Information Sheet of 3 signatory and 5 Director for Bank Account opening

[Basic information] Bank Account opening in Standard Chartered Bank For the Account opening in the Standard Chartered Bank Name of Representative director: | Yoshiro Aikawa Please confirm nature of signatory of Documents e.g. Cheque and other bank documents. Nature of Signatory: | Single Signatory | Yes Joint Signatory | No Number of Authorize, operator and viewer person | 3 Name: | Mr. Katsumi TAMURA Mr. Hiroki HORIKAWA Mr. Hideharu TOYAMA Information of minimum Top 5 director is required. Please put the details in the information of top 5 directors' Name of top 5 directors' Sl. No. | Name 1 | Shigeyoshi TANAKA 2 | Hiroshi KIMURA 3 | Norihiko YAGUCHI 4 | Atsushi YAMAMOTO 5 | Yoshihiro TERAMOTO [ Information Authorize Person ] Authorize person: (Signatory of the Bank Account.) Total 3 person Sl. No. | Description 1 | Full Name | Katsumi TAMURA 2 | Father's Name | Kiyomi TAMURA 3 | Mother's Name | Reiko TAMURA 4 | Spouse Name (If any) | NA 5 | Mobile No. | +81-80-2358-6736 6 | Email ID | k-tamura@ce.taisei.co.jp 7 | Passport No. | TK8959051 8 | National ID Number: | NA 9 | Date of Birth | 04-Jun-1959 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Representative 13 | Occupation | Bangladesh Office 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 3-5-10-2407, Konan, Minato-ku, Tokyo, Japan 16 | Present Address Post/ ZIP code | 108-0075 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | 6375, Kuka, Suo Oshima-Cho, Oshima-Gun, Yamaguchi Pref., Japan 18 | Permanent Address Post/ ZIP code | 742-2301 19 | Office Address | Ataturk Tower, Flat 11A, Kemal Ataturk Avenue, Banani, Dhaka-1213, Bangladesh 20 | Office Tel. No. | NA 21 | Office Email | NA Sl. No. | Description 1 | Full Name | Hiroki HORIKAWA 2 | Father's Name | Masaru HORIKAWA 3 | Mother's Name | Miyako HORIKAWA 4 | Spouse Name (If any) | Junko HORIKAWA 5 | Mobile No. | +81-70-26282618 6 | Email ID | horikawa@ce.taisei.co.jp 7 | Passport No. | MZ1240595 8 | National ID Number: | N/A 9 | Date of Birth | 15-Nov-1963 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Representative 13 | Occupation | Bangladesh Office 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 908 2-3-2 Satsukidaira Misato Saitama, Japan 16 | Present Address Post/ ZIP code | 341-0021 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | 46-1 Nishi-Ｈakushima, Ｎaka-ku, Hiroshima, Japan 18 | Permanent Address Post/ ZIP code | 730-0005 19 | Office Address | Ataturk Tower, Flat 11A, Kemal Ataturk Avenue, Banani, Dhaka-1213, Bangladesh 20 | Office Tel. No. | NA 21 | Office Email | NA Sl. No. | Description 1 | Full Name | HIDEHARU TOYAMA 2 | Father's Name | HIDEO TOYAMA 3 | Mother's Name | HARUE TOYAMA 4 | Spouse Name (If any) | KYOKO TOYAMA 5 | Mobile No. | +81-80-1376-9521 6 | Email ID | tooyama@ce.taisei.co.jp 7 | Passport No. | TR4988403 8 | National ID Number: | NA 9 | Date of Birth | 27-Sep-1968 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Representative 13 | Occupation | Bangladesh Office 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 1-6-35-5 TAKAISHI, ASAO-KU, KAWASAKI, KANAGAWA, JAPAN 16 | Present Address Post/ ZIP code | 215-0003 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | 1-20-12 KURIKI, ISOGO-KU, YOKOHAMA, KANAGAWA, JAPAN 18 | Permanent Address Post/ ZIP code | 235-0041 19 | Office Address | Ataturk Tower, Flat 11A, Kemal Ataturk Avenue, Banani, Dhaka-1213, Bangladesh 20 | Office Tel. No. | NA 21 | Office Email | NA [Information top 5 Director] Required information of Directors' for Bank Account Opening (Taisei Corporation) 1 | Sl. No. | Description 1 | Full Name | Shigeyoshi TANAKA 2 | Father's Name | Shigeo TANAKA 3 | Mother's Name | Mitsuko TANAKA 4 | Spouse Name (If any) | Mayumi TANAKA 5 | Mobile No. | NA 6 | Email ID | NA 7 | Passport No. | TR4990794 8 | National ID Number: | NA 9 | Date of Birth | 01-Nov-1954 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Executive Vice President, Representative Director, Member of Board, 13 | Occupation | Chief of Civil Engineering Division 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 4-23-10, Hosoyama, Asao-ku Kawasaki City, Kanagawa Pref., Japan 16 | Present Address Post/ ZIP code | 215-0001 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | 1-1807, Mitachi, Otsuki City, Yamanashi Prefecture, Japan 18 | Permanent Address Post/ ZIP code | 401-0012 19 | Office Address | 1-25-1, Shinjuku Center Building, Nishi Shinjuku, Shinjuku-ku, Tokyo 163-0606 20 | Office Tel. No. | 03-3348-1111 21 | Office Email | NA Sl. No. | Description 2 | 1 | Full Name | Hiroshi KIMURA 2 | Father's Name | Kuwao KIMURA 3 | Mother's Name | Hiroko KIMURA 4 | Spouse Name (If any) /配偶者名 | Noriko KIMURA 5 | Mobile No. | NA 6 | Email ID | NA 7 | Passport No. | TS1112787 8 | National ID Number: | NA 9 | Date of Birth | 04-Jun-1958 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Senior Managing Executive Officer, Director, Member of Board 13 | Occupation | Chief of Marketing & Sales (Civil Engineering) Division 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 3-5-24, Onohara Nishi, Minoo City, Osaka Prefecture, Japan 16 | Present Address Post/ ZIP code | 562-0032 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | 3-2, Chigusa, Takarazuka City, Hyogo Prefecture, Japan 18 | Permanent Address Post/ ZIP code | 665-0072 19 | Office Address | 1-25-1, Shinjuku Center Building, Nishi Shinjuku, Shinjuku-ku, Tokyo 163-0606 20 | Office Tel. No. | 03-3348-1111 21 | Office Email | NA Sl. No. | Description 3 | 1 | Full Name | Norihiko YAGUCHI 2 | Father's Name | Uzuhiko YAGUCHI 3 | Mother's Name | Nobuko YAGUCHI 4 | Spouse Name (If any) | Akiko YAGUCHI 5 | Mobile No. | NA 6 | Email ID | NA 7 | Passport No. | TR8368126 8 | National ID Number: | NA 9 | Date of Birth | 17-May-1954 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Executive Vice President, Representative Director, Member of Board 13 | Occupation | Chief of Marketing & Sales Division (Integrated) 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 8-30-104, Sakuragaoka 2-chome, Setagaya-ku, Tokyo 16 | Present Address Post/ ZIP code | 156-0054 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | ditto 18 | Permanent Address Post/ ZIP code | ditto 19 | Office Address | 1-25-1, Shinjuku Center Building, Nishi Shinjuku, Shinjuku-ku, Tokyo 163-0606 20 | Office Tel. No. | 03-3348-1111 21 | Office Email | NA Sl. No. | Description 4 | 1 | Full Name | Atsushi YAMAMOTO 2 | Father's Name | Tadashi YAMAMOTO 3 | Mother's Name | Hiroko YAMAMOTO 4 | Spouse Name (If any) | Hideko YAMAMOTO 5 | Mobile No. | NA 6 | Email ID | NA 7 | Passport No. | TR6631411 8 | National ID Number: | NA 9 | Date of Birth | 18-Sep-1958 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Senior Managing Executive Officer, Director, Member of Board 13 | Occupation | Chief of Marketing & Sales Promotion Division 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 12-14-505, Saginuma 1-chome, Miyamae-ku, Kawasaki City, Kanagawa Prefecture, Japan 16 | Present Address Post/ ZIP code | 216-0004 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | ditto 18 | Permanent Address Post/ ZIP code | ditto 19 | Office Address | 1-25-1, Shinjuku Center Building, Nishi Shinjuku, Shinjuku-ku, Tokyo 163-0606 20 | Office Tel. No. | 03-3348-1111 21 | Office Email | NA Sl. No. | Description 5 | 1 | Full Name | Yoshihiro TERAMOTO 2 | Father's Name | Katsumi TERAMOTO (passed away) 3 | Mother's Name | Sueko TERAMOTO 4 | Spouse Name (If any) | Miyako TERAMOTO 5 | Mobile No. | NA 6 | Email ID | NA 7 | Passport No. | TR5037401 8 | National ID Number: | NA 9 | Date of Birth | 18-Feb-1957 10 | Place of Birth | Japan 11 | Gender | Male 12 | Title/Designation | Senior Managing Executive Officer, Director, Member of Board 13 | Occupation | Chief of Architecture & Enginerring Division (Integrated); Chief of Building Construction Division 14 | Nationality | Japan 15 | Present Address (House, Flat/ Apartment, Road, District, City, State, Province) | 10-1, Aobadai 1 chome, Dazaifu City, Fukuoka Prefecture, Japan 16 | Present Address Post/ ZIP code | 818-0137 17 | Permanent Address (House, Flat/ Apartment, Road, District, City, State, Province) | ditto 18 | Permanent Address Post/ ZIP code | ditto 19 | Office Address | 1-25-1, Shinjuku Center Building, Nishi Shinjuku, Shinjuku-ku, Tokyo 163-0606 20 | Office Tel. No. | 03-3348-1111 21 | Office Email | NA [Document List for Bank ] Account Opening Documents List - Branch/liaison office Form 1 | Completed Account Opening Form (all pages must be signed by the respective authorized signatories with the company seal) 2 | Duly filled Personal Information Form (PIF) for top 5 directors, beneficial owners (individual owning equal or more than 10% of the entity) and all signatories are required. Please note that all the personal information form will have to be signed off by the signatories of the account. Based on mode of operations (i.e. singly or jointly by two) 3 | One copy of Passport size photo and Valid Photo Identity (e.g. passport) for all signatories, top 5 directors and all beneficial owners (who owns 10% or more shares) are required. In case of foreign signatories resided in Bangladesh, Valid passport with Valid visa is required. 4 | Specimen signature card (for Authorized signatories only) 5 | Resolution of Board (original) to open an account with its mode of operation. If power of attorney is being provided instead of board resolution then the power of attorney must be notarized by high commission of Bangladesh and counter verified by Ministry of Foreign affairs in Dhaka. 6 | All constitutional documents* (Business/company Registration Document, Memorandum and Articles of Incorporation, Shareholding documents, TIN, BIN, Trade License, List of directors) and Translated (if not in English) 7 | Address verification document. It can be any government provided document including business registration document, driver's license, passport etc. in which any one of the 2 addresses (Present and permanent) as mentioned in the Personal Information From is reflecting. 8 | Declaration of ownership document. We have highlighted the relevant sections in Green within the form for your quick reference on how it should be filled out. The declaration form as well as the annexure needs to be signed off by a director of the entity. The form is not required if the entity is already banking with Standard Chartered Bank in other location and we hold the ownership documents already. 9 | Form QA22 form – for individuals residing in Bangladesh. 10 | Work Permit – applicable only for any foreign signatories residing in Bangladesh 11 | NOC (if shifting from another bank) 12 | Completed and signed FATCA form (whichever applicable) You may visit our official FATCA website to find the available forms: https://www.sc.com/en/regulatory-disclosures/client-tax/#fatca 13 | BIDA permission to carry out operations as a branch/liaison office in Bangladesh along with Clause 7 and Clause 8 waiver document from BIDA (if available). 14 | As per the regulations of Central Bank, permission from BIDA or similar competent authority for setting up branch/representative/liaison offices etc. shall have to be reported within 30(thirty) days of obtaining such permission to Foreign Exchange Investment Department, Head Office, Bangladesh Bank (BB) (Central Bank of Bangladesh) with copy to Foreign Exchange Operation Department, Head Office, BB. The requirement also came from FER Act amendment of 2015. FEID requires to attach a client letter addressing to GM, FEID with our intimation. We have attached a suggestive template of the letter for reference, which needs to be provided in company letter head and has to be signed off by the signatory of the account. Please find the documents below which will be required for S2B setup 1 | Straight2Bank setup Form (already a part of account opening form) 2 | BEFTN Setup Forms. 3 | Service Application Form 4 | Cash Management Offer Letter which will be shared with you shortly. Note: Please note that all the constitutional documents will have to be either attested by the high commission of Bangladesh or by the relationship manager of SCB in the country of incorporation (e.g. Relationship Management Team located in client’s country of incorporation) except TIN, BIN and Trade License documents which will be obtained from relevant authorities of Bangladesh.