Commercial Leasing & Finance Limited Company R"9;stra~on No: PO 131 PB 68, Blluddhaloka Mawall1a, Colombo 04, ~~ COMMERCIAL LEASING" Tel:4526526 Fax: 4526~1 FINANU APPLICATION FOR OPENING Of A SAVINGS I FIXED DEPOSIT ACCOUNT (CORPORATE I INSTITUTIONS ACCOUNTS) The Manage. Commercial leasing & Finan~e Co limited ,., , , , , , ,.Br a n c h t IWe the undersigned, the Director:<;I Partners! Proprietor I Members, of ••••••• __ •••• '''''''" •• , ••••• registe red >0 •••••••• office _ •••••• ,_ ••••••••••••• at ,,'" •••••••••••••• _ , _ ••••••••••••••••• , •••• , _ ••••• , ••••• ,' •••••••••••••••• ,' •••••• •••• , ••••• , ••••• ,...•......•.... ",...•....... , , ••••• , ,' ••• ,' ••••• , ••••••••••• ,' , ,' ••••• ,' , ••••••••• ,' ,' h 3v i og it, , ,' ".d0 hereby request JIOuto open a Savings I Fixed Deposit Account in the name of my f our entity a~per the informatiofl provided below. I/Weilgree Account Silvings to provide all the required document! requested by CLCIn this regard_ Type: 0 0 Fixed Deposit Type of Corporate I Institution : Limited Liability Company 0 Partnership 0 Sole Proprietorship Club~1 A~sociations /Societies 0 0 Others (please Specifyl Information of the Corporate Name of the Corporate {Institution: Co"e~pondence Address: f Entity: ....•,.....................••..............•......... _" " "" ...........•" " . _.._.....•.......... Company Registration / Bu,ines, Registration Number and d~te of i5Sue Contilct Telephone nurnbe" _" " " " , ..,....•............ " ".. . Fax No: ... E-mail: .... Details of Owner { Partners I Directors Name { Office Bearers: NICNumber Page 1 of 4 Designation Signature For Limited Liability Companies only Board llesolution We hereby certify lhat the followl"9 " a true copy 0/ an extract from the minutes of the meeting of the Board of Oire<:tOfsof _ " , ,', , , ".._." _ _, .__ ..__..__ ._._._ _ ,., "...•,.... held in accordance with its Articles of Association. on .".....•......".....•, " (date) at _ __ " _ ,'_ _,__ _.._ .. .. .._." Iplacel. Re",l""d, That a Savings I Fixed DeI'O,it Account in the name of the Company be opened with Commercial leasing and Finance limited and th.tthe --_ .aid Financ" Company be .nd is authorized to honorwithdrawah on beh.lf ohne Comp.ny b~ -_.--- .. ____ .. , , ,', ,', ,', "_ ,, _ ...•............." __ _ _._, _ .._..•. .. ,-_.•.... , , ", ,..,....•, ", , _ _ _ " ,', and debit in"'uaions _..•...._._ _." m.de _-_ ..__ .__ .. _ •._......•{N.me I N.mes 0/ Authorized Signatone, to.ct l and to .ct on .ny olher imnuction, '" given relating to the Account, Secretary I Managing Chairman Agents, Date: .•.......•....................•............ Common Filled Deposit Instructions Amount in word~ (LKR). .._., Dur.tion of the Deposit: 0 1 month Other (PI spe<:ify)." " " "_ Funded by: C.sh I Cheque 'Debit Interest Disposal I ,-, _ _ [j"'i month~ ,, ,._ ' " " " Seal ohhe , " o 6momh, o 12month~ , Company . D 24 month, . 5avings Account: _ .. Please pay interest monthly I at maturity Please pay interest by: (Please tick..jnd Willplete a, applicable) [] Crediting CLCSavings Account !1J Issue a Cheque in favour of __ f;D Please make a transfer to " Branch to the credit of Account No Maturity Instructions [II :rJ [lJ [!] ...._.of " . •• "............ _ I ,..•........•...............' _ . . __ ......•.....................".~........................•.....•.............. .<><- " " 8ank .. _ ....................•......_ _......•....._.__ . (Please litk '" and select a, applicable) Renew both Principal and imerest for a similar term at the applk"~" inlere" rates at maturit~. Renew oni~ the pnncipal for a ,imil.r term at .pplkabie intere,t rates at maturity and tran,fer the inte,est as per the .bove instructions. Pay both C.pital and interest at m.turity without ,enewing the same. in>trUr:lion,will be given 10(LC prior to the m'lllrity ohhe deposit. IIWe declare thaI the information given In this application is true and correa. B~signing below IIWeagreeto comply and 10 be bound b~ the terms and conditions of Commercial Lea,ing and Finance limited, go,""ning the conduct of Ihis accoun~ which l!Wehave read .nd understood and acknowledge the ",ceipt ota copy of the same. Signatu'e Name Designation for office u•• onl CU'lomerCode AcCO<lnt Numbe<' 0.", of Ac<ountOpened ''''''''''''' .••.• Page 2 of 4 Dale ( Know Your Customer (KYC) Pmfile Form (Business) '_ , •• . ."' .. ."' '_. •.r•..•••• __ 1. Name 01 the entity ; 2, Business Registration numbQr : J Dale 01 Incorporation I Regi.tr~oon 4. Country 01 incorporation llf OlJ~ide Sri Lonlca) , 5 Inoome Tax fite No: 6. Regi.te<e<l Address, 11. , Pm"cl~1 Pta"" of Ac1tvr~e.: Nalu",oIbusines.: 8. Asset. """"'d o Property D D by lt1e business D In.estmenl. Motor vehicles o Inheritance Financial Assets D Oll1ers (Specffy) I Premises Information & Ac<;ounts Profile Form I. CllenlType: D Projlrielo< I Partns~ip Public Limiled Company o o o Trust I NGas P""at" D Clubs I Soclet>&$ I Chantiss I Ass0c4111lon$ D Limrted Company 2. Account l\'1le. o SaYings Account o Fixed I Ca~ Def'O.d Olhers (Sp<>cify) Account 3. Purpose lor operling lI1e account &. the usage o Business trans.actions o Inward remottances o LOIln re~~"",nt D D Share jransaClions Others (Specify) f.o-,,'~C~=,"=,,'~7,C.---------------------------------------I E'poocIed source and natute 01 credi~ irlte the account o Sale and oo.inoss o Commission o E.f'O~ turnove, income Proceed. o Contrael proceeds o Sale or propen~ I Assel. o Prof,t tncome o tnvestmerll Proceed PaQe3of4 o OtMrs (specify) 6 Other 7. list Connected of subsidi~ries 8. DirectolS I Professional ~nd business M~jor Sh~reholders (hotding Name I Business I Major & Interest • ~SSOCI~tes and other interest: more than 10% voting of Directors activities (Partners information in case of Partnerships shares) % shareholders All Directors and major shareholders atlewe inf<>rmation as requ",", of sham - should complete in'liduals "KYC" prohle Form~. '" addition 10 provid;ng the in renn5 of regulations und<lr SL'Ct"'" 2 (3) 0 the Financial Transactions Reporting Act No 6 of2006 (In case of Clu~s I Societies I Trusts / NGO.s. office bear""" should ""mplete tndividual "KYC Profile forms") I 9 A,e Ihe Audited Financial Statements for the last two years a,aa"~le No I Current Year Annuat Turnover Net Profil/loss Paid up Capltat + Accumulated 10, Any other accounts Profits with Commercial Signature Leasing & Fmance limited? (I'"YES' Please DD , I (High Ilow gf AulhOfized on""" ; Specify) mrn= of Applicant FOR BAN~ USE ONLY Slgn"tur~ held / M<'<lium) Sign3ture of Man"9'" Page 4 of 4 M~ yyyy