Account Opening

Form:

Southeast Bank Limited

Corporate
Banking

A Bank with vision

Date
:

Account Number:
Day

Month

Year

Customer ID:
Customer Group
ID:

The Manager
Southeast Bank Limited
.. Branch
Dear Sir,
I/We request you to open an Account in the name of underlying title with your Branch. The detailed
information is given below:
1.

Title of Account:

2.

Nature of Organization
():

Private Ltd.

Partnership

Joint Venture

Govt.

Semi-Govt.

NGO

Corporation

Club

Society

Trust

Co-operative

Others
(Please
.

Proprietorship

3.

Ltd.
Sole

Public

Type of Account:
Conventional
Banking () :

SB

CD

STD

FDR

Others
(Please
.
Islamic Banking ():

Mudaraba
SB

CD

Al-Wadiah MSTD

MTDR

Others
(Please
.
4.

Specify):

Currency ():

Taka

Dollar

Euro

Pound

Others
(Please
..
5.

Organization Address:

a.

Registered

FC
Specify)

FC
Specify)

JPY
Specify):

Address:
Page 1 of 6

Southeast Bank Limited

A Bank with vision

Account Opening
Form:

Corporate
Banking

..

b.

c.

6.

City:

Postal
..

Code:

Telephone:

Fax:

Country:
..
E-mail:
..

Business
/
Office
Address:

City:

Postal
..

Code:

Telephone:

Fax:

Country:
..
E-mail:
..

Factory/Industry
..
City:

Postal
..

Telephone:

Fax:

Trade
License

Code:

No.:

Address:

Country:
..
E-mail:
..

Date:
..
.

Issuing
Authority:
.
7.

Registration Authority & Country (Applicable for both

Local/Foreign):

..

8.

Registration

Date:
....
..

9.

Tax
Identification

10
.

VAT Registration No. (If any):

Number

No.:

(TIN):

Page 2 of 6

Account Opening
Form:

Southeast Bank Limited

Corporate
Banking

A Bank with vision

11
.

Nature
of
Business
...

12
.

Other Bank A/C(s) of the client (if any):

Name of the Bank
A.
B.
C.

13
.

Branch

(Details):

Type of Account ()

A.
B.
C.

Deposit
Deposit
Deposit

Loan

Loan

Loan

Others
..

Others
..
Others
..

Introducers Information:
A. Name:
B. Account No.:
C. Name of the Branch:
I declare that, I know the applicant(s) /signatory(ies) and confirm the occupation and address of
the applicant(s) / signatory (ies):

Introducers signature verified by:

Name:
Introducers signature with
date
14
.

Signature:

Initial Deposit ():

Amount
:

Cash

Cheque / Instrument
():
Bank:

15
.

Information about FDR/MTDR

A/C:

Branch:

Chq. No.:

Amount:
Currenc
y:

Taka

Dollar

Euro

Pound

Others (Please Specify): .

.

Page 3 of 6

Account Opening
Form:

Southeast Bank Limited

Corporate
Banking

A Bank with vision

Period:

. Month .. Year..
Day

Maturity Date: . / . /.

For Renewal ():

Principal with Interest/profit

Principal only and pay

interest / profit in cash

Principal only & credit Interest/Profit to A/c No:

..
Not Applicable
16
.

Information about Special Scheme Deposit Account:

Name of the Scheme: ()
Conventional
Banking:

MIS

DBS

Others (Please Specify):

Islamic Banking:

Mudaraba
MIS

Mudaraba DBS

Others (Please Specify):

Deposit at a time /
Installment Amount:

Period of the Scheme:

Payable at maturity:

No. of
Installment
(Yearly):

Monthly
Payable:

Please credit Interest/Profit amount to A/c No:

.
17
.

Source of Fund:
....
.

18
.

Statement
Frequency:

19
.

Statement Delivery (): (Please choose one option only)

Monthly

Quarterly

Collection from Branch

By mail

20
.

ATM Transaction:

No

21
.

Declaration & Signature of the Account Operator(s):

Yes

Half Yearly

Yearly

By E-mail

Page 4 of 6

Account Opening
Form:

Southeast Bank Limited

Corporate
Banking

A Bank with vision

I/We have read and understood and hereby agree to abide by all the terms and conditions related to
the account. I/We do hereby consciously declare that all the information provided herein above is
correct. I/We also confirm that we will provide further information / documents in addition to the
supplied information / documents as per your requirements.
Yours faithfully,
1. Signature of the A/C Holder
Name:
Designation:
Date:

2. Signature of the A/C Holder

Name:
Designation:
Date:

3. Signature of the A/C Holder

Name:
Designation:
Date:

4. Signature of the A/C Holder:

Name:
Designation:
Date:

For Banks use only

SBS Codes

CIB Codes

Sector Code:

Borrower Code:

Economic Purpose
Code:

Borrower Type:

Deposit Advance
Code:

Sector Type:

Security Code:

Sector Code:

Privilege Code:

Type of
Institution:

Remarks:

.
A/C opened by:

Approved by:

Data captured by:

Name:

Name:

Name:

Designation:
Date:

Designation:
Date:

Designation:
Date:

Signature with Seal

Signature with Seal

Page 5 of 6

Southeast Bank Limited

A Bank with vision

Account Opening
Form:

Corporate
Banking

Signature with Seal

Page 6 of 6