experience that is both comprehensive and tailored to individual needs.

QuestionAnswer
Form NameDutch Bangla Bank Account Form
Form Length12 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min
Other namesডাচ বাংলা ব্যাংক ফরম, open student bank account online, student account dbbl, create bank account online bd

Form Preview Example

 

Dutch-Bangia Bank Limited

Account Opening Form

Individual Account

O 0 M M Y Y Y Y

 

Date ITITIC[IJ

(For Bank use only)

 

The Manager

Ale No.

Dutch-Bangia Bank Limited

 

....................................................... Branch

 

Dear Sir,

l!We request you to open an account in your branch. My / Our full particulars are given below:

1.Title of Account

 

 

i.

1

 

 

 

 

 

 

 

 

 

 

I

 

 

ii.

============================================~

 

 

 

1

 

 

 

 

 

 

 

1

2. Type of Account-please Tick (..J) DExcel

DPower

DPower Plus

D Savings

D Current D SND

 

 

 

DFixed

DFC

D RFCD DNFCD D Others

.

 

3. Currency-please Tick (..J)

DTaka

DDollar

DEuro

DGBP

D Others

.

 

4. Operating Instruction-please

Tick (..J) DIndividual

DJoint

DAnyone

D Others

.

 

5. Particulars of accounts of allied or sister concern of the customer (if any):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SI. No.

Account Number(s)

Type

 

Title the account

Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Other Bank Accounts of the Customer (If any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of the Bank(s)

 

Branch(es)

 

Type of Account - please Tick (...f)

 

 

a)

 

 

a)

 

D Deposit

Ale

D

Loan Ale

 

D

Others

 

 

 

 

 

 

 

 

b)

 

 

b)

 

D Deposit

Ale

D

Loan Ale

 

D

Others

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Introducer's declaration and information:

 

 

 

 

 

I hereby declare that I personally know the account holder thoroughly. The particulars given in the account opening form are correct

 

to the best of my knowledge.

 

 

 

 

 

Name

,,----------------------,

 

ISignature

 

 

 

Account Number

 

 

 

with date

 

 

 

 

 

 

 

------------~

8.

Initial Deposit

 

Currency: ,'-

_

Amount: ,

 

--.J

9.

Particulars of FORI

Amount: I

 

Currency: I

 

 

 

Term Deposit (if any)

 

I Rate of Interest: I

-----------

 

 

 

 

 

period:1

Date of maturity:1

/

/

RenewalIRedemptioninstructions D Renew Principal & Redeem Interest D RenewPrincipalwithInterest D Redeem Principal & interest D No instructions

RenewalI Redemptionpayoutmode

DBycash

 

D By Banker'sCheque

D Transferto Account

 

InterestTransferAccountNo I

 

I RedemptionTransferAccountNo·1

 

Unless instruction to the contrary is received, the Bank will renew

 

principal plus interest at the interest rate prevailing on maturity date.

 

Pay in Mode: D Cash

D Transfer from DBBL Account ,

 

~

DCheque No

Drawn on

Bank

Branch

Page No. 01

10. Particulars of Deposit Under Special Scheme

 

NameofSchemel,-------------------------------------------------------------~

 

 

Tenure

One time Deposit (If any)

No. of Installments

Installment Type

Installment Amount

Payable on maturity

D Monthly

D Quarterly

D Yearly

11. Sources of Fund

12. Cheque Book Request (Charge applicable for each leaf)

 

 

Please issue cheque book containing D 20 leaves

D 50 leaves

D 100 leaves

(SB/CD)

(CD only)

(CD only)

13.Details of Nominee(s):

I/we do hereby nominate the following person(s) to receive the entire amount deposited in the above account in the event of my/our death. I/we do hereby reserve the right to cancel or change the nominee(s) at any time. I/we do hereby also declare that the bank will not be held responsible for any transaction done as per instruction given by me/us.

D Cheque Book (Not required)

Photograph of

Nominee(s) with

Signature

duly attested

by the Ale Holder

Particulars

Nominee -1

Nominee - 2

 

 

 

Name

Date of Birth

Percent of Share

Father's Name (with prefix')

Mother's Name (with prefix')

Spouse Name (with prefix')

PermanentAddress

Profession

Relationship with the AlC Holder

National 10 Card Number, if not minor

Signature of Nominee(s), if not minor

In the event that the nominee remain(s) a minor at the time of account holder's death following person is authorized

to receive / draw the amount of deposits held by the bank on behalf of the minor.

Name

National 10 Card Number

Address

Signature of Authorized Person

*(If any Non-resident is appointed Nominee in such case Foreign remitting the proceeds outside the country)

"Prefix such as Mr.lMrs.lDr.lHaji/Alhaj/Moulavi/Engineer/Barrister/Advocate

Date of Birth

Relationshipwith the Alc Holder

Exchange Regulation act shall be applicable for

etc.

Pa e No. 02

14. In case of Account Holder(s) being minor:

As a duly appointed guardian(s) of the account holder. I/we hereby declare that the account holder is a minor. His/Her particulars are given in a separate elF. The account will be operated under my/our signature(s) as a legal guardian(s) until the account holder becomes a major or I/we declare otherwise.

Name of Account Holder (Minor): 1------------------

Date of birth: 1

_

Name of Guardian(s) 1.1

================~

2·1----'

Relationship 1.

with Minor

2.

Note: For Minor and Guardian - "Two Personal Information Forms" are to be filled up and Guardian must sign both the forms

15.Declaration and Signature of account Holder(s):

l!We hereby confirm that IIwe have read and understood all the terms & conditions related to opening account and agree to abide by the same. I !WE solemnly declare that the information given above including nominee particulars is correct. l!We shall also submit any additional information/documents as and when required

 

Signature

:1.

2.

_

 

 

 

 

Date: -1--1----

Applicant's Name: 1.

2.

 

 

 

For Bank's Use only

Comments (If any)

(Signature with

date)

 

(Signature with date)

(Signature with date)

Account Opening

Officer

 

Authorized officer

Approved by Manager/Branch Incharge

(Seal with name & designation)

 

(Seal with name & designation)

(Seal with name & designation)

 

 

 

 

 

 

Account No.

 

 

 

 

 

1st Applicant

10

 

 

 

IC

 

 

 

 

 

IC

2nd Applicant

10

 

 

 

 

 

 

 

 

IC

Mandatee

10

 

 

 

Authorised Signatory-1

10

 

 

 

IC

 

 

 

 

 

IC

Authorised Slgnatory-2

10

 

 

 

Chainnan

10

 

 

 

IC

Managing Director

10

 

 

 

IC

Director-1

10

 

 

 

IC

 

 

 

 

I.

 

Oirector-2

10

 

L-

IC

 

 

 

 

 

 

Sector Code for SBS -1

 

 

'---

1

 

Initial Deposit

 

 

-

1

 

Cheque No

 

 

10

bolh

number Inclusive issued.

If the account is used as settlement account for loan, please fill-in the following:

loan/Contract No.

loan Type

GuarantorID

GuarantorAmount

Economicpurposecode

SecurityCode

 

 

 

 

 

input by

 

Checked and authorized by

 

.

Branch Manager I Authorized Officer

 

 

 

 

.

 

 

 

 

 

Page No. 03

Dutch-Bangia Bank Limited

Photograph (Attested by the Introducer)

(CIF - Customer Information Form)

(For Bank use only)

Date~

The information is given below for:

D First Applicant I Co.

D Second Applicant

D

D Authorised Signatory

D Mandatee

D

D Director

D Guarantor

D

IShort

Name

 

 

I First

Name

 

 

IMiddle Name

ILast Name

Third Applicant

D Fourth Applicant

 

Chairman

D Managing Director

 

Minor

D Guardian

D Others

 

 

Address

* Present Address

(Residence)

* Permanent Address

IHouse No. :

----'----------------

 

IRoad No. :

 

 

IVillage

 

 

IDistrict

PostaVZip Code:

ICountry :

IPhone (Residence):

Iphone (Office) :

IMobile

IE.mail

Other Information

Birth / Reg. Date

 

 

 

 

 

Reg. No. ITIIJJTI

 

 

 

 

 

 

Sex

DMaie

D

Female

 

 

 

Marital Status

D Single

D

Married

D

Divorced D

Widowed

Page No. 04

 

 

 

 

 

 

I Race

DMuslim

D

Hindu

D

Buddist

D

Christian

D

Tribal

DOthers

Profession

D

Self employed

D

Serviceholder

D

BusinessPersons

 

 

 

(for individualonly)

 

 

 

 

 

 

 

 

 

 

 

DOthsrs (Pleasespecify)

Designation with Office Address

INationality

 

 

 

• Resident Status D

Resident

D

Non-Resident

(Note: If a Bangladeshi live abroad for more than 6 months, he will be considered as non-resident)

INationallDCardNo.

IDrivingLicenseNo.(If any)

IPassportNo(Ifany)

ICreditCardInformation

 

 

 

Issuing Organization

 

Credit Card Number

 

 

 

 

2

ITIN(Ifany)

Father'sName(withprefix')

Mother'sName(withprefix')

ISpouseName(withprefix')

• Mailing Address :0 Present (Residence) Address 0 Permanent Address 0 Office Address

Applicant's Signature

Date

Photo and Specimen Signature

RECENT PHOTOGRAPH (2 COPIES)

SPECIMEN SIGNATURE

(Attested by the Introducer)

For Bank use only

Customer IC

 

 

 

 

Account No.

 

 

 

 

Customer 10

 

 

 

 

Sector Code (for CIB & SBS-2)

 

 

 

 

Customer's Signature Admitted by

,

Introducer's signature verified by

 

,..

input by

 

Checked & Authorized by

 

.

Branch Manager !Authorized Officer

 

,

,

.

• Prefix such as Mr.! Mrs.! Dr. ! Haji ! Alhaj ! Moulavi ! Engineer! Barrister! Advocate etc.

Page No. 05

Dutch-Bangia Bank Limited

1.Title of Account

2.Type of Account

3.Account or Reference No.

Cash Deposit (inclusive of Online

Transactions)

Deposit by Transfer / Instruments

Deposit of Foreign Remittance

Export Revenue

Others (specify)

.

Cash withdrawal (inclusive of Online

Transactions and ATM)

Transfer by Instruments

Foreign Remittance withdrawal

Settlement of Import expenses

Others (specify)

.

 

Total withdrawal (approx.)

4.S00~~~TffiM~~~n~I

_

I/We the undersigned hereby confirm that the projected transactions volume is my/our (organization's) normal transactions, I/We do hereby assure that if necessary, I/we will Change/update the transaction profile.

SignatureSignature

NameName

DesignationDesignation

DateDate

••

Transaction Profile with Source of Fund Justified by

 

 

Authorized Officer

P

N 06

 

I . . -

.'

 

R-

,

Dutch-Bangia Bank Limited

KYC Profile Form

For Individual and Non-Individual Accounts

(For Bank use only)

 

1.Title of Account

2.Type of Account

3.Account or Reference No.

4. Name of NC Opening Officer

I Designation I

5.Nature of Business and sources of Fund

6.Describe how the sources of Funds have been verified. It should be clearly stated whether the transactions are in keeping with volume and nature of business.

7.Information about Beneficial Owner of Account

(in case of Company, detail information of regulalory

Shareholder and 20% or above single shareholder)

8.Passport Number

9.National ID Number

10.TIN

11.VAT Registration Number I

 

 

 

 

 

 

 

 

 

 

 

=========================

 

 

 

12. Driving

License

Number

 

I------------------~===---~----~=-~==~

13. In case

of non-resident

/ Foreigner

a) Reasons for opening

the Account

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b) Type of Visa

 

 

 

 

14. Occupation / Nature

of Business of the Individual/Organization.

(please tick)

 

 

 

 

 

 

 

 

 

 

 

 

 

SI.

 

CategorylNature

of business

 

 

Risk Level

Score

 

 

01.

 

Jewellery/Gold

Traders

 

 

High

5

 

 

02.

 

Money Exchange /Courier Service Agent

 

High

5

 

 

03.

 

Real

Estate

Agent

 

 

 

 

High

5

 

 

04.

 

Construction

 

Proiect

Promoter

 

 

High

5

 

 

05.

 

Offshore

Corporation

 

 

 

High

5

 

 

06.

 

ART! Antique

Dealers

 

 

 

High

5

 

 

07.

 

Restaurant/Bar/Night

Club/Hotel

& Motel owner

 

High

5

 

 

08.

 

ImportlExport

 

Agent

 

 

 

High

5

 

 

09.

 

Cash

money

Lender

(of taka 250.000 monthly)

 

High

5

 

 

10.

 

Share/Stock

 

Dealer

 

 

 

 

High

5

 

 

11.

 

Manpower

Export

Business

 

 

High

5

 

 

12.

 

Operations

in Multiple Locations

 

 

High

5

 

 

13.

 

Film

ProducerlDistributor

 

 

High

5

 

 

14.

 

Arms

Dealer

 

 

 

 

 

 

HIgh

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

 

Mobile

 

Phone

Operator

 

 

HIgh

5

 

 

16.

 

Money

lender

(of more than taka

one crore yearly)

 

wgn

4

 

 

17.

 

Travel

Agent

 

 

 

 

 

 

111gn

4

 

Page No. 07

SI.

CategorylNature

of business

 

 

Risk Level

Score

18.

Transport

Operator

 

 

 

 

 

 

Medium

3

19.

Auto

Dealer

(Reconditioned

Cars)

 

Medium

3

20.

Non-banking

financial

Institution

(NBFI)

Medium

3

21.

Freight/Shipping/Cargo

 

Agent

 

 

Medium

3

22.

Insurance/Brokerage

 

Agencies

 

 

Medium

3

23.

Religious

Institutions/Organizations

 

 

Medium

3

24.

Entertainment

Organization!

Amusement

Park

Medium

3

25.

Motor

Parts Business

 

 

 

 

 

Medium

3

26.

Tobacco

& Cigarette

Business

 

 

Medium

3

27.

Auto

Primary

(New Car)

 

 

 

 

Low

2

28.

Shop

Owner

(Retail)

 

 

 

 

 

Low

2

29.

Business

-Azent

 

 

 

 

 

 

Low

2

30.

Small

Trader

(Turnover

less

than

Tk. 50.00 lac per annum)

Low

2

31.

Self Employed Professional

 

 

 

Low

2

32.

Corporate

Customer

 

 

 

 

 

Low

2

33.

Construction

Material

Business

 

 

Low

2

34.

ComputerlMobile

Phone

Dealer

 

 

Low

2

35.

Software

Business

 

 

 

 

 

 

Low

1

36.

Manufactures

(other than Arms)

 

 

Low

1

37.

Retired Persons

 

 

 

 

 

 

Low

0

38.

Service

 

 

 

 

 

 

 

 

Low

0

39.

Student

 

 

 

 

 

 

 

 

Low

0

40.

Housewife

 

 

 

 

 

 

 

 

Low

0

41.

Farmer

 

 

 

 

 

 

 

 

Low

0

 

 

 

 

 

 

42.

Others

(Bank

will rate the risk according

to nature)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For table 16 to 21 upper limit will be considered as same category. Example: 50 lac will be under the category of 0-50 class

15. Net worth of the Customer (Please tick)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount

(Taka)

 

Risk Level

Risk

Rating

 

 

 

1-50 lac

 

 

Low

 

0

 

 

 

 

 

 

 

 

 

 

 

50 lac to 2 crore

 

Medium

 

1

 

 

 

 

 

 

 

 

 

 

 

 

Above

2 Crore

 

High

 

3

 

 

16.Procurement of accounts (Please tick)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Procurements

 

 

Risk Level

Risk

Rating

 

 

 

Relationship

ManagerlBranch

 

Low

 

0

 

 

 

Direct Sales

Agent

 

Medium

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

Internet

 

 

 

High

 

3

 

 

 

Walk-in!Self

motivated

 

High

 

3

 

 

17. Estimated monthly transactions (Please tick)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transactions

in Current Account

Transactions in Savings

Account

 

 

 

 

 

(figure in Lac)

 

(figure in Lac)

Risk Level

 

Risk Rating

 

 

 

 

 

 

 

 

 

 

 

 

0-10

0-5

 

Low

 

0

 

 

 

10-50

5-20

 

Medium

 

1

 

 

 

 

 

 

 

 

 

 

 

Above 50

 

Above 20

 

High

 

3

 

 

 

 

 

 

 

 

 

 

18. Estimated number of monthly transactions (Please tick)

No. of transactions

in Current

No. of transactions

in Savings

 

 

Account

Account

Risk Level

Risk Rating

0-100

 

0-20.

 

Low

0

100 - 250

20-50

 

Medium

1

Above 250

Above

50

High

3

 

 

 

 

 

 

Page No. 08

19. Estimated monthly Cash Transactions (please tick)

 

 

 

 

 

 

 

 

 

 

Transactions in Current Account

Transactions in Savings Account

 

 

 

 

(amount in Lac)

(amount in Lac)

Risk Level

Risk Rating

 

1 -10

1-2

Low

0

 

10-25

2-7

Medium

1

 

 

Above 25

Above 7

High

3

 

 

 

 

 

 

 

20. Estimated number of monthly Cash Transactions (please tick)

 

 

 

 

 

 

 

 

 

 

No. of transactions in Current

No. of transactions in Savings

 

 

 

 

 

 

 

 

 

 

 

Account

Account

Risk Level

Risk Rating

 

0- 15

0-5

 

Low

0

 

15-30

5-10

Medium

1

 

 

Above 30

Above 10

High

3

 

 

 

 

 

 

 

21. Overall Risk Grading (Please tick)

 

 

 

 

 

 

 

 

 

 

 

 

Total Risk Rating

Risk Assessment

 

 

 

 

 

 

 

 

 

 

 

 

AbovelEqual 14

High

 

 

 

 

 

Below 14

Low

 

 

 

 

 

 

 

 

 

 

Remarks

(*Customer may also be graded in high risk category according to subjective consideration with reason when the risk grading is below 14.

22. Address(es) of Account Holder(s) verified or not?

DYes

 

23.H yes, How!

24.Politically Exposed Person(s) (PEPs): (According to A.M.L. Circular -14)

a) Approval obtained from Senior Management

DYes

D

No

l_b_)_S__ceoms_O_f_VV_e_al_th

I==~------

==~-------------------------------

Ic) Customer(s) interviewed personally

DYes

 

 

Prepared by

 

Verified by

 

 

(Account Opening OfficerlRelationship Manager)

 

(Head of Branch/Operation Manager)

Signature

 

Signature

 

 

withdate

 

withdate

 

 

Name

 

Name

 

 

NameSeal

 

NameSeal

 

 

25. When the account related information is reviewed and updated last

B

_

 

 

 

Compliance Officer

Dutch-Bangia Bank Limited

KYC Profile Form

IApplicable for Special Scheme/Term Deposit I

1.Title of Account

2.Type of Account

3.Account or Reference No.

4. Name of Opening Officer I

ALCI~~~~~~~~~~~~~~

5.Sources of fund & how it was verified.

6.Information about Beneficial Owner of Account

(in case of Company, detail information of regulatory

Shareholder and 20% or above single shareholder)

7.

Passport Number

 

 

Photocopy obtained?

DYes

DNo

8.

National ID Number

 

 

Photocopy obtained?

DYes

DNO

9.

TIN

 

 

Photocopy obtained?

DYes

DNo

10.VAT Registration Number

I

 

Photocopy obtained?

DYes

DNo

11.Driving License Number

============================

 

 

 

 

 

Photocopy obtained?

 

 

1

_

DYes

DNo

12.Customer's Occupation.

Comments (if any)

Comments (if any) on Customer risk by subjective consideration

(Account Opening Officer I Relationship Manager)

Authorized Officer

Signature

Signature

with date

with date

Name

Name

Name Seal

Name Seal

Page No. 10

TERMS AND CONDITION

1.The law, rules, regulations of Bangladesh Bank, customs and procedures applicable to the scheduled bank In Bangladesh shall apply to and govern the conduct of accounts opened with the Bank,

2.Any person opening an account shall be deemed to have been read, understood and accepted the rules governing the account.

3.Each account will be given one account number. This number Is to be property quoted on all letters and lor documents addressed to the Bank and on all deposit slips. The bank will not be responsible for any loss or damage occurring as result of wrong quotation to account number.

4.Interest ICommissions I Service or Maintenance of account charges shall be levied by the Bank from time to time and as per Bangladesh Bank Regulations. Bank shall also have the right to fully recovered all costs and expenses (Including legal fees) arising In any way In connection with the above accounts.These terms and conditions or In enforcing these terms and conditions and In recovering of any amount due to the bank or Incurred by the bank In any legal proceedings of whatever nature.

S.The funds available in any of the account holder's account (the customer) with the Bank will be considered by the bank to be a security for any comrnitmenttsl, and or obligation(s) present and or future of the customer to the Bank, In the event of dishonor or non-fuijillment of such obligation(s) and or commitment(s), the Bank is entitled without giving prior notice to the customer to utilize such funds against the obligation(s) and or commitment(s) of the customer to the Bank.

6.Whilst the Bank maintains strict confidentiality In all relating to accounts and business, Bank shall always be entitled to disclose any Information concerning customers business and accounts held with the bank to any of the following:

a)Any regulatory, supervisory, governmental or quasi governmental authority with the jurisdiction over the bank.

b)Any person to whom the bank Is required or authorized by law or court order to make disclosure.

7.Account holders must provide maximum security to the Cheque Books In their possession and the bank Is not responsible for any. loss occuring due to inadequacy of security, any cheque book loss of misuse must be immediately reported to the Bank with subsequent confirmation in writing without any delay.

8.The Bank reserves the right to close any account without giving prior notice If the conduct of the account is unsatisfactory In the opinion of the Bank or for any other reason(s) whatsoever. The opinion passed by the Bank In the regard shall be final and conclusive and binding upon the customer.

9.The balance In the account(s) is payable solely at Dutch -Bangle Bank Limited and shall be governed by and subject to Laws with effect In Bangladesh. As used herein 'laws' will included Bank Circulars, Modifications, Regulations and Orders of the Government and Bangladesh Bank Including Practies of Banking.

10.The Bank reserves the right to amend the present rules at any time In any manner with or without giving prior notice to the account holder(s) separately or to the public. The cheque book will not be Issued unless and untill all the required formalities are completed.

ACKNOWLEDGEMENT

IIwe hereby acknowledge that I / we have read and understood the terms and conditions stated above and agree to comply with them.

1.1---=---Signature(s)1 of Applicant(s)2·1~:--

l!We have enclosed the following documents with the application form; (Please tick)

DAccount Opening Form: To be filled In and signed by each account holder

Dlatest passport size photograph (2 copies) for each account holder attested by the Introducer

DAccount payee cheque in favour of the Account holder or cash deposit

DCopy of passport I National indentity card I Motor driving license/Office IDlWard Commissioner certificate with PhotoiGazzetted officer certificate with PhotoiOther ID with Photo acceptable to the bank

DIntroduction of account holder (Mandatory): To be signed by Introducer with ID and account number

D1 copy of nominee's photograph (attested by the account holder)

DMinor account additionally require: 1 copy passport size phtoograph

DForeign citizens In Bangladesh additionally require Photocopy of passport with valid visa and work permit

In case of Proprietorship Account:

DAttested copy of valid Trade license

DAttested copy of passport of the proprietor I NationallD Card I Motor driving license

DCompany seal & TIN Certificate

In case of Partnership Account:

DPartnership Letter

DCopy of notarize Partnership Deed certified by all the Partners or Registered Partnership Deed (registered with the register of Joint Stock Companies and firms) dully certified by the Register of Joint Stock Companies and Firms

DPartnership Resolution signed by all the Partners to open account with DBBl Indicating type of account and mode of operation In case of Private I Public Limited Company Account:

DMemorandum and Articles of Association -duly certified by the Register of Joint Stock Companies and Firms

DCertificate of Incorporation - duly certified by the Register of Joint Stock Companies and Rrms

DBoard Resolution - duly certified by the Chairman I Scretary of the Company

DFORM XII and Schedule X - duly certified by the Register of Joint Stock Companies and Firms

DCertificate of Commencement of Business - duly certified by the Register of Joint Stock Companies and Firms (only Incase of Public Limited Company)

In case of Club I Society :

DCertified copy of Registration Certi1icate

DCertified copy of Charter /Bye-Laws and RegUlations I Constitution of the relevant organization

DCopy of Resolution of Managing Committee !Executive Cornmtttee for opening Account ~ DBBl and operation of account - duly certified by the Chairman I Secretary

DList of Members of Managing Committee !Executive Committee - duly certi1ied by the Chairman ISecretary

In case of Non-Govemment School I College! University I Madrasha I Muktab :

DCertified copy of Registration Certificate

DCopy of Resolution of Managing Committee I Governing Body authorizing opening and operation of account with DBBl -duly certified by President ISecretary of management committee

DUst of Members of Managing Committee 19oveming Body-duly certified by a Gazetted Officer

In case of Sector Corporations :

DCertified copy of the relevant Presidential Order IAct of Parliament establishing the Corporation

DResolution of Board of Directors ICompetent Authority to open Account ~ DBBl

DCertified list of Board of Directors (If any)

In case of Local Authomies, City Corporation etc :

DCertified copy of the Statute lany other Law by which the body Is created and governed

DResolution of Municipal Committee I Managing Body (if any) to open Account with DBBl - duly certified by Chairman /Mayor I Competent Authomy

DUst

of Members of such Committee I Body - duly certified by Chairman I Mayor ICompetent Authomy

Please bring all the originals' documents for verification at the time of opening the Account.

Page No. 11

Account No

Features

Charges/Renewal Fee

Options

Dutch-Bangia Ban.k Limited

Customer Options Form

Account Title

DBBLCards

DBBL has the largest ATM Network in all over Bangladesh, which is growing rapidly. A customer can withdraw highest Tk.50,000 lowest Tk.100 in a day and make 5 transactions in a day. DBBL has a POS network of 4,500+POS terminals which is also growing rapidly. In all the ATM & POS terminals, the DBBL cards can be used.

There is no issuance fee for the DBBL NEXUS Classic Card for the 1st year, however from 2nd year onward a renewal fee of Tk.400/- only and ATM network fee of Tk. 200/- only is payable per year. The account holders have also option to ask for a branded maestro/Cirrus and/or Visa Electron/Plus Debit Card for which we charge the customer only Tk. 500/- per year. The branded cards can also be used in other Bank's ATM and POS networks.

I want to get the following Card (s) :

o DBBL-NEXUS o Maestro/Cirrus o Visa Electron/Plus card

Internet Banking

Features

Charges/Renewal Fee

DBBL Internet banking enables customer to access his/her personal or business accounts anytime anywhere from home, office or abroad. It can save time, money and effort. It's fast, easy, secure and best of all.

Customer can enjoy following services through internet banking:

Account

Balance

Open Term Deposit (FOR)

Utility Bills Payment

Account

Statement

Redeem (encash) Term Deposit (FOR)

Refill Pre-Paid Card

Fund Transfer

Cheque Status

Enquiry

 

 

Standing

Instructions

Stop Payment

Cheque

 

 

Annual Fee of Tk.200 only.

Options

Features

I want to get DBBL Internet 10 & Password

DYes

o No.

SMS & Alert Banking

DBBL SMS Banking enables customer to check his/her account balance, make statement enquiry and pay mobile bill just sending a SMS.

DBBL Alert Banking enables customer to get message for each debit or cardit transaction in his/her account and also to get month end account balance.

Charges/Renewal Fee

Free of charges.

 

 

Options

I want to get DBBL SMS & Alert Banking Password

DYes

o No.

 

My mobile number is

 

 

Date----------

 

Customer

Signature

 

For Bank use only

 

The Customer request is communicated to:

 

 

i) Card Division (for DBBL cards) on

vide letter #

.

i) IT Division (for IB & SMS/Alert) on

vide letter #

.

Page No. 12

Authorized Signature