Employee Banking

Account Opening Form

LLID Number:

Relationship Number (If applicable):

Source:

BDO/RM Code:
 Personal Account Opening Form
Please complete all details in CAPITAL letter and strike out the non-applicable fields/boxes

Date Organisation’s Name:

Account Number
Monthly Income:
Unique Customer ID Code
(Bank use only) Source of Fund:

Standard Chartered Bank eTIN Number (if any):

Branch Contact Information:
I/We are applying to open an account in your branch/bank.
My/Our account-related and personal details are provided below: Present Address:

1 Account Related Information

Apartment: House No.: Street:
Account Title in Bangla: Post Code: Upazila/Thana: District:
Account Title in English: If your Present Address is the same as your Permanent Address, then you do not have to fill
up the permanent address section below.
Type of Account: Super Savers Premium Super Savers
eSavers Current SND RFCD NFCD FC Permanent Address:
Graduate Account Child Education Savers
LDR Account Others
Apartment: House No.: Street:
Currency: Taka Dollar Euro Pound Other
Post Code: Upazila/Thana: District:
Mode of Operation: Singly Jointly Anyone Either/Survivor

Amount of Initial Deposit (in digits): Work Address:

(in words)
Street: Post Code: Thana:
Purpose of Opening Account:
District:

2 Applicant’s Personal Information1 Mailing Address: Present Address Permanent Address

Work Address
Name of Accountholder in Bangla:
Phone No.:
Name of Accountholder in English:
Mobile No.:
Date of Birth: D D / MM / Y Y Y Y
E-mail:
Country of Birth:
Identification Document:
Place of Birth:
(a) National Identification (NID) No.:
Please check “√ ” Yes or No for each of the following
For adult Resident Bangladesh Nationals
questions:
Yes/No OR
1. Are you a U.S. Resident?
(b) Passport No./Birth Certificate Registration No./Other2
2. Are you a U.S. Citizen?
(Please specify):
3. Are you holding a U.S. Permanent Resident Card
(Green Card)?
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 Date of Issue:
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.
Expiry Date:

Father’s Name: Country of Issuance:

Mother’s Name: Introducer Information (applicable only for customers who
Husband/Wife’s Name: do not have NID):
Nationality (Please mention all your nationalities) :
(For foreign national, copy of valid passport with VISA has to be mandatorily collected.) Name of Introducer:

a. b. c. Account No. (if any):

NID No.:
Gender:
Residence Status: Resident Non-Resident Date of Birth:
Where applicable, Bangladesh Bank’s Guidelines on Foreign Exchange Transactions has to
be followed
Signature Date
Occupation (with Designation):
1
If there are multiple accountholders, or the accountholder is a minor, the personal information
Work Type: of the additional accountholders, or the guardian of the minor accountholder (Father, Mother
or any other Legal Guardian) must be added individually with the second section.
Salaried (Controller/Owner/Director) Salaried Self-Employed 2
Only the identification document relevant for financial inclusion products are
Homemaker Student Unemployed Retired acceptable by the bank
(For Non-Resident Bangladeshi, copy of valid passport is mandatory)

1 of 15
 Residence Type (ownership of residence):
3 Nominee(s)3 Related Information
Owned/Family Owned Rented Company provided
Number of Nominee(s): Educational Qualification
Post Graduate Graduate HSC Other
Account Number:
(Bank Use Only) Standing Instruction (Mandatory)
I/We hereby nominate the following person(s) to receive the fund of this account
after my/our death. I/We reserve the right to cancel/amend this nomination at Yes, I would like to have my Account automatically debited each
any time using appropriate forms and giving at least 30 days lead time to the month for payment of my credit card dues as follows:
Bank. I/We further declare that the Bank will not be liable for any payment *Monthly Payment % Minimum amount Due
affected according to my/our instruction. This nomination will be applicable for
all existing and future accounts with and services from your Bank, unless
% of current balance
otherwise specified by me/us. I/We further agree that the Bank will make Note: *If this is left blank, your account will be debited for the Minimum Amount Due.
payments as per my/our instruction and if the payment is made, all its obligations *Conditions apply (as stated in Credit Card Terms & Conditions)
in respect of the fund concerned shall be deemed fulfilled.
Card Cheque Application
Nominee Details:
Please supply one (1) Cheque Book:
Name: Yes
*Note: First Cheque Book of 10 leaves at free of cost
Date of Birth: D D / M M / Y Y Y Y
Mailing Instructions for Card delivery
Present Address:
Your Card will be delivered to your Present Address (address as
mentioned in this Application Form)
Please be informed that if we are unable to deliver your Card at your
Mobile Number: mailing address, the Card may be forwarded to your preferred branch.
Please mention your preferred branch for Card delivery:
Percentage (%) nominated for:
Emergency Contact Details (Immediate family members only)
Relationship with Accountholder:
Name:
NID No./Passport No./Birth Certificate Registration No./Other
(Please specify): Mobile Number:
Relationship with Applicant:
In case the nominee is minor, information on the individual who will receive the
money as per section 103 (2) of The Bank Company Act, 1991 in the event of death of Residential Address:
the account holder(s) where the nominee still remains a minor:

Name:
5 Information Specific to Personal Loan &
Permanent Address: Payroll Overdraft

Amount applied for: BDT

NID No./Passport No./Birth Certificate Registration No./Other Purpose of the facility
(Please specify):
Tenure (for Personal Loan only)

Preferred Date of Instalment (for Personal Loan only)

Relationship with Nominee:
3Ifthere are multiple nominees, each nominee’s personal information has to be Directorship with other Bank Yes No
recorded separately in Section 3 or as an enclosure with Section 3.
Name of the Bank
4 Information Specific to Credit Cards Spouse Contact No. Spouse Profession
This section is Applicable for only First Applicant. Office Address
Select Your Choice of Card :
Declaration of Total Value of Expenditure for Personal Loan
Visa Signature Signature Star Mastercard Assurance
I would like to obtain a Personal Loan for the purpose of
Visa Platinum Platinum Star Mastercard Titanium
Visa Silver (Classic) Visa Elite Platinum Expected expenditure for this purpose will be approximately BDT
Visa Smart Platinum Card Visa Elite Signature
I also understand that the maximum amount of the loan will be
Saadiq Visa Gold Saadiq Visa Platinum determined by the Bank at its discretion, if approved. However, the Bank
reserves the right to accept or reject my application at its discretion
Your name, as you would like it on the card without assigning any notice whatsoever.
(leave one space between names, do not use title and nick name, with spaces maximum
19 characters allowed): Furthermore, I will be held responsible and liable at any point in time if it
is found that the proceeds of the loan is used for the purpose other than
the reasons declared above.

6 Information on your other bank accounts/Other Loan Accounts/Other Credit Card

Type of Account operated (Please Tick)
Bank and Branch Name
Deposit Account Loan Account Credit Card

2 of 15
 MOST IMPORTANT DOCUMENT/MÖvnK m¤§wZcÎ
(For Personal Account Opening Only)/ïaygvÎ cv‡m©vbvj GKvD›U I‡cwbs‡q cÖ‡hvR¨ Bank Copy/ e¨vsK Kwc
(Please read and sign to confirm that all information relevant to your Bank Account has been provided to you at the time of Account opening)
(wb‡¤œ ewY©Z Z_¨mg~n AbyMÖn K‡i c‡o I ¯^vÿi K‡i wbwðZ Kiæb †h, Avcbvi GKvD›U †Lvjvi mgq GKvD›U mswkøó mg¯Í Z_¨ m¤ú‡K© Avcwb AeMZ Av‡Qb)
Accountholder's Declaration: I confirm that I have understood & agreed with all the following product features:
GKvD›U‡nvìv‡ii †NvlYv: Avwg wbwðZ KiwQ †h, wb‡¤œ cÖ`Ë †cÖvWv‡±i mKj welq Avwg AeMZ AvwQ I m¤§wZ Ávcb KiwQ:
I agree with the interest rate applicable for my Account which is available in the product brochure/interest rate matrix in Standard Chartered Bank branch and
interest accrual in my account will start from the date of account opening.
e¨vsK KZ…©K cÖKvwkZ †cÖvWv± †eªvwkIi/B›Uv‡i÷ nv‡ii ZvwjKv Abyhvqx Avgvi mÂqx wnmv‡ei cÖ‡hvR¨ B›Uv‡i‡÷i nvi wnmve †Lvjvi mgq Avgv‡K Rvbv‡bv n‡q‡Q Ges GKvD›U †Lvjvi ZvwiL †_‡K Avgvi GKvD‡›Ui B›Uv‡i÷ MYbv ïiæ n‡e|
Fees & Charges: Fees and charges have been explained to me and I have read and understood the latest Schedule of Charges.
wd I PvR© mg~n: wd I PvR©mg~n Avgv‡K we¯ÍvwiZ Rvbv‡bv n‡q‡Q Ges mv¤úªwZK PvR©mg~‡ni ZvwjKv Avwg c‡owQ I eyS‡Z †c‡iwQ|
Ancillary Products: I understand that Phone Banking (Telephone Identification Number), SMS Banking and Debit Card (charge applicable) are mandatory for my Account.
mnvqK †cÖvWv±mg~n: Avwg AeMZ AvwQ †h, †dvb e¨vswKs (†Uwj‡dvb AvB‡Ww›Uwd‡Kkb bv¤^vi), GmGgGm e¨vswKs Ges †WweU KvW© (PvR© cÖ‡hvR¨) Avgvi GKvD‡›Ui Rb¨ eva¨Zvg~jK|
Turnaround Time: I understand that it may require minimum two working days to deliver my Debit Card and Chequebook.
Uvb©A¨vivDÛ UvBg: Avwg AeMZ AvwQ †h, Avgvi †WweU KvW© I †PKeB †c‡Z Kgc‡ÿ `yÕwU Kg©w`em mgq jvM‡e|
Discretion of the Bank: I understand that the Interest rate, as well as the fees and charges may change from time to time at the sole discretion of Standard Chartered Bank.
e¨vsK Gi GLwZqvi: Avwg AeMZ AvwQ †h, B›Uv‡i‡÷i nvi wKsev wd I PvR©mg~n ÷¨vÛvW© PvUvW© e¨vsK-Gi GKK wm×v‡šÍ †h †Kv‡bv mgq cwieZ©b n‡Z cv‡i|
I/We hereby declare that I/we agree to have my/our security items (viz. Cheque book, Internet Banking PIN, Contact Centre TIN, Debit Card and other security
items) delivered to my/our mailing address and also understand that Debit Card will be delivered in deactivated status for security reason.
Avwg/Avgiv †NvlYv KiwQ †h, Avgvi/Avgv‡`i e¨vsK m¤úwK©Z wmwKDwiwU AvB‡Ug mg~n (†hgb, †PKeB, B›Uv‡bU e¨vswKs wc.AvB.Gb, KbU¨v± †m›Uvi wU.AvB.Gb, †WweUKvW© I Ab¨vb¨ wmwKDwiwU AvB‡Ug mg~n) e¨vsK KZ…©K
Avgvi/Avgv‡`i †hvMv‡hv‡Mi Rb¨ wbewÜZ wVKvbvq cvVv‡Z ivwR AvwQ Ges AviI AeMZ AvwQ †h, †WweU KvW© wbivcËvi ¯^v‡_© wbw¯Œq Ae¯’vq Avgvi wVKvbvq cvVv‡bv n‡e|
If there is no transaction initiated by me for 2 years in case of Savings Account and 1 year in case of Current Account then the account will be classified as 'Dormant'.
mvÂqx wnmv‡ei †ÿ‡Î 2 eQi Ges PjwZ wnmv‡ei †ÿ‡Î 1 eQi Avgvi Øviv †Kv‡bv †jb‡`b bv n‡j I wnmve ÔWi‡g›UÕ e‡j MY¨ n‡e|
I agree an interest charge will be applicable on my account if balance is overdrawn which is mentioned in the Schedule of Charges.
Avwg GB g‡g© m¤§Z nw”Q †h Avgvi A¨vKvD›U n‡Z e¨v‡jÝ IfviWªb n‡j wkwWDj Ae PvR© Abyhvqx B›Uv‡ió PvR© Kiv n‡e|
I agree that I can apply for the Graduate Account between the age of 18 to 26. Upon reaching the age of 26, my account will be converted to E-savers Account. I
also agree that I need to submit a photocopy of my valid student ID card and show my original student ID card for verification purpose.
Avwg m¤§wZ cÖKvk KiwQ †h MÖ¨vRy‡qU GKvD›U-Gi Rb¨ Av‡e`bKv‡j Avgvi eqm 18 †_‡K 26 eQ‡ii AšÍe©Z©x n‡Z n‡e| Avgvi eqm 26 eQi c~Y© nIqv gvÎB Avgvi MÖ¨vRy‡qU GKvD›UwU B-‡mfvim GKvD›U wn‡m‡e cwiewZ©Z n‡e| Avwg
AeMZ AvwQ †h, Av‡e`b Kivi Rb¨ Avgv‡K Kvh©Ki I ˆea ÷z‡W›U AvBwW Kv‡W©i d‡UvKwc Rgv w`‡Z n‡e Ges wPwýZKib I hvPvBKi‡Yi Rb¨ Avmj AvBwW KvW©wU cÖ`k©b Ki‡Z n‡e|
Child Education Savers (CES): Account holder must be below 18 years of age. Guardian must have a transactional account at Standard Chartered Bank for the fund
to be credited in this CES account through Standing Instruction (SI). One SI is allowed per account and withdrawal of fund will result in closure of the CES Account.
Maximum up to 60 monthly deposits can be made, with each deposit amount ranging from BDT 1,000 and above. After completion of all monthly deposits, the CES
account will be closed and total amount will be credited to the linked transactional account of the guardian. Complimentary Insurance coverage is available with
this account. Please refer to product brochure or website for details on insurance coverage.
PvBì GWz‡Kkb †mfvi GKvD›U‡nvìv‡ii eqm byb¨Zg 18 eQi n‡Z n‡e| wm,B,Gm GKvD‡›U ÷¨vwÛs Bb÷ªvKkb (Gm,AvB) gva¨‡g dvÛ †µwWU UªvÝdv‡ii Rb¨ AwffveK‡K Aek¨B ÷¨vÛvW© PvU©vW© e¨vs‡Ki mv‡_ U¨©vbR¨vKkbvj GKvD›U
_vK‡Z n‡e| cÖwZ GKvD‡›U ïaygvÎ GKwU ÷¨vwÛs Bb÷ªvKkb †mUAvc Kiv hv‡e Ges GKvD›U †_‡K m¤cyY© dvÛ D‡Ëvj‡bi mv‡_ wm,G,Gm GKvD›UwU eÜ n‡q hv‡e| cÖwZgv‡m 1,000 UvKv Ges Zvi AwaK ch©šÍ me©‡gvU 60wU gvwmK wW‡cvwRU
Kiv hv‡e| mKj gvwmK wW‡cvwRU m¤cbœ nIqvi ci wm,B,Gm GKvDw›U eÜ n‡q hv‡e Ges me©‡gvU cwigvY mshy³ UªvbR¨vKkbvj GKvD‡›U UªvÝdvi n‡q hv‡e| GB GKvD‡›Ui mv‡_ BÝy‡iÝ c¨v‡KR AšÍf‚©³ Av‡Q| Bbm¨y‡iÝ Kfv‡iR m¤c‡K©
we¯ÍvwiZ Rvb‡Z †cÖvWv± eªwkDi †`Lyb A_ev I‡qemvBU wfwRU Kiæb|

Interest application/B›Uv‡i÷ A¨vcwj‡Kkb: I understand that/Avwg AeMZ AvwQ †h,

Interest in my Super Savers Premium Account/School Banking Account will be accrued on monthly average balance and applied on monthly basis.
Avgvi mycvi †mfvim wcÖwgqvg GKvD›U/¯‹zj e¨vswKs GKvD›U-Gi B›Uv‡i÷ MYbv Kiv n‡e gvwmK A¨vfv‡iR e¨v‡j‡Ýi wfwˇZ Ges cÖ`vb Kiv n‡e gvwmK wfwˇZ|
Interest in my Super Savers/eSavers will be accrued on monthly average balance and applied on quarterly basis.
Avgvi mycvi †mfvim/B-†mfvim/¯‹zj e¨vswKs GKvD›U-Gi B›Uv‡i÷ MYbv Kiv n‡e gvwmK A¨vfv‡iR e¨v‡j‡Ýi wfwˇZ Ges cÖ`vb Kiv n‡Z ‰ÎgvwmK wfwˇZ|
For overdrawn balance, interest charge will be applied quarterly for current account.
Kv‡i›U A¨vKvD›U n‡Z IfviWªb e¨v‡jÝ Gi †¶‡Î ˆÎgvwmK wfwˇZ B›Uv‡ió Av‡ivc n‡e|

Applicable for Employee Banking/Ggcøwq e¨vswKs Gi Rb¨ cÖ‡hvR¨

I agree that if the Salary is not credited/deposited in my account for six (6) consecutive months, the Bank will have the right to de-enroll me from the Payroll
Banking benefits at any point in time.
GKvav‡i Qq gvm Avgvi †eZb GB GKvD‡›U Rgv bv n‡j, e¨vs‡Ki GLwZqvi Abyhvqx †c‡ivj e¨vswKs myweavw` GB GKvD‡›U cÖ‡hvR¨ n‡e bv|
Credits reversal or refunds of salary from the Payroll accounts will be done based on the instruction from the employers if there is an erroneous instruction from
the employer.
fzjekZ m¨vjvix GKvD‡›U †eZb Rgv n‡j Zv cÖZ¨vc‡Y©i Rb¨ Avgvi wb‡qvMKZ©vi BÝUªvKkb cÖ‡hvR¨ n‡e|

Special features applicable only for eSavers Account:/ïaygvÎ B-†mfvim GKvD‡›Ui Rb¨ cÖ‡hvR¨ we‡kl Z_¨mg~n:
Usage of Alternate Channels*: I understand that for eSavers Account, all transactions are supposed to be carried out through the Alternate Channels of Standard
Chartered Bank.
Avwg AeMZ AvwQ †h, B-†mfvim GKvD›U-Gi Rb¨ mg¯Í †jb‡`b ÷¨vÛvW© PvUvW© e¨vsK-Gi Aëvi‡bU P¨v‡bjmg~‡ni gva¨‡g Kiv eva¨Zvg~jK|
Chequebook: "Account Payee Only" pre-printed Chequebook is available for eSavers Accounts. (no bearer or cash withdrawal is allowed through this cheque)
†PKeB: B-†mfvim GKvD‡›Ui Rb¨ ÒGKvD›U †cwq IbwjÓ wcÖ-wcÖ‡›UW †PKeB cvIqv hv‡e| (GB †P‡Ki gva¨‡g bM` D‡Ëvjb wKsev evn‡Ki gva¨ †jb‡`b MÖnY‡hvM¨ bq)

I understand that I will be able to enjoy the benefits of a Credit Card and or Personal Loan and/or USD RFCD account with International Debit Card along with
my account as part of Easy/Employee Banking Value Pack subject to fulfillment of the Bank's Credit norms. The annual fees for the Cards and Processing fee for
Personal Loan will be discounted as appropriate. The activation, usage and retention of the Credit Card will be solely at my discretion.
Avwg AeMZ AvwQ †h, e¨vs‡Ki FY bxwZgvjv c~iY mv‡c‡ÿ Avgvi e¨vsK GKvD‡›Ui cvkvcvwk BwR A_ev Bwe f¨vjy c¨v‡KR Ask wn‡m‡e Avwg GKwU †µwWU KvW©/B›Uvib¨vkbvj †WweW KvW©mn Wjvi AviGdwmwW GKvD›U/cv‡m©vbvj
†j‡bi myweav Dc‡fvM Ki‡ev| Kv‡W©i †ÿ‡Î n«vmK…Z evwl©K wd Ges cv‡m©vbvj †jv‡bi †ÿ‡Î n«vmK…Z cÖ‡mwms wd h‡_vchy³ fv‡e cÖ‡hvR¨ n‡e| †µwWU KvW© mwµqKiY, e¨envi Ges Pvjy ivLv Avgvi we‡ePbvaxb n‡e|
*Conditions apply/*kZ© cÖ‡hvR¨

I/We understand also agree that I/we will duly notify the bank regarding departure from Bangladesh and I/we agree that my/our account shall be marked as Non Resident
Taka (NRT) account from the date specified on the notification. I understand this NRT marking will have consequences of restricting several types of transactions as per
applicable laws of Bangladesh. Similarly I/we will duly notify the bank regarding arrival in Bangladesh from abroad on temporary/permanent basis and I/we agree that
my/our account shall be marked as Resident from the date specified on the notification.
Avwg/Avgiv AveMZ AvwQ Ges m¤§Z n‡qwQ †h, Avwg/Avgiv evsjv‡`‡ki evB‡i hvevi c~‡e© h_vh_fv‡e Avgvi/Avgv‡`i hvÎvi ZvwiL e¨vsK-†K AewnZ Ki‡e| DcišÍ Avwg/Avgiv AeMZ AvwQ †h, e¨vsK-†K AewnZ Kiv ZvwiL †_‡K Avgvi/Avgv‡`i
GKvD›UwU cÖevmx (NRT) wn‡m‡e MY¨ n‡e Ges evsjv‡`‡ki we`¨gvb AvBb Abyhvqx cÖevmx GKvD‡›U wewfbœ †jb‡`i mxgve×Zv Av‡Q| GKBfv‡e Avwg/Avgiv AeMZ AvwQ †h, Avwg/Avgiv †`‡k †divi ci e¨vsK-†K Avgvi/Avgv‡`i evsjv‡`‡ki
cÖZ¨veZ©‡bi ZvwiL AewnZ Ki‡ev Ges GKvD›UwU wbevmx (Resident) wn‡m‡e we‡evwPZ n‡e D³ cÖZ¨veZ©‡bi welqwU e¨vsK-†K AewnZ Ki‡Yi ZvwiL †_‡K|
 Schedule of Charges (Abridged)/PvR©mg~‡ni ZvwjKv (ms‡ÿwcZ)
Super Savers Premium Super Savers Account eSavers Account School Banking Current Account RFCD Account Graduate Child Education
Charges/ Account Account
mycvi †mfvim GKvD›U B-†mfvim GKvD›U Kv‡i›U GKvD›U AviGdwmwW GKvD›U Account Savers
PvR©mg~n
mycvi †mfvim wcÖwgqvg ¯‹zj e¨vswKs GKvD›U PvBì GWz‡Kkb
MÖ¨vRy‡qU GKvD›U
GKvD›U †mfvim

Debit Card
Annual Free (1st Tk. 600 & USD 30
(International Debit USD 30
year Fee will be (International
collected Tk. 600 Not Applicable Card for FCY Current
Account) Debit Card) Not Not
upfront) 600 UvKv cÖ‡hvR¨ bq Applicable Applicable
†WweU KvW© evwl©K wd 600 UvKv I 30 BDGm 30 BDGm Wjvi
cÖ‡hvR¨ bq cÖ‡hvR¨ bq
(1g eQ‡ii wd Wjvi (BDGm Wjvi Kv‡i›U (B›Uvib¨vkbvj †WweU
GKvD›U †Lvjvi mgq GKvD›U-G B›Uvib¨vkbvj KvW©-Gi PvR©)
cÖ‡`q) †WweU KvW©-Gi PvR©)

*For Employee Banking, Debit Card Fee is applicable according to Payroll agreements

Up to Tk, 10,000 0
Above Tk 10,000 up to Tk. 25,000 Tk. 100 half yearly
Accounts Above Tk. 25,000 up to Tk 200,000 Tk. 200 half yearly
Maintenance Above Tk. 200,000 up to Tk 1,000,000 Tk. 250 half yearly Not Not
Fee Above Tk. 1,000,000 Tk. 300 half yearly Not Applicable Tk. 300 half yearly Not Applicable Applicable
Applicable
10,000 UvKv ch©šÍ -0
cÖ‡hvR¨ bq cÖ‡hvR¨ bq
GKvD›Um cÖ‡hvR¨ bq cÖ‡hvR¨ bq
10,000 UvKvi D‡×© Ges 25,000 UvKv ch©šÍ -100 UvKv Aa©evwlK 300 UvKv Aa©evwl©K
†gBb‡U‡bÝ wd 25,000 UvKvi D‡×© Ges 200,000 UvKv ch©šÍ -200 UvKv Aa©evwlK
200,000 UvKvi D‡×© Ges 1,000,000 UvKv ch©šÍ -250 UvKv Aa©evwlK
1,000,000 UvKvi D‡×© -300 UvKv Aa©evwlK

* Account Maintenance Fee is not applicable for Employee Banking

Minimum Balance Requirement:

Super Savers Premium Account Tk. 5,00,000 Current Account Tk. 1,00,000
mycvi †mfvim wcÖwgqvg GKvD›U 5,00,000 UvKv Kv‡i›U GKvD›U 1,00,000

Super Savers Account Tk. 1,00,000 Graduate Account Not Applicable

mycvi †mfvim GKvD›U 1,00,000 UvKv MÖ¨vRy‡qU GKvD›U cÖ‡hvR¨ bq

eSavers Account Tk. 50,000

B-†mfvim GKvD›U 50,000

Minimum Standing Instructions:.

Child Education Savers Tk. 1,000

PvBì GWz‡Kkb †mfvim 1,000

Important Notes:
• 15% VAT is applicable for all fees and charges
• Govt. Excise Duty is applicable annually for all Accounts
• The Bank reserves the right to amend the Schedule of Rates & Charges at any time
• For Priority Banking Customers, separate Schedule of Fees & Charges is applicable.
• For Employee Banking clients, fees and charges shall apply as per Employee Banking agreement.

¸iæZ¡c~Y© Z_¨:
• mKj wd I PvR©mg~‡ni Ici †_‡K 15% f¨vU cÖ‡hvR¨
• mKj GKvD‡›Ui Ici evwl©K ivóªxq G·vBR wWDwU cÖ‡hvR¨
• †h †Kv‡bv gyn~‡Z© †h †Kvb B›Uv‡i÷ †iU I PvR© cwieZ©‡bi wmØvšÍ e¨vsK KZ…©K msiwÿZ
• cÖv‡qvwiwU e¨vswKs Gi Rb¨ PvR© mg~‡ni ZvwjKv cÖ‡hvR¨
• Ggcøqx e¨vswKs‡qi Rb¨ Ggcøqx e¨vswKs Pzw³ Abymv‡i wd Ges PvR© cÖ‡hvR¨

12-wWwRU wU,AvB,Gb MÖn‡Yi †ÿÎ m¤úªmviY: AvqKi Aa¨v‡`‡ki aviv 184A Gi ms‡kvab

A_© AvBb, 2016 Gi gva¨‡g AvqKi Aa¨v‡`k, 1984 Gi aviv 184A Gi Dcaviv (1) †Z bZzb wZbwU K¬R (y), (z) Ges (za) ms‡hvRb K‡i wb¤œewY©Z e¨w³i Rb¨ 12 wWwRU wU,AvB,Gb MÖnY eva¨Zvg~jK Kiv n‡q‡Q-
(1) miKvi A_ev miKv‡ii †Kvb KZ…©cÿ, K‡c©v‡ikb, mËv ev BDwb‡Ui ev cÖPwjZ †Kvb AvBb, Av‡`k ev `wj‡ji gva¨‡g cÖPwjZ MwVZ †Kvb KZ…©cÿ, K‡c©v‡ikb, mËv ev BDwb‡Ui Kg©Pvix (employee), hw` wZwb mswkøó Avq eQ‡ii
†h †Kv‡bv mgq 2015 mv‡j †NvwlZ PvKwi (†eZb I fvZvw`) Av‡`k, 2015 Gi `kg †MÖW Z`yaŸ© †MÖ‡W A_ev 2015 mv‡j †NvwlZ †h †Kvb †c-†¯‹‡ji `kg †MÖW ev Z`yaŸ© †MÖ‡Wi mgZzj¨ †Kvb †MÖ‡W †eZb-fvZvw` MÖnY K‡ib ;
(2) Monthly Payment Order (MPO) Gi AvIZvq miKvi gvwmK 16000/- UvKv Gi †ewk A_© cvb Ggb †Kvb e¨w³ ;
(3) e¨e¯’vcbv I cÖkvmwbK c‡` ev Drcv`‡bi mycvifvBRix c‡` wb‡qvwRZ †Kvb employee, Zvi †eZb-fvZvw` hv-B †nvK bv †Kb|

• Any individual who has taxable income needs to have e-TIN.

• In case of private sector, any individual working in Managerial, Administrative or Supervisory capacity needs to have e-TIN regardless of his/her annual income.
• In case of government sector, any individual within pay-scale grade 10 or above or receives more than BDT 16,000 per month from the government needs to have e-TIN.

For more details, please refer to Schedule of Charges available at all Standard Chartered branches.
we¯ÍvwiZ Z‡_¨i Rb¨ AbyMÖn K‡i ÷¨vÛvW© PvUvW© e¨vsK-Gi †h †Kv‡bv eªv †_‡K PvR©mg~‡ni ZvwjKv msMÖn Kiæb
Declaration and Signature
I/We hereby declare that the above specified information is true. I/we will provide all information/documents as per the Bank’s requirements.

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).

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 authori-
ty to prevent money laundering and terrorist financing in the country.

Declaration for Credit Card

l/We are applying to open a credit card account with your Bank. All my/our account related & personal information are attached herewith. If
required, l/we shall provide any additional information/documents at the request of the Bank. If the credit card is granted, I shall solely operate the
card account unless otherwise instructed.
I/We declare that the information provided in this Application Form is true, complete and accurate and l/We have not wilfully withheld any material
fact. I shall inform you of any changes thereto. I/We hereby authorize Standard Chartered Bank to verify any information pertaining to this Applica-
tion Form whatever sources it may consider appropriate. l/We accept that Standard Chartered Bank is entitled in its absolute discretion to accept or
reject this Application without assigning any reason whatsoever and that the Application and its supporting documents shall become part of the
Bank's records and shall not be returned to me. I hereby acknowledge that I have read and understood the Terms & Conditions governing to Standard
Chartered credit card (given in the last page of this Application Form) and agree to comply with them. By signing on and/or activating and/or
retaining and/or using my Standard Chartered Credit Card, I will be bound by the Credit Card Terms & Conditions. Upon approval of my Application
l/we agree to pay the prevailing fees. Where requested, I authorize Standard Chartered Bank to issue Supplementary Card (s) for use on my account
to the person (s) named who I undertake is or over 18 years of age, and is a resident of Bangladesh and I agree that you may provide information to
him/her about the account. In consideration of the Bank agreeing to accept my request for sending my Credit Card monthly statements to my e-mail
address in lieu of paper statements sent through courier service, I hereby agree that all statements (whether through e-Statements service or other
means of transmission) sent by the Bank for my Credit Card shall be accepted and upheld by me as correct and authentic. I declare that I shall not
raise any objection against the Bank on its agreeing the same and fully accept the risk and responsibility of statements transmitted by the Bank. The
Bank does not warrant against any external factors affecting the privacy and/or security of e-mails during internet transmission. I also agree to keep
the Bank indemnified against all actions, proceedings, liabilities and claims cases damages costs and expenses in relations to or arising out of so
accepting my request by the Bank and transmission statements and information through e-mail. I assure the Bank that I shall inform it in writing of
any change in my e-mail address or any request for discontinuation of this facility to Card Services, Standard Chartered Bank The Bank shall not be
liable or responsible for data corruption, delay and/or interception of the information so given and the Bank reserves the right to update and vary
such information from time to time and at any time. I hereby agree to indemnify the Bank against any loss, damage, liability or cost incurred by the
Bank on account of any breach by me or the Supplementary Cardholder. I also understand that the Supplementary Card fees shall be billed in my
statement and it shall be my primary responsibility to honour all charges incurred on the Supplementary Card. The continuation of the membership
of the Supplementary Cardholders shall be dependent on the continuation of my membership, I assume full responsibility for complying with the
provisions of the Foreign Exchange Regulation Act 1947, and rules, orders and directives issued there under. I understand this card can be used for
Internet transactions in line with Bangladesh Bank regulations pertaining to Internet transactions which may change from time to time. I hereby
declare that l/we agree to have my security items (viz. Contact Centre TIN, Card Cheque, Internet Banking PIN, Credit Card PIN and other security
items) delivered to my mailing address and also understand that Card Cheque and Credit Card will be delivered in deactivated status for security
reason.

I/We irrevocably authorize and permit the Standard Chartered Bank to disclose and furnish such information that it deems fit concerning my
Application, my business, accounts held with the Bank or my relationship with the Bank to the Bank's associates, branches, assignees, agents or other
parties. I also irrevocably authorize and permit the Bank to disclose information about my Application/account to any credit rating /reference
agency, bank, financial institution, any government regulatory agency or to any one else when the Bank deems it is in its interest to do so. The Bank
will immediately comply with disclosure of information to any authority under any law. The Bank shall have the right to check my credit standing at
any times as and when the Bank may deem fit without reference to me.

Terms & Conditions of Standard Chartered Bank (‘the Bank') for Cardholders availing the Card Cheque service:
In consideration of the Bank agreeing to accept my request for Card Cheque, the Bank may, in its absolute discretion, issue a Card Cheque book in
my name or in the name of my Supplementary Cardholder(s). If a Card Cheque book is issued, I undertake to be fully responsible for its safe custody
at all times and I will immediately notify the Bank if the Card Cheque book or any of the Card Cheques contained therein, is lost or stolen. I understand
that .the Bank may in its absolute discretion, accept from me any stop cheque instructions (either orally or in writing) in cases where I have lost the
relevant Card Cheque or, in other circumstances in which it shall be allowed by the law and agreed by the Bank. Should the Bank accept any such
instruction from me or from some other person purporting to be me, I hereby undertake to indemnify the Bank against any loss, damage, cost (includ-
ing any legal cost) or demand incurred by it as a result of, or in connection therewith. I take full responsibility of ensuring availability of necessary
credit limit in my Credit Card while issuing a Card Cheque. I also fully acknowledge, confirm and accept that the Card Cheque is subject to the laws
of Bangladesh. I further acknowledge and confirm that I shall pay the fees and charges as determined by the Bank for return of Card Cheques where
my Card Cheque has been returned due to unavailability of Credit Limit.

I acknowledge that activation of my Card Cheque book will constitute binding and conclusive evidence of my confirmation to be bound by these
Terms and Conditions.
Disclosure Clause
I/We hereby consent to Standard Chartered Bank Bangladesh (the "Bank"), its officers and agents disclosing information relating to me/us and
my/our account(s) and/or dealing relationship(s) with the Bank, including but not limited to details of my/our facilities, any security taken, transac-
tions undertaken and balances and positions with the Bank, to (i) the head office of the Bank, any of its subsidiaries or subsidiaries of its holding
company, affiliates, representative and branch offices in any jurisdiction (the "Permitted Parties"); (ii) professional advisers and service providers of
the Permitted Parties who are under a duty of confidentiality to the Permitted Parties; (iii) any actual or potential participant or sub participant in
relation to any of the Bank's rights and/or obligations under any agreement between us, or assignee, novatee or transferee (or any agent or adviser
of any of the foregoing); (iv) any rating agency, insurer or insurance broker of, or direct or indirect provider of credit protection to any Permitted Party;

13 of 15
(v) any court or tribunal or regulatory, supervisory, governmental or quasigovernmental authority with jurisdiction over the Permitted Parties.

Declaration for Personal Loan

l have applied for the facility detailed in this application, l hereby acknowledge that l have read, accepted and fully understood the above terms and
conditions including the assignment therein mentioned and its application to the facility granted to me by the Bank, l hereby declare that the borrow-
ing proceed only shall not be utilized for purchase of any kind of Govt. Securities/Sanchayapatras.
l fully understand and thereby authorise the fact that, for ease of monitoring and accounting, the Bank will route these repayments through a special
account, which will be opened in my name in the Bank's book. Furthermore, I understand that the quantum of monthly instalments may be re-fixed at
the Bank's sole discretion. I understand and agree that the aggregate of any debit balance in the said special account and my/our Personal Loan
Account is the total understanding on account of Personal Loan Scheme and l and my successors, jointly and separately, will always remain liable to
repay this outstanding and any interest and other charges thereon (If l am not insured).
l hereby warrant that all the information furnished by me in this application is true, complete and accurate in all respects and l have not willfully
withheld any material fact, l acknowledge that the facility requested by me in this application will be made available at the discretion of the Bank.
In case any information provided in this application form mismatch with the information of my account maintained with Standard Chartered Bank, l
hereby irrevocably authorise the Bank to amend the same as per this application form.

Declaration on CIB Undertaking

I/We would like to authorise the Bank to retrieve my/our CIB report through CIB Online system based on the CIB undertaking provided with this
application. This undertaking is valid until we inform the Bank to disregard this instruction. You are also authorised to search CIB report online as and
when required by the Bank for the purpose of applied loan or credit card. Please note that for any change in personal information or directorship
(where applicable), we will notify the Bank in writing to update the CIB database and obtain fresh CIB report.

Undertaking by Nominee

I/We do hereby declare that, I/We have accepted the nomination as given above. I/We may or may not become eligible for the balance amount of
the account holder(s) as nominee(s) and/or being the custodian(s) and trustee(s) of the said balance of the account holder(s). I/We shall follow and
comply with the prevailing laws of the land as nominee(s) and custodian(s) for this nomination.

Please Attach Please Attach

Photograph(s) Here Photograph(s) Here
[Applicant] [Nominee/Legal Guardian]

Attested by Attested by
Introducer Applicant

Applicant’s Signature4 Nominee/Legal Guardian’s Signature

4
If the accountholder is a minor, guardian of accountholder will sign in place of Applicant’s signature.

14 of 15
For Bank Use Only

Branch ICM Referance No. 1.

Branch Code ICM Referance No. 2.
Relationship No. ICDD Reference No.
Master Employer Code
Instt. Class ARM/PBM Code
LLID NB ARM Code
Industry Scale Customer Segment Code
QLC Code Product Code
Sector Type Code FAM Code
(if applicable)
For Individual Lending: Deposit Code
Sector Code
Economic Purpose Code
Security Code
Product Code
SME Code

Transactional Profile
Important Notes: Transaction Profile of the account will be reviewed by the Bank as per the directions of Bangladesh Financial
Intelligence Unit (BFIU), Banking Regulation and Policy Department (BRPD) & Group CDD Standards.

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

(Account Opening Officer) (Account Opening Approver)

Name: Name:

Date: Date:

Seal: Seal:

15 of 15
Branch/Booth/Service Centre Directory

Dhaka
Gulshan Branch Sonargaon Booth Karnaphuli EPZ Branch
67 Gulshan Avenue L101 Pan Pacific Sonargaon Mohajan Golden Tower,
Hotel, 107 Kazi Nazrul Islam 98/A, Mohajan Ghata,
Gulshan North Branch Avenue Karnaphuli EPZ Gate,
Gulshan Centre Point Patenga Road,
House 23 - 26, Road 90, Motijheel Branch Chattogram
Gulshan - 2 Alico Building, 18-20
Motijheel C/A Nasirabad Branch
Islamic Banking Centre 1 Shahid Abdul Halim Road
Gulshan Centre Point Uttara Branch East Nasirabad
House 23 - 26, Road 90, Update Tower, Shahajalal
Gulshan - 2 Avenue Plot-1, Sector 6, CEPZ Branch
Uttara Zone Service Building
Banani Branch Chattogram Export
14 Kemal Ataturk Avenue, Savar Branch Processing Zone, Free
Banani Dhaka Export Processing Port Road Ward 39,
Zone, Zone Service Chattogram
Bashundhara Branch Complex City Corporation
Haveily Center (GF), P.S. Bandar, Chattogram
Ka-11/2/A, Jagannathpur, Mirpur Service Centre
Bashundhara Road, Dynasty Tower Plot 1, Road Bogura
Dhaka 12, Block C, Section 6, Bogura Branch
Mirpur Shatani House, Sherpur
Dhanmondi Branch Road
House 6, Road 5, Uttara Service Centre
Dhanmondi R/A House 2, Road 6, Sector 1, Khulna
Uttara Khulna Branch
Dhanmondi Service Centre Jibon Bima Bhaban,
759, Shatmasjid Road Narayanganj KDA Avenue
(Opposit of Abahani Zone Services Complex,
Field), Dhanmondi Adamjee EPZ Road, Sylhet
Siddhirgonj, Sylhet Branch
Kakrail Branch Narayanganj 7 Noya Sharak, Jail Road,
Green City Regency, Ward-16
26, 27, 27/1, Kakrail Chattogram
Chattogram Main Branch
Kawran Bazar Branch Sheikh Mujib Road,
53 Kawran Bazar Agrabad

Call our 24-hour Client Care Centre at 02 8332272 or 16233 (from mobile) or
April 2023

visit www.sc.com/bd