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CASA Account Opening Form for Existing Customer - Individuals

First Applicant Joint Account Holder


1. I am an existing customer with Standard Chartered Bank with active products Yes No Yes No
Note : if answer is NO, customer to complete a NTB form

2. My FATCA and my eTIN/TIN information have been provided to the Bank Yes No Yes No
and information previously provided remains unchanged.
Note : if answer is NO, customer to complete FATCA & TIN sections below
3. My Nationality, resident status, employment details, contact and personal Yes No Yes No
information previously provided remains unchanged.
Note : if answer is NO, customer to complete a static data change request form.

Photo ID No./NID No./Passport

Relationship (for Joint Account Only)

Purpose of Opening Account:

Amount of Initial Deposit: Source of Fund(s):

Type of Accounts To Be Opened For Saadiq Hajj Savers - Payment Details


Account Currency : BDT Payment By : Internal Transfer
Amount : BDT Include charges Exclude charges
Saadiq Savings
Tenure (in months) : (minimum 6 months & maximum 5 years)
Saadiq eSavers Debit Account No: (Your Current/Savings Account)
Saadiq Hajj Savers Credit Account No: (Saadiq Hajj Savers Account)
Frequency : Monthly Quarterly Half Yearly Yearly
Saadiq Super Savers Premium
First Payment On : (ddmmyy)
Saadiq Current
Regular Payment On : (ddmmyy)
Saadiq Graduate
Last Payment On : (ddmmyy)
Others I/We confirmed having read and understood the terms and conditions stated below.
Please effect the instruction here.

Services
First Applicant Joint Account Holder
Link to my existing Debit Card number
You will be automatically subscribed to our ElectronicBanking Services, including eStatements, internet banking, SMS banking and
Electronic Alerts. You may use these Electronic Banking Services after activation.

Operating Mandate
Singly Jointly Either/Survival

FATCA Declaration (not require to complete if customer answer YES to question 2 above)
First Applicant Joint Account Holder
1. Are You a US Resident? Yes No Yes No
2. Are You a US Citizen? Yes No Yes No
3. Are You holding a US Permanent Residence Card (Green Card)? Yes No Yes No
I hereby confirm the information provided above is true, accurate and complete. Subject to applicable local laws, I hereby consent for Standard
Chartered PLC or any of its affiliates (collectively ‘‘the Bank’’) to share my information with domestic and overseas tax authorities where necessary
to establish my tax liability in any jurisdiction.

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eTIN Update (not require to complete if customer answer YES to question 2 above)

eTIN No. First Applicant Joint Account Holder

Nominee information

For Existing Nominee, please provide the existing account no. of same nominee :
For new Nominee, please complete separate nominee application form.

Transactional Profile

Monthly Anticipated Income Monthly Anticipated Turnover:


(In case of organisation):
Total Total
No. of Highest No. of Highest
Anticipated Type of Anticipated
Type of Anticipated Amount Anticipated Amount
Transaction(s) Withdrawal Transaction(s)
Deposit Transaction(s) of Single Transaction(s) of Single
Amount Amount
[Monthly] Transaction [Monthly] Transaction
[Monthly] [Monthly]

Cash Withdrawal
Cash (Including
(Including Online
Online & ATM)
& ATM)

Deposit through Payment through


transfer/Instrument transfer/instrument

Foreign Inward Foreign Outward


Remittance Remittance

Receipt of Export Payment against


Proceed Import

Deposit/transfer from Deposit/transfer in


BO (Stock market) BO (Stock market)
Account Account
Others Others
(Specify) (Specify)

Total Probable Total Probable


Deposit Withdrawal

DECLARATION

I/we the following signatory/signatories hereby confirm that the transaction profile declared above is regular and normal transaction of my/our account
or account of the organisation. I/we also confirm that, if needed I/we will amend/update the transaction profile.

Signature of Customer/Account Operator Signature of Customer/Account Operator

FOR BANK USE

Account No. Unique Customer ID Code (Relationship No.)

Transaction Profile of the customer has been reviewed as per the direction of Bangladesh Financial Intelligence Unit.

Reason for changing/ not changing Anticipated Transaction Profile of the customer:

Name Seal, Signature & Date of the attesting bank official

Terms and Conditions


PRIORITY ELIGIBILITY CRITERIA:
I/We would like to open the account under the below criteria (tick one option):
Minimum half-yearly average balance of BDT 3.5 Million in Current/Savings Account; or
Minimum combined half-yearly average balance of BDT 5.00 Million in Current/Savings Account and Term deposit; or
Mortgage loan outstanding of minimum BDT 7.00 Million with the Bank; or
Employee Banking customers: Monthly net salary credit of BDT 400,000 or above in payroll account. (Please note that this eligibility is subject
to review after one year based on your overall relationship with the Bank).

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I/We hereby declare that I/we have read and understood the Most Important Document (MID) and Terms and Conditions available at www.sc.com/bd.If required I shall
provide additional information at the request of the Bank. I have also read and undertsood Bangladesh Bank’s notice on Money Laundering Prevention Act, 2012 (MLPA,
amended in 2015) and the Anti Terrorism Act, 2009 (ATA, amended in 2013), available for download from www.sc.com/bd, and will co-operate the Bank and the
regulatory authority to prevent money laundering and terrorist financing in the country.
I hereby confirm that upon completion of Standing Order (SO) for Saadiq Hajj Savers account, the entire amount to be transferred to my respective transactional
Standard Chartered account I also, confirm not to withdraw any partial amount from this account and only withdraw the entire accumulated amount at one go.

TERMS AND CONDITIONS GOVERNING STANDING ORDERS


1. You will maintain sufficient balance in your account to enable the Bank to carry out the standing order on the payment date.
2. On the date of payment, the Bank reserves the right to determine the priority of the payment order against cheques presented to any other existing arrangement
made with Bank.
3. In case of a payment date failing on a holiday, the Bank will effect the payment on the next working day.
4. If the account has sufficient funds, the Bank is not obliged to advise the customer. It may nevertheless exercise it’s discretion to remit the standing order in which
case the customer must cover the cash-line immediately, or alternatively, may not choose to execute the standing order at a later date.
5. If there are insufficient funds in the account for three successive months, irrespective of payment frequency, the Bank may cancel this instruction without any advice
to the customer.
6. The Bank may terminate this standing order as to the future payments at any time after being advised by the beneficiary/beneficiaries that no further payment is
required.
7. This order will remain effective notwithstanding the death or bankruptcy/liquidation of the customer until notice of such date or bankruptcy/liquidation or the revoca-
tion of this order is received by the Bank.
8. Any amendments/cancellations should reach the Bank at least one week before the next successive payment is due. A charge will be levied for any now standing
order and for each subsequent amendment.
9. A commission charge will be levied for each periodic payment effected by the Bank. In addition, incidental postage and/or stamp duty, if applicable, will also be
levied.
10. The Bank may, at its discretion, levy a charge for each payment not effected due to insufficient funds in the account.
11. Neither the Bank nor its branches, correspondents, or agents are responsible for any loss, delay, error or omission arising out of any mode of communication used
for effecting these payments.

Signature of First Applicant Signature of Joint Applicant


Name : Name :
Doc ID : Doc ID :
Date : Date :

For Bank Use Only


Account No. Unique Customer ID Code (Relationship No.)
Transaction Profile of the customer has been reviewed as per the direction of Bangladesh Financial Intelligence Unit.
Reason for changing/not changing Anticipated Transaction Profile of the customer

Branch Employer Category


Branch Code Employer Code
Master ARM/PBM Code
Account No. NB ARM Code
Instt. Class Customer Segment Code
LLID Product Code

Relationship ID of First Applicant


Relationship ID of Joint Applicant

Remarks/Comments (Account opening Approver) Remarks/Comments (Account opening Staff)

Approved (BSSM/BOSM/BDM) BDO/Relationship Manager

Branch Manager Name: Name:

Date: Date:

Seal: Seal:

For Operations
For Operations Subsidiary Opened Cheque Book Requested
NORKOM AOC Checked Sigcap Updated SMS Banking
Master opened Internet Banking Others

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