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

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