Supplemental Account opening Form

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To;}u/L a}+snfO{ vftfsf ;DaGwdf ul/Psf]unt 8]la6 O{G6«L ;FRofO{ k'gM ;xL O{G6«L ug]{ clwsf/ ;d]t x'g]5 . s'g} jf ;a} vftf aGb eO{;s]kl5 a}+sn] vftf 8]la6 u/L c;"n pk/ u/]sf] s'g} klg rfh]{h lkmtf{x'g]5}g .-v_ a}+sn] cfkm\gf] k"0f{ :jljj]sdf d]/f]÷xfd|f] vftfsf nflu s'g} klg :j?kdf dnfO{÷xfdLnfO{ r]s hf/L ug{ / s'g} klg ;dodf cfkm\gf] :jljj]sdf To:tf] r]s lkmtf{ lngjf lkmtf{ dfu ug{ ;Sg]5 . To:tf] r]s afx]s cGo dfWodaf6 /sd lemSg] ;'ljwf k|bfg ug{ a}+sn] O{Gsf/ ug{ ;Sg]5 . olb r]s a's hf/L ePsf] eP, To:tf] r]snfO{x/;do ;'/lIft tj/n] /fVg] lhDd]jf/L d]/f]÷xfd|f] xf] . / sy+sbflrt pQm r]s a's jf ;f]df ePsf s'g} klg r]s x/fPdf jf rf]/L ePdf tTsfn a}+snfO{ ;'lrt ug]{5'÷5f}+ . d}n]÷xfdLn] ;DalGwt r]s x/fPsf] cj:yfdf jf sfg"gn] cg'dlt lbPsf] jf a}+sn] d+h'/ u/]sf] cGo s'g} kl/l:yltdf vftfaf6 /sd e'QmfgL /f]Ssf ug{d}n]÷xfdLn] a}+snfO{ lnlvt cg'/f]w u/]df a}+sn] cfkm\gf] k"0f{ :jljj]s k|of]u u/L To:tf] cg'/f]w :jLsf/ jf c:jLsf/ ug{;Sg]5 . d}n]÷xfdLn] jf d]/f]÷xfd|f] tkm{af6cGo s'g} JolQmn] ug{ ;Sg] To:tf] cg'/f]w a}+sn] :jLsf/ u/]sf sf/0f jf ;f] sf] lznlznf jf hl/ofjf6 a}+sn] s'g} xfgL, gf]S;fgL jf vr{ -sfg"gL vr{ ;d]t_ Joxf]g'{k/]df a}+snfO{ ;f] sf] xh{gf ltg{ a'emfpg d k|lta4 5' . /sd e'QmfgL ubf{sf avt a}+snfO{ ;"rgf k|fKt eO;s]sf] cj:yfdf afx]s x/fPsf] jf rf]/L ePsf] r]ssf]/sd e'QmfgL x'guPsf sf/0f ;[lht s'g} klg xfgL, gf]S;fgLsf nflu a}+s lhDd]jf/ x'g]5}g .-u_ ljb]zL ljlgdodf vf]lnPsf] vftfdf hf]lvd lglxt /x]sf] d :jLsf/ ub{5' . t;y{ To:tf] ljb]zL ljlgdo vftfaf6 /sd lemSg' kbf{ jf hDdf ug'{ kbf{ To; avt;DalGwt ljb]zL ljlgdo gf]6sf] k|fKotf tyf g]kfn /fi6« a}+s tyf g]kfn ;/sf/sf] k|rlnt lgod sfg"gsf] clwgdf /x]/ dfq /sd lemSg] jf hDdf ug]{ ;'ljwf k|fKtx'g] 5 . a}+sn] cfkm\gf] :jljj]sdf vftfdf ljb]zL ljlgdo hDdf ug{df O{Gsf/ ;d]t ug{ ;Sg] 5 .-3_ d'b|fsf] kl/jt{gLotf jf x:tfGt/0fLotf jf /sd e'QmfgL jf dfudf aGb]h, clglR5t x:tf/0f, o'2 l:ylt, aGb x8\tfn, k|fs[lts ljklQ, ;8s cj/f]w, gful/s ljb|f]xjf a}+ssf] sfa" eGbf aflxsf cGo kl/l:yltsf sf/0f vftfdf hDdf ePsf] /sd pknAw x'g g;s]df a}+s hjfkmb]xL gx'g] s'/f d :jLsf/ ub{5' . g]kfn ;/sf/, g]kfn/fi6« a}+s jf cGo s'g} clwsf/L jf lgsfon] nufPsf] aGb]hsf sf/0f a}+sn] u|fxsnfO{ lghsf] vftf;Fu ;DalGwt d'b|fdf jf cGo s'g} klg d'b|fdf /sd e'QmfgL lbgg;s]df jf To:tf] /sd h'g d'b|fdf /sdfGt/ ug'{kg]{ xf] ;f]xL d'b|fdf jf cGo s'g} klg d'b|fdf /sdfGt/ ug{ g;s]df To;af6 pTkGg x'g ;Sg] kl/0ffd k|lt a}+ssf]k|wfg sfof{no, o;sf s'g} klg zfvf, ;xfos sDkgL, ;Da4 ;+:yf tyf ;DjlGwt sd{rf/L lhDd]jf/ x'g] 5}gg\ . To:tf s'g} klg vftf;Fu ;DalGwt ;a}vfn] hf]lvd/ ;f] ;Fu ;Da4 s'g} klg vr{ -s'g} cGt/f{li6«o jf /fli6«o ljwflosL jf lgodg aGb]hsf] kmn:jk Joxf]g'{ kg]{ x'g ;Sg] nufotsf ;Dk"0f{ vr{x? ;d]t_ sf] nflu d:jo+ lhDd]jf/ x'g]5' . ;Da4 k|rlnt sfg"g tyf lgodn] Joj:yf u/] cg'?k vftfaf6 /sd e'QmfgL lbg] jf /sd lemSg] jf /sdfGt/ ug]{ ;DaGwdf a}+sn] u/]sf]lg0f{o dnfO{÷xfdLnfO{ clGtd / dfGo x'g]5 / ;f] ;DaGwdf s'g} k|Zg ug]{ 5}g .-ª_ s'g} klg vftfsf ;DaGwdf x'g] s'g} klg sf/f]af/sf qmddf d]/f]÷xfd|f] d[To', czQmtf jf bfdf;fxL jf o:t} vfnsf cGo s'g} 36gf jf sfdsf/afxL ;[lht eO{ ;f];DaGwdf a}+sn] tf]s] adf]lhdsf cfjZos sfuh k|df0f;lxt a}+snfO{ lnlvt ;"rgf k|fKt geP;Dd To:tf] s/f]af/af6 x'g ;Sg] s'g} klg xfgL, gf]S;fgL afkt a}+sn]s'g} klg bfloTj Joxf]g'{ kg]{ 5}g . ;fy}, s'g} x8tfn, cf}Bf]lus sf/afxL, oGq pks/0fsf] u8a9L jf phf{ cfk"lt{df ca/f]w jf s'g} ;/sf/L jf ;/sf/L lgsfoaf6ug'{kg]{ sfd sf/jfxL gu/] gePsf sf/0f h:tf a}+ssf] sfa"eGbfaflx/sf s'g} klg 36gf jf kl/l:yltsf sf/0f a}+sn] s'g} sfd sf/afxL gu/]sf] jf u/]sf] sf/0f u|fxspk/ kg{;Sg] s'g} klg xfgL, gf]S;fgL jf l9nf;'l:tsf ;DaGwdf a}+sn] s'g} klg bfloTj Joxf]g'{kg]{ 5}g .-r_$= ;"rgfx?M;+o'Qm gfddf vf]lnPsf vftfx?sf] xsdf cGoyf lnlvt ;'rgf lbPsf] cj:yfdf afx]s ;+o'Qm vftfjfnfx? dWo] s'g} Ps hgf vftfjfnfn] :jLsf/ u/]sf ;a} r]s,8«fkm\6, cfb]z, lan tyf lghaf6 x:tfIfl/t jf b/lk7 ul/Psf s'g}klg lnvt, tTsflng cj:yfdf To:tf] vftfdf e'QmfgLof]Uo lgIf]k /x] jf g/x]sf] jf vftfdf ePsf]/sd eGbf a9L /sd lemlsg] u/L hf/L ul/Psf] jf To;/L e'QmfgL dfu u/]sf sf/0f vftfdf ePsf] eGbf a9L /sd lemlsg] cj:yf /x]sf] h] ;'s} eP tfklg ljgfs'g} ckjfb :jLsf/ ub}{ vftf 8]la6 u/L /sd e'QmfgL ug{ ;Sg] clwsf/ a}+snfO{ x'g] 5 . olb To:tf u|fxsx? dWo] s;}n] ljjflbt lgb]{zg hf/L u/]df a}+snfO{ lrQa'em\g] u/L To:tf] ljjfb lgK6f/f geP ;Dd ;DalGwt vftf ;~rfngdf a}+sn] tTsfn} /f]s nufpg ;Sg]5 . To:tf u|fxsx? a}+sn] lghx?nfO{ nufgL u/]sf] /sd tyf;f] ;DaGwdf a}+sn] ;do ;dodf lgwf{/0f u/]sf] b/df ltg'{ a'emfpg' kg]{ d'gfkmf, Aofh tyf dfs{ck a}+snfO{ ltg]{ a'emfpg] ;DaGwdf a}+s k|lt JolQmut tyf ;+o'Qm?kdf lhDd]af/ x'g]5g\ .-r_ u|fxssf] d[To' ePsf] cj:yfdf d[To' k|df0fkq tyf xsjfnf;Fusf] gftf k|dfl0ft k|df0fkqsf] ;Ssn jf k|dfl0ft gSsn a}+s ;dIf k]z ePkZrft dfq vftfdf /x]sf]/sd e'QmfgLsf nflu lgsfzf x'g] 5 .-5_ s'g} klg vftf ;~rfngsf] qmddf ;[hgf x'g] cf]e/8«fkm\6 -clwljsif{_ jf cGo ;'ljwf jfktsf] s'g} klg bfloTjsf nflu d÷xfdL lhDd]jf/ x'g]5'÷5f}+ / To:tf] bfloTjPj+ ;f] ;DaGwdf d}n]÷xfdLn] a}+snfO{ ltg'{ a'emfpg' kg]{ d'gfkmfsf] /sd -dfs{ck_, sldzg, cGo a}+lsË z'Ns tyf vr{ -sfg"gL vr{ ;d]t_ afktsf] ;a} jf s'g} /sdPj+ ;f] df a}+sn] cfkm\gf] :jljj]sdf ;do ;dodf lgwf{/0f u/]sf] b/df x'g] Aofh ;d]t d]/f]÷xfd|f] s'g} klg vftf 8]la6 u/L a}+sn] c;'n pk/ u/]df d÷xfdLnfO{dGh'/L 5 . ;fy} To; lsl;dsf] s'g} klg /sd shf{ ;/x dfgL a}+sn] dfu ugf{;fy ltg]{ a'emfpg] 5'÷5f}+ .-h_ u|fxssf] vftfdfkm{t x'g] s'g} klg sf/f]jf/sf] ljj/0f tyf vftfjfnfnfO{ a}+sn] ;do ;dodf ;+k]|if0f ug]{ s'g}klg ;'rgf jf hfgsf/L u|fxsn] o;} kmf/ddf pNn]vu/]sf] df]jfO{n g+Dj/df SMS u/L hfgsf/L u/fpg ;Sg]5 . pQm df]jfO{n g+Dj/ kl/jt{g ePdf tTsfn} a}+snfO{ hfgsf/L u/fpg] 5'÷5f}+ .o;df plNnlvt zt{aGb]hx?df cGoyf pNn]v ePsf]df afx]s o; ;DaGwdf a}+sn] k7fpg] s'g} klg dfubfjL jf ;'rgf jf hfgsf/L d}n]÷xfdLn] lbPsf] 7]ufgf -jf ;do ;dodfd}n]÷xfdLn] a}+snfO{ hfgsf/L u/fPsf] cGo 7]ufgf_ df lnlvt ?kdf k7fpg ;Sg]5 .%= zt{aGb]hx? pk/ :jLsf/f]QmLo;df plNnlvt zt{ aGb]hx? ;do ;dodf x]/km]/ jf kl/jt{g ug]{ clwsf/ a}+sdf ;'/lIft /xg] s'/fnfO{ d :jLsf/ ub{5' . To;/L x]/km]/ jf kl/jt{g ePsf zt{aGb]hx? ;f];DaGwdf dnfO{÷xfdLnfO{ ;"rgf lbgf;fy nfu" x'g] 5g\ . To:tf] ;"rgf a}+ssf] ;"rgf kf6Ldf !% lbg;Dd /flvPdf l/tk"j{s dnfO{÷xfdLnfO{ lbPsf] dflgg]5 . vftf jf o;dfplNnlvt zt{aGb]hx? cg"?k d}n]÷xfdLn] a}+s pk/ ug{ ;Sg] s'g} klg dfu, bfjLx? a}+ssf] hfn;fhL jf jblgotk"0f{ sfdsf/afxLdf cfwfl/t ePsf] cj:yfdf afx]s d}n]÷xfdLn]ug{ ;Sg] ;a} vfn] dfu, bfjLx? o;} lnvtaf6 d lkmtf{ lnG5' . o;df plNnlvt zt{aGb]hx?sf ;DaGwdf a}+sn] u/]sf] AofVof d]/f]÷xfd|f nflu clGtd / dfGo x'g]5 . pk/f]Qmzt{aGb]hx? pk/sf] d]/f]÷xfd|f] :jLsf/f]QmL :j?k cfj]bg kmf/ddf d}n]÷xfdLn] x:tfIf/ u/]sf] / x:tfIf/ k"j{ pQm zt{ aGb]hx? a9L, jfrL, ;f] sf] dtnj tyf kl/0ffd a'em]sf]7Ls ;fFrf] xf] .

^= ;+nUg sfuhftx?Ms_ l/tk"j{s e/LPsf] vftf vf]Ng] ;DaGwL cfj]bg kmf/dv_ ;Ssn gful/stf k|df0fkq÷/fxbfgL -k|df0fLs/0fsf] nflu —clen]vsf] nflu gSsn /fVg'kg]{_u_ 7]ufgf v'Ng] sfuhft3_ hGd btf{ k|df0fkq tyf ;+/IfsTj v'Ng] sfuh -gfjfns vftfsf] xsdf_ª_ cfDbfgLsf] ;|f]t v'Ng] sfuh k|df0f -ljb]zL ljlgdo vftfsf] xsdf_r_ sd{rf/L kl/rokq÷k]zf;+u ;DjlGwt sfuhr_ cGo===============================d}n]÷xfdLn] dflysf vftf ;Grfng ;DjlGw ;fdfGo lgodx? cWoog u/]+÷u/\of}F / pQm lgodx? dfGg k"0f{?kdf dGh'/ ub{5'÷ ub{5f}F . d]/f]÷xfd|f] gd'gf b:tvt÷x?tn lbO{Psf]÷sf 5÷5g\ . d]/f]÷xfd|f] vftf ;~rfng lgDg cg';f/sf] b:tvtjf6 b]xfo jdf]lhd x'g]5 .Plese TickPsn xfdL b'O{ dWo] Ps xfdLx? dWo] b'O{ cGo÷ljif]zvftf gDj/vftfjfnf÷x?sf] gfd Ma}+snfO{ d}n]÷xfdLn] cGoyf hfgsf/L gu/fP;Dd b]xfodf pNn]lvt x:tfIf/af6 lvlrPsf÷hf/L ul/Psf r]s÷e'QmfgL lgb{]zg :jLsf/ u/L d]/f÷xfd|f] vftfdf tbg'?kvr{ n]Vg] clwsf/ x'g]5 .k'/f gfd x:tfIf/ k|dfl0ft ug]{sf] x:tfIf/o;df n]lvPsf] Joxf]/f 7Ls ;fFrf] 5, e'mf 7x/] sfg"g jdf]lhd ;xF'nf j'emfpFnf .============================= ============================= =============================cfj]bssf] x:tfIf/ cfj]bssf] x:tfIf/ cfj]bssf] x:tfIf/a}+s k|of]hgsf] nfuL dfqAccount Number:Please TickOriginal Documents are verified Yes No photocopies of documents are obtained Yes NoDetails of Documents are obtained:Officer in charge- Deposit Branch Manager Date