Bmjvgx evsK evsjv`k wjwgUW

Islami Bank Bangladesh Limited

cvmcvU
mvBRi
mZvwqZ
Qwe

gy`vivev gqv`x Rgv wnmve (MTDR) Lvjvi Ave`b dig

A-ewK wnmve

----------------------- kvLv

ew wnmve
ZvwiL t

wnmve b^i t
MvnK AvB.wW. b^i t

eevcK,
Bmjvgx evsK evsjv`k wjwgUW
.................................. kvLv|

evsjv`k evsK mi KvW t

SBS-2
CIB

Rbve,
Avm&mvjvgy AvjvBKzg|
Avwg/Avgiv Avcbvi kvLvq GKwU gy`vivev gqv`x Rgv wnmve (MTDR) Lvjvi Rb Ave`b KiwQ| wb Avgvi/Avgv`i wevwiZ Z_ wbg
c`vb Kijvg|
1. wnmve wkivbvg (evsjvq) t .....................................................................................................................................
(BsiRxZ) t .....................................................................................................................................
2. wnmvei gqv` (wUK w`b) t 3 (wZb) gvm 6 (Qq) gvm 12 (evi) gvm 24 (Pwek) gvm 36 (Qwk) gvm
3. wnmvei aiY (wUK w`b) t cvBfU wjt cvewjK wjt Askx`vix h_ D`vM GKK gvwjKvbv miKvix
GbwRI
Kve/mvmvBwU Abvb (wjLyb) .............................................................
t UvKv
Wjvi
BDiv cvD
Abvb ...............................
4. gy`v (wUK w`b)
5. wnmve cwiPvjbv msv NvlYv (wUK w`b) t GKKfve h_fve h Kvb GKRb Abvb ..........................
6. MvnKi Abvb evsK wnmve (hw` _vK) t
evsKi bvg
kvLvi bvg
cwiPvjbvKZ wnmvei cKwZ (wUK wP w`b)
K. ............................................... K. ............................. Rgv wnmve wewbqvM/FY wnmve Abvb
L. ............................................... L. ............................. Rgv wnmve wewbqvM/FY wnmve Abvb
M. ............................................... M. ............................. Rgv wnmve wewbqvM/FY wnmve Abvb
7. cwiPq`vbKvixi Z_ t
(K) bvg (evsjvq) t .................................................................
BsiRxZ t ....................................................
(L) wnmve bs
t .................................................................
RvZxq cwiPq c bs t ......................................
(M) kvLvi bvg t .................................................................
Uwjdvb bs t ................................................
(N) ^vi (ZvwiLmn) t
8. Rgv cwigvY t ................................................................
9. cwZvbi wVKvbv t (K) iwRvW wVKvbv t .................................................................................................................
(L) eemvj/Awdmi wVKvbv
t .................................................................................................................
(M) KviLvbv/wk cwZvbi wVKvbv
t .................................................................................................................
10. UW jvBm b^i

t ................................................... Bmy ZvwiL t ..................... BmyKvix KZc ....................

11. wbeb KZc I `k

t .....................................................................................................................................

12. wbeb b^i

t .........................................................

13. Uv AvBwW b^i (TlN)

t ......................................................... fvU iwRt b^i (hw` _vK) t .....................................

ZvwiL t ............................................................

14. eemvqi cKwZ (wevwiZ) t .....................................................................................................................................

15. GK ev GKvwaK wnmveavix bvevjK nj t Avwg wbgewYZ wnmveavix/wnmveavixMY Gi ea AwffveK wnmve GB gg NvlYv KiwQ h,
wnmveavix/wnmveavixMY bvevjK| Zvi/Zv`i cqvRbxq Z_ mshy dig bs 1(K) G c`vb Kiv njv| wnmve avix mvevjK bv nIqv
ch wKsev Avgvi KZK cieZx NvlYv bv `qv ch wnmvewU ea AwffveK wnmve Avgvi ^vi cwiPvwjZ ne|
1) K. wnmveavix (bvevjK) Gi bvg t------------------------------Rb ZvwiL/eqm t ----------------------------------L. wnmveavix (bvevjK) Gi bvg t------------------------------Rb ZvwiL/eqm t ----------------------------------2) AwffveKi bvgt---------------------------------------------bvevjKi mv_ mK t ---------------------------*(bvevjK Ges AwffveK-Dfqi RbB ew msv Z_vejx dig bs-1 (K) c~iY KiZ ne Ges Dfq digB AwffveKi ^vi KiZ ne)

cv bs - 2

16. bwgbx msv Z_ t (aygv ew wnmvei chvR) Avwg/Avgiv GB wnmvei A_ Avgvi/ Avgv`i gZzi ci wbgvfve wbgv ewK
c`vbi Rb gbvbxZ Kijvg| Avwg/Avgiv DwjwLZ gbvbqb h Kvb mgq evwZj ev cwieZbi AwaKvi msiY Kwi| Avwg/Avgiv GB gg
Aviv mwZ vcb KiwQ h, Avgvi/Avgv`i wb`kbv gvZveK jb`b evsK Kvbfve `vqe ne bv|

(K) bwgbxi bvg

t ...............................................................
(L) wcZvi bvg t ................................................
(M) gvZvi bvg
t ...............................................................
(N) ^vgx/xi bvg t .............................................
(O) ckv
t ...............................................................
(P) wnmveavixi mv_ mK t .................................
(Q) Rb ZvwiL/eqm t ...............................................................
(R) RvZxq cwiPqc b^i (hw` _vK) t ...................
(S) bwgbxi vqx wVKvbv t ..................................................................................................
bwgbxi Qwe (MvnK
KZK
mZvwqZ)

......................................
bwgbx gbvbqbKvixi cwZ^vi
*Kvb AwbevmxK bwgbx Kiv nj H Awbevmx mswk wnmvei A_ cvc nj cv A_ we`k ciYi we`gvb e`wkK gy`v wbqY AvBbi wewa weavb chvR|
17. A_i Drm t ..........................................................................................................................................

18. NvlYv I ^vi t Avwg/Avgiv GB gg wbqZv c`vb KiwQ h, Avwg/Avgiv wnmve msv DcivwjwLZ I GZ`msM mshy hveZxq wbqgvejx/
kZvejx cowQ Ges D wbqgvejx/ kZvejx gb PjZ eva _vKe| Avwg/Avgiv mvb NvlYv KiwQ h, DcivwjwLZ Z_vw` mZ| Avcbvi
Pvwn`v gvZveK c` Z_i AwZwi mswk h Kvb cqvRbxq Z_vw`/`wjjvw` mieivn Kie|

1. ^vi t
bvg t .........................
ZvwiL t .........................

Ave`bKvixi ^vi, bvg I ZvwiL t

2. ^vi t
bvg
t .........................
ZvwiL t .........................

3. ^vi t
bvg
t .........................
ZvwiL t .........................

evsKi eenvii Rb
ge t

wnmve Lvjvi KgKZv

(bvghy mxjmn ^vi I ZvwiL)

Abygv`bKvix KgKZv (kvLv cavb)

(bvghy mxjmn ^vi I ZvwiL)
wnmve cwiPvjbv mswk ew msv Z_vejx

(wnmve Lvjvi Ave`bKvix GKvwaK ew nj cZKK GB digwU Avjv`vfve c~iYc~eK ew I AewK wnmvei g~j Aski mv_ mshy KiZ ne|)

ZvwiL t

wnmve b^i t

1. MvnKi bvg (evsjvq)

MvnK AvB.wW. b^i t

t .....................................................................................................................................

(BsiRxZ)

t .....................................................................................................................................

2. wnmvei mv_ mK

t c_g Ave`bKvix

wZxq Ave`bKvix

ZZxq Ave`bKvix

3. wcZvi bvg (evsjvq)

t .....................................................................................................................................

(BsiRxZ)

t .....................................................................................................................................

4. gvZvi bvg (evsjvq)

t .....................................................................................................................................

(BsiRxZ)

t .....................................................................................................................................

5. ^vgx/xi bvg (evsjvq) t .....................................................................................................................................

(BsiRxZ) t .....................................................................................................................................
6. RvZxqZv

t .....................................................................................................................................

7. Rb ZvwiL
t ............................................................
8. ckv (c`exmn)
t .............................................................
9. cvmcvU b^i (hw` _vK) t .............................................................

wUK w`b cyil gwnjv

RvZxq cwiPqc bs t .......................................
Bmy ZvwiL t ....................................................

10. Uv AvBwW b^i (TIN) (hw` _vK) t ..................................................

WvBwfs jvBm b^i (hw` _vK) t .........................

11. eZgvb I hvMvhvMi wVKvbv (Avevmj)

gvevBj t ..............................

t Uwjdvb t evmv t ......................................

Awdm t ...............................

B-gBj t ....................................................

dv t ...............................

12. vqx wVKvbv

13. ckvMZ hvMZv

t ................................................................................................................... cv bs - 3
t .....................................................................................................................................

14. wWU KvW msv Z_ t BmyKvix cwZvb I KvW b^i (hw` KvW eenviKvix nb) t
(1) ...................................................... (2) ....................................................................
15. iwmWU vUvm (wUK w`b) t iwmWU bb-iwmWU
16. bb-iwmWU evsjv`kx nj wbv Z_vw` c~iY Kib t
Passport No. .....................

Date of Issue .......................................

Issued by ...............................

Issued at ..........................................

Date of Visa (If available) ......

Validity date of Visa ......................

Issuing authority 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

* (cqvRbxq evsK ev kvLv MvBWjvB di dib GP UvbRKkbm Gi wb`kbv AbymiY Ki Z_ msMn Kie)

.......................
Ave`bKvixi ^vi

MvnK cwiwPwZ mwKZ dig (KYC Profile Form)

ZvwiL t

wnmve b^i t

1. wnmve wkivbvg (evsjvq) t ................................................................................................................................................

(BsiRxZ) t ................................................................................................................................................
2. Znweji Drm wKfve wbwZ Kiv nqQ Ges eemvwqK mK vcbK eemvqi cKwZ wek`fve DjL KiZt eemvqi mv_ jb`bi
cwigvY mvgmc~Y wKbv Zv eYbv KiZ ne t .........................................................................................................................
.....................................................................................................................................................................................
3. wnmvei cKZ myweavfvMx (Beneficial Owner) mwKZ Z_vw` (Kvvbxi wbqYKvix kqvi nvvi Ges 20% ev Gi AwaK GKK
kqvi nvvi Gi wevwiZ Z_vw`) : ....................................................................................................................................
.....................................................................................................................................................................................
4. cZK MvnK _K wbv cgvYci dUvKwc MnxZ nqQ wKbv? (wUK wP w`b) t [wUK wP w`b] t gvU t ..................... ( ............. ) wU|
cvmcvU fvUvi AvBwW RvZxq cwiPq c Uv mb` (TIN) fvU iwRt b^i WvBwfs jvBm|
5. Awbevmx (Non-resident) Ges we`kx`i wnmve Lvjvi KviY mK wbwZ nIqv| wfmvi cKwZ [AvevwmK/KvR (Work)] :
6.

MvnKi ckv (wevwiZ eYbv Kib) t ..................................................................................................................................

.....................................................................................................................................................................................

7. ge (hw` _vK) t wbi Ni MvnKi SuywK mK ge Kib|

wnmve Lvjvi KgKZv

(bvghy mxjmn ^vi I ZvwiL)

Abygv`bKvix KgKZv (kvLv cavb)

(bvghy mxjmn ^vi I ZvwiL)

gy`vivev gqv`x Rgv wnmvei chvR wbqgvejx

wnmve b^i t
kZvejx t
01.

GwU A_ RgvKvix MvnK Ges Bmjvgx evsK evsjv`k wjwgUW Gi ga mvw`Z Bmjvgx kixqvn wfwK GKwU gy`vivev Pzw|
K. GLvb A_ RgvKvix MvnK nQ mvwne Avj-gvj (A_i gvwjK) Ges evsK nQ gy`vwie (Kvievi msMVK)|
L. Bmjvgx kixqvn& ewYZ bxwZgvjvi wfwZ evsK GB A_ RgvMnY Ki Ges RgvKZ A_ ay Bmjvgx kixqvn& mZfve wewbqvM Ki|
M. evsK gy`vivev Znwej wewbqvM Ki cv Avqi Kgc 65% wbavwiZ 3, 6, 12, 24 I 36 gvmi Rgv wnmvei Ici Weightage Abymvi mvwne Avj-gvj-Gi ga eb Ki;
wewbqvM jvKmvb nj mvwne Avj-gvj Zv enb Kie|
N. evsK wbg 5,6, 7 I 8 b^i ewYZ wbqg RgvKZ A_ I cv gybvdv dir c`vb Kie|
O. GQvov Bmjvgx kwiqvn& ewYZ gyy`vivev Pzwi Abvb kZvejx chvR ne|

wnmve cwiPvjbvi wbqgvejx t

02. mKj cKvi MvnK nZ b~bZg 1000 UvKv Ges 100 UvKvi wYZK wnme Da h Kvb cwigvY UvKv GB wnmve MnxZ nq Ges cvw^ic A-nvihvM iwk` c`vb Kiv nq|
03. GB wnmve 3 gvm, 6 gvm, 12 gvm, 24 gvm Ges 36 gvm gqv` Rgv MnxZ nq| jvf-jvKmvb ebi wbwg D Rgv gqv` AbycvZ IqUR enb Ki| gy`vivev Znwej Ges wewbqvM Avq
eUbi nvi evsK GKKfve wbaviY Ki|
04. gy`vivev gqv`x AvgvbZi iwm` RgvKvix h_vh_fve msiY Kieb| gqv`x AvgvbZi iwm` Kvb KviY nvwiq Mj, b nj, cyo Mj ev Ab Kvbfve asm nq Mj ev Lvqv Mj
ZvrwYKfve evsK KZcK Rvwbq wbw` cwqv mbi gvag WywcKU gqv`x AvgvbZi iwm` MnY KiZ ne | Zvi MvwdjwZi KviY Ab KD gqv`x AvgvbZi iwm` fvwq
wbj evsK `vqx _vKe bv |
05. wZb gvm c~Y nIqvi c~e Kvb Rgv Zzj wbj D Rgvi Dci Kvb cKvi jvf `qv nq bv| Abw`K wZb gvm c~Y nIqvi ci wK gqv`vxY nIqvi c~e Kvb Rgv Zzj wbj D Rgvi
Dci cvmwK gqv`i nvi jvf wnmve Ki D jvf _K AvbycvwZK nvi wZb gvmi jvf ev` w`q bxU jvf RgvKvixK c`vb Kiv nq|
06. gqv`vxY Rgv 30 (wk) w`bi ga bevqb Kiv bv nj Dnv GKB gqv` ^qswqfve bevwqZ ej MY Kiv ne Ges D Rgvi Dci chvR nvi jvf `qv ne|
07. GK ermi ev Z`~a gy`vivev gqv`x AvgvbZi jvf elc~wZZ mswk gqv`x wnmve Rgv Kiv nq, hv g~j Rgv wnme MY Kiv nq Ges cieZxKvj Z`byhvqx jvfi Rb weewPZ nq|
08. evrmwiK P~ov jvfi nvi NvwlZ nIqvi c~e Kvb Rgv wnmve e Kiv nj D RgvKvix mvgwqK nvi jvf wbZ eva _vKeb| cieZxKvj G aibi Rgvi Dci P~ov jvfi nvi Kg NvwlZ
nj RgvKvix ev evsK KviI Kvb `vex _vK bv| Ze gybvdvi P~ov nvi NvlYvi ci NvwlZ P~ov nvi mvgwqK nvii Pq ekx nj Zv MvnKK c`vb Kiv nq | m MvnKK
mvaviYZt GKwU gy`vivev mqx wnmve/Avj-Iqv`xqvn& PjwZ wnmve cwiPvjbv KiZ nq |
09. Kvb GKK gvwjKvbv Kvievi, Askx`vix Kvievi, h_ g~jabx Kvvbx, evwYwRK cwZvb, miKvix wefvM, msv I Uv, h Kvb wkv cwZvb, Kve, Gmvwmqkb, Av_-mvgvwRK cwZvb
Ges my gw I cveq Kvb ew ev eweM GKK ev h_ bvg GB wnmve LyjZ cvib| bvevjK/bvevwjKvi bvgI Zvi wcZv/gvZv/AvBbMZ AwffveKMY GB wnmve LyjZ cvieb|
10. wnmve Lvjvi mgq cvmcvU mvBRi `yB Kwc Qwe (cwiPq `vbKvix KZK mZvwqZ), RvZxq cwiPqc/IqvW Kwgkbvi wKsev BDwbqb cwil` Pqvigvb KZK c` bvMwiKZ mb` ev wbqvMKZv
KZK c` cwiwPwZc A_ev evsK/Avw_K cwZvbi wbKU MnYhvM ew KZK c` cZqbc c`vb KiZ ne |
11. evsK Kvbic KviY `kvbv eZxZ h Kvb wnmve e KiZ cvie Ges G Rb Kvb bvwUk c`vb Kiv ne bv|
12. evsK MvnKi wnmvei wwZi Dci Kvb cKvi hvKvZ c`vb Ki bv | MvnKK wbR `vwqZ hvKvZ c`vb KiZ ne |
13. wnmve aviKi wVKvbvi Kvb cwieZb nj Awej^ Zv evsKK RvbvZ ne| evsK mvaviYZt WvK/Kywiqvi mvwfm hvM wnmve aviKi mv_ hvMvhvM iv Ki| WvK/Kywiqvi mvwfm hvM
cwiZ Kvb wPwVc h_vmgq ev Av` wewj bv nj evsK `vqx _vKe bv |
14. evsK wnmve _K miKvix wbqgvbyhvqx fvU, Ki ev KZb KiZ cvie|
15. Kvb AvgvbZKvixi gZz nj, cvc A_ Zvui gbvbxZ ewK, gbvbqb bv _vKj DivwaKvixK mb`c `vwLj mvc c`vb Kiv ne|
16. gvwb jvwis cwZiva AvBb-2009, mvm weivax AvBb-2009 I evsjv`k evsKi gvwb jvwis cwZiva wefvM KZK mgq mgq RvixKZ mvKzjvi/bxwZgvjv Abyhvqx MvnK evsKi Pvwn`v
gvZveK h Kvb Z_ mieivn KiZ eva _vKeb|
17. 1991 mvji evsK Kvvbx AvBbvbyhvqx 10 (`k) eQi I Z`~a gqv` ch Kvb wnmve jb`b bv nj mswk wnmvewU A`vexKZ (Unclaimed) wnme MY Ki D wnmvei wwZ
evsjv`k evsK vbvi Ki `qv nq|
18. ewMZ/ew gvwjKvbvaxb/h_ gvwjKvbvaxb/Abvb wnmveavixMY KZK Zuvi ev Zuv`i gZzi ci RgvKZ UvKv Dvjbi Rb bwgbx gbvbxZ KiZ cvib| wnmveaviKi gZzi ci mswk
wnmvei RgvKZ A_ Dvjbi Rb bwgbx/bwgbxMY KZK Zuvi/Zuv`i Ave`b ci mv_ gbvbqbi ^c cgvY ^ic wbwjwLZ KvMR-c/`wjjvw` `vwLj KiZ ne| G bwgbx
KZK KvU c` mvwUwdKU `vwLj Kivi cqvRb bB|
K) wnmveaviKi gZzRwbZ mb`c| cevm gZz nj mb`c mswk `k AewZ evsjv`k `~Zvevm KZK cwZ^vwiZ nZ ne |
L) bwgbx/bwgbxMYi cwiwPwZi ^c evsKi `yBRb mvbxZ MvnK A_ev evsKi `yBRb KgKZv A_ev vbxq BDwbqb cwil` Pqvigvb/wmwU Kcvikb ev wgDwbwmcvwjwUi IqvW
Kwgkbvi KZK c` mb`c |
M) bwgbx/bwgbxMYi cvmcvU AvKvii mZvwqZ dUvMvd |
N) bwgbx/bwgbxMY KZK BbWgwbwU e c`vb|
19. MvnK bwgbx cwieZbi cqvRb eva Kij A_ev MvnKi Rxekvq bwgbxi gZy nj MvnK bZzb bwgbx gbvbqb KiZ cvieb |
20. evsK h Kvb mgq wnmve msv h Kvb wbqgvejx cwieZb, cwieab, mskvab ev evwZj KiZ cvie Ges RgvKvix Zv gb PjZ eva _vKeb |
Avgiv Dfqc D wbqgvejx Ges GZ`msv cPwjZ mKj AvBb gb PjZ ivRx nq wbg ^vi Ki A Pzwbvgv mv`b Kijvg|

wnmveavix/wnmveavixMYi bvg, ^vi I ZvwiL t

(1)

..................................................................

(2)

..................................................................

(3)

..................................................................

mswk KgKZv
(bvghy mxjmn ^vi I ZvwiL)