BRAC BANK - TERM DEPOSIT FORM

Account Title *

Gender *

Father's Name *

Mother's Name *

Marital Status *

Spouse's Name

Date of Birth *

Account Currency *

Designated Email Address *

Designated Phone Number *

Nationality *

Photo Identification Data

Passport No. *

Country of Issue *

Address

Present Address *

State *

City *

Postal Code *

Country *

Is permanent address same as present address? *

Yes

Communication Address *

Present

Permanent

Number of Nominees:

BRAC BANK Astha Banking

Do you want to register in our award-winning Astha Banking Application? *

Yes

If you select "Yes" then you will be registered with Astha and your login credentials will be mailed to your email address.

Professional Information

Profession *

Employer's Name *

Monthly Income *

Employer's Address *

Source of Fund *

Term Deposit Information

Account Currency

Amount

Amount in word

Period/Tenure

Renewal Information

Renew Both Principle and Interest

Renewal Principle Only

FATCA Declaration

Are you US Resident *

Yes

Are you US Citizen *

Yes

Do you have a US Permanent Resident Card (Green Card) *

Yes

Document Upload Indexing

Photo ID of Applicant (Please upload JPG format) *

Photograph of Applicant (Please upload JPG format) *

Photo ID of Nominee (Please upload JPG format) *

Photograph of Nominee (Please upload passport size photo in JPG format) *

Proof of Address *

Income Proof Document

Signature Card (Prescribed Format of City Bank PLC) *

Download Sample

I agree to the Terms and Conditions

Account Title *

Existing OBU Account Number *

Email *

Term Deposit Information

Account Currency *

Amount *

Amount in word *

Period/Tenure *

Renewal Information *

Renew Both Principle and Interest

Renewal Principle Only and Credit to the Account Number

Number of Nominees: *

BRAC BANK Astha Banking

Do you want to register in our award-winning BRAC BANK Astha Banking Application? *

Yes

If you select "Yes" then you will be registered with BRAC BANK Astha and your login credentials will be mailed to your email address.

Document Upload Indexing

Signature Card - (Signature as per Current OBU Account) *

Download Sample

I agree to the Terms and Conditions

I/We do hereby acknowledge and affirm that I/We have read and understood the terms and conditions governing the customer accounts in force and do hereby agree to open, maintain and operate my/our account(s) as per the said terms and conditions including all amendments made there to by the Bank from time to time. I/We also solemnly and sincerely declare that the above furnished information is true and correct. I/We shall supply information/documents relating to the account that you may require in future.

I/We hereby confirm that I/We have read & understood and shall keep myself/ourselves updated about the terms & conditions. Interest rates Interest forfeiture rules & Schedule of charges (which may be subject to change from time to time) related to Personal Account Opening elaborated in details in the following link:
https://www.thecitybank.com/upload/t&C_pa.pdf