Are You suprised ? - Islami Bank Bangladesh Limited

e¨w³ wnmveZvwiL tBmjvgx e¨vsK evsjv‡`k wjwg‡UWGd-240Islami Bank Bangladesh Limited----------------------- kvLvgy`vivev gvwmK gybvdv wfwËK mÂqx wnmve (MMPDS) †Lvjvi Av‡e`b digwnmve b¤^i tcvm‡cvU©mvB‡RimZ¨vwqZQwe A-e¨w³K wnmvee¨e¯’vcK,Bmjvgx e¨vsK evsjv‡`k wjwg‡UW.................................. kvLv|MÖvnK AvB.wW. b¤^i tevsjv‡`k e¨vsK †m±i †KvW tSBS-2CIBRbve,Avm&mvjvgy AvjvBKzg|Avwg/Avgiv Avcbvi kvLvq GKwU gy`vivev gvwmK gybvdv wfwËK mÂqx wnmve (MMPDS) †Lvjvi Rb¨ Av‡e`b KiwQ| wb‡æ Avgvi/Avgv‡`iwe¯—vwiZ Z_¨ wb‡gœ cÖ`vb Kijvg|1. wnmve wk‡ivbvg (evsjvq) t .....................................................................................................................................(Bs‡iRx‡Z) t .....................................................................................................................................2. wnmv‡ei aiY (wUK w`b) t cÖvB‡fU wjt cvewjK wjt Askx`vix †hŠ_ D‡`¨vM GKK gvwjKvbv miKvix GbwRI K¬ve/†mvmvBwU Ab¨vb¨ (wjLyb) .............................................................3. gy`ªv (wUK w`b) t UvKv Wjvi BD‡iv cvDÛ Ab¨vb¨ ...............................4. wnmve cwiPvjbv msµvš— †NvlYv (wUK w`b) t GKKfv‡e †hŠ_fv‡e †h †Kvb GKRb Ab¨vb¨ ..........................5. MÖvn‡Ki Ab¨vb¨ e¨vsK wnmve (hw` _v‡K) te¨vs‡Ki bvg kvLvi bvg cwiPvjbvK…Z wnmv‡ei cÖK…wZ (wUK wPý w`b)K. ............................................... K. ............................. Rgv wnmve wewb‡qvM/FY wnmve Ab¨vb¨L. ............................................... L. ............................. Rgv wnmve wewb‡qvM/FY wnmve Ab¨vb¨M. ............................................... M. ............................. Rgv wnmve wewb‡qvM/FY wnmve Ab¨vb¨6. cwiPq`vbKvixi Z_¨ t(K) bvg (evsjvq) t ................................................................. Bs‡iRx‡Z t ....................................................(L) wnmve bs t ................................................................. RvZxq cwiPq cÎ bs t ......................................(M) kvLvi bvg t ................................................................. †Uwj‡dvb bs t ................................................(N) ¯^vi (ZvwiLmn) t7. Rgv cwigvY t ................................................................ †gqv` (wUK w`b) 3 eQi 5 eQi|8. cÖwZôv‡bi wVKvbv t (K) †iwR÷vW© wVKvbv t .................................................................................................................(L) e¨emv¯’j/Awd‡mi wVKvbv t .................................................................................................................(M) KviLvbv/wkí cÖwZôv‡bi wVKvbv t .................................................................................................................09. †UªW jvB‡mÝ b¤^i t ................................................... Bmy¨ ZvwiL t ..................... Bmy¨Kvix KZ…©c ....................10. wbeÜb KZ…©c I †`k t .....................................................................................................................................11. wbeÜb b¤^i t ......................................................... ZvwiL t ............................................................12. U¨v· AvBwW b¤^i (TlN) t ......................................................... f¨vU †iwRt b¤^i (hw` _v‡K) t .....................................13. e¨emv‡qi cÖK…wZ (we¯—vwiZ) t .....................................................................................................................................14. GK ev GKvwaK wnmveavix bvevjK n‡j t Avwg wbgœewY©Z wnmveavix/wnmveavixMY Gi ˆea AwffveK wnmv‡e GB g‡g© †NvlYv KiwQ †h,wnmveavix/wnmveavixMY bvevjK| Zvi/Zv‡`i cÖ‡qvRbxq Z_¨ mshy³ dig bs 1(K) G cÖ`vb Kiv n‡jv| wnmve avix mvevjK bv nIqvch©š— wKsev Avgvi KZ©„K cieZx© †NvlYv bv †`qv ch©š— wnmvewU ˆea AwffveK wnmv‡e Avgvi ¯^v‡i cwiPvwjZ n‡e|1) K. wnmveavix (bvevjK) Gi bvg t------------------------------- Rb¥ ZvwiL/eqm t -----------------------------------L. wnmveavix (bvevjK) Gi bvg t------------------------------- Rb¥ ZvwiL/eqm t -----------------------------------2) Awffve‡Ki bvgt---------------------------------------------- bvevj‡Ki mv‡_ m¤úK© t ----------------------------*(bvevjK Ges AwffveK-Df‡qi Rb¨B Òe¨w³ msµvš— Z_¨vejxÓ dig bs-1 (K) c~iY Ki‡Z n‡e Ges Dfq di‡gB Awffve‡Ki ¯^vi Ki‡Z n‡e)

c„ôv bs - 215. bwgbx msµvš— Z_¨ t (ïaygvÎ e¨w³ wnmv‡ei †‡Î cÖ‡hvR¨) Avwg/Avgiv GB wnmv‡ei A_© Avgvi/ Avgv‡`i g„Zz¨i ci wb‡gœv³fv‡e wb‡gœv³ e¨w³‡KcÖ`v‡bi Rb¨ g‡bvbxZ Kijvg| Avwg/Avgiv Dwj−wLZ g‡bvbqb †h †Kvb mgq evwZj ev cwieZ©‡bi AwaKvi msiY Kwi| Avwg/Avgiv GB g‡g©Av‡iv m¤§wZ Ávcb KiwQ †h, Avgvi/Avgv‡`i wb‡`©kbv †gvZv‡eK †jb‡`‡b e¨vsK †Kvbfv‡e `vqe× n‡e bv|(K) bwgbxi bvg t ............................................................... (L) wcZvi bvg t ................................................(M) gvZvi bvg t ............................................................... (N) ¯^vgx/¯¿xi bvg t .............................................(O) †ckv t ............................................................... (P) wnmveavixi mv‡_ m¤úK© t .................................(Q) Rb¥ ZvwiL/eqm t ............................................................... (R) RvZxq cwiPqcÎ b¤^i (hw` _v‡K) t ...................(S) bwgbxi ¯’vqx wVKvbv t ........................................................................................................................................bwgbx g‡bvbqbKvixi cÖwZ¯^vi*†Kvb Awbevmx‡K bwgbx Kiv n‡j H Awbevmx mswk−ó wnmv‡ei A_© cÖvc¨ n‡j cÖvß A_© we‡`‡k †cÖi‡Yi †‡Î we`¨gvb ˆe‡`wkK gy`ªv wbqš¿Y AvB‡bi wewa weavb cÖ‡hvR¨|bwgbxi Qwe (MÖvnKKZ…©KmZ¨vwqZ)16. A‡_©i Drm t ..........................................................................................................................................17. †NvlYv I ¯^vi t Avwg/Avgiv GB g‡g© wbðqZv cÖ`vb KiwQ †h, Avwg/Avgiv wnmve msµvš— Dc‡ivwj−wLZ I GZ`ms‡M mshy³ 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‡ivwj−wLZ Z_¨vw` mZ¨| AvcbviPvwn`v †gvZv‡eK cÖ`Ë Z‡_¨i AwZwi³ mswk−ó †h †Kvb cÖ‡qvRbxq Z_¨vw`/`wjjvw` mieivn Kie|Av‡e`bKvixi ¯^vi, bvg I ZvwiL t1. ¯^vi t 2. ¯^vi t 3. ¯^vi tbvg t ......................... bvg t ......................... bvg t .........................ZvwiL t ......................... ZvwiL t ......................... ZvwiL t .........................e¨vs‡Ki e¨env‡ii Rb¨gš—e¨ tZvwiL twnmve †Lvjvi Kg©KZ©v(bvghy³ mxjmn ¯^vi I ZvwiL)Aby‡gv`bKvix Kg©KZ©v (kvLv cÖavb)(bvghy³ mxjmn ¯^vi I ZvwiL)wnmve cwiPvjbv mswk−ó e¨w³ msµvš— Z_¨vejx(wnmve †Lvjvi Av‡e`bKvix GKvwaK e¨w³ n‡j cÖ‡Z¨K‡K GB digwU Avjv`vfv‡e c~iYc~e©K e¨w³ I Ae¨w³K wnmv‡ei g~j As‡ki mv‡_ mshy³ Ki‡Z n‡e|)wnmve b¤^i tMÖvnK AvB.wW. b¤^i t1. MÖvn‡Ki bvg (evsjvq) t .....................................................................................................................................(Bs‡iRx‡Z) t .....................................................................................................................................2. wnmv‡ei mv‡_ m¤úK© t cÖ_g Av‡e`bKvix wØZxq Av‡e`bKvix Z…Zxq Av‡e`bKvix3. wcZvi bvg (evsjvq) t .....................................................................................................................................(Bs‡iRx‡Z) t .....................................................................................................................................4. gvZvi bvg (evsjvq) t .....................................................................................................................................(Bs‡iRx‡Z) t .....................................................................................................................................5. ¯^vgx/¯¿xi bvg (evsjvq) t .....................................................................................................................................(Bs‡iRx‡Z) t .....................................................................................................................................6. RvZxqZv t .....................................................................................................................................7. Rb¥ ZvwiL t ............................................................ wUK w`b cyi“l gwnjv8. †ckv (c`exmn) t ............................................................. RvZxq cwiPqcÎ bs t .......................................9. cvm‡cvU© b¤^i (hw` _v‡K) t ............................................................. Bmy¨ ZvwiL t ....................................................10. U¨v· AvBwW b¤^i (TIN) (hw` _v‡K) t .................................................. WªvBwfs jvB‡mÝ b¤^i (hw` _v‡K) t .........................11. eZ©gvb I †hvMv‡hv‡Mi wVKvbv (Avevm¯’j) t †Uwj‡dvb t evmv t ...................................... Awdm t ...............................†gvevBj t .............................. B-‡gBj t .................................................... d¨v· t ...............................

12. ¯’vqx wVKvbv t ................................................................................................................... c„ôv bs - 313. †ckvMZ †hvM¨Zv t .....................................................................................................................................14. †µwWU KvW© msµvš— Z_¨ t Bmy¨Kvix cÖwZôvb I KvW© b¤^i (hw` KvW© e¨enviKvix nb) t(1) ...................................................... (2) ....................................................................15. †iwm‡W›U ÷¨vUvm (wUK w`b) t †iwm‡W›U bb-‡iwm‡W›U16. bb-‡iwm‡W›U evsjv‡`kx n‡j wb‡æv³ Z_¨vw` c~iY Ki“b tPassport No. ………………….....................Issued by ……………...............................Date of Visa (If available) ……......…………Issuing authority of Visa ……....…………..Date of Issue ……………….......................................Issued at …………………..........................................Validity date of Visa …………………...................…...Occupation ……………………………...….......….........Foreign address ……………………………....………………….……………………………………...............…..17. Introduced by Bangladesh Embassy (In case of those only who wish to open from abroad) :Seal & Signature (Bangladesh Embassy) Signature of A/c. Opener .......................* (cÖ‡qvRbxq †‡Î e¨vsK ev kvLv ÒMvBWjvBÝ di d‡ib G·‡PÄ Uªvb‡RKkbmÓ Gi wb‡`©kbv AbymiY K‡i Z_¨ msMÖn Ki‡e) Av‡e`bKvixi ¯^viMÖvnK cwiwPwZ m¤úwK©Z dig (KYC Profile Form)ZvwiL twnmve b¤^i t1. wnmve wk‡ivbvg (evsjvq) t ................................................................................................................................................(Bs‡iRx‡Z) t ................................................................................................................................................2. Znwe‡ji Drm wKfv‡e wbwðZ Kiv n‡q‡Q Ges e¨emvwqK m¤úK© ¯’vcbK‡í e¨emv‡qi cÖK…wZ wek`fv‡e D‡j−L KiZt e¨emv‡qi mv‡_ †jb‡`‡bicwigvY mvgÄm¨c~Y© wKbv Zv eY©bv Ki‡Z n‡e t ..............................................................................................................................................................................................................................................................................................................3. wnmv‡ei cÖK…Z myweav‡fvMx (Beneficial Owner) m¤úwK©Z Z_¨vw` (†Kv¤úvbxi †‡Î wbqš¿YKvix †kqvi †nvìvi Ges 20% ev Gi AwaK GKK†kqvi †nvìvi Gi we¯—vwiZ Z_¨vw`) : .........................................................................................................................................................................................................................................................................................................................4. cÖ‡Z¨K MÖvnK †_‡K wb‡æv³ cÖgvYc‡Îi d‡UvKwc M„nxZ n‡q‡Q wKbv? (wUK wPý w`b) t [wUK wPý w`b] t †gvU t ..................... ( ............. ) wU| cvm‡cvU© †fvUvi AvBwW RvZxq cwiPq cÎ U¨v· mb` (TIN) f¨vU †iwRt b¤^i WªvBwfs jvB‡mÝ|5. Awbevmx (Non-resident) Ges we‡`kx‡`i wnmve †Lvjvi KviY m¤ú‡K© wbwðZ nIqv| wfmvi cÖK…wZ [AvevwmK/KvR (Work)] :6. MÖvn‡Ki †ckv (we¯—vwiZ eY©bv Ki“b) t .......................................................................................................................................................................................................................................................................................................................7. gš—e¨ (hw` _v‡K) t wb‡æi N‡i MÖvn‡Ki SuywK m¤ú‡K© gš—e¨ Ki“b|wnmve †Lvjvi Kg©KZ©v(bvghy³ mxjmn ¯^vi I ZvwiL)Aby‡gv`bKvix Kg©KZ©v (kvLv cÖavb)(bvghy³ mxjmn ¯^vi I ZvwiL)

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