Individual's (Borrower/Co-borrower/Guarantor/Owner)Information
Name of Bank/FI: Prime Bank Limited
FI Code:
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: 2/1/1980
Manager "Name:
(Name has to be filled up according to NIDI other ID document)
NID Number:
Chairman Managing Director
Nominated Director (by Pt. Institution)
ETIN:
6 4 751
Date of Birth (DDMMY):
District of Birth: Dhaka
*Permanent Address:
"District:
Postal code: 1209
Present Address:
"Distrid:
|-61 2 2 20
Branch Code:
Dhaka
Dhaka
Postal code: 1209
Other ID:
"D Type:
ID issue date:
CIB ONLINE INQUIRY FORM-1
*Sector Type:Private
Passport
Date: 16.04.2024
6 4
01
Telephone number. 01712-050522
*Installment Amount:
Sponsor Director
Shareholder
Total Requested Amount/Credit Limit:
Father's Name:
2
House # 245
"County:
Seal and signature of the
Manager
*Mother's Name: SHAMMIKA PARVIN
Spouse's Name: MRS. NADIA HOSSAIN
FISubject Code:
House #245
"Country:
Elected Director
Partner
9
Nominated Director (by Govt)
Owner of Proprietorship Others
S.M. KAFEE BIPUL
5 2 82
S.M. KAMAL
4 1 3
"Country of Birth: Bangladesh
Bangladesh
Bangladesh
ID number.
'Gender.
5
ID issue country:
Free School Street, P.O: Dhanmondi,
P.S: Kalabagan
"Sector code:
0
Free SchoolStreet, P.O: Dhanmondi,
P.S: Kalabagan
Annex -N
1
EB0308824
Bangladesh
Male
Signature of the Customer
Murata Machinery Bangladesh Ltd.
Seal and signature of the
-Manager
authorized offcer.
(If the individual is an ownerldirectorlpartner of any company then select a role)
Institution's (Borower/Co-borrower/Guarantor/Owner) Information
Name of Bank/Fl: Prime Bank Limited
FICode: 054
"Type of Financing:
Installment contract data:
'Number of Installment:
Periodicity of payment:
Title: Murata Machinery Bangladesh Ltd.
Legal fomm:
Institution (Proprietorship/Partnership/Company etc.) Subject Data:
Proprietorship
Public sector
ETIN:
CIB ONLINE INQUIRY FORM -2
'Business Address:
"District: Dhaka
Factory Address:
"District: NIA
Branch Code:
Trade name has to be filled up according to valid documentation(s), for example-Trade Licensel Partnership Deed/ MOA, etc.)
"Sector Type: Private
1 2 7 55 6 400
Date: 16.05.2024
RJSC Registration number(f availatble):C-136009
Registration date:
Telephone number. 01711538447
Total Requested Amount/Credit Limit:
" Installment Amount
Partnership VPvt. Ltd. Co.
Multinational organization NGO
indicates mandatory field.
"Trade Name:
Seal and signature of the
Manager
13-FEB-17
Bangladesh
91
FISubject Code:
Public Ltd. Co.
Trustee organization
"Sreet name &number:Paradise Tower(13th Floor), Plot No. 11, Sedor No. 03, Utara
"Country:
"Street name &number: NIA
"Country:
04-37996
NIA
*Sector code:
Annex N
Seal of the institution
Seal and signature of the
Co-operative
Others
siOrera MGefHrYBangladesh Ltd.
authorized officer.
-Manager
Postal code: 1230
Postal code: NIA
To
The Manager
Prime Bank Limited
Dear Sir,
Subject: Provision of information on the ownership of companies and their bank liabilities.
, S.M. Kafee Bipul Manager of Murata Machinery Bangladesh Lid., am applying for
sanctioning/renewalrescheduling of a loan in my aforementioned company's name. My Father's name:
S.M. Kamal; Mother's name: Shammika Parvin; Main (Permanent) address: House No: 245, Free
School Street, P.0: Dhanmondi, P.S: Kalabagan, Dhaka - 1209, Bangladesh; Additional (Business)
address: Paradise Tower (13th Floor), Plot # 11, Road2 Sector # 03, Uttara, Dhaka-1230, Bangladesh:
Date of Birth: 01 February 1980; District of Birth: Dhaka; Country of Birth: Bangladesh: National ID
Number: 612220413650 1: Other ID documents: Passport; ID number EB0308824: ID issue country:
Bangladesh: TIN: 64751643S282; Gender: Male; Telephone Number: 01712-050522; are given for your
kind consideration.
Serial Name of the
The list of companies under the ownership of mine along with their bank liability status is given in the
following table:
no Company
Murata
Machinery
Bangladesh
Ltd.
Main Address
UNDERTAKING
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
Whether the company is availing any
Joan o not
Attachment-Ka
Yes
Name of the
bank/FI
"If necessary, extra paper could be used for list of companies.
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 concermed relating to sanctioning/renewal/rescheduling of the
loan applied for and Iwill be punishable by law for providing this false or fabricated infomation.
Customer's Signature:
Name: S.M. Kafee Bipul
Name of the
branch
No
Name of the Borrowing organization: Murata Machinery
Bangladesh Ltd.
-Manager
1Murata Machinery Bangladesh Ltd.