Individual's (BorrowerlCo-borrower/Guarantor/Owner) Information
Name of Bank/Fl: Prime Bank Limited
FICode:
Type of Financing:
Installment contract data:
"Number of Installment:
Periodicity of payment:
Role in the Institution:
Individual Subject Data:
Title:
Father's Title:
Mother's Title:
Spouse's Title:
Manager *Name:
(Name has to be filled up according to NIDI other ID document)
NID Number:
Chairman Managing Director
Nominated Director (by Pvt. Insitution)
(If the individual is an ownerldirector/partner of any company then select a role)
ETIN:
Date of Birth (DDMMY):
District of Birth: Dhaka
*Permanent Address:
*District:
Postal code: 1944
*Present Address:
Tangail
District: Tangail
Postal code: 1944
Other ID:
D Type:
Branch Code:
ID issue date:
CIB ONLINE INQUIRY FORM-1
"Sector Type: Private
17|7 13 5 2 0 65 4 1
Passport
Date: 16.04.2024
20
Total Requested Amount/Credit Limit
"Installment Amount:
Sponsor Director
Shareholder
Telephone number. 01713-453391
"Father's Name:
FI Subject Code:
Elected Director
Partner
Seal and signature of the
Manager
|912 72 6 3
Village: Patuli
"Mother's Name: MST. ASEA BEGUM
Country:
MUHAMMAD RAFIQUL ISLAM
Spouse's Name: NASRIN JAHAN ASHA
1 |2 197 8
Village: Patuli
'Country:
Nominated Director (by Govt.)
Owner of Propietorship Others
MUHAMMAD FERDOUS MIAH
"Country of Birth: Bangladesh
Bangladesh
P.O: Barati, P.S: Mirzapur
Bangladesh
ID number:
63 1
P.O: Barati, P.S: Mirzapur
"Gender.
ID issue cOuntry:
"Sector code:
Annex- N
A06169241
Bangladesh
Male
t. l Manager
Signature of the Customer
Murata Machinery Bangladesh Ltd.
Seal and signature of the
authorized officer.
Institution's (Borrower/Co-borower/Guarantor/Owner) Information
Name of Bank/F: Prime Bank Limited
FI Code: 054
Type of Financing:
Installment contract data:
*Number of Installment:
Periodicity of payment:
Title: Murata Machinery Bangladesh Ltd.
"Legal fom:
Institution (Proprietorship/Partnership/Company etc.) Subject Data:
Proprietorship
1
Public sector
ETIN:
7
Trade name has to be filed up according to valid documentation(s), for example-Trade Licensel Partnership Ded! MOA, etc,)
Registration date:
"Business Address:
"District: Dhaka
Factory Address:
"District:
5
NJA
Postal code: NIA
"Sector Type: Private
CIB ONLINE INQUIRY FORM -2
Date: 06.03.2024
5
Branch Code:
6
Partnership
Mutinational organization
RJSC Registration number (If available): C-136009
Telephone number. 01711538447
Installment Amount:
indicates mandatory field.
Total Requested Amoun/Credit Limit:
Trade Name:
VPvt. Ltd. Co.
Seal and signature of the
Manager
0
13-FEB-17
NGO
5
Bangladesh
FI Subject Code:
04-37996
Public Ltd. Co.
91
"Street name &number. NIA
*Country:
"Street name &number. Paradise Tower (13th Floor), Plot No. 11, Sedor No. 03, Uttara
*Country:
NIA
Trustee organization
*Sector code:
Annex N
Seal of the institution
Seal and signature of the
Co-operative
Others
SigMYad Miachifef Bangladesh Ltd.
authorized officer.
-Manager
Postal code: 1230
To
The Manager
Prime Bank Limited
Dear Sir,
Subject: Provision of information on the ownership of companies and their bank liabilities.
kind consideration.
I, Muhammad Ra fiqul Islam Manager of Murata Machinery Bangladesh Ld., am applying for
sanctioning/renewa/rescheduling of a loan in my aforementioned company's name. My Father's name:
Muhammad Ferdous Miah; Mother's name: Mst. Asea Begum; Main (Permanent) address: Vill:
Patuli, P.0: Barati - 1944, P.S: Mirzapur, District: Tangail, Bangladesh; Additional (Business)
address: Paradise Tower (13th Floor), Plot # 11, Road 2Sector #03, Uttara, Dhaka-1230, Bangladesh;
Date of Birh: 20 December 1978; District of Birth; Dhaka; Country of Birth: Bangladesh; National ID
Number: 912 726 3631; Other ID documents: Passport; ID number A06169241; ID issue country:
Bangladesh; TIN: 177135206541; Gender: Male; Telephone Number: 01713-453391; are given for your
no.
The list of companies under the ownership of mine along with their bank liability status is given in the
following table:
Serial Name of the
Company
Murata
Machinery
Bangladesh
Ltd
UNDERTAKING
Main Address
Paradise Tower
(13th Floor), Plot
No. 11, Sector
No. 03, Uttara,
Dhaka PO: 1230
Seal and Signature of the bank official
who certified the borrower
Additional
Address
Customer's Signature:
Attachment-Ka
Bangladesh Ltd.
Whether the company is availing any
loan or not
"If necessary, extra paper could be used for list of companies.
Yes
Name of the
bank/FI
Apart from stated above, if any liability in my own name or my company's name is found, I will be bound
to obey any decision made by the authority concerned relating to sanctioning/renewal/rescheduling of the
loan applied for and I willbe punishable by law for providing this false or fabricated information.
Name of the
branch
No
Name: Muhammad Rafiqul Islanlurata Machinery Bangladesh Ltd.
Name of the Borrowing organization: Murata Machinery
Manager