Commercial Leasing & Finance PLC ~L~ Company Registration No: PO 131 PB PO 68, Bauddhaloka Mawatha, Colombo 04. COMMERCIAL LEASING Tel:4526526 Fax: 4526581 8< FINANCE Know Your Cuslomer (KYC) Prolile Form(IndividuaI/Joinl) (Requirement in terms of Financial Transaction Re ?orlin£ Act No 6 of 2006) SeC,u~t~,t'~BllSic IMormation(Includir,tg oOhose :WhO,hOld th~ At!~~"~e),LGuardianJn~ase of min~r Accounts) .~. . ,f ,. .••• liAr,., Tick the appropriate . _ .~.. •.Jl . i( .Jllt.l!.¥ . _ boxes I. Name in full: 1.2 Date of Birlli: 3. For~lgn Address (if uppllcable): 1.1 Maiden n"mt' lif allDlinblel: 2. Citizenship: 2.1 Natillnality: 0 0 0 0 Sri Larlk~n Sri Lankan with dual cWzenship Sri Lankan with foreign citizenship Foreign National 2.2 Type ofViu 2.3 Expiry d~te 4. NaluR' of Businns: (if any) S. Occupation I Employment! 5.t Name &Addren Status: of the emplo)'er: 5.2 Position held: Section -Mandatory"Che'ta8 ./ Tick the a ro riate boxes I. Name,llate ofbirlh and Nationality verification: To be su ed one of the followin acce ted documents o National Identity Card No: ( ) o Passport No: ( ) Copy of valid Visa! Permit should be obtained (Incase of RNNFC) Z. Address nrifieation: Resldential address verified and supported D National Identity Card D Tenancy Agreement o Letter from" Grama Nlladari" (Certified by Divisional Secretary) o Driving License o o Driving license No: . Birth Certificate (for minor No:( .. Others (Specify) by one of the following accepted documents Statement 0 0 er an Crectit Card stalement D Utility Bill (Electricity. water. telephone- flxed lines) 0 Letter from Employer o o N.B." Under item 1& Z, a copy should be beld & stamped"Origiual r-io Mobne hone bills are acnpted J. Status uf the Residential Address: Premises o Owner lease/Rent D Parenfs 0 Official ncome ax ece,p ssessmen olice For studenls slaying in instilution hoslels a leller confirming the same others (Specify) Seen" 0 o 4. rerroanent s. Applicant'. 0 0 0 0 ofwcalth & estimated value. Residential property Motor vehicles Business premises Financial As.<;e1s 6. Source of wulth 0 0 0 FriendsiRelat,vas BoarclJ lodging Others (Spacify) Addrt'lls ownership : Waalth ganerated D lovestments Others (Spcdfy) o (If property is on renVlease. please indicate) from: 0 0 Buslnass ownership Investments Profassionlem 10 men! • {P3jjelQ!2} ............... ) lnt>eritanoo Others (spedfy) Commercial Leasing & Finance PLC ~L~ Company Registration No: PO 131 PB PO 68, 8auddhaloka Mawatha, Colombo 04. COMMERCIAL LEASING Tel:4526526 Fax: 4526581 & FINANCE Information & Account Profile Form IRenuiremel1l ill terms of Fillancial Transaction Renor/ina Act No 6 of 20061 1.AlC Typt: 2.Purpose for opening 0 S~vingsNc 0 ~linorAie 0 fixed/Call Deposit Ne 0 Others (Specify) ..... the account .......... ....... & the usage 0 Business transactions 0 Salary remillance 0 Inward rcmittances(Fa'nily/Othcr) 0 Share transactions 1 Any other remarks I Details 0 0 0 0 Utility bill payment Savings/[n~cstmcnt purposes loan ~c~~ymcnt Others S if 4.Source oCCum!s: Exnected source and nature of credits inlo the account 0 0 0 0 Sales and business turnover Family remillallccs Commission im'ome Export Proceed, 0 0 0 0 5.Anlicipalcd Volumes: E, tcd,Vsual a,'~m 'c volumes of dc 0 Less than 100,000 0 100,000 10 500,000 0 500,000101,000,000 0 1,000,000 102,000,000 0 2.000,000 10 3.000.000 6. Other Connecled Bu~inesl;/Professional 7, Any other accounts with Commercial 8, Are )'OU Other sits into the accoullt in ru • 0 0 Gill Uthers (Specify) or month 0 0 0 0 3,000,000 10 5,000,000 5,000,000 10 7,000,000 7,000,000 10 10,000,000 Over 10,000,000 actMties & interesl~ Leasing & Finance PLC? (If "YlS" I'lease Specify) I I y" I or any member or}'our Immediate family a Political Elpo~ed Penon (PEP)? U "YES".l'lease 9, Contract proceeds Sale of Property IAssets SllarylProfilln~ome Investment Proceed Specify: Remarks: IT! IT! [II]] Signature of Applicant DD MM Y Y Y Y FOR OFFICE USE ONLY Account Number: Owrnll Signature (Low, Medium, Risk Rating of Authoriled Officer: High) SiRnature {Page2of2} of Branch Uead: I I No I