account opening form (company)globalhbl.com/bangladesh/downloads/account opening form -...

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Purpose of Account Opening Business Others-Specify wnmve †Lvjvi KviY e¨emv Ab¨vb¨ Name of the person/s operating the account Designation in the Organization cwiPvjbvKvix/M‡Yi bvg cÖwZôv‡b c`ex Address Registered Address wVKvbv wbeÜbK…Z Awdm Office Address Awd‡mi wVKvbv Factory Address KviLvbvi wVKvbv Overseas Address we‡`‡ki wVKvbv E-mail Address B-†gBj wVKvbv Business Account Opening Form e¨emvq wnmve †Lvjvi dig Customer Type (Please ) Private Limited Co. Public Limited Co. Association Semi Govt./Autonomous MÖvn‡Ki cÖKvi (AbyMÖn K‡i wUK wPý w`b) cÖvB‡fU wjwg‡UW †Kv¤úvbx cvewjK wjwg‡UW †Kv¤úvbx mwgwZ Avav miKvix/¯^vqËkvwmZ Club/Society Sole Proprietorship Partnership Concern Educational Institute K¬ve/†mvmvBwU GKK gvwjKvbv Askx`vix cÖwZôvb wkÿv cÖwZôvb NGO/NPO Govt Religious Institute Trust GbwRI/GbwcI miKvix agx©q cÖwZôvb wbf©ikxj cÖwZôvb Others-Specify Ab¨vb¨ Type of Account (Please ) Savings Current SND Convertible wnmv‡ei cÖKvi (AbyMÖn K‡i wUK wPý w`b) mÂqx PjwZ GmGbwW cwieZ©bxq FCY RFCD NFCD Others-Specify GdwmIqvB AviGdwmwW GbGdwmwW Ab¨vb¨ Currency of Account (Please ) BDT USD GBP EURO Others-Specify wnmv‡ei gy`ªv (AbyMÖn K‡i wUK wPý w`b) UvKv Wjvi cvDÛ BD‡iv Ab¨vb¨ Operational Instructions Singly Jointly Any one can operate Either or survivor Others-Specify cwiPvjbv m¤ú‡K© wb‡`©kbv GKKfv‡e †hŠ_fv‡e †h †Kn cwiPvjbv Ki‡Z cv‡ib RxweZRb Ab¨vb¨MY UCIC BDwbK Kv÷gvi AvBwW †KvW Account No. wnmve bs Date ZvwiL Branch Name kvLvi bvg The Manager e¨e¯’vcK Habib Bank Ltd. nvwee e¨vsK wjt Branch kvLv Dear Sir/Madam I/we hereby request you to open an account in your bank on the name mentioned hereunder and agree to comply with and abide by the bank's rules in force for the conduct of the account and any amendments thereto: Rbve / Rbvev Avwg/Avgiv GZØviv wb‡¤œ ewY©Z bv‡g Avcbvi e¨vsK G wnmve †Lvjvi Rb¨ Avcbv‡K Aby‡iva KiwQ Ges wnmve cwiPvjbv Ges Zrmswkøó ms‡kvabx‡Z e¨vsK Gi cÖPwjZ wbqg-Kvbyb †g‡b Pj‡Z Avgiv m¤§Z AvwQ| Title of Account as per identification document in English (BLOCK Letter) wnmv‡ei bvg cwiPqcÎ Abyhvqx (evsjvq) Page 1 of 13

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Purpose of Account Opening Business Others-Specifywnmve †Lvjvi KviY e¨emv Ab¨vb¨Name of the person/s operating the account Designation in the OrganizationcwiPvjbvKvix/M‡Yi bvg cÖwZôv‡b c`ex

Address Registered AddresswVKvbv wbeÜbK…Z Awdm

Office Address Awd‡mi wVKvbv

Factory Address KviLvbvi wVKvbv

Overseas Address we‡`‡ki wVKvbv

E-mail Address B-†gBj wVKvbv

Business Account Opening Forme¨emvq wnmve †Lvjvi dig

Customer Type (Please √) Private Limited Co. Public Limited Co. Association Semi Govt./AutonomousMÖvn‡Ki cÖKvi (AbyMÖn K‡i wUK wPý w`b) cÖvB‡fU wjwg‡UW †Kv¤úvbx cvewjK wjwg‡UW †Kv¤úvbx mwgwZ Avav miKvix/¯^vqËkvwmZ Club/Society Sole Proprietorship Partnership Concern Educational Institute K¬ve/†mvmvBwU GKK gvwjKvbv Askx`vix cÖwZôvb wkÿv cÖwZôvb NGO/NPO Govt Religious Institute Trust GbwRI/GbwcI miKvix agx©q cÖwZôvb wbf©ikxj cÖwZôvb Others-Specify Ab¨vb¨Type of Account (Please √) Savings Current SND Convertiblewnmv‡ei cÖKvi (AbyMÖn K‡i wUK wPý w`b) mÂqx PjwZ GmGbwW cwieZ©bxq FCY RFCD NFCD Others-Specify GdwmIqvB AviGdwmwW GbGdwmwW Ab¨vb¨Currency of Account (Please √) BDT USD GBP EURO Others-Specifywnmv‡ei gy`ªv (AbyMÖn K‡i wUK wPý w`b) UvKv Wjvi cvDÛ BD‡iv Ab¨vb¨Operational Instructions Singly Jointly Any one can operate Either or survivor Others-SpecifycwiPvjbv m¤ú‡K© wb‡`©kbv GKKfv‡e †hŠ_fv‡e †h †Kn cwiPvjbv Ki‡Z cv‡ib RxweZRb Ab¨vb¨MY

UCICBDwbK Kv÷gvi AvBwW †KvW

Account No.wnmve bs

DateZvwiL

Branch NamekvLvi bvgThe Managere¨e¯’vcKHabib Bank Ltd.nvwee e¨vsK wjt Branch kvLvDear Sir/MadamI/we hereby request you to open an account in your bank on the name mentioned hereunder and agree to comply with and abide by the bank's rules inforce for the conduct of the account and any amendments thereto:Rbve / RbvevAvwg/Avgiv GZØviv wb‡¤œ ewY©Z bv‡g Avcbvi e¨vsK G wnmve †Lvjvi Rb¨ Avcbv‡K Aby‡iva KiwQ Ges wnmve cwiPvjbv Ges Zrmswkøó ms‡kvabx‡Z e¨vsK Gi cÖPwjZwbqg-Kvbyb †g‡b Pj‡Z Avgiv m¤§Z AvwQ|Title of Account as per identification document in English (BLOCK Letter)

wnmv‡ei bvg cwiPqcÎ Abyhvqx (evsjvq)

Page 1 of 13

VAT Registration No.f¨vU wbeÜb bs

Business Details (e¨emv msµvšÍ Z_¨)Type of Business Trading Service Manufacturinge¨emvi aiY †UªwWs †mev Drcv`bType of Product or ServicecY¨ ev †mevi aiYManpower involved in Business (Permanent & Contractual)e¨emvq wb‡qvwRZ †gvU Rbej (¯’vqx Ges A¯’vqx)Annual Turnoverevwl©K Uvb©IfviOrganisation’s Net AssetcÖwZôv‡bi wbU m¤ú`Other Information (Applicable where)Ab¨vb¨ Z_¨ (cÖ‡hvR¨ †ÿ‡Î)

E-TIN No. Circle ZoneB-wUAvBGb bs mv‡K©j AÂj

Page 2 of 13

Bank Statement Requirement (Please √) Monthly Quarterly Half Yearly Annuallye¨vsK weeiYxi cÖ‡qvRbxqZv (wUK wPý w`b) gvwmK ˆÎgvwmK Aa© evwl©K evwl©K

Source of initial depositcÖv_wgK Rgvi DrmInitial Deposit Amount BDT/FCY By Cash By ChequecÖv_wgK Rgvi cwigvY UvKv/GdwmIqvB bM‡` †PK Gi gva¨‡g

Trade Licensce No. Date of Issue Name of Authority Issued the Trade License†UªW jvB‡mÝ bs Bmy¨i ZvwiL jvB‡mÝ Bmy¨Kvix KZ…©c‡ÿi bvgName of Country in which the Organization Registered†`‡ki bvg †hLv‡b D³ †Kv¤úvbx †iwRóªxf~³ n‡q‡QName of Authority in which Organization RegisteredKZ…c‡ÿi bvg †hLv‡b D³ †Kv¤úvbx †iwRóªxf~³ n‡q‡QName of Registration AuthorityjvB‡mÝ cÖ`vbKvix KZ…©c‡ÿi bvgRegistration No.wbeÜb bs

Introducer's Information (cwiPq`vbKvixi Z_¨)NamebvgAccount Titlewnmv‡ei bvgAddresswVKvbvAccount Number Branch Namewnmve bs kvLvi bvgRelationship with Account holderwnmveavixi mv‡_ m¤úK© Introducer’s NID/Passport No. cwiPq`vbKvixi RvZxq cwiPqcÎ/cvm‡cvU© bsContact Details†hvMv‡hv‡Mi gva¨g

(Introducer's signature with date) Bank use : Verified by (Name Seal) (ZvwiLmn cwiPq`vbKvixi ¯^vÿi) e¨vs‡Ki e¨env‡ii Rb¨ t hvPvBKvix (bv‡gi mxj)

Cash (Rgv) Credit (FY)

Cash (Rgv) Credit (FY)

Cash (Rgv) Credit (FY)

Cash (Rgv) Credit (FY)

Cash (Rgv) Credit (FY)

Do you have Account with Other Bank(s) including HBL Bangladesh? Yes NoAb¨vb¨ e¨vsK (mg~‡ni) m‡½ wnmve GBPweGj evsjv‡`kmn Av‡Q Kx? nu¨v bv Bank Name Branch Name Type of Account (Please √) e¨vs‡Ki bvg kvLvi bvg wnmv‡ei cÖK…wZ (AbyMÖn K‡i wUK wPý w`b)

Phone No.†dvb bs

Mobile No.†gvevBj bs

Page 3 of 13

Cash Deposit (Including ATM Deposit)bM` Rgv (†h †Kvb kvLv I GwUGg Rgvmn)

Transfer/Deposit by Instrument/ChequeUªvÝdvi/BÝUªy‡g›U Gi gva¨‡g Rgv/ †PK

Deposit Against Inward Remittanced‡ib †iwgU¨vÝ RgvDD/TT/POwWwW/wUwU/wcITransfer/Deposit from BO AccountBO cyuwR evRvi wnmve n‡Z Rgv/¯’vbvšÍiReceived Against Exportißvwb eve` cÖvßOthers (Specific)Ab¨vb¨ (wbw`©ófv‡e)Total me©‡gvU

DepositRgv

Expected no of monthly depositm¤¢ve¨ gvwmK Rgvi msL¨v

Expected single highest deposit monthlygv‡m m¤¢ve¨ m‡e©v”P GKK Rgvi cwigvY

Expectd total deposit amount monthlym¤¢ve¨ gvwmK †gvU Rgvi cwigvY

Cash Withdrwal (Including ATM withdrwal)bM` D‡Ëvjb (†h †Kvb kvLv I GwUGg D‡Ëvjbmn)

Transfer/Payment by Instrument/ChequeUªvÝdvi/BÝUªy‡g›U Gi gva¨‡g cwi‡kva

Withdrwal Against Outward Remittanced‡ib †iwgU¨vÝ D‡ËvjbExpense against ImportAvg`vbx eve` e¨qDD/TT/POwWwW/wUwU/wcI

WithdrwalD‡Ëvjb

Expected no of monthly withdrwalm¤¢ve¨ gvwmK D‡Ëvj‡bi msL¨v

Expected single highest withdrwal monthlygv‡m m¤¢ve¨ m‡e©v”P GKK D‡Ëvj‡bi cwigvY

Expectd total withdrwal amount monthlym¤¢ve¨ gvwmK †gvU D‡Ëvj‡bi cwigvY

Transfer/Deposit in BO AccountBO (cyuwR evRvi) wnmv‡e Rgv/¯’vbv¯ÍiOthers (Specific)Ab¨vb¨ (wbw`©ófv‡e)Total me©‡gvU

Transaction Profile of the Account (wnmv‡ei m¤¢ve¨ †jb‡`‡bi AbywgZ gvÎv)Duration of Business Annual Turnover Monthly Income Expected Monthly Turnovere¨emvi †gqv`Kvj evwl©K †jb‡`b gvwmK Avq gvwmK m¤¢ve¨ UvY©IfviSource(s) of Fund/Income (define specific detail of sources of fund)A‡_©i Drm/Avq (mywbw`©ó I we¯ÍvwiZ D‡jøL Kiæb)

Share holding Pattern* Obtained detail of share holding for individual/legal entity/s 20% & above for all and or 10% & above in case of high risk account.* Obtained declaration from company on share holding structure.* Above transaction profile reviewed by the undersigned

I/we the following signatories’/s hereby declare that the above mentioned transaction profile is in line with my/our Standard authentic transaction. I/we also declare that I/we will amend and update the transaction profile as and when required.

Avwg/Avgiv wb¤œ¯^vÿiKvix(MY) G g‡g© wbðqZv cÖ`vb KiwQ †h, m¤¢ve¨ †jb‡`‡bi AbygwZ gvÎv Avgiv/cÖwZôv‡bi ¯^vfvweK cÖK…Z †jb‡`b| Avwg/Avgiv Av‡ivwbðqZv cÖ`vb KiwQ †h, cÖ‡qvRb‡ev‡a Avwg/Avgiv m¤¢ve¨ †jb‡`‡bi AbygwZ gvÎv ms‡kvab/nvjbvMv` Ki‡ev|

Signature of the Applicant with Signature of the Applicant with Signature of the Applicant with Name, Date and Designation Name, Date and Designation Name, Date and Designation bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

For Bank Use (e¨vs‡Ki e¨env‡ii Rb¨)Analysis Code SBS - 1 Code SBS - 2 Codewe‡kølY †KvW GmweGm-1 †KvW GmweGm-2 †KvWAccount Officer/RMwnmve Awdmvi/AviGgCustomer No.MÖvnK bsDeposit Type Code (As per SBS - 2)wW‡cvwRU UvBc †KvW (GmweGm-2 Abyhvqx)Risk Weight: (As per KYC profile)wi¯‹ I‡qU t (†KIqvBwm iƒc‡iLv Abyhvqx)

*Confirming the review and verification of above TP as per BFIU instruction by the undersigned.

Account Opening Officer Approving Manager

Name : Name :

Designation : Designation :

Date : Date :

Page 4 of 13

Signature of the Applicant with Signature of the Applicant with Signature of the Applicant with Name, Date and Designation Name, Date and Designation Name, Date and Designation bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

Additional Information FormAwZwi³ Z_¨ dig

DateZvwiL

Branch Name Branch CodekvLvi bvg kvLv †KvWIBAN No.AvBweGGb bs-For Individual & Joint Account Holders (Please write clearly using BLOCK LETTERS)Please note, if any of the below is selected as “YES”, kindly provide country specific supporting documents with details.GKK ev †hŠ_ wnmveavixAbyMÖn K‡i †bvU Kiæb hw` wb‡¤œi †Kvb GKwU Ònu¨vÓ m~PK wPwýZ Kiv nq, AbyMÖn K‡i †`kwfwËK we¯ÍvwiZmn mnvqK Z_¨cÎ mieivn Kiæb|

1. Full Name c~Y© bvg

2. Country of Birth Rb¥MÖnYKvix †`k3. Do you have Multiple Nationalities / Passports? Avcbvi wK eû bvMwiKZ¡ Av‡Q/cvm‡cvU©m

Expiry Date of Nationality 1 †gqv` DËxY© ZvwiL Expiry Date of Nationality 2 †gqv` DËxY© ZvwiL Expiry Date of Nationality 3 †gqv` DËxY© ZvwiL4. Do you currently hold OR have you ever held an Overseas Residence Card? Avcwb wK eZ©gv‡b A_ev KL‡bv ˆe‡`wkK Avevmb KvW© aviY K‡i‡Qb?

First (cÖ_g)Middle (ga¨g)Last (†kl)

S#µt bs

ParticularscÖ‡qvRbxq Z_¨

Primary ApplicantcÖv_wgK Av‡e`bKvix

Joint Applicant 1†hŠ_ Av‡e`bKvix 1

Joint Applicant 2†hŠ_ Av‡e`bKvix 2

Joint Applicant 3†hŠ_ Av‡e`bKvix 3

Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv)

Nat. 1 (RvZxqZv-1) Nat. 1 (RvZxqZv-1) Nat. 1 (RvZxqZv-1) Nat. 1 (RvZxqZv-1)

ID Document No. (AvBwW bs) ID Document No. (AvBwW bs) ID Document No. (AvBwW bs) ID Document No. (AvBwW bs)

Nat. 2 (RvZxqZv-2) Nat. 2 (RvZxqZv-2) Nat. 2 (RvZxqZv-2) Nat. 2 (RvZxqZv-2)

ID Document No. (AvBwW bs) ID Document No. (AvBwW bs) ID Document No. (AvBwW bs) ID Document No. (AvBwW bs)

Nat. 3 (RvZxqZv-3) Nat. 3 (RvZxqZv-3) Nat. 3 (RvZxqZv-3) Nat. 3 (RvZxqZv-3)

ID Document No. (AvBwW bs) ID Document No. (AvBwW bs) ID Document No. (AvBwW bs) ID Document No. (AvBwW bs)

Yes (nu¨v) No (bv)

Card # (KvW© bs)

Yes (nu¨v) No (bv)

Card # (KvW© bs)

Yes (nu¨v) No (bv)

Card # (KvW© bs)

Yes (nu¨v) No (bv)

Card # (KvW© bs)

Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv)

Annexure - Amshy³ - G

Page 5 of 13

Country of Overseas Card?‰e‡`wkK KvW© cÖ`vbKvix †`k Expiry

‡gqv`Expiry‡gqv`

Expiry‡gqv`

Expiry‡gqv`

5.Country of Tax Residency?Ki cÖ`vbKvix †`kForeign Tax No./US/TIN/SSNwe‡`kx Ki bs /BDGm/wUAvBGb/GmGmG

6.Overseas ContactAddress & Phone No.‰e‡`wkK †hvMv‡hv‡MiwVKvbv Ges †dvb bs-Country of OverseasContact NO.‡`‡ki bvgHave you renouncedyour foreign citizenshipor residency?Avcwb wK Avcbvi we‡`kxbvMwiKZ¡ ev Avevmb evwZjK‡i‡Qb?

7.

Yes (nu¨v) No (bv)___________________________

___________________________

Declaration (†NvlYv)I/We hereby confirm the information provided above is true, accurate and complete.

Subject to applicable local laws, I/We hereby consent for Habib Bank Limited Bangladesh or any of its affiliates, subsidiaries (including branches) (collectively “the Bank”) to share my/our personal information with respect to any of my/our accounts with the Bank directly or individually with the Overseas Regulators or Tax Authorities where necessary to establish my/our tax liability in any jurisdiction.

I/We hereby undertake to comply with and act in accordance with all requirements the Bank makes from time to time and any direction given to me/us by the Bank in relation therewith. I/We undertake to provide the Bank with any undertakings and/or declarations including signing any and all forms, within the specified timeframe, which in the opinion of the Bank are necessary and appropriate. In case I/we cease or fail to comply with Bank’s requirements or cease or fail for whatsoever reason to provide any necessary undertaking or declaration or fail to sign any required froms as set out above the Bank shall have the right at its own discretion to close and terminate the account/relationship.

I agree and undertake to notify the Bank within 30 calendar days if there is a change in any information which I have provided to the Bank.

Avwg/Avgiv GZØviv wbðqZv cÖ`vb KiwQ †h, Dc‡i cÖ`Ë Z_¨ mZ¨, mwVK Ges m¤ú~Y©|¯’vbxq AvB‡bi †cÖwÿ‡Z Avwg/Avgiv nvwee e¨vsK wjwg‡UW evsjv‡`k ev Bnvi A½ cÖwZôvb ev kvLvmn mvewmwWqvixÕi (mw¤§wjZfv‡e D³ Òe¨vsKÓ) c‡ÿ m¤§wZ cÖ`vb KiwQ, D³ e¨vsK Gi m‡½ Avgvi/Avgv‡`i wnmve mswkøó Avgvi/Avgv‡`i †Kvb e¨w³MZ Z_¨ †kqvi Kivi Rb¨ mivmwi ev ¯^Zš¿fv‡e we‡`kx wbqš¿K‡`i m‡½ ev Ki KZ…©c‡ÿi m‡½ †hLv‡b cÖ‡qvRb n‡e †h †Kvb KZ…©Z¡vwab GjvKvq Avgv‡`i KimsµvšÍ `vwqZ¡ cÖwZôv Kivi Rb¨|Avwg/Avgiv GZØviv A½xKvi KiwQ †h, e¨vsK Gi mKj wbqg-bxwZ, cÖ‡qvRb †g‡b Pjv Ges †m Abyhvqxv KvR Kivi Rb¨ hv e¨vsK mg‡q mg‡q wba©viY Ki‡e Ges e¨vsK KZ…©K Avgv‡K/Avgv‡`i‡K Zrm¤úwK©Z †h wb‡`©kbv cÖ`vb Kiv n‡e| Avwg/Avgiv A½xKvi KiwQ e¨vsK‡K †h †Kvb Z_¨ cÖ`vb Kivi Rb¨ Ges/ev †NvlYv KiwQ †h †Kvb Ges mKj dig ¯^vÿi Kivi Rb¨ wbw`©ó mgq mxgvi g‡a¨ hv e¨vsK Gi gZvg‡Zi g‡a¨ hv cÖ‡qvRb Ges Dchy³| hw` Avwg/Avgiv e¨vsK Gi wbqg-bxwZ cvj‡b e¨_© nB ev †h †Kvb Kvi‡Y †Kvb cÖ‡qvRbxq A½xKvi ev †NvlYv cÖ`v‡b ev cÖ‡qvRbxq dig G ¯^vÿi cÖ`v‡b e¨_© nB †hfv‡e Dc‡i ewY©Z, e¨vsK Gi AwaKvi _vK‡e Gi we‡ePbvq D³ wnmve/m¤úK© evwZj Kivi Rb¨|Avwg m¤§wZ cÖ`vb Ges A½xKvi KiwQ e¨vsK‡K 30 cwÄKv w`e‡mi g‡a¨ Avgvi cÖ`Ë †Kvb Z_¨ m¤úwK©Z cwieZ©‡bi Rb¨ †bvwUk cÖ`vb Ki‡Z|

For Bank Use Only†Kej gvÎ e¨vsK Gi e¨env‡ii Rb¨

Date ReceivedMÖn‡Yi ZvwiL

Primary Applicant/Authorised SignaturecÖv_wgK Av‡e`bKvix/Aby‡gvw`Z ¯^vÿi

Joint Applicant 1 /Authorised Signature†hŠ_ Av‡e`bKvix 1 /Aby‡gvw`Z ¯^vÿi

Joint Applicant 2 /Authorised Signature†hŠ_ Av‡e`bKvix 2 /Aby‡gvw`Z ¯^vÿi

Joint Applicant 3 /Authorised Signature†hŠ_ Av‡e`bKvix 3 /Aby‡gvw`Z ¯^vÿi

Approved by (Aby‡gv`bKvix) Signature Verified (¯^vÿi cixwÿZ)

Page 6 of 13

8. Have you given Power of Attorney to any Person residing Overseas? Please provide Attorney Address : Avcwb wK we‡`‡k †Kvb e¨w³‡K Avg-†gv³vi wb‡qvM K‡i‡Qb? AbyMÖn K‡i Avg-†gv³vi Gi wVKvbv D‡jøL Kiæb

9. W8BEN /W9 Forms submitted with Date of submission WweøD8weBGb/wWweøD9 dig Rgv †`qvi ZvwiLmn

10. Did you spend a minimum of 183 days in US during the last 3 year period? Avcwb wK weMZ 3 eQ‡ii g‡a¨ Kgc‡ÿ 183 w`b BDGm-G evm K‡i‡Qb?

Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv)

Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv) Yes (nu¨v) No (bv)

Country of renouncedcitizenship or residency?evwZjK…Z bvMwiKZ¡ evAvevmb †`‡ki bvg

Terms and ConditionsDear Sir,

Please open and/or continue a savings/Current/Access/Call/Fixed deposit or any other account(s) in my/our name(s) on the terms and conditions set out below. In consideration of Habib Bank Ltd. Bangladesh (the "bank") opening and/or continuing any such accounts and providing banking facilities to me/us, I/we agree to be bound by the terms and conditions set out below,These terms and conditions shall apply to each and every account of whatever nature here after opened or continued in the same name(s) by the bank or its successors or assigns.

Terms and Conditions

Where the account is opened by more than one person "I", "me" or "my" shall read as "we", "our". The terms and conditions shall bind each one individually or any one or more or all of them collectively and all agreements, obligations and liabilities of the joint customers are joint and several.

1. Bank Accounts

a) I authorise the bank to act on signed instructions or documents drawn or accepted in accordance with the signing instructions given until such time as I shall give the bank written notice to the contrary.

i. for making payments of cheques, bills of exchange, promissory notes, standing orders, direct debits, issue of drafts, mail and telegraphic transfers purchases and sales of securities and foreign currency and any other Instruction by debiting such account(s) whatever in credit or otherwise; and

ii. to accept any other instruction regarding such account(s) including instruction for the closure of such account(s).

b) I understand that any funds received by the bank on my behalf are to be credited to the relevant account(s) unless the bank receives written instructions from me to the contrary.

c) I understand that the bank acts only as my collection agent and assume on responsibility for the realisation of any items deposited with the bank for collection. Proceeds of cheques or other instruments deposited are not available for withdrawal until collected by the bank. The bank reserves the right to debit any account that may have been exceptionally credited with an item subsequently unpaid on collection. The bank may refuse to accept for the collection cheques drawn in favour of third parties or if the payee's name is not identical to my name on the Bank's record. The bank will not accept for credit to the account any cheque or draft in favour of a third party crossed or denoted "A/C Payee" (or any words of similar effect). Any cancellation of any crossing or denoting as above shall be null and void.

d) The bank may also in its absolute discretion issue me with a cheque book. If a cheque book is issued, I undertake to be responsible for its safe custody at all times and I will immediately notify the bank if this or any of the cheques contained there in, is lost or stolen. I understand that the bank may in its absolute discretion, accept from me any stop cheque instructions (either orally or in writing) in cases where I have lost the relevant cheque or, in other circumstances in which it shall be allowed by law and agreed by the bank. Should the bank accept any such instruction from me or from some other person purporting to be me, I hereby undertake to indemnify the Bank against any loss, damage, cost (including any legal cost) or demand incurred by it as a result of, or in connection therewith.

e) I will be liable for any overdraft or other facilities arising in connection with any of the above account(s) and I hereby authorise the bank to debit any such account(s) with all or any interest (including compound interest), commission and other banking charges, costs and expenses (including any legal costs) incurred in connection by the bank from time to time in its absolute discretion will also one of the bank any such amounts, in the manner and, at such times, as may be required by the bank in its absolute discretion.

f) Any and all amounts credited to the above account(s) while any overdraft or any other banking facilities in connection therewith is current shall firstly be applied by the bank to reduce any interest (including compound interest) payable until the interest is paid in full. Then and only then shall any such amount so credited be applied to reduce the principal amount or any such overdraft or any other banking facilities.

g) The bank shall always be entitled without notice to me to levy or impose all customary banking and other charges and expenses in respect of any of the above account(s) or in respect of any other banking facilities provided to me by the bank and to debit the relevant account(s) in accordance with the bank's normal banking procedures. Such charges are not refundable upon termination of any or all of my account(s).

h) I authorise the bank to accept for safekeeping, collection or for any other purpose, any securities or other property deposited with the bank of received from me and to release or deliver or give up any of these against my written instruments.

i) These deposits and their payments are governed by the laws in effect from time to time in Bangladesh and are payable only at the branch of Habib Bank Limited where the deposits were made.

j) I understand that any deposits or withdrawals in respect of any of the above accounts may be made at any of the bank's branches in Bangladesh subject to the production of evidence of identity satisfactory to the bank and, to payment of any customary charges that may be levied by the bank from time to time, for this.

k) The rate of any interest payable on any account may be displayed by the bank at its various branches in Bangladesh and further, I accept that this may be subject to change without notice to me interest on any account will accrue in arrears from day to day in or, as otherwise determined by the Bank (in its absolute discretion), and be credited by the bank to the relevant account(s).

l) The bank may, at its sole discretion, allow pre-mature withdrawal of fixed deposits. I accept that all such pre-mature withdrawals will be subject to levy or penalties and charges, as the bank may determine and that these may be subject to change without notice to me.

m) I appreciate that there can be risks associated with any account(s) denominated in foreign currency, convertible accounts and foreign currency investments. Accordingly, I accept that I am solely responsible for all such risks and any costs and expenses however arising (including without limitation, those arising from any international or domestic legal or regulatory restrictions) in respect of any such account(s). Withdrawals or dealings on any such account(s) are also subject to the relevant currency being available at the bank's relevant branch. Conversion from one currency to another shall be at the rate of exchange as determined by the bank (in its absolute discretion) from time to time.

n) I understand that the bank wll send or deliver to me a statement of account(s) at least half yearly (save in respect of any account that has, in the sole opinion of the bank been inactive for a period of one year or more, such statement of accounts will be sent or delivered by the bank annually) or in each case at such other intervals as may be agreed between the bank and me, from time to time and I agree that I am solely responsible for promptly examining all entries thereon and that I must give the bank written notice (Not withstanding the provisions of paragraph 4) within 14 days of the date of the relevant statement of any discrepancy that I believe exists between any such statement in my own records. In the absence of any such notice from me, I shall be deemed to have agreed and certified conclusively (for all purposes) the correctness of the relevant statement of account.

o) I authorise the bank to respond, if it shall so choose, to any and all enquiries received from any other bankers concerning the above accounts without reference to me. For the avoidance of doubt any such response may include a bank reference.

p) I understand that I may close any of the above accounts by giving prior written notice to the bank. The bank may, however, either, at its own instance or, at the instance of any court of administrative order, or otherwise close, freeze or suspend dealings on any of the above accounts without prior notice to me or, without being liable for and breach of any duty it may owe to me.

Page 7 of 13

q) In relation to any dealings in respect to any of the above accounts, the bank shall not be liable for any loss resulting from my death, incapacity or bankruptcy (or any other analogous event of proceeding) unless and until the bank has received written notice of any such event together with such documentary evidence as the bank may require. Further, the bank shall not be liable to me for any loss, damage or delay attributable in whole or part to the action of any government or government agency or any other event outside the bank's control (including without limitation, strikes, industrial action, equipment failure or interruption of power supplies) provided that the bank shall in each case endeavor to give notice generally to its customers or any anticipated delays due to any of the above events by notice in its branches or otherwise.

r) In respect of accounts opened in the name of minors (whether or not jointly with an individual who is not a minor), the bank shall be entitled to act on the instructions received from the guardian named on the account opening form, irrespective of whether the minor account holder continues to be aminor or not, unless the bank, receives written notice to the contrary from an appropriate authority (including, but not limited to, termination of service) or any other loss, damage, claims or proceedings that may arise as a result of the payment of such bills by this method. In particular (but not by way of limitation of paragraph 12 below or otherwise) the bank shall have no liability arising from miss use of the card, malfunctioning of the ATM or otherwise) what-so-ever and whether similar to the foregoing or not.

2. Banking Instructions by Telex/Facsimile

a) Unless instructed by me in writing to the contrary (not withstanding the provisions of paragraph 4) the bank is authorised, but no obliged, to act on my banking instructions (including any instructions required by or, given by me in relation to these terms and conditions unless these terms and conditions otherwise expressly state to the contrary) transmitted through a telex or facsimile machine.

b) I shall release the ban from and indemnify and hold the bank harmless from and against all actions, suits, proceedings, costs, claims, demands charges, expenses, losses and liabilities however arising in consequences of or in any way related to:

i) The bank having acted in good faith in accordance with my written telephone, facsimiles or telex instruction(s), notwithstanding that such instruction(s) as above may have been initiated or transmitted in error or fraudulently altered, misunderstood or distorted in the line of communication of transmission; and

ii) The bank having refrained from acting in accordance with my written telephone, facsimile or telex instructions(s) by reason of failure of actual transmission thereof to the bank or receipt by the bank for whatever reason, whether connected with fault, failure of unread ness of the sending or receiving machine; or

iii) My failure to forward all original copies of facsimile instruction(s) to the bank within such period as the Bank may specify.

3. Joint Accounts

a) Each of us (if more thantone) hereby authorise and empowers each other to endorse for deposit and to deposit with the bank any and all cheques, notes or other instruments for the payment of money, payable to or purporting to belong to anyone or all of us and if any such instruments be received by the bank without having been so endorsed then the bank is hereby authorised to endorse any such instrument on behalf of us and to credit the same to the account.

b) An overdraft or other obligations incurred on the account or otherwise shcll be the joint and several liability of each and every joint account holder.

c) In the event of the death or legal disability of any of the individuals constituting the account holder, the other individual(s) shall immediately (but in any event not later than ten (10) days after such death or disability) and before effecting any transactions in the account, notify the bank of such death or legal disability.

d) Each of us authorise the bank to hold, on the death of either of us, any credit balance on any account in our joint name and any securities, deeds, bosses and parcels and their contents and property of any description held in our joint names, to the order of the survivor (if any). Each of us hereby agree that the instructions given by us in the mandate are to remain in force until written revocations thereof by us or either of us.

e) In the event that there is no survivor and nomination is made, the terms and conditions stated in paragraph 4 on "nominee" shall apply.

f) In the event that there is no survivor or nominee, that account will then be frozen until the legal successor to the deceased or disabled individual is appointed/determined by the relevant court or department.

4. Nominee

a) In the event of my/our death, the nominee shall receive / draw the amount of deposits held by the bank in my/our account.

b) In the event, the nominee so authorised remains a minor at the time of my/our death, the legal guardian is authorised to receive / draw the amount of the depositsheld by the bank in my/our account.

c) The nominee so authorised, shall be entitled to all my/our accounts to the exclusion of all other persons i.e. my/our heirs, executors and administrations and all other persons claiming through or under me/us and payment made by the bank to the nominee in pursuance of this authority shall be binding on all other persons.

5. Banking Facilities

The facility shall be available for utilisation by me from the date of the bank's acceptance of this application until such time as the bank shall demand repayment. The bank, however, reserves the right to review the facility on any date as it any notify me. In the case where the facility is a loan (as indicated in the application form), pending such demand for repayment by the bank, any such facility shall be repayable by the customer (without setoff or deduction) in the amount and at the times set out in this application form provided that in the case of any amount due on a day other than a business day, such amount shall be due on the immediately proceeding business day. if any deduction or withholding shall be required by law, the relevant payments will be increased by me to ensure that after making the relevant deduction or withholding, the bank receives the net amount it would have received but for such deduction or with holding.

Interest on the facility shall accrue on the basis of 360 day year basis on the daily outstanding balance of my account debited by the bank in respect of my utilisation of the facility at the bank's prevailing lending rates. I accept that such lending rates are subject to fluctuation without prior notice. Interest (including any interest for late payment) shall be charged to my account on the last business day of every quarter end i.e. March, June, September & December. If fail to pay the bank any amounts due in respect of the facility on the due date, then I shall pay the bank interest for late payment, at the rate of the bank's then prevailing rates applicable for unassigned overdrafts, on all sums due.

All payments required to be made in respect of the facility shall be made by debit any of my accounts with all amounts owing in respect of the facility including interest (including any for late payment), charges and expenses (together the "Indebtedness") at such times as the same shall provided that I shall remain liable and agree to make payment in full of all such sums to the bank to the extent that the aggregate amount available in such accounts is insufficient on any day in which such amount is due and payable.The bank is authorised (in its absolute discretion) to open and maintain for the purposes of the facility in addition to any loan/overdraft acoount(s), such further account(s) for the purpose of administrating and recording payments by me and to combine and consolidate the balance shown on the further account(s) with that shown on any loan/overdraft account. The combined balance so produced shall truly represent and be a binding statement of my liability (in respect of the facility) to the bank from time to time for all purposes.

If at any time, any provision here of becomes illegal, invalid or unenforceable in any respect, neither the legality, validity nor the enforceability of the remaining provisions shall be effected or impaired hereby.

Page 8 of 13

6. Set-off and consolidation Rights

The bank may at any time and from time to time without notice combine all or any of accounts and liabilities with it in Bangladesh or elsewhere, whether singly or jointly with any othe person or set off all or any monies standing to the credit of such accounts including may deposits with the bank (whether matured or not) towards satisfaction of any of my liabilities to the bank in Bangladesh or elsewhere, whether as principal or security, actual or contingent, primary of collateral, singly or jointly, any other person and the bank may effect any necessary currency conversion, at the bank's own rate to exchange than prevailing.

7. Indemnity

I also agree to full indemnify the bank against all costs and expenses (including legal fees) arising in any way in connection with the above account these terms and conditions or in enforcing these terms and conditons and in recovering of any amount due to the bank or incurred by the bank in any legal proceedings of whatever nature.

8. Waiver

No forbearance, negligence or waiverr by the bank in the enforcement of any of then terms and conditions shall prejudice the bank's right thereafter to strictly enforce the same. No waiver by the bank shall be effective unless it is in writing.

9. Variations

The bank may amend these terms and conditions at any time not less than fourteen (14) days notice to me specifying the efffective date of amendment. If I use any banking facility after the effective date of the amendment. I shall be deemed to have received notice of the amendment and to have decided continue to use the banking facilities upon the revised terms and conditions. I further acknowledge that in the event of any changes being communicated to me, the bank is not obliged to obtain my signature for receipt of such communication.

10. Notices

Save as otherwise provided in these terms and conditions, any demand of communication made by the bank under these terms and conditions shall be in writing and made at the address given by me (or such other address as I shall notify the bank from time to time) and, if posted, shall be deemed to have been served on me on the date of posting.

11. Governing law

These terms and conditions shall be governed by and construed in accordance with, the laws of Bangladesh and I hereby irrevocably submit to the non-exclusive jurisdiction of the courts of law of Bangladesh, such submission shall, however not prejudice the rights of the bank to bring proceedings agaisnt me in any other jurisdiction or courts of law elsewhere.

12. Acceptance to Terms and Conditions

I have signed the application form as a token of acceptance of the aforesaid terms and conditions.

Requirements for Opening Account with HBL

1. Account Opening form should be properly filled up by the account holder(s).

2. Account opening form should be properly signed by the account holder(s).

3. Terms and conditions should be accepted and signature required at the end of the account opening form.

4. Initial Deposit & Minimum Balance Requirement:

a. Current Account - Tk. 10,000/=

b. SND Account - Tk. 10,000/=

Besides the following documents are required

A. Proprietorship Account

1. Copy of trade license with valid date (original copy must be shown).

2. 2 (Two) copies of recent passport size photographs of the proprietor duly attested by the introducer.

3. Valid passport (1st 6 pages and renewal page incase of renewed passport)/driving license/national ID (original documents must be shown while opening the account).

4. E-TIN.

5. VAT registration.

6. BIN (Business Identification Number).

7. Detail of the nominee of account (NID, Passport copy, photo).

B. Partnership Account

1. Copy of trade license with valid date (original copy must be shown).

2. Attested copy of “Partnership Deed” duly signed by all partners of the firm (original copy must be shown).

3. Attested copy of registration certificate with registrar of firms, if registered.

4. Partners resolution for opening and operating account in HBL.

5. Authority letter, in original, in favor of the person(s) authorized to operate the account of the firm.

6. 2 (Two) copies of recent passport size photographs of each partner duly attested by the introducer.

7. Valid passport (1st 6 pages and renewal page incase of renewed passport) driving license/national ID (original documents must be shown while opening the account).

8. E-TIN.

9. VAT registration.

10. BIN (Business Identification Number).Page 9 of 13

C. Joint Stock Company (Public & Private) Account

1. Copy of board resolution for opening and operating account in HBL.

2. 2 (Two) copies of recent passport size photographs of each director duly attested by the introducer.

3. Valid passport (1st 6 pages and renewal page incase of renewed passport)/driving license/national ID each director (original document must be shown while opening the account).

4. Copy of trade license with valid date (original copy must be shown).

5. Copy of updated list of directors (updated form XII issued by RJSC).

6. Photocopy of certificate of incorporation for private and public limited company.

7. Copy of certificate of commencement of business.

8. Copy of memorandum & articles of association.

9. E-TIN.

10. VAT registration.

11. BIN (Business Identification Number).

12. Declaration from company on share holding structure for 10% & above.

D. Other Organizational Account (NGO/NPO/Charity/Trust etc.)

1. Copy of board resolution for opening and operating account in HBL.

2. 2 (Two) copies of recent passport size photographs of each director duly attested by the introducer.

3. Photocopy of passport (1st 6 pages and renewal page incase of renewed passport)/driving license/national ID each signatory (original document must be shown while opening the account).

4. For club /association registration certificate/By laws/ rules & regulations.

5. Resolution of the governing body/executive committee for opening and operating account in HBL.

6. Copy of certified copy of power of attorney & attested copy of voter/national ID of agents in case of agents account.

7. Permission from NGO Bureau/Ministry of Social Welfare etc. as appropriate.

8. For Govt. Organization/Foreign Mission etc. all related document.

kZ©vw` tg‡nv`q,

AbyMÖn K‡i Avgvi/Avgv‡`i bv‡g wb‡¤œv³ kZ© mv‡c‡ÿ GKwU mÂqx/PjwZ/A¨v‡·m/Kj/wd·W wW‡cvwRU A¨vKvD›U ev Ab¨ †h †Kvb wnmve ev wnmvemg~n †Lvjvi ev Pjgvb ivLvi Av‡e`b| nvwee e¨vsK wjt evsjv‡`k (D³ e¨vsK) Gi we‡ePbvq G ai‡bi †Kvb wnmve †Lvjv Ges/ev Pjgvb ivLv n‡j e¨vswKs my‡hvM-myweavw` Avwg/Avgv‡`i‡K cÖ`vb Kiv n‡j Avwg/Avgiv wb‡b¥v³ kZ©vw` †g‡b Pj‡Z eva¨ _vK‡ev| D³ kZ©vw` cÖwZwU Ges †h †Kvb cÖK…wZi wnmv‡ei †ejvq cÖ‡hvR¨ n‡e hv e¨vsK ev kvLv ev Bnvi †Kvb DËivwaKvix ev ÿgZvcÖvßMY KZ…©K D³ GKB bvg ev bvgmg~‡n †Lvjv ev Pjgvb ivLv n‡e|

kZ©vw` t

hLb D³ wnmve G‡Ki AwaK e¨w³i bv‡g †Lvjv n‡e, ZLb ÒAvwgÓ, ÒAvgv‡KÓ ev ÒAvgviÓ k㸇jv‡K cov n‡e ÒAvgivÓ, ÒAvgv‡`iÓ wnmv‡e| D³ kZ©vw` cÖ‡Z¨K‡K GKKfv‡e Ave× Ki‡e ev †h †Kvb GKRb ev Zvi AwaK ev †hŠ_ MÖvnK‡`i Zv‡`i mKj‡K mw¤§wjZfv‡e Ges mKj Pzw³bvgv, eva¨evaKZv, `vq-`vwqZ¡ †hŠ_fv‡e Ges wewfbœfv‡e enb Ki‡Z n‡e|

1) e¨vsK wnmve t

K) Avwg e¨vs‡K ÿgZv cÖ`vb KiwQ Avgvi ¯^vÿwiZ wb‡`©kbv Ges `wjjvw` hv D‡ËvjbK…Z ev M„wnZ cÖ`Ë ¯^vÿwiZ wb‡`©kbv Abyhvqx Ges Ggb mgq ch©šÍ hZÿb †Kvb weiƒc wKQzi Rb¨ Avwg e¨vsK‡K †Kvb wjwLZ †bvwUk cÖ`vb bv Kwi|

1) †PK, wej Ae G‡·Ä, cÖwgmix †bvU, ó¨vwÛs AW©vi, mivmwi †WweU, WªvdU Bmy¨, †gBj Ges †UwjMÖvd UªvÝdvi, wmwKDwiwUR µq weµq, ˆe‡`wkK gy`ªv, D³ wnmve ev wnmvemg~n n‡Z †WweU K‡i †h †Kvb wb‡`©kbv ev †µwWU ev †h †Kvbfv‡e _v‡K; Ges

2) D³ wnmve ev wnmvemg~‡ni †cÖwÿ‡Z †h †Kvb wb‡`©kbv MÖnY Kiv, D³ wnmve ev wnmvemg~n eÜ Kivi Rb¨|

L) Avwg eywS Ges wek¦vm Kwi †h, e¨vsK hLb Avgvi c‡ÿ †Kvb Znwej MÖnY K‡i ZLb Zv mswkøó wnmve ev wnmvemg~‡n †µwWU n‡q hvq, hw` Zvi weiƒc wKQzi Rb¨ Avgvi wbKU †_‡K e¨vsK‡K †Kvb †bvwUk cÖ`vb Kiv bv nq|

M) Avwg eywS Ges wek¦vm Kwi †h, e¨vsK †Kej gvÎ Avgvi msMÖvnK G‡R›U wnmv‡e KvR K‡i Ges e¨vsK Gi m‡½ RgvK…Z †Kvb AvB‡Ug msMÖ‡ni `vq-`vwq‡Z¡i wbðqZv wnmv‡e| e¨vsK KZ…©K msM„wnZ bv n‡j RgvK…Z †PK ev Ab¨vb¨ Bb÷ªy‡g‡›Ui cÖwmW D‡Ëvj‡bi Rb¨ cvIqv hv‡e bv| e¨vsK AwaKvi msiÿY K‡i †h †Kvb wnmve †WweU Kivi Rb¨ hv †Kvb e¨wZµ‡g GKwU AvB‡Ug Gi m‡½ †WweU n‡qwQj hv cieZx©‡Z msMÖ‡n Acwi‡kvwaZ wQj| e¨vsK KZ…©K †Kvb Z…Zxq c‡ÿi AbyK~‡j †PK msMÖnKiY A¯^xK…Z n‡Z cv‡i ev hw` MÖnxZvi bvg e¨vsK G †iKW©K…Z Avgvi bv‡gi mv‡_ wgj bv nq| e¨vsK wnmv‡e †µwWU Kivi Rb¨ †Kvb µm&&W ev ÒG/wmÓ (ev GKB Kvh©KvwiZvq †h †Kvb kã) †h †Kvb D‡jøwLZ †PK ev Wªvd&&U †Kvb Z…Zxq c‡ÿi AbyK~‡j MÖnY Ki‡e bv| †Kvb µwms ev †Kvb D‡jøL hw` evwZj Kiv nq Zv evwZj n‡e|

N) e¨vsK Zvi GKK wm×všÍ AbyhvqxI Avgv‡K GKwU †PK eB Bmy¨ Ki‡Z cv‡i| hw` GKwU †PK eB Bmy¨ Kiv nq, mKj mg‡q Bnvi wbivc` msiÿ‡Yi Rb¨ Avwg A½xKvi KiwQ| hw` D³ †PK ev Bnvi †Kvb Ask bó ev Pzwi nq ZvrÿwbKfv‡e Avwg GUv e¨vsK‡K AewnZ Ki‡ev| Avwg g‡b Kwi †h, e¨vsK Zvi we‡ePbvq Avgvi wbKU n‡Z Ô†PK eÜ KiæbÕ wb‡`©kbv MÖnY Ki‡e (nq †gŠwLKfv‡e ev wjwLZfv‡e) hLb Avwg mswkøó †PK eB nvwi‡qwQ ev Ab¨ Avi GKwU Ae¯’vq AvB‡b M„wnZ n‡e Ges e¨vsK mg¤§Z n‡e| hw` e¨vsK Avgvi ev Avgvi Ab¨ †Kvb e¨w³i wbKU n‡Z G ai‡bi †Kvb wb‡`©kbv MÖnY K‡i, Avwg GZØviv A½xKvi KiwQ †h, Avwg e¨vsK †K †h †Kvb ÿwZ, g~j¨, Li‡Pi (†h †Kvb AvBbx LiPmn) ev Bnvi m‡½ mswkøó †Kvb `vwei ÿwZc~iY cÖ`vb Ki‡ev|

O) Dc‡iv³ wnmve ev wnmvemg~‡ni †cÖwÿ‡Z Drcbœ †Kvb IfviWªvd&U ev Ab¨vb¨ my‡hvM-myweavw`i Rb¨ Avwg `vqx _vK‡ev Ges Avwg GZØviv e¨vsK †K AbygwZ cÖ`vb KiwQ †h, D³ †h †Kvb wnmve ev wnmvemg~‡ni mKj ev †h †Kvb my` (mij my`mn), Kwgkb Ges e¨vsK Gi Ab¨vb¨ PvR©mg~n, g~j¨ Ges LiP (‡h †Kvb ˆea LiPmn) hv mg‡q mg‡q e¨vsK KZ…©K Bnvi we‡ePbvq msMwVZ n‡q‡Q, GwUI e¨vsK Gi LiP¸‡jvi †h †Kvb GKwU, Ggbfv‡e Ges Ggb mg‡q hv e¨vsK Gi we‡ePbvq e¨vsK Gi cÖ‡qvRb n‡Z cv‡i|

Page 10 of 13

P) Dc‡iv³ wnmve ev wnmvemg~‡n †h †Kvb ev mKj cwigvY †µwWU n‡Z cv‡i Ges hLb †Kvb IfviWªvd&&U ev Bnvi m‡½ mswkøó Ab¨ †h †Kvb e¨vswKs myweavw` hw` PjwZ nq, ZLb cÖ_‡gB e¨vsK KZ…©K cÖ‡qvM Kiv n‡e Bnvi cÖ‡`q my` n«vm Kivi Rb¨ (mij my`mn) h‡ZvÿY ch©šÍ Bnvi my` m¤ú~Y©fv‡e cwi‡kvw`Z bv nq| ZLb, †Kej ZLb Gfv‡e †µwWUK…Z †h †Kvb cwigvY cÖ‡qvM Kiv n‡e Avmj cwigvY ev G ai‡bi †h †Kvb IfviWªvd&&U ev Ab¨ †h †Kvb e¨vswKs myweavw` n«vm Kivi Rb¨|

Q) e¨vsK memg‡q Avgv‡K †Kvb †bvwUk cÖ`b bv K‡i AwaKvicÖvß _vK‡eb Dc‡iv³ wnmvemg~‡ni †h †KvbwUi Dci †jwf ev mKj e¨vsK wbqg Abyhvqx Ges Ab¨vb¨ PvR© ev LiPmg~n Av‡ivc Ki‡Z cvi‡e e¨vsK KZ…©K Avgv‡K cÖ`Ë †h †Kvb e¨vswKs myweavw` Ges mswkøó wnmvemg~n e¨vsK Gi mvaviY wbqg Abyhvqx| D³ PvR©mg~n Avgvi †h †Kvb ev mKj wnmvemg~n evwZj nIqvi ci †dir‡hvM¨ n‡e bv|

R) Avwg e¨vsK‡K ÿgZv cÖ`vb KiwQ wbivc` msiÿ‡Yi Rb¨ MÖnY Ki‡Z msMÖn ev Ab¨ †h †Kvb D‡Ïk¨, †h †Kvb wmwKDwiwUR ev Avgvi wbKU n‡Z e¨vsK‡K RgvK…Z Ab¨vb¨ m¤úwË, gy³ Ki‡Z ev †Wwjfvix Ki‡Z ev wjwLZ Bb÷ªy‡g›U Gi wecix‡Z G¸‡jvi †h †KvbwU cÖ`vb Ki‡Z|

S) D³ wW‡cvwRU¸‡jv Ges Bnv‡`i †c‡g›U mg‡q mg‡q evsjv‡`‡ki AvBb Abyhvqx cwiPvwjZ nq Ges nvwee e¨vsK wjt Gi kvLvq cwi‡kva‡hvM¨ †hLv‡b Rgv cÖ`vb Kiv n‡qwQj|

T) Avwg GUv eywS †h, Dc‡iv³ Avgvi †h †Kvb wnmv‡ei †cÖwÿ‡Z †h †Kvb Rgv ev D‡Ëvjbmg~n evsjv‡`k G AÎ e¨vsK Gi †h †Kvb kvLvq Kiv hv‡e| Z‡e e¨vsK Gi wbKU cwiP‡qi †h †Kvb m‡šÍvlRbK cÖgvY †ck Kiv mv‡c‡ÿ Ges e¨vsK Gi wbqg Abyhvqx †h †Kvb PvR© cwi‡kva hv mg‡q mg‡q e¨vsK KZ…©K †jwf Kiv n‡Z cv‡i|

U) †h †Kvb wnmv‡e cwi‡kva‡hvM¨ †h †Kvb my‡`i nvi e¨vsK KZ…©K evsjv‡`k Gi wewfbœ kvLvq cÖ`k©b Kiv †h‡Z cv‡i Ges Av‡iv g‡b Kwi †h, Avgv‡K †Kvb †bvwUk cÖ`vb e¨wZ‡i‡K G¸‡jv cwieZ©b‡hvM¨|

V) e¨vsK Gi we‡ePbvq wd·W wW‡cvwRU Gi †gqv`c~wZ©-c~e© D‡Ëvjb Aby‡gv`b Ki‡Z cv‡i| Avwg m¤§Z †h G ai‡bi mKj †gqv`c~wZ©-c~e© D‡Ëvjb ev D‡Ëvjb¸‡jvi Dci †Kvb †jwf ev Rwigvbv Ges PvR© Av‡ivwcZ n‡Z cv‡i †hfv‡e e¨vsK wba©viY K‡i Ges Avgv‡K †Kvb †bvwUk cÖ`vb e¨wZZ G¸‡jvi Dci PvR© Av‡ivwcZ n‡Z cv‡i|

W) Avwg Av‡iv g~j¨vqb KiwQ †h, †h †Kvb wnmvemg~‡n SzuwK RwoZ n‡Z cv‡i †h¸‡jv‡K ˆe‡`wkK gy`ªv iƒcvšÍi welq Ges ˆe‡`wkK gy`ªv wewb‡qvM welq cÖ`wk©Z _v‡K| GKKfv‡e Avwg m¤§Z †h, G ai‡bi SzuwKi Rb¨ Avwg GKKfv‡e `vqx Gi Rb¨ †h †Kvb g~j¨ Ges LiP †Kvb mxgv e¨wZZmn D³ wnmve mg~‡ni †cÖwÿ‡Z †h¸‡jv †Kvb AvšÍR©vwZK ev †`kxq AvBb ev wbqš¿Yg~jK wewa wb‡la wb‡`©kbv n‡Z Drcbœ D‡Ëvjb ev †jb †`b D³ wnmve¸‡jvi †h †KvbwUi m‡½I D³ e¨vsK Gi mswkøó gy`ªvi cÖvc¨Zv k‡Z©| GK gy`ªv n‡Z Ab¨ gy`ªvq iƒcvšÍi ev wewbgq nvi e¨vsK KZ…©K wba©vwiZ nv‡i n‡e mg‡q mg‡q (Bnvi wbR¯^ we‡ePbvq)|

X) Avwg eywS †h, e¨vsK D³ wnmve mg~‡ni Kgc‡ÿ GKwU Aa© erm‡ii weeiYx Avgvi wbKU cvVv‡e ev †cÖiY Ki‡e (mswkøó wnmve hvi †cÖwÿ‡Z e¨vsK Gi GKK g‡Z GK ermi ev ZviI AwaK mg‡q wbw¯Œq Ae¯’vq Av‡Q, wnmve mg~‡ni weeiYx e¨vsK KZ…©K erm‡i GKevi cvVv‡bv ev †cÖiY Ki‡Z n‡e) ev Avwg m¤§Z AvwQ †h, cÖwZwU †ÿ‡Î G ai‡bi Ab¨vb¨ weiwZ‡Z hv e¨vsK Ges Avgvi m¤§wZ‡Z mg‡q mg‡q, mKj Gw›Uª¸‡jv fv‡jvfv‡e cixÿvi Rb¨ Avwg GKKfv‡e `vqx Ges †h‡nZz Avwg Aek¨B e¨vsK‡K 14 w`‡bi GKwU wjwLZ †bvwUk †`e (c¨viv 4 Gi kZ© _vKv m‡Ë¡I) mswkøó weeiYxi åvwšÍ aiv covi ZvwiL n‡Z Avgvi †iKW© Abyhvqx Avwg g‡b Kwi G ai‡bi weeiYx‡Z Av‡Q| Avgvi wbKU n‡Z G ai‡bi †Kvb †bvwUk cÖ`vb Kiv bv n‡j, a‡i †bIqv n‡e Avwg m¤§Z AvwQ Ges m¤ú~Y©fv‡e cÖZ¨qb KiwQ (mKj D‡Ï‡k¨) mswkøó wnmv‡ei weeiY Gi mwVKZv|

Y) Avwg D³ e¨vsK‡K Dc‡iv³ wnmve ev wnmve mg~‡ni wel‡q DËi cÖ`v‡bi Rb¨ ÿgZv cÖ`vb KiwQ, hw` Bnv Abyiƒc cQ›` K‡i Avgvi m‡½ †Kvb †idv‡iÝ e¨wZZ Ges †Kvb e¨vsK ev e¨vsKmg~n n‡Z †h †Kvb ev mKj AbymÜv‡bi DËi cÖ`v‡bi Rb¨| †h †Kvb cÖKv‡ii m‡›`n cwinvi Kivi D‡Ï‡k¨ G ai‡bi DËi cÖ`v‡b GKwU e¨vsK-Gi †idv‡iÝ AšÍf~©³ n‡Z cv‡i|

Z) Avwg Bnv eywS †h, Dc‡iv³ wnmve¸‡jvi †h †KvbwU eÜ Kivi Rb¨ Avwg e¨vsK‡K c~e©v‡ý wjwLZ †bvwUk cÖ`vb Ki‡Z cvwi| Z‡e e¨vsK nq Bnvi wbR¯^ ÿgZv e‡j ev Av`vj‡Zi †Kvb cÖkvmwbK Av‡`k e‡j ev Ab¨ †Kvbfv‡e Dc‡iv³ wnmve mg~‡ni †h †KvbwUi e¨envi Avgv‡K †Kvb c~e© †bvwUk cÖ`vb bv K‡i eÜ, Aeiæ×, ¯’wMZ Ki‡Z cv‡i †Kvbiƒc `vq e¨wZZ ev †Kvb cÖKvi KZ©e¨ jsNb hv Avgvi wbKU `vqe× n‡Z cv‡i|

_) Dc‡iv³ wnmvemg~‡ni †h †KvbwU‡Z †Kvb †jb‡`b Gi †cÖwÿ‡Z Avgvi g„Zz¨, Amvg_©Zv ev †`Dwjqv‡Z¡i Kvi‡Y †Kvb ÿwZi Rb¨ (ev Ab¨ †Kvb Amv`„k¨ cÖwmwWs NUbvq) e¨vsK `vqx n‡e bv hZÿY ch©šÍ e¨vsK D³ NUbvi †cÖwÿ‡Z †Kvb wjwLZ †bvwUk `wjjv`x cÖgvYmn MÖnY bv K‡i _v‡K hv e¨vsK Gi cÖ‡qvRb n‡Z cv‡i| GQvov e¨vsK Avgvi †Kvb ÿwZ ev miKvix ev miKvix ms¯’v ev Ab¨ †Kvb NUbv hv e¨vsK Gi wbqš¿‡Yi evwn‡i †Kvb mxgve×Zv, niZvj, wkíMZ Kvh©Kjvc, hvwš¿K ÎæwU, we`y¨r mieiv‡n weNœZv BZ¨vw` Kvi‡Y wej‡¤^i Rb¨, kZ© _v‡K †h, e¨vsK G ai‡bi cÖwZwU †ÿ‡Î mvaviYZt MÖvnK‡`i †bvwUk cÖ`vb K‡i _v‡K ev †Kvb m¤¢ve¨ wej¤^ Dc‡iv³ †h †Kvb NUbvi Rb¨ Bnvi kvLvq †bvwUk Øviv ev Ab¨ †Kvbfv‡e AewnZ Ki‡Z cv‡i|

`) bvevj‡Ki bv‡g wnmve †Lvjvi †ÿ‡Î (†hŠ_fv‡e ev †hŠ_fv‡e bq †Kvb e¨w³i m‡½ whwb GKRb bvevjK bb) e¨vsK †Kvb AwffveK n‡Z wb‡`©kbv MÖnY K‡i KvR K‡i _v‡K hvi bvg dig G D‡jøL _v‡K| bvevjK wnmveavix bvevjK wnmv‡e Av‡Q wK bvB wbwe©‡k‡l hZÿY ch©šÍ e¨vsK Zvi wfbœZvq †Kvb wjwLZ †bvwUk †Kvb Dchy³ KZ…©c‡ÿi wbKU †_‡K MÖnY bv K‡i _v‡K (†mev evwZj Kivi †ÿ‡Î AšÍfz©³ wKš‘ mxgve× bq) Dc‡iv³ c×wZ‡Z †Kvb wej cÖ`vb Kivi d‡j †Kvb ÿwZ, `vex ev cÖwmwWs D™¢e n‡Z cv‡i| we‡kl †ÿ‡Î (Z‡e wb‡¤œv³ c¨viv-12 Abyhvqx ev Ab¨ †Kvbfv‡e bq) KvW© Gi Ace¨envi, GwUGg Gi ÎæwUc~Y© Kvh©KvwiZvi Rb¨ †m hvB †nvK e¨vsK Gi †Kvb `vq-`vwqZ¡ _vK‡e bv Ges c~‡e©i b¨vq GKB iKg ev GKB iKg bq|

2) †U‡j· ev †dwmwgj Øviv e¨vsK Gi wb‡`©kbv t

K) †Kvb wfbœZvq Avgvi Øviv †Kvb wjwLZ wb‡`©kbv e¨wZZ (c¨viv-4 Gi evavMÖ¯’ bv K‡i) e¨vsK ÿgZvcÖvß, Z‡e eva¨ bq Avgvi wb‡`©kbv Abyhvqx KvR Ki‡Z †Kvb wb‡`©kbvmn hv Avgvi cÖ‡qvRb ev Avgvi KZ…©K D³ kZ©vw`i †cÖwÿ‡Z cÖ`Ë wb‡`©kbv hZÿY ch©šÍ D³ kZ©vw` ¯úófv‡e ewY©Z bv nq, hv GKwU †U‡j· ev †dwmwgj h‡š¿i gva¨‡g †cÖwiZ|

L) Avwg e¨vsK‡K ÿwZc~iY cÖ`vb †_‡K gy³ ivL‡ev Ges mKj cÖKvi A¨vKkvb, gvgjv gKÏgv, cÖwmwWs, LiP, `vwe, PvR© hv D³ mswkøó wel‡q Drcbœ ÿwZ n‡Z cv‡i Zv †_‡K gy³ ivL‡ev|

1) e¨vsK Avgvi wjwLZ, †Uwj‡dvb, †dwmwgj A_ev †U‡j· BZ¨vw`i gva¨‡g †cÖwiZ wb‡`©kbvq wek¦¯ÍZvi m‡½ KvR Ki‡j D³ wb‡`©kbv¸‡jv‡Z Dc‡iv³fv‡e m~wPZ n‡q‡Q ev ÎæwUhy³fv‡e, cwiewZ©Zfv‡e, A‡evaMg¨fv‡e, weK…Zfv‡e ¯’vbvšÍ‡ii †hvMv‡hvM jvB‡b †cÖwiZ n‡q‡Q Ges

2) e¨vsK Avgvi †Kvb wjwLZ, †Uwj‡dvb, †dwmwgj A_ev †U‡j· BZ¨vw`i gva¨‡g †cÖwiZ wb‡`©kbv Abyhvqx KvR Ki‡Z weiZ _vK‡j e¨vsK‡K mwVK Z_¨ †cÖi‡Y e¨_©Zvi Rb¨, e¨vsK KZ…©K MÖn‡Yi †ÿ‡Î, †h Kvi‡Y nDK, A_ev †Kvb ÎæwUhy³ ev †gwk‡b cvVv‡bv ev MÖn‡Y e¨_©Zv, ev

3) e¨vsK Gi wba©vwiZ mg‡q †hfv‡e e¨vsK KZ…©K ewY©Z, †dwmwgj wb‡`©kbv¸‡jvi Avmj mKj Kwc¸‡jv cvVv‡Z Avgvi e¨_©Zv|

3) †hŠ_ wnmvemg~n t

K) Avgv‡`i cÖ‡Z¨‡K (hw` G‡Ki AwaK nq) GZØviv cÖ‡Z¨‡K G‡K Ab¨‡K A‡_vivBR Ges ÿgZv cÖ`vb Ki‡Q wW‡cvwRU Gi Rb¨ cÖZ¨vqb Kiv Ges e¨vsK G †h †Kvb Ges mKj †PK, †bvU Ges Ab¨vb¨ Bb÷ªy‡g›U UvKv cwi‡kva Gi wbwg‡Ë Rgv †`Iqvi Rb¨ hv †Kvb e¨w³ Avgv‡`i mK‡ji wbKU cÖ‡`q‡hvM¨ Ges hw` G ai‡bi Bb÷ªy‡g›U e¨vsK KZ…©K †Kvb Gb‡Wvm©‡g›U e¨wZZ M„wnZ n‡q _v‡K, ZLb e¨vsK‡K GZØviv A‡_vivBR Kiv nq Avgv‡`i c‡ÿ D³ Bb÷ªy‡g›U mZ¨vqb Kivi Rb¨ Ges Zv wnmv‡ei †µwWU Kivi Rb¨|

L) GKwU IfviWªvd&U ev Ab¨vb¨ `vq-`vwqZ¡ hv D³ wnmve mswkøó n‡q‡Q ev Ab¨fv‡e Zv cÖ‡Z¨K †hŠ_ †kqvi †nvìvi‡`i wewfbœ `vq-`vwqZ¡ Gi AšÍfz©³ n‡e|

M) wnmveavix‡`i g‡a¨ †Kvb GK e¨w³i g„Zz¨ ev cÖK…wZ kvixwiK AÿgZvi D™¢e n‡j Ab¨ wnmveavix e¨w³ ev e¨w³eM© ZvrÿwYKfv‡e (Z‡e D³ e¨w³i gyZz¨ ev AÿgZvi ci `k (10) w`‡bi †ekx n‡Z cvi‡e bv Ges D³ wnmv‡e †Kvb cÖKvi †jb‡`b Kivi c~‡e© e¨vsK‡K D³ e¨w³i g„Zz¨ ev AÿgZvi welq m¤ú‡K© AewnZ Ki‡Z n‡e|

N) Avgv‡`i cÖ‡Z¨‡K e¨vsK‡K ÿgZv cÖ`vb KiwQ Avgv‡`i Kv‡iv g„Zz¨‡Z Avgv‡`i †hŠ_ bv‡g D³ wnmve †µwWU e¨v‡jÝ aviY Kivi Rb¨ Ges †h †Kvb wmwKDwiwUR, `wjj, e· Ges cv‡m©j Ges G¸‡jvi Ask we‡kl Ges †h †Kvb eY©bvi m¤§wË Avgv‡`i †hŠ_ bv‡g RxweZ‡`i wb‡`©k Abyhvqx (hwZ †Kn _v‡K) aviY Kivi Rb¨ Ges Avgv‡`i cÖ‡Z¨‡K GZØviv m¤§Z †h, D³ g¨vb‡WU G Avgv‡`i KZ…©K cÖ`Ë wb‡`©kbv ejer _vK‡e hZÿY ch©šÍ Avgv‡`i KZ…©K Zrmswkøó wjwLZ wi‡fv‡Kkb cÖ`vb Kiv bv nq|

O) †Kvb RxweZ e¨w³ ev †Kvb g‡bvbqb bv _vKvi †cÖwÿ‡Z ZLb c¨viv-4 G D‡jøwLZ ÔbwgbxÕ cÖm‡½ kZ©vw` cÖ‡hvR¨ n‡e|

P) †Kvb RxweZ e¨w³ ev †Kvb g‡bvbqb bv _vKvi †cÖwÿ‡Z D³ wnmvewU Aeiæ× Kiv _vK‡e hZÿY ch©šÍ g„Z e¨w³ ev Amvg‡_©i †Kvb ˆea DËivwaKvix mswkøó Av`vjZ ev `ßi KZ…©K wb‡qvMK…Z ev wba©vwiZ bv nq|

Page 11 of 13

4) bwgbx/g‡bvbxZ e¨w³ t

K) Avgvi/Avgv‡`i g„Zz¨i †cÖwÿ‡Z D³ bwgbx Avgv‡`i wnmv‡e e¨vsK KZ…©K RgvK…Z UvKv MÖnY/D‡Ëvjb Ki‡Z cvi‡eb| L) hw` Avgvi Avgv‡`i g„Zz¨i mgq D³ g‡bvbxZ bwgbx GKRb bvevjK n‡q _v‡K ZLb ˆea AwffveK Avgv‡`i wnmv‡e e¨vsK KZ…©K RgvK…Z UvKv MÖnY/D‡Ëvjb Ki‡Z cvi‡eb| M) Gfv‡e g‡bvbxZ bwgbx Avgv‡`i wnmv‡e AwaKvicÖvß _vK‡e Ab¨vb¨ e¨w³ †hgb- Avgv‡`i DËivwaKvix, wbe©vnxMY, cÖkvmKMY Ges Ab¨vb¨ mK‡j e¨wZZ| N) Avgvi/Avgv‡`i KZ…©K g‡bvbxZ bwgbx‡K e¨vsK KZ©„K cÖ`Ë A_© cÖ`vb Ab¨vb¨ mKj e¨w³ †g‡b wb‡Z eva¨ _vK‡e|

5) e¨vswKs myweavw` t

e¨vsK D³ Av‡e`b MÖn‡Yi ZvwiL n‡Z Avgvi KZ…©K D³ myweavw` e¨env‡ii Rb¨ cvIqv hv‡e hZÿY ch©šÍ e¨vsK cybtcwi‡kva Gi mgq wba©vwiZ bv K‡i| Z‡e e¨vsK D³ myweavw` †h †Kvb w`b cybtwe‡ePbv Kivi AwaKvi msiÿY K‡i hv Avgv‡K AewnZ Ki‡Z cv‡ib| Z‡e †jvb Gi †ÿ‡Î D³ d¨vwmwjwU (†hfv‡e Av‡e`b di‡g D‡jøL Kiv n‡q‡Q), D³ wWgvÛ e¨vsK KZ…©K ¯’MxZ †i‡L, G ai‡bi †h †Kvb myweav MÖvnK KZ…©K D³ cwigv‡Y Ges mg‡q †hfv‡e Av‡e`b di‡g wbw`©ó Kiv Av‡Q cybtcwi‡kv‡hvM¨ (†Kvb †mU-Ad ev KZ©b e¨wZZ), †h, †Kvb cwigvY e¨vswKs Kg©w`em e¨wZZ Ab¨ †Kvb w`‡b cÖvc¨ nq, ZLb Zv cieZx© Kg©w`em cÖ‡`q n‡e| hw` hw` AvB‡bi gva¨‡g †Kvb KZ©b ev ¯’MxZKiY cÖ‡qvRb nq, ZLb mswkøó †c‡g›U Avgvi KZ…©K ewa©Z Kiv n‡e hv‡Z wbwðZ Kiv hvq †h, D³ KZ©b ev ¯’MxZKiY Kivi ci e¨vsK cÖK…Z cwigvY MÖnY K‡i‡Q, Z‡e G ai‡bi KZ©b ev ¯’MxZKiY Gi †ÿ‡Î|

D³ myweavw`i Dci my` erm‡i 360 w`b wnmv‡ei wfwˇZ ˆ`wbK Abv`vqx e¨v‡jÝ wnmv‡e Avgvi wnmve n‡Z e¨vsK KZ…©K †WweU Kiv n‡e D³ myweav †fv‡Mi Kvi‡Y e¨vsK Gi cÖPwjZ avi cÖ`vb nvi Abyhvqx| Avwg m¤§Z †h D³ avi cÖ`vb nvi †Kvb c~e© †bvwUk e¨wZZ cwieZ©b‡hvM¨| my` (wej‡¤^i Kvi‡Y my`mn) cÖwZ †KvqvU©vi †k‡l A_©vr gvP©, Ryb, †m‡Þ¤^i Ges wW‡m¤^i †k‡l Avgvi wnmv‡e PvR© Kiv hv‡e| hw` D³ myweavw`i †cÖwÿ‡Z e¨vsK Gi cÖvc¨ †Kvb cwigvY wba©vwiZ Zvwi‡L cwi‡kva Ki‡Z e¨_© nB, ZLb Avwg e¨vsK‡K wej¤^ †c‡g‡›Ui Rb¨ e¨vsK Gi wba©vwiZ nv‡i Avb-GmvBÛ IfviWªvd&U Gi Rb¨ cÖPwjZ nvi Abyhvqx, mKj cÖvc¨ As‡Ki Dci e¨vsK‡K my` cÖ`vb Ki‡ev|

myweav ev d¨vwmwjwU MÖn‡Yi †cÖwÿ‡Z mKj cvIbv Avgvi wnmve n‡Z †WweU Gi gva¨‡g Kiv n‡e my`mn (wej‡¤^i Kvi‡Y my`mn), PvR© Ges LiPmg~n (F‡Yi `vqmn) Ggb mg‡q hv‡Z kZ© _v‡K †h, Avwg `vqx Ges m¤§Z _vK‡ev e¨vsK‡K m¤ú~Y© cvIbv cwi‡kva Ki‡ev Ggb cwigv‡Y †h D³ wnmve mg~‡n me©‡gvU cwigvY cvIqv hv‡e cwi‡kv‡aiv †h †Kvb wba©vwiZ w`‡b| e¨vsK‡K Aby‡gv`b Kiv nj (Bnvi GKK we‡ePbvq) D³ d¨vwmwjwUi †cÖwÿ‡Z †jvb/IfviWªvd&&U A¨vKvD›U Gi AwZwi³ wnmve †Lvjvi Rb¨| D³ wnmve mg~‡n Avgvi KZ…©K cÖkvmwbKfv‡e †c‡g›U †iKW© Gi D‡Ï‡k¨ Ges D³ †jvb/IfviWªvd&U wnmve mg~‡n cÖ`wk©Z e¨v‡jÝ GKÎxKiY, Kb‡mvwj‡WUKiY| Gfv‡e Drcbœ GKwÎZ e¨v‡jÝ e¨vsK G Avgvi `vq-`vwqZ¡ mwZ¨Kvi Ges eva¨Zvg~jK eySv‡e (d¨vwmwjwUi †ÿ‡Î) mg‡q mg‡q Ges mKj D‡Ï‡k¨|

hw` †Kvb mg‡q, GLv‡b †Kvb kZ© A‰ea, AKvh©Ki ev AcÖ‡qvM‡hvM¨ nq, †h †Kvb †ÿ‡Î GZØviv Aewkó kZ©¸‡jvi †Kvb ˆeaZv, †fwjwWwU ev cÖ‡qvM‡hvM¨Zv cÖfvevwbœZ ev ÿwZMÖ¯’ n‡e bv|

6) †mU-Ad Ges GKwÎKiY AwaKvi t

e¨vsK †h †Kvb mg‡q ev mg‡q mg‡q †Kvb †bvwUk cÖ`vb e¨wZZ mKj ev †h †Kvb wnmve Ges Bnvi m‡½ mswkøó myweavw` GKÎ Ki‡Z cv‡ib evsjv‡`k ev †h †Kvb ¯’v‡b GKK ev †hŠ_fv‡e Ab¨ e¨w³i m‡½ Ges †h †Kvb ev mKj bwgbx‡K wnmv‡ei †µwWU Gi m‡½ mswkøó D³ e¨vsK Gi m‡½ Avgvi wW‡cvwRUmn †mU-Ad Ki‡Z cv‡i (†gqv`c~Y© ev †gqv`c~Y© bq)| e¨vsK Gi wbKU Avgvi †Kvb `vq-`vwqZ¡ Gi e¨vcv‡i evsjv‡`‡k ev Ab¨ †Kvb ¯’v‡b Avmj ev wmwKDwiwU, cÖK…Z ev Kw›Ub‡R›U, cÖv_wgK ev †KvjvUv‡ij, GKK ev †hŠ_fv‡e Ab¨ †h †Kvb e¨w³ Ges †h †Kvb cÖ‡qvRbxq gy`ªv iƒcvšÍi Ki‡Z cv‡ib, e¨vsK Gi wba©vwiZ nv‡i cÖPwjZ nv‡ii †P‡q|

7) ÿwZc~iY t

Avwg m¤§Z e¨vsK‡K Dc‡iv³ wnmve mswkøó Drcbœ †Kvb g~j¨, LiP (AvBbMZ wdmn) ÿwZc~iY cÖ`vb Ki‡ev D³ kZ©vw`‡Z ev D³ kZ©vw` Kvh©Ki Kivi Rb¨ Ges Gi †Kvb cÖvc¨ Av`v‡q ev e¨vsK KZ…©K †Kvb AvBbx †h †Kvb cÖK…wZi|

8) ¯^Ë¡Z¨vM t

e¨vsK Zv‡`i kZ©vw` ejer Kivi Rb¨ †Kvb mvnvh¨, Ae‡njv ev ¯^Ë¡Z¨vM cÖ`vb Ki‡e bv Ges K‡Vvifv‡e G¸‡jv cÖ‡qv‡Mi Rb¨ e¨vsK Gi AwaKvi‡K c~e© aviYv g‡Z AMÖvn¨ Kiv hv‡e bv Ges e¨vsK KZ…©K †Kvb ¯^Ë¡Z¨vM Kvh©Ki n‡e bv hw` GUv wjwLZ bv nq|

9) cv_©K¨ t

e¨vsK Avgv‡K Kgc‡ÿ 14 (†PŠÏ) w`‡bi †bvwUk cÖ`vb K‡i ms‡kva‡bi Kvh©Ki ZvwiL D‡jøL K‡i D³ kZ©vw`i ms‡kvab Ki‡Z cv‡ib| hw` D³ ms‡kvabx Zvwi‡Li ci Avwg e¨vsK Gi myweav †fvM Kwi, Zvn‡j GUv a‡i †bIqv n‡e †h, Avwg D³ ms‡kva‡bi †bvwUk †c‡qwQ Ges wm×všÍ wb‡qwQ †h, Avwg e¨vsK Gi ms‡kvwaZ kZ©vw`‡Z e¨vsK Gi myweavw` e¨envi Ae¨vnZ ivL‡Z B”QzK AvwQ| Avwg Av‡iv ¯^xKvi KiwQ †h, cwieZ©b wel‡q Avgvi m‡½ †hvMv‡hvM Kiv n‡j, D³ †hvMv‡hvM Gi Kvi‡Y e¨vsK Avgvi wbKU n‡Z †Kvb ¯^vÿi †bIqvi cÖ‡qvRb n‡e bv|

10) †bvwUk t

msiÿY Kiæb, hw` AÎ kZ©vw`‡Z Ab¨fv‡e cÖ`Ë bv nq, AÎ kZ©vw`‡Z e¨vsK KZ…©K †Kvb †hvMv‡hv‡Mi cÖ‡qvRb n‡j, wjwLZfv‡e hw` Avgvi cÖ`Ë wVKvbvq (ev Ab¨ Avi †Kvb wVKvbvq hv mg‡q mg‡q e¨vsK‡K cÖ`vb Ki‡ev Ges hw` Wv‡K †cÖwiZ nq, ZLb a‡i †bIqv n‡e †h, Avgvi wbKU †cvwós Gi Zvwi‡L GUv †cÖiY Kiv n‡q‡Q|

11) cwicvjbxq AvBb t

D³ kZ©vw` evsjv‡`‡ki cÖPwjZ AvBb Abyhvqx cwiPvwjZ n‡e Ges GZØviv evsjv‡`‡ki AvBb Av`vj‡Zi e¨vcK KZ…©Z¡vwa‡b †ck KiwQ Ges †ckKi‡Y e¨vsK Gi †Kvb AwaKvi ÿzbœ Ki‡e bv Avgvi weiæ‡× †Kvb AvBbx e¨e¯’v MÖn‡Yi Rb¨ Ab¨ †Kvb wePvivaxb GjvKvq ev Ab¨ †Kvb ¯’v‡bi AvBb Av`vj‡Z|

12) kZ©vw` MÖnY t

Avwg Av‡e`b cÎ dig D³ kZ©vw` MÖn‡Yi cÖgvY wnmv‡e ¯^vÿi K‡iwQ|

GBPweGj Gi m‡½ wnmve †Lvjvi cÖ‡qvRbxq welqmg~n t 1. wnmveavix (MY) KZ…©K wnmve †Lvjvi dig mwVKfv‡e c~iY Ki‡Z n‡e|

2. wnmveavix (MY) KZ…©K wnmve †Lvjvi dig mwVKfv‡e ¯^vÿi Ki‡Z n‡e|

3. kZ©vw` MÖnY Ki‡Z n‡e Ges wnmve †Lvjvi dig Gi wb¤œvs‡k ¯^vÿi Ki‡Z n‡e|

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Signature of the Applicant withName, Date and Designation

bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

Signature of the Applicant withName, Date and Designation

bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

Signature of the Applicant withName, Date and Designation

bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

Signature of the Applicant withName, Date and Designation

bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

Signature of the Applicant withName, Date and Designation

bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

Signature of the Applicant withName, Date and Designation

bvg, ZvwiL Ges c`exmn Av‡e`bKvixi ¯^vÿi

4. cÖv_wgK Rgv Ges me©wb¤œ e¨v‡jÝ Gi cÖ‡qvRbxqZv K) PjwZ wnmve : UvKv 10,000/- L) GmGbwW wnmve : UvKv 10,000/-

GQvovI wb‡¤œv³ `wjjvw`¸‡jv cÖ‡qvRb t

K) gvwjKvbv wnmve 1. †UªW jvB‡mÝ Gi d‡UvKwc ˆeaZvi †gqv`mn ZvwiLmn (Aek¨B Avmj Kwc †`Lv‡Z n‡e)|

2. gvwj‡Ki mv¤úªwZK Kv‡ji `yB Kwc cvm‡cvU© mvBR Qwe cwiPq`vbKvix KZ…©K mZ¨vwqZ|

3. ˆea cvm‡cvU© (1-6 c„ôv ch©šÍ Ges bevqbK…Z c„ôv bevqbK…Z cvm‡cvU© Gi †ÿ‡Î/WªvBwfs jvB‡mÝ/RvZxq cwiPqcÎ (wnmve †Lvjvi mgq Aek¨B Avmj mvwU©wd‡KU †`Lv‡Z n‡e)|

4. B-wUAvBGb|

5. f¨vU †iwR‡óªkb|

6. weAvBGb|

7. wnmv‡ei bwgbxÕi we¯ÍvwiZ weeiY (RvZxq cwiPqcÎ, cvm‡cvU©, Qwe)

M) Askx`vwiZ¡ wnmve

1. †UªW jvB‡mÝ Gi d‡UvKwc ˆeaZvi †gqv`mn ZvwjLmn (Aek¨B Avmj Kwc †`Lv‡Z n‡e)|

2. Askx`vwiZ¡ `wj‡ji mZ¨vwqZ Kwc h_vh_fv‡e mKj Askx`vi KZ…©K ¯^vÿwiZ n‡e (Aek¨B Avmj Kwc †`Lv‡Z n‡e)|

3. hw` †iwR‡óªkb n‡q _v‡K Zv n‡j †iwR‡óªkb mvwU©wd‡KU Gi d‡UvKwc dvg© Gi †iwRóªvimn|

4. GBPweGj G wnmve †Lvjv Ges cwiPvjbvi Rb¨ Askx`vi‡`i wm×všÍ|

5. Avmj Aby‡gv`b †jUvi e¨w³ ev e¨w³M‡Yi c‡ÿ D³ wnmve †Lvjvi Rb¨|

6. cÖ‡Z¨K Askx`v‡ii mv¤úªwZKKv‡ji `yB Kwc cvm‡cvU© mvBR Qwe cwiPq`vbKvix KZ…©K mZ¨vwqZ|

7. ˆea cvm‡cvU© (1-6 c„ôv ch©šÍ Ges bevqbK…Z c„ôv bevqbK…Z cvm‡cvU© Gi †ÿ‡Î/WªvBwfs jvB‡mÝ/RvZxq cwiPqcÎ (wnmve †Lvjvi mgq Aek¨B Avmj mvwU©wd‡KU †`Lv‡Z n‡e)|

8. B-wUAvBGb|

9. f¨vU †iwR‡óªkb|

10. weAvBGb|

N) R‡q›U óK †Kv¤úvbx (cvewjK I cÖvB‡fU) wnmve t 1. D³ wnmve †Lvjvi Rb¨ †evW© †iRywjkb Gi wm×v‡šÍi Kwc|

2. cÖ‡Z¨K cwiPvj‡Ki mv¤úªwZK Kv‡ji `yB Kwc cwiPq`vbKvix KZ…©K mZ¨vwqZ cvm‡cvU© mvBR Qwe|

3. cÖ‡Z¨K cwiPvjK Gi ˆea cvm‡cvU© (1-6 c„ôv ch©šÍ Ges bevqbK…Z c„ôv bevqbK…Z cvm‡cvU© Gi †ÿ‡Î/WªvBwfs jvB‡mÝ/RvZxq cwiPqcÎ (wnmve †Lvjvi mgq Aek¨B Avmj mvwU©wd‡KU †`Lv‡Z n‡e)|

4. †UªW jvB‡mÝ Gi d‡UvKwc ˆeaZvi †gqv` ZvwiLmn (Aek¨B Avmj Kwc †`Lv‡Z n‡e)|

5. cwiPvjK‡`i nvjbvMv`K…Z ZvwjKv (nvjbvMv`K…Z dig Avi‡RGmwm KZ©„K Bmy¨K…Z)|

6. cvewjK I cÖvB‡fU wjt †Kv¤úvbxi †ÿ‡Î msNfzw³ mvwU©wd‡KU Gi d‡UvKwc|

7. e¨emv ïiæ Kivi mvwU©wd‡KU Gi Kwc|

8. ¯§viKwjwc I mwgwZ wbeÜ Kwc|

9. B-wUAvBGb|

10. f¨vU †iwR‡óªkb|

11. weAvBGb|

12. `k kZvsk Ges Gi †ekx gvwjKvbvi †NvlYvcÎ|

O) Ab¨vb¨ cÖvwZôvwbK wnmve (GbwRI/GbwcI/P¨vwiwU/Uªv÷ BZ¨vw`)

1. GBPweGj G wnmve †Lvjv Ges cwiPvjbvi Rb¨ †evW© Gi wm×v‡šÍi Kwc|

2. cwiPvj‡Ki mv¤úªwZK Kv‡ji `yB Kwc cvm‡cvU© mvBR Qwe cwiPq`vbKvix KZ…©K mZ¨vwqZ|

3. ˆea cvm‡cvU© (1-6 c„ôv ch©šÍ Ges bevqbK…Z c„ôv bevqbK…Z cvm‡cvU© Gi †ÿ‡Î/WªvBwfs jvB‡mÝ/RvZxq cwiPqcÎ (wnmve †Lvjvi mgq Aek¨B Avmj bw_cÎ †`Lv‡Z n‡e)|

4. K¬ve/A¨v‡mvwm‡qkb †iwR‡óªkb mvwU©wd‡KU/Dcwewa/AvBb-Kvbyb|

5. GBPweGj-G D³ wnmve †Lvjv Ges cwiPvjbvi Rb¨ MfvwY©s ewW/Gw·wKDwUf KwgwUÕi †iRywjkb|

6. Avg-†gv³vi bvgv Ges G‡R›U Gi wnmv‡ei †ÿ‡Î G‡R›U Gi †fvUvi/RvZxq cwiPqcÎ Gi mZ¨vwqZ Kwc|

7. GbwRI ey¨‡iv/mgvR Kj¨vY gš¿Yvjq/mswkøó cÖwZôv‡bi AbygwZ cÎ|

8. miKvix/we‡`wk `yZvevm/mswkøó cÖwZôv‡bi AbygwZ cÎ|

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