7/26/2019 DSEMobile Registration Form-signed

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Serial Number:

DSE Mobi le Registrat ion Form

P le ase fill the form in BLOCK LETTERS / )

Date rnrn J

Name:

Acc ount Holder s Informatio n:

TREC Holder:

Account Details:

TREC Holder Number:

TJJ

TREC Holder Code:

TJJ

Client ID:

Account Type

BO ID:

Client Type:

Domicile:

Use Type:

Contact Information:

Mobile Number

Email:

Mobile Application:

Application Date

Single

Passport Size

Photograph

D Joint

D Institution

Professional

D

Non-Professional

D Individual

D Institution

D Local

D Internal

D Foreign (NRB or Foreigner)

D External (Advising, Discretionary Ace. Fund, MF etc.)

Is this number registered: DYes

D No

D DSE-Mobile VIP

10 BID and Offer

D DSE-Mobile Trader D DSE-Investor (Desktop) D DES-Mobile Biz Owner

rnrn[[[

Registration Fee 500 Taka: D Cash

Debit Trading Account

This is to certify that, the information provided above is correct and I hereby accept the terms conditions attached herewith.

3 0 0 3 2 0 1 6

M D K A M R U Z Z A M A N

1 2 0 1 8 2 0 0 4 5 2 91 6 5 6

X

X

X

X

0 1 7 1 4 2 2 8 8 3 7 X

kamruz561@gmail.com

X X

3 0 0 3 2 0 1 6 X

7/26/2019 DSEMobile Registration Form-signed

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NdOTx_n\]y ,Nn\ u]yz- yo ]rn n\znl]s_n f\ n Klly^x]0

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sx\]^l]syx yo]rn f\ n ]ry^pr ]rn NdOYyksvnixm1y NdOTx_n\ ]y ,Nn\ u]yz- ixm ]rn f\ n \ rivv o^vvsxmnwxsoxm ryvmLOdvriwvn\ \ sx n\ znl] yo]rn \ iwn0

Ps\]Klly^x] Syvmn)\P^vviwn

Ps\]Klly^x] Syvmn)\dspxi]^n ( Ni]n

Uysx]Klly^x] Syvmn)\ P^vviwn

Uysx]Klly^x] Syvmn)\ dspxi]^n ( Ni]n

bipn TyoB

MD KAMRUZZAMAN 30/03/2016

7/26/2019 DSEMobile Registration Form-signed

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5/E/ g_r^ ur^rn moxyrptr_ mp pr^_` mp_` urvur r` ^v_xs _vt v` r^r` mp znvyr m\\ yvom` v_pmmvyvturMeNYnvyr mp0^ MeNSr_` (Mr_x \ )

mp moo^pvty_umyy mxrmyyror__m^ \^rom` v_m`uv_0ur^ rp ` _msrtm^puvz_rys0ur^_ryss^z _ou ^v_x/KNeV_umR` nr uryp yvmnyr m s^z um _ rr^ vs

` ur g_r^ _ssr^_m

JJ

^ pmzmtr_ pr ` _ou vur^ r` ^v_xs v` r^r` mp MeNYnvyr mp0^ MeNSr_` (Mr_x` \ ) yr__ _ou

JJ

^ pmzmtr v_om_rppr `

vyysyrtyvtror s ` ur KNey/

:/ S_` ^o` v^f^mpvt _vt MeNYnyyr mp0^ MeNSr_` ^(Mr_x` \ )

:/1/ f ` ur zmvzz r r` \ r^zv` ` rp n ym-` ur g_r^ moxyrptr_ ` umKNeVvyy` nr yvmnyr ` urg_r^ ^ mr ry_r s^ m

J J

^ pmzmtr- ur `ur^ pv^ro`^

Spv^ro` -_\rovmy/Sovpr` my o_r]r` vmy ^ rozvo (voypvt y__ s \ ^sv` _mp \ \ ^` v` o_ _)- ur` ur^ ^ ` KNey xr ^ o yp umr x s ` ur

\ __vnvyv` s _ou pmzmtr- ur^r ` umpmzmtr m^v_r_O^zF

(m) prym-v` r^ ^\ ` v-zv__v- Omvy^r- ^ ^ ^ smyv ` ur r o` v s ` ur g_r^_v_ ^o` v_ ` ur zm^xr` nKNeV-v` _mtr _ mp0^ rz\ yrr_F

(n) m r^^^- o^z__` o_ rorv\ ` ^ vmyvpv` ` ur g_r _v_` ^o v_ KNeV0MeNr^r^_H

c m smy` / ^^/ prsro` ^ rtvrr^vt s ` ur Ka Joo` ^ mprym-Omy` -mvy^r ^ y__ s moor__` ` ur MeNYnvyr mp0^ MeNSr_` (Mr_x` \ )Hmp

(p) m om_r nrp ` ur ^rm_mnyr o` ^y s KNeV-voypvt n` ` yvzv` rp ` - smvy rs ryro ^vo ^ _s` m r m\\ yvom` v zroumvomy r]v\ zr ^

ozzvom` v yvr_- m` u^v rpmoor__^ ymn^\ ^nyrz_

:/5/ g_r^ m^r^r_\ _vnyr ` r_^r ` umm_vtyr oumry v__rp s^ m \m^` voym_` ^o` vs f^mpr/ gpr^ ov^oz_` mor_KNeyyp nr ^ r_\ _vnyr s^m

oz\ yvmor o _r]ror pr ` _vt zy` v\ yroumry_ (KNeVayvr e_ rz- MeNYnvyr mp0^ MeNSr_ (Mr_x` \ )- fryr f^mpvt r` o/)s^ _mzr ` ^mprv_` ^o` v/

:/:/ S`v__` ^vo` yuvnv` rp` umg_r^ _uyp ` \ymor_mzr f^mpr v_ ^o` v m`n` u Mumxme` oxNoumtr mp Luv` ` mtt e` oxNoumtr uvouzm om_r _u^` _ryy-

r^ ntu` ^ m ` ur^ oz\ yvmor v__r_/

:/A/ Mmvy^mpryvzv`v__r` nm_rp mmvymnyr]v` (yrptr^ Kmymor zm^ xr` myrs _ro^v` vr_rp n _r^)/ S`v_` ur g_r^_^r_\ _vnvyv` r_^r ` um_OOvovr`

yrptr^ nmymorv_mmvymnyr uv_0ur^ moo` nrs^r \ ymovtm n ^pr^- vym` vts uvou zmom_rr^ n mp rtm` vr nmymor/S_ou rr` g_r^ v_ur^rn

m` u^v vtKNeV mpw_uv_0ur^ rtm` vr nmymorn _ryyvt ^r]v^rp s _um^r_rp n ` ur g_r^/

:/B/ g_r^_ m^r^ r_\ _vnyr ` r_^r \ ymovt` ^mprv_ ^o` vm_\ r^ ^yr_mp ^rtym` v_r` n ` ur ^rtym` ^m` u^v` umm^rm\\ yvomnyr^ ebaf0l Lm` rt^0KgVU

eum^r` ^mpvt/

:/C/ g_r^_ _uyp _` ^ vo` yyy myyrtym` ^ yr_mp ^rtym` v_voypvt ` ur \ v` _ _\rovsvrpmnr n` ` yvzv` rp` -O^` ^mpvt u^tu MeNYnvyr mp0^ MBN

Sr_ ^(Mr_x \ )/

A/ eNdhSLN eaOfiJdN SI R JdMiJdN dNcgSdNYN[fe

A/1/ g_r v__yry ^r_\ _vnyr s^ ` ur zmv` rmor- v_` myym` v_p \ r^m` v s g_r _oz\ ` r^0ym\ ` \ 0znvyr ^ m` ur oz\m` vnyrprvor mp s ` ur _s` m^r

_rp v moor__vt MeNYnyyr mp0^ MeNSr_ (Mr_x` \ )/

A/5/ KNey_umy1` nr ^r_\ _vnyr vs` ur MeNYnvyr mp0^ MeNSr_` ^(Mr_x` \ ) e_` rz pr_ ` ^x \ ^\ r^y ^ ` ur _r vor v_v ` r^^\ ` rppr ` smvy^rs

ryro` ^vo ^ zroumvomyr]v\ zr` ^ ozzvom` v yvr_- ` ryr\ ur ^ ` ur^ v` r^oro` \^nyrz_- zmy zmv` rmor- m u^v rp moor__- ` urs` - \ r^m` ^

r^^ ^_- _rr^r rm` ur^- rm^` u]mxr_-syp_ mp _` ^vxr_-^ m ` ur^ om_r_nrp ` ur ^rm_mnyro` ^ y s ` urKNey/

e/ LRJdPNeF

B/1/ KNeV_umyyv` vmyyvpr ` urMeNYnvyr mp0^ MeNSr_` ^(Mr_x` \ ) er^vor_m`s^rr s o_` /Rrr^- KNeV r_r r_ ` ur ^vtu` ` oumtr mp ^ ror^ O^z ` ur

g_r (_) _r^voroum^tr_- m_zm nr svp n KNeVs^z ` vzr ` ` vzr mp vs^zrp ` ` ur g_r^ moo^pvty/fur g_r^ ur^rn m` u^v r_KNeV ^ror^ _ou oum^tr_ s^z

uv_0ur^moo` (_)/

B/5/ Lum^tr_ m^r_nwro` ` oumtr s^z ` vzr ` ` vzr m`KNeV _v_o r` v/

C/ g[JgfRadSlNM S OdJgMgVN[f JLfShSfSNeF

C/1/ g\ n` mvvt g_r^ SMmp bm__^p- g_r^ v_^r]r_ rp ` ourox ` ur yv_` s uv_0ur^moo _v` uKNey/Ssms g_r Joo` v_zv__` ]/ \ yrm_r vs^z ` uv_ KNey

Szzrpvm` ry/Ssm` uv^p m^` moo` Seuxrp ` g_r^_SM-\ yrm_r Ss^z ` uv_ KNeV ^tr` nm_v_/ur g_r^ v_^r]r_` rp ` ` moor__v`^ p ` \ r^s^z m

` ^m_mo` v ` umJoo` / eou mo` vv` -

s

pr- vyynr ` ^rm` rpm_O^mpyr`mo` vv p _umyynr yvmnyr vprzvs KNeVmp0^ ` ur ` uv^p m^` ` urr r` s

pmzmtr _ssr^rp myt v` uOmovto^vzvmymp0^ ovvyum^tr_m_\ r^ ` ur \ ^rmvyvtyms ` ur ymp/

C/5/ Ssg_r nryvrr_ m` u^v rp ` ^m_mo` v_^rnrvt zmpr v` uuv_0ur^moo` -ur0_ur _uyp oumtr ` urbm__^p vzzrpvm` rymp ` vsKNey/

C/:/ fur g_r _uyp ourox ` ur e` m` rzr` _s^ myys uv_0ur^Joo _ O^m m` u^v rp ` ^m_mo v/ om_rs mpv_o^r\mov pr` mvy_s m` ^m_mo`v _m^^vrp

` v ^r_\ ro` s ` ur Joo` - g_r _uyp vzzrpvm` ryvs^z KNeVv` uvS(r) ^ xvt pms^z ` ^mpr^ m` ur^ ro` v vm rtv_` r^rp rzmvymoo` ^ ^v` ` r

m\ \ yvom` v/

C/A/ KNeV_y ^r_\ _vnvyv` yp nr ` _r v` _nr_` rss^` _ \ ^rr` _ou m` u^v rp` ^m_mo` vOmy^rmp` nrr zmpr _ ms` rnrvt vs^zrp s _ou/

D/ bdabdSNfJdk dSPRfeF

D/1 fur g_r^ moxyrptr ` um` ur _s` m^r pr^yvt ` ur MeNYnvyr mp0^ MeNSr_` ^(Mr_x` \ ) m_ryy m_` ur^ ^rym` rp_s m^r uvou m^r ^r]v^rp O^

moor__vt MeNYnvyr mp0^ MeNSr_` ^(Mr_x \ ) m^r` ur yrtmy\ ^\ r^` s ` ur^r_\ro` vrrp^_ ^ Mumxme` oxNoumtr yvzv` rpm_ urom_rzmnr/

D/5/ fur \ r^zv__v tvr n KNey` moor__MeNYnvyr mp0^ Mesv r` ^(Mr_x` \ ) vyy` or m \^\ ^v r m^ r^_uv\ ^vtu` _v _ou _s m^r/g_r^ _umyy

` m` ` rz\ `` zpvs- ` ^m_ym` r-v_m__rznyr- proz\ vyr ^ ^rr^_r rtvrr^ ` ur_s m^rpr^yvt f^mpvt ^ o^rm` rmpr^vm` vr^po` nm_rp ` ur_s m^r/

D/:/ g_r^ _umyyxrr\ myyvs^zm` vur` ur^ s ` ur g_r^- KNey^ m ` ur^ ` uv^p m^` 0o_` zr pr^vrp s^z ` ur MeNYnvyr mp0^ MeNSr_ ^(Mr_x \ ) er^vor_

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MD KAMRUZZAMAN 30/03/2016

7/26/2019 DSEMobile Registration Form-signed

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MD KAMRUZZAMAN 30/03/2016