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Personal Information Form: Wholesale Banking
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 3 of 5
The Hongkong and Shanghai Banking Corporation Limited
Branch
For Bank's use only
Account No: – – Photograph x 1
(Attested by the client)
(Please staple it)
6. Father’s Name
7. Mother’s Name
12. Occupation (details with designation)
13. Electronic-Tax ID (E-TIN) No (If available)
14. Monthly Income (Only for Beneficial Owner)
15. Detail of Source of Fund (Only for Beneficial Owner)
16. Identity No: National ID No Passport No Driving License No Birth Certificate No Others (Please mention Identity No below)
17. Present Residential Address
18. Permanent Address
19. Contact Details a) Telephone No.:
b) E-mail:
** Note: Please print this page and submit with the Appendix for adding additional Connected Parties, as applicable.
1. Name of Account (in English Block Letters)
Name of Individual in Bangla:
2. Name of Individual for whom this form is
applicable (in English Block Letters)
8. Husbands’s/Wife’s Name
9. Nationality
(Foreign nationals must submit a photocopy of their passport and visa)
11. Residence Status (put √ mark) Resident Non-resident
(If necessary, bank staff must follow the guidelines for foreign exchange transactions)
10. Gender (put √ mark): Female Transgender Male
3. Relationship with Account (put √ mark):
4. Date of Birth 5. Country of Birth
Shareholder Beneficial Owner Sole Proprietor Signatory Key Controller Director
Others Attorney Holder Account Holder Guardian Minor Accountholder
For Bank’s Use Only
Account Opening Relationship Manager
Name, Signature with Seal and Date
Approving Manager / RM Line Manager
Name, Signature with Seal and Date
Comment(s):
Customer Declaration
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 4 of 5
I/We confirm that, I/we have read all the account rules/conditions and Notes in the Appendix and hereby agree to be bound by such Terms and Conditions
and any amendments thereif. I/We confirm that I/we have received Bank's Account Rules and Tariff list. I/We hereby confirm that I/we know that the
Terms and Conditions and account and tariff charges are available at www.hsbc.com.bd and I/we are responsible for keeping myself updated on the
latest Account Terms and Conditions, product related terms and conditions and fees and charges of the Bank by referring to the mentioned website time
to time. I/We, consciously, hereby declare that, all information furnished above and during opening this account is true. I/We also declare that I/we will
provide any further information/document as per the Bank's requirement.
Authorized Signatories (Please print this page and submit with the Form for adding more signatories, as required.)
Name:
Designation:
Name:
Designation:
Signature (as per mandate / Board Resolution)
Date:
Signature (as per mandate / Board Resolution)
Date:
Name:
Designation:
Name:
Designation:
Signature (as per mandate / Board Resolution)
Date:
Signature (as per mandate / Board Resolution)
Date:
✓