PIGGY/MINOR BANK TO SAVING ACCOUNT CONVERSION FORM

Dear sir,

Please convert my Piggy/Minor Bank to a regular Saving Account based on the information
furnished below:

Account Number :

Personal Details

Full Name:

Gender: Male Female Others (Specify):

Date of Birth (DD/MM/YYYY):

Nationality: Bhutanese Others (Specify):

ID Type: CID Work Permit Resident Permit Marriage certificate

Passport MOHCA letter Green card Other (Specify):

ID Number :

Issue date (DD/MM/YYYY): Expiry date (DD/MM/YYYY):

Mobile No.: +975 Email ID:

Education: Non-Graduate Graduate Post Graduate Others (Specify)

Permanent Address

House No: Thram No: Village:

Gewog: Dungkhag: Dzongkhag:

Employment and Correspondence Address

Employment: Employed Self Employed Unemployed Other (Specify):...........................

Name & Address of Organisation:

Current Designation:

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 PIGGY/MINOR BANK TO SAVING ACCOUNT CONVERSION FORM

If Unemployed/ Student, please provide guardian details :

Parents/Guardian Relation:
name:

CID No of Parents/Guardian name:

Contact No of Parents/Guardian name:

Address of Parents/Guardian:

Current School/College name if

Source/s of Income

Source(s) of income/fund: Salary Rental Other

Gross Annual Salary (If employed): Others (Specify):

Spouse Details

Marital Status: Single Married Divorced Other (Specify):

Name of Spouse: CID No of Spouse:

Mobile No.: 00975 Employment Details:

Dependents Number of Children: Others:

Nominee Details

In the event of my death, I hereby declare the following nominees as the legal representatives for my
Account Number(s) …………………………………………………………….........................................................................

Name of Nominee(S) CID/Passport No Contact No DOB Relation to % to be

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 PIGGY/MINOR BANK TO SAVING ACCOUNT CONVERSION FORM

Existing Signature of the Account:

1. Child’s Signature 2. Parent/Guardian’s Signature

Signature/ Thumb Impression Signature/ Thumb Impression

New Signature for the Account (to be signed by the Account operator only) :

Signature/ Thumb Impression Signature/ Thumb Impression

Passport
sized
photo (no
later than
6 months)

Authorization from the Parent/ Guardian :

I, ______________________________, the legal parent/guardian of the above Piggy bank account holder,
hereby authorize the Bank to allow converting his/her Piggy Bank account into a regular saving account
based on the details and information provided here and I have no objection, in whatever form and
manner.

Please keep the mode of operation as: Single Jointly (Please tick as appropriate)

Name & Signature (of the guardian): Date: D D / M M / Y Y Y Y

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 PIGGY/MINOR BANK TO SAVING ACCOUNT CONVERSION FORM

Consent and Liability Declaration:

I/We hereby confirm that the information provided on this form is true and accurate to the best of
my/our knowledge at this time and shall be fully liable if proven otherwise. If any of the details
change, I/We undertake to inform the Bank promptly.

I/We have read and understood the Terms & Conditions and hereby agree to be bound by the rules
and regulations governing the maintenance of accounts with the Bhutan National Bank Ltd (the Bank)
in force and as amended by the Bank and/or the Royal Monetary Authority of Bhutan from time to
time. Accordingly, I/We fully agree to pay any such amount/s wrongly credited in my/our account,
to the rightful owner/the Bank. I/we also hereby authorize the bank with the right to lien note my/our
account against cheques/debit authority presented for payment to the Bank, recovery of non-
performing assets, overdrawn accounts, disputed transactions, properties for seizure and in line with
court order/s.

I/we confirm that I/we shall be absolutely and completely liable for any misuse of the accounts/cards
opened/issued in/to my/our name.

I/We also agree to the disclosure of my account information as required by the regulatory authority
and laws of the Kingdom. and hereby grant my explicit consent for the collection, use, storage, and
sharing of my personal data as described in the Privacy Policy. The information I provide may be
used for contacting me for service-related or marketing communications, enhancing and
personalizing my customer experience with BNBL and to comply with legal and regulatory
obligations.

Name: ...........................................................................................................................................
Signature
over Legal
Date: D D / M M / Y Y Y Y
Stamp

Document checklist (Please submit the original documents for Bank’s verification)

1. Recent coloured passport size photograph of applicant (child)

2. Photocopy of the ID document of applicant

For Bank Use Only

Particulars Name of the Staff Date/Month/Year Signature

Input done by

Verifier/approved by

Saving Account No: Branch No:

Version No. 1.1 | Revised Date: July, 2024

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 6070

www.bnb.bt

Thimphu, Bhutan

PIGGY/MINOR BANK TO SAVING POLICY

BNB-PO-002-Privacy-Policy

1. The Bhutan National Bank gathers personal information (PII) from customers and employees
for various purposes, such as account opening, loan approval, identity verification, customer
response, and product or service updates.
2. The bank does not disclose customer and employee personal information (PII) with third
parties or transborder sharing. However, it may share data with regulators, governments, and
law enforcement agencies. Other entities may share PII data, and the bank must comply with
applicable laws and guidelines.
3. The bank takes steps to protect personal details against unauthorized disclosure.
4. Our website and other online platforms use cookies and related technologies to track visitor
information, make the platform easier, tailor products and services, collect user data, and
analyze server logs. Some cookies are from third-party companies for web analytics and
intelligence.
5. The bank protects personal data by preventing unauthorized access, but cannot guarantee
data security or website entry. Users should use secure online platforms, passwords, and
secure browsers, and report any unauthorized use to the bank immediately.
6. Our website may link to third-party websites, but we are not responsible for their privacy
practices and encourage users to learn about their policies, even if co-branded with our logo
or trademark.
7. The policy and website use are governed by Bhutanese laws and bank regulations, with the
bank acting as a Data Controller, ensuring consent before access
8. Bank upholds privacy by providing various rights such as access, consent withdrawal,
objecting to data processing, rectification, erasure, data portability, processing restriction,
automated decisionmaking protection, and complaint lodgment.
9. Our office securely stores personal information for at least 10 years, with the information
destroyed after. We do not share, sell, or rent PII, but may store it with third parties. Third
parties must respect data security and treat it lawfully.
10. The detailed Policy can be found from BNBL website (privacy_policy.pdf (bnb.bt)
I …………………………………............………………………………hereby confirm that I have read privacy
policy of Bhutan National Bank Limited.

Signature of the applicant.

Version No. 1.0 | Release Date: 01/06/2023

Bhutan National Bank 5