Export Import Bank of Bangladesh Limited GB-116

G·‡cvU© Bg‡cvU© e¨vsK Ae evsjv‡`k wjwg‡UW

kixqvn& wfwËK Bmjvgx e¨vsK
..........................................................................kvLv
wnmve †Lvjvi Av‡e`b dig
A-e¨w³K wnmve

ZvwiLt D D M M Y Y Y Y wnmve b¤^i t

BDwbK Kv÷gvi AvBwW †KvW t
wi‡jkbwkc g¨v‡bRvi GmweGm-2
†m±i †KvW t
G·‡cvU© Bg‡cvU© e¨vsK Ae evsjv‡`k wjwg‡UW wmGgGmGgB †KvW
..................................................... kvLv|
Rbve,
Avwg/Avgiv Avcbvi kvLvq GKwU wnmve †Lvjvi Rb¨ Av‡e`b KiwQ| Avgvi/Avgv‡`i, cÖwZôv‡bi Ges wnmv‡ei we¯ÍvwiZ Z_¨ wb‡gœ cÖ`vb KiwQ t
1. wnmv‡ei bvg (evsjvq) t ..................................................................................................................
In English (BLOCK LETTER) t ..................................................................................................................
2. cÖwZôv‡bi aib [wUK (√) wPý w`b] t  GKK gvwjKvbv  Askx`vix  †hŠ_ D‡`¨vM  cÖvB‡fU wjt †Kv¤úvwb
 cvewjK wjt †Kv¤úvwb  miKvix  Avav-miKvix/¯^vqËkvwmZ  Uªv÷
 GbwRI/GbwcI  K¬ve/†mvmvBwU  wkÿv cÖwZôvb  agx©q cÖwZôvb  Ab¨vb¨
(wbw`©ófv‡e D‡j øL Ki‡Z n‡e) .............................................................................
3. wnmv‡ei cÖK…wZ [wUK (√) wPý w`b] t  gy`vivev mÂqx AvgvbZ  Avj-Iqvw`qvn& PjwZ AvgvbZ
 gy`vivev we‡kl †bvwUk AvgvbZ  Gdwm  Ab¨vb¨..............................................
4. gy`ªv [wUK (√) wPý w`b] t  UvKv  Wjvi  BD‡iv  cvDÛ  Ab¨vb¨..................................................
5. wnmve †Lvjvi D‡Ïk¨ t

6. cÖwZôv‡bi wVKvbv t
(K) wbeÜbK…Z wVKvbv t ..................................................................................................................
(L) e¨emv¯’j/Awd‡mi wVKvbv t
evsjvq t ..................................................................................................................
In English t ..................................................................................................................
(M) KviLvbv/wkí cÖwZôv‡bi wVKvbv t ..................................................................................................................
7. †UªW jvB‡mÝ b¤^i t ................................................................ ZvwiL t D D M M Y Y Y Y
Bmy¨Kvix KZ…©cÿ t ..................................................................................................................
8. wbeÜb b¤^i t ................................................................ ZvwiL t D D M M Y Y Y Y
9. wbeÜb KZ…©cÿ I †`k t ..................................................................................................................
(†`kx/we‡`kx Dfq ai‡Yi Rb¨)
10. B-wUAvBGb (E-TIN) b¤^i t ..................................................................................................................
11. f¨vU †iwRt b¤^i/BIN (hw` _v‡K) t ..................................................................................................................
12. e¨emv msµvšÍ Z_¨ t
(K) e¨emvi aiY t  †UªwWs  †mev  Drcv`b
(L) cY¨ ev †mevi aiY t ..................................................................................................................
(M) evwl©K Uvb©Ifvi t ..................................................................................................................
(N) cÖwZôv‡bi wbU m¤úwË t ..................................................................................................................
(O) Rwg Ges KviLvbv feb e¨wZ‡i‡K ¯’vqx m¤ú‡`i g~j¨ cÖwZ¯’vcb e¨qmn t.......................................................................
(P) cÖwZôv‡b wb‡qvwRZ kÖwgK/Kgx©i msL¨v t cyiæl t........................... gwnjv t........................... †gvU t..........................
Export Import Bank of Bangladesh Limited
www.eximbankbd.com
 (Q) D‡`¨v³vi aiY t  cyiæl  gwnjv
gvwjKvbvi nvi t cyiæl t % gwnjv t %
hw` †Kvb bvix e¨w³ gvwjKvbvaxb ev †cÖvcÖvBUix cÖwZôv‡bi †ÿ‡Î ¯^Ë¡vwaKvix ev †cÖvcÖvBUi nb wKsev ÔAskx`vix cÖwZôvbÕ ev ÔR‡q›U óK †Kv¤úvbx‡Z wbewÜZ
cÖvB‡fU †Kv¤úvbxi cwiPvjK ev †kqvi †nvìviM‡Yi g‡a¨Õ Ab~¨b 51% (kZKiv GKvbœ fvM) As‡ki gvwjK nb Zvn‡j wZwb bvix D‡`¨v³v wn‡m‡e cwiMwYZ n‡eb
Ges H D‡`¨vMwU bvix D‡`¨vM wn‡m‡e we‡ewPZ n‡e| D‡j øL¨, †Kvb cÖwZôv‡b †Kvb bvix D‡`¨v³vi gvwjKvbvi GKK ev GKvwaK bvix Askx`vi ev †kqviavixi Ask
kZKiv 51 fvM ev Zvi AwaK n‡j H cÖwZôvb‡K bvix D‡`¨v³v cÖwZôvb wn‡m‡e MY¨ Ki‡Z n‡e| [GmGgBGmwWwc mvKy©jvi b¤^i-1, ZvwiL t 07 Rvbyqvix, 2016]

(R) Ab¨vb¨ Z_¨ (cÖ‡hvR¨ †ÿ‡Î) t .......................................................................................................................

13. MÖvn‡Ki Ab¨vb¨ e¨vsK wnmv‡ei Z_¨ (hw` _v‡K) t

e¨vs‡Ki bvg kvLv cwiPvwjZ wnmv‡ei cÖK…wZ [ wUK (√) wPý w`b ]
(K)........................................ (K)........................................ AvgvbZ wnmve wewb‡qvM wnmve Ab¨vb¨
(L)........................................ (L)........................................ AvgvbZ wnmve wewb‡qvM wnmve Ab¨vb¨
(M)........................................ (M)........................................ AvgvbZ wnmve wewb‡qvM wnmve Ab¨vb¨
14. cwiPq`vbKvixi Z_¨ t (miKvix/Avav miKvix/¯^vqËkvwmZ/÷K gv‡K©‡U wj‡÷W †Kv¤úvwb e¨ZxZ Ab¨vb¨ cÖwZôv‡bi wnmve †Lvjvi †ÿ‡Î
cÖ‡hvR¨|)
(K) bvg t ....................................................................................................................
(L) wnmv‡ei bvg t ....................................................................................................................

(M) wnmve b¤^i t ............................................. kvLvi bvg t...................................................

(N) MÖvn‡Ki mv‡_ cwiwPwZi m~Î/m¤úK© t..................................................................................................................
(O) †hvMv‡hvM gva¨g t †dvb b¤^i t .................................. †gvevBj b¤^i t ...............................................
(P) cwiPq`vbKvixi ¯^vÿi I ZvwiL t ......................................................................... D D M M Y Y Y Y

cwiPq`vbKvixi Z_¨ cÖZ¨qbKvix Kg©KZ©vi bvg I ¯^vÿi

(mxj I ZvwiLmn)
15. cÖv_wgK Rgvi cwigvY t ...................................(K_vq)......................................................................

16. A‡_©i Drm/Drmmg~n (mywbw`©ó I we¯ÍvwiZ D‡j øL Ki‡Z n‡e) t......................................................................................

17. wnmve cwiPvjbvKvix msµvšÍ †NvlYv I ¯^v¶i t
Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµvšÍ hveZxq wbqgvejx/kZ©vejx c‡owQ Ges D³
wbqgvejx/kZ©vejx †g‡b Pj‡Z eva¨ _vKe| Avwg/Avgiv mÁv‡b †NvlYv KiwQ †h, Dc‡ivwjwLZ ø Z_¨vw` mZ¨| Avwg/Avgiv cÖ`Ë Z‡_¨i
AwZwi³ mswk øó †h †Kv‡bv cÖ‡qvRbxq Z_¨/`wjjvw` e¨vs‡Ki Pvwn`v †gvZv‡eK mieivn Kie|
Av‡e`bKvix/Av‡e`bKvixM‡Yi ¯^vÿi, bvg, c`ex I ZvwiL

1g Av‡e`bKvixi ¯^vÿi 2q Av‡e`bKvixi ¯^vÿi 3q Av‡e`bKvixi ¯^vÿi 4_© Av‡e`bKvixi ¯^vÿi

ïaygvÎ e¨vs‡Ki e¨env‡ii Rb¨

gšÍe¨ t.................................................................................................................................................................

wnmve †Lvjvi mswk øó Kg©KZ©v Acv‡ikb g¨v‡bRvi Aby‡gv`bKvix Kg©KZ©v (wi‡jkbwkc g¨v‡bRvi)
(bvghy³ mxjmn ¯^v¶i I ZvwiL) (bvghy³ mxjmn ¯^v¶i I ZvwiL) (bvghy³ mxjmn ¯^v¶i I ZvwiL)
Export Import Bank of Bangladesh Limited
www.eximbankbd.com
 Export Import Bank of Bangladesh Limited
G·‡cvU© Bg‡cvU© e¨vsK Ae evsjv‡`k wjwg‡UW
kixqvn& wfwËK Bmjvgx e¨vsK e¨w³i Av‡jvKwPÎ
............................................................................kvLv

wnmve †Lvjvi dig t e¨w³ msµvšÍ Z_¨vejx

(wnmve †Lvjvi Av‡e`bKvix GKvwaK e¨w³ n‡j cÖ‡Z¨K‡K di‡gi GB Ask Avjv`vfv‡e c~iYc~e©K wnmv‡ei g~j As‡ki mv‡_ mshy³ Ki‡Z n‡e )

ZvwiLt D D M M Y Y Y Y wnmve b¤^i t

BDwbK Kv÷gvi AvBwW †KvW t
1. wnmv‡ei bvg (evsjvq) t .......................................................................................................................

In English (BLOCK LETTER) t .......................................................................................................................

2. MÖvnK/†ewbwdwmqvj Ibvi/wnmve cwiPvjbvKvixi bvg t .......................................................................................

3. wnmv‡ei mv‡_ m¤úK© t cÖ_g Av‡e`bKvix wØZxq Av‡e`bKvix Z…Zxq Av‡e`bKvix cwiPvjK
[cÖ‡hvR¨ †ÿ‡Î wUK ( ) wPý Askx`vi GKK ¯^Z¡vwaKvix wnmveavix bvevjK AwffveK GUwb© †nvìvi
w`b] wnmve cwiPvjbvKvix Uªvw÷ †ewbwdwmqvj Ibvi Ab¨vb¨............................
4. wcZvi bvg (evsjvq) t .......................................................................................................................

In English (BLOCK LETTER) t .......................................................................................................................

5. gvZvi bvg (evsjvq) t .......................................................................................................................

In English (BLOCK LETTER) t .......................................................................................................................

6. ˆeevwnK Ae¯’v t weevwnZ AweevwnZ weaev/wecZœxK Ab¨vb¨.............................................
7. ¯^vgx/¯¿xi bvg (evsjvq) t .......................................................................................................................

In English (BLOCK LETTER) t .......................................................................................................................

8. RvZxqZv t GKK GKvwaK
RvZxqZv-1t ......................................... 2t....................................... (hw` _v‡K)
(we‡`kx bvMwiK n‡j wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e mshy³ Ki‡Z n‡e)
9. †iwm‡WÝ ÷¨vUvm [wUK ( ) wPý w`b] t †iwm‡W›U bb-†iwm‡W›U
(cÖ‡qvRbxq †ÿ‡Î e¨vsK KZ©„K MvBWjvBÝ di d‡ib G·‡PÄ Uªvb‡RKkbm&& Gi wb‡`©kbv AbymiY Ki‡Z n‡e)
10. Rb¥ ZvwiL t D D M M Y Y Y Y 11. Rb¥¯’vb (†`kmn) t.................................................
12. ag© [wUK ( ) wPý w`b] t Bmjvg wn›`y Lªxóvb †eŠ× Ab¨vb¨ ....................
13. wj½ [wUK ( ) wPý w`b] t cyiæl gwnjv Z…Zxq wj½
14. †ckv (c`exmn we¯ÍvwiZ) t ........................................................................................................................
15. gvwmK Avq (e¨w³K wnmv‡ei †ÿ‡Î) t .................................................................................................................
(15 b¤^i µwg‡Ki †ÿ‡Î we¯ÍvwiZ D‡j øLc~e©K cÖ‡hvR¨ †ÿ‡Î e¨vs‡Ki Pvwn`v †gvZv‡eK `wjjvw` cÖ`vb Ki‡Z n‡e|)
16. cwiwPwZcÎ t
(K) RvZxq cwiPqcÎ b¤^i t .............................................................................................................................
(L) cvm‡cvU© b¤^i t ....................................................................................... †gqv` t D D M M Y Y Y Y
(M) Rb¥ wbeÜb mb`cÎ b¤^i t .........................................................................................................................
(N) B-wUAvBGb (E-TIN) b¤^i t ....................................................................................................................
(O) WªvBwfs jvB‡mÝ b¤^it ................................................................................ †gqv` t D D M M Y Y Y Y
(P) Ab¨vb¨ (wbw`©ófv‡e D‡j øL Ki‡Z n‡e)t ......................................................................................................
[K ‡_‡K M µwg‡K ewY©Z `wjjvw` n‡Z Avewk¨Kfv‡e †h †Kvb GKwU `wjj cÖ`vb Ki‡Z n‡e| Z‡e Rb¥ wbeÜb mb` cÖ`vbc~e©K wnmve †Lvjvi †ÿ‡Î Rb¥ wbeÜb
mb`c‡Îi AwZwi³ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn Ab¨ †h †Kvb cwiwPwZcÎ cÖ`vb Ki‡Z n‡e| bb-†iwm‡W›U Ges we‡`kx bvMwiK‡`i †¶‡Î mswk øó
wfmvmn cvm‡cv‡U©i Kwc Avewk¨Kfv‡e cÖ`vb Ki‡Z n‡e| Av‡jvKwPÎmn cwiwPwZcÎ bv _vK‡j †m wel‡q e¨vs‡Ki mš‘wó mv‡c‡ÿ mgv‡Ri MY¨gvb¨ e¨w³1 KZ…©K cÖ`Ë
cwiP‡qi cÖZ¨qbcÎ cÖ`vb Ki‡Z n‡e| D³ cwiwPwZcÎ ev cÖZ¨qbcÎ MÖvnK/wnmve cwiPvjbvKvixi Av‡jvKwPÎmn (Av‡jvKwP‡Îi Dc‡ii c„‡ô mZ¨vwqZmn) n‡Z n‡e|
GQvov, cÖ‡Z¨K e¨vsK h_vh_fv‡e MÖvn‡Ki cwiwPwZi wel‡q wbwðZ nIqvi j‡ÿ¨ e¨vs‡Ki mš‘wó mv‡c‡ÿ Dc‡ii N n‡Z P µwg‡K ewY©Z `wjjvw`mn AwZwi³ Av‡iv
†Kvb `wjjvw` Ges GB di‡g Dwj øwLZ Z_¨vw`i AwZwi³ Z_¨ msMÖn Ki‡Z cvi‡e|]
Export Import Bank of Bangladesh Limited
www.eximbankbd.com
17. eZ©gvb wVKvbv (Avevm¯’j) evsjvq t .......................................................................................................................

In English t .......................................................................................................................

18. ¯’vqx wVKvbv t .......................................................................................................................

19. †ckvMZ wVKvbv t .......................................................................................................................

(MÖvnK/wnmve cwiPvjbvKvixi Kgc‡ÿ 1wU wVKvbvi Proof of Address Gi ¯^c‡ÿ Valid Documents cÖ`vb Ki‡Z n‡e)

20. †hvMv‡hvM [wUK ( ) wPý w`b] t

(K) wVKvbv t eZ©gvb ¯’vqx †ckvMZ
(L) †Uwj‡dvb b¤^i t (1) evmv t .................................... (2) Awdm t ........................................
(M) †gvevBj b¤^i t (1) ............................................ (2) ..................................................

(N) B-†gBj t ......................................................... (O) d¨v· b¤^i t ...................................

21. Riæix cÖ‡qvR‡b †hvMv‡hv‡Mi Rb¨ g‡bvbxZ e¨w³ t
bvgt ...........................................................................................................................................................
wVKvbvt .......................................................................................................................................................

wnmveavix/wnmve cwiPvjbvKvixi mv‡_ m¤úK© t ..................... †gvevBj b¤^i t....................... B-†gBj t ..........................
22. †µwWU KvW© msµvšÍ Z_¨ (hw` _v‡K) t
Bmy¨Kvix cÖwZôvb/e¨vsK (GKvwaK n‡j mKj e¨vs‡Ki bvg) t
(K) ¯’vbxq (Local Card) t 1. ............................................................................................
(L) AvšÍR©vwZK (International Card) t 2. ............................................................................................
23. AvgvbZKvix hw` bb-†iwm‡W›U evsjv‡`kx nq (AbyMÖnc~e©K wb‡gœi Z_¨mg~n c~iY Kiæb) t
cvm‡cvU© b¤^i t......................... Bmy¨i ZvwiL t D D M M Y Y Y Y Bmy¨Kvix KZ…©cÿ t ......................................
Bmy¨i ¯’vb t .....................wfmvi ZvwiL (cÖ‡hvR¨ †¶‡Î)t D D M M Y Y Y Y wfmvi ˆeaZvi †gqv`t D D M M Y Y Y Y
wfmv Bmy¨Kvix KZ…©c¶ t .............................. †ckv t ...................... we‡`‡ki wVKvbv t .............................................
24. evsjv‡`k `~Zvevm KZ…©K Aby‡gv`b (ïaygvÎ hviv we‡`k †_‡K wnmve Lyj‡Z AvMÖnx) t
(cÖ‡qvRbxq †¶‡Î e¨vsK ev kvLv KZ…©K ÒMvBWjvBÝ di d‡ib G·‡PÄ Uªvb‡RKkÝÓ Gi wb‡`©kbv AbymiY K‡i Z_¨ msMÖn Ki‡Z n‡e|)

mxj I ¯^v¶i (evsjv‡`k `~Zvevm) Av‡e`bKvixi ¯^v¶i (bvg I ZvwiL mn)

wnmve †Lvjvi mswk øó Kg©KZv© Acv‡ikb g¨v‡bRvi Aby‡gv`bKvix Kg©KZ©v (wi‡jkbwkc g¨v‡bRvi)
(bvghy³ mxjmn ¯^vÿi I ZvwiL) (bvghy³ mxjmn ¯^v¶i I ZvwiL) (bvghy³ mxjmn ¯^vÿi I ZvwiL)

MY¨gvb¨ e¨w³ ej‡Z msm` m`m¨, wmwU K‡c©v‡ik‡bi †gqi, †WcywU †gqi I KvDwÝjiMY, RvZxq †eZb †¯‹‡ji 9g I Z`~aŸ© †MÖ‡Wi †M‡R‡UW Kg©KZ©v, cvewjK
wek¦we`¨vj‡qi wkÿK, Dc‡Rjv cwil‡`i †Pqvig¨vb I fvBm †Pqvig¨vb, BDwbqb cwil‡`i †Pqvig¨vb, †cŠimfvi †gqi I †cŠi KvDwÝjiMY, †emiKvix
wek¦we`¨vj‡qi Aa¨vcK, †emiKvix K‡j‡Ri Aa¨ÿ, †emiKvix D”P we`¨vj‡qi cÖavb wkÿK, RvZxq ˆ`wbK cwÎKvi m¤úv`K, †bvUvwi cvewjK,
AvavmiKvix/¯^vqËkvwmZ/ivóªvqZ¡ ms¯’vi RvZxq †eZb †¯‹‡ji 7g ev Z`~aŸ© †MÖ‡Wi Kg©KZ©vMY Ges evsjv‡`k e¨vs‡Ki RvZxq †eZb †¯‹‡ji 9g I Z`~aŸ© †MÖ‡Wi
Kg©KZ©vMY‡K eySv‡e|

Export Import Bank of Bangladesh Limited

www.eximbankbd.com
 Export Import Bank of Bangladesh Limited
G·‡cvU© Bg‡cvU© e¨vsK Ae evsjv‡`k wjwg‡UW
kixqvn& wfwËK Bmjvgx e¨vsK
..........................................................................kvLv
wnmve †Lvjvi dig t m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile)
Ae¨w³K wnmve (Non-personal Account)
ZvwiLt D D M M Y Y Y Y wnmve b¤^i t
BDwbK Kv÷gvi AvBwW †KvW t

1. wnmv‡ei bvg (evsjvq) t ..................................................................................................................

In English (BLOCK LETTER) t ..................................................................................................................

2. gvwmK m¤¢ve¨ Avq t ..................................................................................................................

3. gvwmK m¤¢ve¨ Uvb©Ifvi (cÖwZôv‡bi †ÿ‡Î) t ...............................................................................................................

†jb‡`‡bi weeiY gvwmK m¤¢ve¨ Rgvi msL¨v gvwmK m¤¢ve¨ †gvU Rgvi cwigvY GKK m‡e©v”P Rgvi cwigvY
Rgv t
bM` Rgv (AbjvBb I GwUGg mn)
UªvÝdvi/BÝUªy‡g›U Gi gva¨‡g
d‡ib BbIqvW© †iwgU¨vÝ
ißvwb eve` cÖvß
BO (cyuwR evRvi) wnmve n‡Z Rgv/¯’vbvšÍi
Ab¨vb¨ (wbw`©ófv‡e).......................
me©‡gvU t

†jb‡`‡bi weeiY gvwmK m¤¢ve¨ D‡Ëvj‡bi msL¨v gvwmK m¤¢ve¨ †gvU D‡Ëvj‡bi cwigvY GKK m‡e©v”P D‡Ëvj‡bi cwigvY
D‡Ëvjb t
bM` D‡Ëvjb (AbjvBb I GwUGg mn)
UªvÝdvi/BÝUªy‡g›U Gi gva¨‡g cwi‡kva
d‡ib AvDUIqvW© †iwgU¨vÝ
Avg`vwb eve` cwi‡kva
BO (cyuwR evRvi) wnmv‡e Rgv/¯’vbvšÍi
Ab¨vb¨ (wbw`©ófv‡e).......................
me©‡gvU t
Avwg/Avgiv wbgœ¯^v¶iKvix (MY) G g‡g© wbðqZv cÖ`vb KiwQ †h, m¤¢ve¨ ‡jb‡`‡bi AbywgZ gvÎv Avgvi/Avgv‡`i cÖwZôv‡bi ¯^vfvweK cÖK…Z
†jb‡`b | Avwg/Avgiv Av‡iv wbðqZv cÖ`vb KiwQ †h, cÖ‡qvRb‡ev‡a Avwg/Avgiv m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv ms‡kvab/nvjbvMv` Kie|

MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i
(bvg, c`ex Ges ZvwiLmn) (bvg, c`ex Ges ZvwiLmn) (bvg, c`ex Ges ZvwiLmn) (bvg, c`ex Ges ZvwiLmn)

e¨vs‡Ki e¨env‡ii Rb¨

evsjv‡`k dvBb¨vwÝqvj B‡›Uwj‡RÝ BDwb‡Ui wb‡`©kbv †gvZv‡eK MÖvn‡Ki m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile) ch©v‡jvPbv
Kiv n‡jv|
MÖvn‡Ki m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv (Transaction Profile) cwieZ©b Kiv/bv Kivi KviY t

cÖZ¨qbKvix e¨vsK Kg©KZ©vi bvghy³ wmjmn ¯^vÿi I ZvwiL

Export Import Bank of Bangladesh Limited
www.eximbankbd.com
 Export Import Bank of Bangladesh Limited
G·‡cvU© Bg‡cvU© e¨vsK Ae evsjv‡`k wjwg‡UW
kixqvn& wfwËK Bmjvgx e¨vsK
..........................................................................kvLv
MÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)
(cÖwZôv‡bi wnmve †Lvjvi †ÿ‡Î e¨envh© )
ZvwiL t D D M M Y Y Y Y wnmve b¤^i t
BDwbK Kv÷gvi AvBwW †KvW t

1. wnmv‡ei bvg t ..................................................................................................................

2. wnmv‡ei cÖK…wZ t ..................................................................................................................

3. cÖwZôv‡bi cÖK…wZ (we¯ÍvwiZ) t ..................................................................................................................

4. cÖwZôv‡bi wbU m¤úwË (Net worth) t ..................................................................................................................

5. A‡_©i Drm/Drmmg~n (we¯ÍvwiZ) t ..................................................................................................................

6. A‡_©i Drm wbwðZ Kivi †ÿ‡Î †hme `wjjvw` msMÖn Kiv n‡q‡Q t
(K)...............................................................................................................................................................
(L)................................................................................................................................................................
(M)................................................................................................................................................................
msM„nxZ `wjjvw` hvPvB Kiv n‡q‡Q wK bv? t  nu¨v  bv
7. cÖwZôv‡bi wVKvbv (mg~n) wKfv‡e hvPvB Kiv n‡q‡Q (we¯ÍvwiZ)?.........................................................................................
8. wnmv‡ei cÖK…Z myweav‡fvMx (Beneficial Owner) wba©viY Kiv n‡q‡Q wK-bv?  nu¨v  bv
DËi nu¨v n‡j cÖ‡Z¨K cÖK…Z myweav‡fvMxi Òe¨w³ msµvšÍ Z_¨vejxÓ msMÖn Ki‡Z n‡e|
(†Kv¤úvbxi †ÿ‡Î 20% ev Gi AwaK GKK †kqvi †nvìvi Gi we¯ÍvwiZ Z_¨vw` msMÖnc~e©K †KIqvBwm m¤úv`b Ki‡Z n‡e| GQvovI †Kv¤úvwbi wbqš¿YKvix †kqvi‡nvìvi
Gi we¯ÍvwiZ Z_¨vw` msMÖnc~e©K †KIqvBwm m¤úv`b Ki‡Z n‡e|)
Kwc M„nxZ hvPvBK…Z [wUK (√) wPý w`b]
9. B-wUAvBGb (E-TIN) b¤^i t ..........................................................   (cÖ‡hvR¨ †ÿ‡Î)
10. f¨vU †iwRt b¤^i t........................................................................   (cÖ‡hvR¨ †ÿ‡Î)
11. cÖwZôv‡bi wbeÜb b¤^i t................................................................   (cÖ‡hvR¨ †ÿ‡Î)
12. Ab¨vb¨ bw_ t..............................................................................   (cÖ‡hvR¨ †ÿ‡Î)
13. we‡`kx †Kv¤úvbx/cÖwZôv‡bi wnmve †Lvjvi D‡Ïk¨ t (cÖ‡hvR¨ †ÿ‡Î)....................................................................................
(K) mswk øó wbqš¿YKvix KZ…©c‡ÿi bvg t...................................................................................................................
(L) Aby‡gv`b msµvšÍ Z_¨ t..................................................................................................................................
14. MÖvnK/cÖwZôv‡bi mv‡_ †Kvb Politically Exposed Person (PEP)/cÖfvekvjx e¨w³ (IP)/AvšÍR©vwZK ms¯’vi cÖavb ev D”P ch©v‡qi
Kg©KZ©v Ges Zv‡`i cwiev‡ii m`m¨ ev close associates mswk øó wK bv (weGdAvBBD KZ©„K RvixK…Z mvK©yjv‡i ewY©Z msÁv Abymv‡i)?
 nu¨v  bv DËi nu¨v n‡jÑ
(K) wmwbqi g¨v‡bR‡g›U n‡Z Aby‡gv`b †bqv n‡q‡Q wK bv?  nu¨v  bv
(L) MÖvn‡Ki gy‡LvgywL mvÿvrKvi †bqv n‡q‡Q wK bv?  nu¨v  bv
15. mswk øó AvBb, wewagvjv I mvK©yjv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡`i wewfbœ †iRy‡jk‡bi AvIZvq mš¿vmx Kv‡h©, mš¿vmx
Kv‡h© A_©vq‡b I e¨vcK aŸsmvZ¥K A¯¿ we¯Ív‡ii A_©vq‡b RwoZ m‡›`‡n ZvwjKvfz³ †Kvb e¨w³ ev mËv Ges evsjv‡`k miKvi KZ©„K
ZvwjKvfz³ †Kvb e¨w³ ev wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvPvB evQvBc~e©K †Kvbiƒc wgj cvIqv wM‡q‡Q wKbv?  nu¨v  bv
DËi nu¨v n‡j G welqK M„nxZ e¨e¯’vi weeiY t

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16. wi¯‹ †iwUs t
(K) cÖwZôv‡bi e¨emvi aiY/Kg©KvÛ t
µwgK bs cÖK…wZ wi¯‹ †¯‹vi wUK (√) wPý w`b
01. Ry‡qjvix/¯^‡Y©i e¨emv/g~j¨evb avZzi e¨emv 5
02. gvwb †PÄvi/Kzwiqvi mvwf©m/†gvevBj e¨vswKs G‡R›U 5
03. wi‡qj G‡÷U †Wfjcvi/G‡R›U 5
04. wbg©vb cÖKí †cÖv‡gvUvi/wVKv`vi 5
05. Ad‡mvi/bb †iwm‡W›U K‡c©v‡ikb 5
06. †iu‡¯Íviv/evi/bvBU K¬ve/AvevwmK †nv‡Uj/cvj©vi e¨emv 5
07. Avg`vwb/ißvwb I Avg`vwb/ißvwb G‡R›U 5
08. Mv‡g©›Um e¨emv/Mv‡g©›Um G‡·mwiR/c¨v‡KwRs/evwqs nvDR 5
09. †kqvi/÷K wWjvi, †eªvKvi, †cvU©‡dvwjI g¨v‡bRvi, gv‡P©›U e¨vsKvi 5
10. GbwRI/GbwcI 5
11. Rbkw³ ißvwb e¨emv 5
12. Pjw”PÎ cÖ‡hvRbv/cwi‡ekbv ms¯’v 5
13. A‡¯¿i e¨emv 5
14. †gvevBj †dvb Acv‡iUi/B›Uvi‡bU A_ev K¨vej wUwf Acv‡iUi 5
15. Rwg/evwo †Kbv‡ePvi †eªvKvi (cÖvwZôvwbK) 5
16. e¨vsK/wjwRs/dvBb¨vÝ †Kv¤úvwb 5
17. cwienb Acv‡iUi 5
18. BÝy¨‡iÝ/†eªvKv‡iR G‡RwÝ 5
19. agx©q cÖwZôvb/ms¯’v I wkÿv cÖwZôvb 5
20. Uªv÷ 5
21. e¨emv (†c‡Uªvj cv¤ú/wmGbwR †÷kb) 5
22. ZvgvK I wmMv‡i‡Ui e¨emv 5
23. mdU&&Iq¨vi e¨emv 5
24. wkc †eªwKs e¨emv 5
25. e¨emv (wK¬qvwis I diIqvwW©s G‡R›U) 4
26. e¨emv (wWjvi/wWw÷ªweDUi/G‡R›U) 4
27. e¨emv (Bb‡Ww›Us) 4
28. e¨emv (AvDU‡mvwm©s) 4
29. B‡f›U g¨v‡bR‡g›U 4
30. PvU©vW© GKvDb‡U›U 4
31. K‡c©v‡iU Kv÷gvi 4
32. j dvg©/BwÄwbqvwis dvg©/KÝvj‡UwÝ dvg© 4
33. R¡vjvbx I we`y¨r Drcv`b †Kv¤úvwb 4
34. wcÖ›U/B‡jKUªwbK wgwWqv 4
35. Uªv‡fj G‡R›U/Uz¨wiRg †Kv¤úvwb 4
36. A‡UvwWjvi (wiKwÛkÛ Mvox) 4
37. †d«BU/wkwcs/Kv‡M©v G‡R›U/wmGÛGd G‡R›U 4
38. A‡Uv cÖvBgvwi (bZzb Mvox) e¨emv 4
39. evox wbg©vY mvgMÖxi e¨emv 4
40. e¨emv (Pvgov I PvgovRvZ cY¨) 4
41. †UwjKwgDwb‡Kkb †Kv¤úvwb 4
42. †PBb †÷vi/kwcs gj 4
43. †U·UvBj/w¯úwbs 3

Export Import Bank of Bangladesh Limited

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 44. we‡bv`bKvix cÖwZôvb/cvK© 3
45. †gvUi cvU©m/IqvK©mc Gi e¨emv 3
46. e¨emv-G‡R›U 3
47. e¨emv (Jla cÖ¯‘Z I evRviRvZKiY) 3
48. wngvwqZKiY e¨emv (†Kvì †÷v‡iR) 3
49. e¨emv (wngvwqZ Lv`¨) 3
50. e¨emv (nvW©Iq¨vi) 3
51. e¨emv (weÁvcb) 3
52. mvwf©m †cÖvfvBWvi 3
53. Kw¤úDUvi/†gvevBj †dv‡bi wWjvi 2
54. †cvwëª/†WBwi/wdwks dvg© 2
55. G‡MÖv weR‡bm/ivBm wgj weR‡bm/†efv‡iR 2
56. Drcv`bKvix (A¯¿ e¨ZxZ) 2
57. †`vKvb (LyPiv e¨emv) 2
58. Ab¨vb¨ (mywbw`©ófv‡e D‡j øL Ki‡Z n‡e)................................................ 1-5

(MÖvn‡Ki SuywK wbiƒc‡Yi †ÿ‡Î MÖvn‡Ki †ckvi we¯ÍvwiZ Z_¨ we‡k ølYKiZt e¨emv‡qi †ÿ‡Î e¨emv‡qi cÖK…wZ, A‡_©i gvÎv, e¨emv‡qi GjvKv, e¨emv‡qi
AvKvi, wnmv‡ei cÖK…Z myweav‡fvMx BZ¨vw`mn Ab¨vb¨ we‡kl w`K we‡ePbvq wb‡q MÖvnK‡K D”P ev wb¤œ SuywK m¤úbœ wn‡m‡e †kªYxKiY Ki‡Z n‡e| Gme welqmg~n
we‡ePbvq wb‡q MÖvnK †f‡` 25-57 b¤^i †ÿ‡Î ewY©Z †¯‹vi A‡cÿv D”PZi †¯‹vi cÖ`vb Ki‡Z cvi‡e|)

(L) cÖwZôv‡bi wbU m¤ú‡`i (Net Worth) cwigvY t

cwigvY (UvKvq) wi¯‹ †¯‹vi wUK (√) wPý w`b
0-1 †KvwU 0
>1 †KvwU - 3 †KvwU 1
>3 ‡KvwU 3

(M) wnmve †Lvjvi aiY t

aiY wi¯‹ †¯‹vi wUK (√) wPý w`b
wi‡jkbwkc g¨v‡bRvi/kvLv KZ…©K 0
WvB‡i± †mjm& G‡R›U KZ©„K 3
B›Uvi‡bU/Non Face to Face 3
¯^cÖ‡Yvw`Zfv‡e/Walk-In 3

(N) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi cwigvY t

Avj-Iqvw`qvn& PjwZ wnmv‡e †jb‡`‡bi cwigvY gy`vivev mÂqx wnmv‡e †jb‡`‡bi wi¯‹ †¯‹vi wUK (√) wPý w`b
(j¶ UvKvq) cwigvY (j¶ UvKvq)
0-10 0-5 0
>10-50 >5-20 1
>50 >20 3

(O) MÖvn‡Ki AbywgZ gvwmK †jb‡`‡bi msL¨v t

Avj-Iqvw`qvn& PjwZ wnmv‡e †jb‡`‡bi msL¨v gy`vivev mÂqx wnmv‡e †jb‡`‡bi msL¨v wi¯‹ †¯‹vi wUK (√) wPý w`b
0-100 0-20 0
101-250 21-50 1
>250 >50 3

Export Import Bank of Bangladesh Limited

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(P) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi cwigvY t
Avj-Iqvw`qvn& PjwZ wnmv‡e †jb‡`b gy`vivev mÂqx wnmv‡e †jb‡`b wi¯‹ †¯‹vi wUK (√) wPý w`b
(j¶ UvKvq) (j¶ UvKvq)
0-10 0-2 0
>10-25 >2-7 1
>25 >7 3
(Q) MÖvn‡Ki AbywgZ gvwmK bM` †jb‡`‡bi msL¨v t
Avj-Iqvw`qvn& PjwZ wnmv‡e †jb‡`‡bi msL¨v gy`vivev mÂqx wnmv‡e †jb‡`‡bi msL¨v wi¯‹ †¯‹vi wUK (√) wPý w`b
0-15 0-5 0
16-30 6-10 1
>30 >10 3
†gvU wi¯‹ †¯‹v‡ii †hvMdj t
17. mvgwMÖK SuywK/wi¯‹ †iwUs wbiƒcb (Dc‡ii K n‡Z Q µwgK ch©šÍ wi¯‹ †¯‹v‡ii †hvMdj) t
wi¯‹ †¯‹v‡ii †hvMdj mvgwMÖK wi¯‹ †iwUs wUK (√) wPý w`b
>=14 D”P
<14 wb¤œ
gšÍe¨ t

(*wi¯‹ †iwUs 14 Gi Kg n‡jI Beneficial owner Gi D”P SuywK we‡ePbvq wb‡q KviY D‡j øLc~e©K Subjective we‡ePbvq MÖvnK‡K D”P SuywK m¤úbœ wn‡m‡e wbiƒcY Kiv
†h‡Z cv‡i|)

wnmve †Lvjvi Kg©KZ©v ch©v‡jvPbv I wbwðZKvix Kg©KZ©v wi‡jkbwkc g¨v‡bRvi

(bvghy³ mxjmn ¯^v¶i I ZvwiL) kvLv gvwbjÛvwis cÖwZ‡iva cwicvjb Kg©KZ©v (bvghy³ mxjmn ¯^v¶i I ZvwiL)
(BAMLCO)
(bvghy³ mxjmn ¯^v¶i I ZvwiL)

PEP/IP/AvšÍR©vwZK ms¯’vi EaŸ©Zb Kg©KZ©vi wnmv‡ei †ÿ‡Î-

Aby‡gv`bKvix EaŸ©Zb Kg©KZ©v

(bvghy³ wmjmn ¯^vÿi I ZvwiL)

18. wnmve I MÖvnK msµvšÍ Z_¨vw` me©‡kl ch©v‡jvPbv Ges nvjbvMv` (Review & Update) Kivi ZvwiL t D D M M Y Y Y Y

ch©v‡jvPbv Ges nvjbvMv`Kvix Kg©KZ©v t

¯^vÿi t
bvg t
ZvwiL t

Export Import Bank of Bangladesh Limited

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 Export Import Bank of Bangladesh Limited
G·‡cvU© Bg‡cvU© e¨vsK Ae evsjv‡`k wjwg‡UW
kixqvn& wfwËK Bmjvgx e¨vsK
..........................................................................kvLv

gvwb jÛvwis cÖwZ‡iva, mš¿v‡m A_©vqb cÖwZ‡iva, AvšÍR©vwZK wb‡lavÁv Ges eva¨evaKZv mg~n cwicvjb
†`‡k A‰ea m¤ú` AvniY eÜKiY, m¤ú‡`i A‰ea cvPvi Ges mš¿v‡m A_©vqb cÖwZ‡iv‡a we`¨gvb gvwbjÛvwis cªwZ‡iva AvBb,
2012 (ms‡kvabx 2015) Ges mš¿vm we‡ivax AvBb, 2009 (ms‡kvabx 2012 I 2013) †g‡b Pje|

m¤ú„³ Aciv‡ai (Predicate offence) gva¨‡g AvnwiZ ev AwR©Z m¤ú‡`i A‰ea cš’vq n¯ÍvšÍi, iƒcvšÍi, Ae¯’v‡bi
†MvcbKiY ev D³ Kv‡R mnvqZv Kiv RvZxq ¯^v‡_©i cwicwš’|

ûwÛ Kvh©µg †`‡ki A_©bxwZi Rb¨ ¶wZKi| ûwÛi gva¨‡g A_© †cÖiY, A_© MÖnY Ges ûwÛi Kv‡R mnvqZvKiY gvwb jÛvwis
cÖwZ‡iva AvB‡b kvw¯Í‡hvM¨ Aciva|

e¨vs‡K wnmve †Lvjv, UvKv DVv‡bv I MÖvnK cwiwPwZ m¤úwK©Z mwVK Ges c~Y©v½ Z_¨ mieivn I msi¶‡Y AwaKZi m‡PZb I
Zrci n‡q e¨vsK KZ…©c¶‡K mn‡hvwMZv Kie|

A¯^vfvweK †jb‡`bRwbZ Kvi‡Y m‡›`n ¯’vwcZ n‡j †K›`ªxq e¨vsK †h †Kvb wnmv‡ei †jb‡`b cix¶v-wbix¶v Ki‡Z cv‡i| A‰ea
†jb‡`b cÖgvwYZ n‡j cÖ‡qvR‡b Av`vj‡Z gvgjv `v‡qi Kiv ‡h‡Z cv‡i Ges GB AvB‡bi Aaxb mKj Aciva A-Rvwgb‡hvM¨|

Av`vjZ GB AvB‡bi Aaxb Aciv‡ai Rb¨ wba©vwiZ `Û Av‡ivc Ges Dchy³ †¶‡Î Z`šÍv‡`k, Aeiæ×KiYv‡`k, †µvKv‡`k,
A_©`Û Ges ¶wZc~iY Av‡`kmn Ab¨vb¨ Av‡`k cÖ`vb Ki‡Z cv‡i| G‡¶‡Î Acivax Ab~¨b 04 (Pvi) ermi Ges AbwaK 12
(evi) ermi ch©šÍ Kviv`‡Û `wÛZ n‡eb Ges Gi AwZwi³ Aciv‡ai mv‡_ mswk øó m¤úwËi wظY g~‡j¨i mgcwigvY ev 10
(j¶) UvKv ch©šÍ, hv AwaK, A_©`‡Û `wÛZ n‡eb|

mswk øó AvBb, wewagvjv I mvKz©jv‡ii Av‡jv‡K MÖvn‡Ki bvg RvwZms‡Ni wbivcËv cwil‡`i wewfbœ †iRy‡jk‡bi AvIZvq mš¿vmx
Kv‡h©, mš¿vmx Kv‡h© A_©vqb I e¨vcK aŸsmvZ¥K A¯¿ we¯Ív‡i A_©vq‡b RwoZ m‡›`‡n ZvwjKvfy³ †Kvb e¨w³ ev mËv Ges
evsjv‡`k miKvi KZ©„K ZvwjKvfy³ ‡Kvb e¨w³ ev wbwl× †NvwlZ mËvi bv‡gi ZvwjKvi mv‡_ hvPvB evQvBc~e©K †Kvbiƒc wgj
cvIqv ‡M‡j mv‡_ mv‡_ AvBbvbyM e¨e¯’v MÖnY Kiv hv‡e| hw` †Kvb e¨w³ mš¿vmx Kv‡h© A_©vq‡bi Aciv‡a †`vlx mve¨¯Í nb, Zvn‡j
wZwb Ab~aŸ© 20 (wek) ermi I Ab~¨b 4 (Pvi) erm‡ii mkªg Kviv`‡Û `wÛZ n‡eb Ges Gi AwZwi³ D³ Aciv‡ai mv‡_
mswk øó m¤úwËi g~‡j¨i wظY cwigvY A_© ev 10 (`k) j¶ UvKv, hv AwaK, A_©`Û Av‡ivc Kiv hv‡e|

MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i

Z‡_¨i e¨envi t
Avwg/Avgiv ¯^Áv‡b †NvlYv KiwQ †h, e¨vsK wb‡Ri Ges Dnvi wbqš¿YKvix ms¯’vi cÖ‡qvRb/wb‡`©kbv †gvZv‡eK
Avgvi/Avgv‡`i cwiwPwZ mbv³Ki‡Yi j‡ÿ¨ wnmve mswk øó mKj Z_¨/`wjjvw` h_vh_ KZ©„cÿ KZ©„K hvPvB/mbv³KiY Ges
cÖ‡qvR‡b e¨envi Ki‡Z cvi‡e|

MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i

Export Import Bank of Bangladesh Limited

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 Declaration Form for Compliance of
Foreign Account Tax Compliance Act (FATCA)
(TO BE FILLED IN BLOCK LETTERS)

Account No.
01. Citizenship (Please put cross mark in the box)  Single Citizenship  Dual Citizenship
(bvMwiKZ¡)  Permanent Resident (PR) in US
02. In case of Dual Citizenship please name the country
03. In case of US Citizen/US Permanent Resident (PR), Please furnish following informationt
US Address
BD Gm wVKvbv
Occupation
with full details
Telephone Number Tax Identification Number (TIN USA)
†Uwj‡dvb b¤^i U¨v· mbv³KiY b¤^i
E-mail (B-†gBj)
Passport Number PR Card Number
cvm‡cvU© b¤^i wc Avi KvW© b¤^i
Visa Status Visa Expiry Date
D D MM Y Y Y Y
wfmv ÷¨vUvm wfmvi †gqv‡`vËx‡Y©i ZvwiL
Social Security Number Driving License No.

04. Client's Information regarding FATCA** compliance (please put cross mark in the box); FATCA msµvšÍ MÖvn‡Ki Z_¨
Sl No. Information sought Yes No If yes, please furnish the details
1. Whether the client is a US citizen/ permanent resident/ Green Card Holder/
temporary resident/associated with any entity owned by US citizen?
2. Whether the client holds a substantial U.S ownership interest @ 10% or above
(in case of entity)?
3. Whether any power of attorney granted by the client to a person with a US address?
** Foreign Account Tax Compliance Act (FATCA), a new tax law of the USA to be compiled by all scheduled banks of Bangladesh inevitably
aiming at combating tax evasion by U.S. taxpayers who hide assets in offshore accounts. It requires reports to the U.S. Internal Revenue Service
(IRS) information about certain accounts held by U.S. taxpayers or by foreign entities in which U.S taxpayers hold a substantial ownership interest.
05. Declaration of the Client
As per stipulations of Money Laundering Prevention Act-2012, Anti Terrorism Act-2009/(revised 2013) & BFIU Circulars/guidelines of
Bangladesh Bank or any other instruction/guidelines from any local/global regulatory authority, notwhithstanding anything contained in
Banker's Book Evidence Act-1891, I/We shall be responsible for providing any desired information to the Bank for
forwarding/providing/submitting/disclosing the same to Bangladesh Bank/any local/global regulatory authority including Internal Revenue
Services (IRS) of USA regarding FATCA.
I/We do hereby declare that all the information provided by me/us are authentic and I/we be held responsible for the
authenticity of the information.
I/We also do hereby declare that upon receipt US citizenship/permanent US residentship by me/us or my/our
parents/sibling(s)/spouse in future, I/we shall furnish all related information, at my/our own responsibility, to the Bank for
ready references.
Signature(s) of the client(s) with date Signature(s) of the client(s) with date
1. 2.

Prepared by Reviewed by Approved by

Account Opening Officer (Seal & Signature with Date) Operation Manager (Seal & Signature with Date) Relationship Manager (Seal & Signature with Date)
Export Import Bank of Bangladesh Limited
www.eximbankbd.com
 mvaviY kZ©vejx/wbqgvejx
1. ïaygvÎ Avj-Iqvw`qvn&& PjwZ wnmve Qvov mKj gy`vivev Rgv wnmve, Bmjvgx kixqvn&& Gi gy`vivev bxwZ Abyhvqx cwiPvwjZ n‡e| cÖ‡Z¨K wnmv‡ei Rb¨
e¨vsK KZ©„K wba©vwiZ I‡q‡UR Abyhvqx wewb‡qvM Av‡qi Kgc‡ÿ 65% gy`vivev wewb‡qvMKvix‡`i gv‡S e›Ub Kiv n‡e|
2. e¨vsK Zvi bxwZgvjv Abyhvqx gybvdv weZi‡Yi bxwZmg~n Ges I‡q‡UR cwieZ©‡bi AwaKvi msi¶Y K‡i|
3. evsjv‡`‡ki wmwWDjW e¨vsK mg~‡n evsjv‡`‡ki †hme AvBb, wbqg-bxwZ cÖPwjZ i‡q‡Q GB wnmve cwiPvjbvi †¶‡ÎI †m me wbqgbxwZ cÖ‡hvR¨ n‡e|
4. e¨vs‡Ki bxwZgvjv Abyhvqx wnmv‡ei mvwf©m PvR© A_ev †gBb‡Ub¨vÝ wd mgq mgq KZ©b Kiv n‡e | e¨vsK AveMvix ïé (Excise Duty) Ges Ab¨vb¨
PvR©mg~n ev‡`I wnmv‡ei mv‡_ †h †Kv‡bv fv‡e m¤ú&„³ mKj e¨q I LiP (Kv‡jKkb wdm Ges ˆea LiPmg~n) KZ©‡bi AwaKvi msi¶Y K‡i|
5. hw`I e¨vsK GB wnmv‡ei †¶‡Î me ai‡Yi †MvcbxqZv i¶v Ki‡e, wKš‘ wbgœwjwLZ cÖwZôvbmg~‡ni †¶‡Î e¨vsK Z_¨ cÖKv‡k eva¨ _vK‡e t
(K) e¨vs‡Ki Dci cÖfvewe¯ÍviKvix †h †Kv‡bv †i¸‡jUix, mycvifvBmwi, miKvix, Avav-miKvix cÖwZôvb;
(L) AvBb A_ev †KvU© AW©vi Gi gva¨‡g ¶gZvcÖvß †Kvb e¨w³|
6. MÖvnK KZ…©K †h †Kv‡bv Z‡_¨i cwieZ©b AwZ mZ¡i e¨vsK‡K Rvbv‡Z n‡e, Ab¨_vq †Kvb AbvKvw•LZ NUbvi Rb¨ e¨vsK `vqx _vK‡e bv|
7. WvK, Kzwiqvi, B‡jKwUªK¨vj, †gKvwbK¨vj, †UwjKwgDwb‡Kkb A_ev Ab¨ †Kvb ai‡Yi cÖvK…wZK `y‡h©vM, hy×, hvwš¿K †Mvj‡hvM, Kw¤úDUvi mgm¨v A_ev
e¨vs‡Ki AvIZv ewnf©~Z †Kvb NUbvi Rb¨ wnmv‡ei †Kvbiƒc ¶wZ n‡j e¨vsK `vqx _vK‡e bv|
8. e¨vs‡Ki `„wó‡Z wnmve cwiPvjbvq Am‡šÍvlRbK †jb‡`b n‡j A_ev Ab¨ †h †Kv‡bv Kvi‡Y †Kvb cÖKvi c~e© †bvwUk e¨wZ‡i‡KB e¨vsK †h †Kv‡bv wnmve
eÜ K‡i †`qvi AwaKvi msi¶Y K‡i|
9. †Kvbiƒc c~e© †bvwUk QvovB e¨vsK †h †Kvb mgq wnmve msµvšÍ †h †Kvb wbqgvejx cwieZ©b, cwiea©b, ms‡kvab ev evwZj Ki‡Z cv‡i Ges MÖvnK Zv
†g‡b Pj‡Z eva¨ _vK‡eb|
10. AvgvbZKvix (MY) Gi g„Zy¨ n‡j mswk øó wnmv‡ei †jb‡`b eÜ n‡q hv‡e Ges gybvdvmn (cÖ‡hvR¨ †¶‡Î) mgy`q A_© wnmve †Lvjvi di‡g Dwj øwLZ
bwgwb‡K cÖ`vb Kiv n‡e| bwgbx bvevjK n‡j AvBbMZ AwffveK‡K mgy`q A_© cÖ`vb Kiv n‡e| Ab¨vb¨ †¶‡Î cÖPwjZ AvBb †gvZv‡eK A_© Aegy³
Kiv n‡e|
11. P~ovšÍ gybvdvi nvi †NvlYvi c~‡e©B wnmve fv½v‡bv n‡j/eÜ Kiv n‡j AvgvbZKvix cÖwfkbvj nv‡i gybvdv MÖn‡Yi `vex`vi Ges P~ovšÍ gybvdvi nvi I
cÖwfkbvj gybvdvi nvi Avjv`v n‡j e¨vsK A_ev AvgvbZKvix (MY) AwZwi³ gybvdv `vex Ki‡Z cvi‡e bv| wKš‘ P~ovšÍ gybvdvi nvi hw` cÖwfkbvj
gybvdvi nv‡ii †P‡q †ewk nq Zvn‡j AvgvbZKvixi wjwLZ Av‡e`‡bi †cÖw¶‡Z AwZwi³ gybvdv AvgvbZKvix(MY)†K cÖ`vb Kiv ‡h‡Z cv‡i|
12. cÖ‡Z¨K wnmv‡ei AwZwi³ kZ©vejx/wbqgvejx Dc‡i Dwj øwLZ kZ©vejx/wbqgvejxi Awe‡”Q`¨ Ask wn‡m‡e we‡ewPZ n‡e|

MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i

Avj-Iqvw`qvn& PjwZ/GgGmwW/GgGmGbwW wnmv‡ei AwZwi³ kZ©vejx/wbqgvejx

1. Avj-Iqvw`qvn& PjwZ/GgGmwW/GgGmGbwW wnmvemg~‡ni †¶‡Î wb‡gœv³ I‡q‡UR AbymiY Kiv n‡e t
(K) Avj-Iqvw`qvn& bxwZmg~n AbymiY K‡i Avj-Iqvw`qvn& PjwZ AvgvbZ wnmv‡ei AvgvbZ MÖnY Kiv n‡e hvi I†q‡UR k~b¨ Ges †Kvb gybvdv cÖ`vb
Kiv n‡e bv | e¨vsK Avj-Iqvw`qvn& PjwZ AvgvbZ wnmv‡ei AvgvbZ e¨env‡ii AwaKvi msi¶Y K‡i|
(L) gy`vivev mÂqx Avgvb‡Zi I‡q‡UR 0.63|
(M) gy`vivev we‡kl †bvwUk Avgvb‡Zi I‡q‡UR 0.62|
2. †PK cwi‡kva eÜ ivLvi wb‡`©k (Stop payment Instruction), †PK eB Bmy¨, e¨vsK m”QjZvi mvwU©wd‡KU, wnmve weeiYx, Ab-jvBb †jb‡`b, w¯’wZ
AbymÜvb (Balance Enquiry) m¤úwK©Z mKj wb‡`©kbv e¨vsK †K wjwLZ AvKv‡i w`‡Z n‡e| e¨vsK MÖvn‡Ki Aby‡iv‡a Zvi Aby‡gvw`Z †Kvb e¨w³‡K †PK
eB, m”QjZvi mvwU©wd‡KU (Solvency Certificate), wnmve weeiYx BZ¨vw` eÜ Lv‡g mieivn Ki‡Z cvi‡e| †Kvb †PK/BÝUªy‡g›U cwi‡kv‡ai ci †Kvb
†PK cwi‡kva eÜ ivLvi wb‡`©k (Stop payment Instruction) Avm‡j Zv evwZj e‡j MY¨ n‡e|
3. †Kvbiƒc Awbqg A_ev cÖZviYv cwijw¶Z n‡j e¨vsK MÖvn‡Ki †h †Kv‡bv wnmv‡ei †h †Kv‡bv †jb‡`b cÖwµqvKi‡Y Am¤§wZ Ávcb Ki‡Z cvi‡e|
4. e¨vs‡K wnmve †Lvjvi c~‡e©B MªvnK‡K me `wjjvw` msµvšÍ wbqgvejx AbymiY Ki‡Z n‡e| mKj wbqgvejxi c~Y©v½ AbymiY bv nIqv ch©šÍ †Kvb †PK eB
Bmy¨ Kiv n‡e bv|
5. 1 (GK) eQi †Kvbiƒc †jb‡`b bv n‡j Avj-Iqvw`qvn& PjwZ AvgvbZ wnmve myß (Dormant) wnmv‡e iƒcvšÍwiZ n‡e|
6. 2 (`yB) eQi †Kvbiƒc †jb‡`b bv n‡j gy`vivev mÂqx Ges gy`vivev we‡kl †bvwUk AvgvbZ wnmve myß (Dormant) wnmv‡e iƒcvšÍwiZ n‡e|
7. hw` †Kvb wnmv‡ei †jb‡`b GK eQi ev Zvi AwaK Kvj eÜ _v‡K Zvn‡j e¨vsK k~b¨ w¯’wZ m¤^wjZ †h †Kv‡bv wnmve eÜ K‡i †`Iqvi AwaKvi msi¶Y K‡i|
8. 1991 mv‡ji e¨vsK †Kv¤úvbx AvBbvbyhvqx 10 (`k) eQi I Z`~aŸ© †gqv` ch©šÍ †Kvb wnmv‡e †jb‡`b bv n‡j mswk øó wnmvewU A`vexK…Z (Unclaimed)
wn‡m‡e MY¨ K‡i D³ wnmv‡ei w¯’wZ evsjv‡`k e¨vs‡K ¯’vbvšÍi K‡i †`qv n‡e|
Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµvšÍ hveZxq wbqgvejx/kZ©vejx c‡owQ Ges D³ wbqgvejx/kZ©vejx †g‡b Pj‡Z
eva¨ _vKe|

MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i MÖvnK/wnmve cwiPvjbvKvixi ¯^v¶i

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