DIGITAL SERVICES FORM

(USE BLOCK LETTERS & CROSS OUT UNUSED SECTIONS)

Please Fill In The Required Section(s) Only [Keep SR# Blank]
(*) indicates mandatory fields
Date: D D / M M / Y Y Y Y

Account No/Card No (*)

Account Name

Authorize & Agree Signature: Primary A/C Holder Signature: Joint A/C Holder

I/We have authorized the below instructions.

I/We both agree to the relevant Terms, Conditions and Clauses mentioned
in this form and overleaf.

SR#
A. Online Banking Enrolment
Sign Up for Online Banking** Yes No **If Mobile and Email are not updated, please use Account Services Form (1) to update first
Mobile Number (*)
(Please include Int'l Direct Dialling Code e.g. 880)

E-mail Address (*)

SR#
B. SMS Banking Enrolment

Mobile Number (*)

(Please include Int'l Direct Dialling Code e.g. 880)

Mobile Operator Name (*)

(We do not provide SMS Banking for Teletalk)

SR#
C. SMS Banking De-enrolment
Mobile Number (*)
Reason for Cancellation

SR#
D. E-Statement Enrolment
E-mail Address-1 (*)
E-mail Address-2
E-mail Address-3

Frequency of e-Statement (*)

(Applicable for Accounts only, Monthly Quarterly Half Yearly Yearly
For Credit Card default frequency is Monthly)

SR#
E. E-statement De-enrolment
Cancellation Type (*) Individual Account All Accounts (under master)

Cancel E-statement Facility and

Yes
start sending Hardcopy (*)

SR#
F. Online Banking (Sign Up & Link CC)

Sign-up & Link with Credit Card (*) Yes No

SR#
G. Link Credit Card with Existing Online Banking ID Link

For Bank Use Only

Customer met in person & was identified through
Verified by Staff (Sign, Seal and Date ) Photo ID Bank Account No.
Debit Card Credit Card
Received Instruction through Bearer ( Callback Details )

Telephone Number(s) Used

Date & Time of Attempted Contact
Name(s) of the Contacted Person(s)
Could Not be Contacted due to
Authentication Details
Name of the Staff Making Callback & Bank ID

Signature
 Terms & Conditions
Where the accountholder is more than one person “I”, “me” or “my” shall be read as “we”, “us” or “our”. The terms and conditions, shall
bind each one individually or any one or more or all of them collectively and all agreements, obligations and liabilities of the joint customers
are joint and several.
Alternate Channel Enrolment:
I hereby authorize the Bank to update the information provided herein in all my Accounts and Credit Cards recorded with Standard Chartered Bank
(the ‘bank’). I also authorize the bank to enrol my said Account(s) and/or Credit Card(s) in the alternate channels identified overleaf and also authorize
the bank to send my user ID, Passwords and financial information through SMS or any other electronic channels or through courier. I also request
the Bank to do the same for my other account(s) linked with the said service request mentioned in the Account Opening Form, Credit Card
agreement & Online Banking Site of Standard Chartered Bank and agree to comply with them. I also hereby acknowledge that I am fully aware of the
associated risks of using of Alternate Channels for any types of financial and non-financial transactions and also agree to bear that risk. I also accept
that use of the Alternate Channels services is subject to compliance of prevailing regulations and schedule of charges/pricing of the bank.

(A, F, G) Online Banking

I acknowledge that my use of the Online Banking services shall be governed by the banks prevailing terms and conditions available in the bank’s
website at www.sc.com/bd and I accept the same. I hereby instruct and authorise the bank to email or SMS me the Online Banking ID and Password
(collectively “security code”) relating to my access to the Online Banking services to the email address and mobile number as per bank’s record. If I
choose to same, I agree the risk of non receipt and/or non-disclosure of the security codes to an unauthorized third party shall be fully borne by me.
Subject to the bank’s prevailing terms and conditions governing the use of the services, I hereby authorise and instruct the bank to act on any instruction
received through the use of security codes, including but not limited to the transfer of funds(subjects to limits as may be imposed by the bank from time
to time) from my account with the bank (which I am entitled to operate on a single signatory basis) to the third party accounts named under the heading
“beneficiary accounts” and to any accounts which I may designate from time to time for this purpose under the bank’s prevailing procedures.

(D, E) E-statement
In consideration of the bank agreeing to accept my request for sending statements to my email address (unless instructed by me in writing to the
contrary) will be at my sole risk and responsibility and I shall not raise any objection against the bank. I agree to keep the bank indemnified against
all actions, proceedings, liabilities and claims, damages, costs and expenses in relation to or arising out of so accepting my request by the bank and
transmitting statements and information through email. I further agree to pay all fees and charges, which the bank may impose from time to time in
connection with the service in the manner stipulated by the bank. I agree that in the event of any change in my email address I shall be under
obligation to inform such change to the bank or any request for discontinuation of this service. I understand that the Bank will send or deliver to me
a statement of account(s) at least half yearly (save in respect of any account that has, in the sole opinion of the bank been inactive for a period of
one year or more, such statement of accounts will be sent or delivered by the Bank annually) or in each case at such other intervals as may be agreed
between the Bank and me from time to time. I agree that I am solely responsible for promptly examining all itineraries thereon that I must give the
bank written notice within 14 days of the date of relevant statements of any discrepancy that I believe no difference exist between any such
statement and my own records. In the absence of any such notice from me, I shall be deemed to have agreed and certified conclusively (for all
purpose) the correctness of the relevant statement of account.

(B, C) SMS Banking

The Application Form must be sent directly to the bank and not by facsimile. The bank will require 7 working days after receiving the SMS Banking
application form for activation of the SMS service. In case of bank account, the bank will accept application form signed by the authorised
signatories of the account only (subject to signature/s verification). For PUSH service, the bank will use the respective mobile phone operator's text
mail service (SMS) to send the financial information related to my account on the following working day after the statement has been generated. The
PUSH service will be offered free of charge. For PULL service I, the account holder will be able to obtain a range of financial information related to
the account by typing a pre defined Keyword with a 4 digit PIN as a message in the mobile phone and then send the message to a prescribed SMS
short code. For this service regular SMS charges of the respective mobile phone operator will apply. I shall be solely responsible to ensure the
possession of the mobile phone/connection assigned to the SMS banking service to maintain the confidentiality of my financial information. If the
mobile phone/connection is lost, stolen or sold to the other individual, Ishall immediately notify the bank of the incident and cancel the SMS banking
service. I hereby agree that the bank/mobile phone operator shall not be responsible for any disruption in SMS banking service due to any technical
failure on the part of the bank or Mobile phone Operator. SMS banking service shall remain effective until otherwise advised in writing by me which
should reach the bank at least one week before the next statement is due.

For more details, please call 8332272 or 16233 (from mobile) | sc.com/bd
E-mail us at: [email protected]