KNOW YOUR CUSTOMER FORM - INDIVIDUALS

SECTION A - BASIC INFORMATION OF THE INDIVIDUAL / mqoa.,sl f;dr;=re / eghpd; mbg;gilj; jfty;fs;Full Name :iïmq¾K ku KOg;ngah;

Full Name in English :iïmq¾K ku bx.S%isfhka KOg; ngah; (Mq;fpyj;jpy;)

Other Names (such as maiden name) :fjk;a kï ^újdyhg fmr ku&Vida ngah;fs; (cjh. fd;dpg; ngah;)

Date of Birth : Place of Birth :

NIC/PP/DL No. :

Purpose of Opening the Account/.sKqu weröug fya;=j/fzf;if Muk;gpg;gjd; Nehf;fk; :Business TransactionsjHdmdr .Kqfokqtpahghuf; nfhLf;fy; thq;fy;fs;

Types of Account/.sKqï j¾./fzf;F tiffs; :

Nationality/Citizenship (Current & Previous) :

iaÓr ,smskhPermanent Address :

Name of Employer :

Occupation (Current) : Nature of Business :

Tel No. : Fax No. : E-mail :

SECTION B - MANDATORY CHECKS / wkq.uH mÍCIdj i|yd / fl;lha tpguq;fs;Name, Date of Birth and Nationality Verification/ ku" Wmka Èkh yd cd;sl;ajh i;Hdmkh lsÍu/ ngah;> gpwe;j jpfjp> Njrpa ,d cWjpg;gLj;jy; :(Supported by one of the following accepted documents/;yjqre lsÍu i|yd my; i|yka ms<s.; yels f,aLkj,ska tlla iuÕ/Vw;Wf;nfhs;sf;$ba gpd;tUk; Mtzq;fSs; xd;W rkh;g;gpf;fg;gl Ntz;Lk;)

Note: The document must bear a photograph of the customer. The original should be sighted and a copy should be held & stamped and signed as ‘Original Seen’.

National Identity Card (No. ___________________)cd;sl ye÷kqïm; Njrpa milahs ml;il

Unexpired Passport (No.: _____________ Country of Issue:____________)j,x.= .=jka .uka n,m;%h ^ksl=;a l< rg& nry;YgbahFk; flTr;rPl;L (toq;fpa ehL)

Birth Certificate (if Minor)Wmamekak iy;slh ^nd,jhialrejl= kï&gpwg;Gr; rhd;wpjo; (guhakilahjtnudpd;)

Postal ID (for persons under 18 years of age);eme,a ye÷kqïm; ^jhi wjq' 18 g wvq mqoa.,hka i|yd&

.Kqfokqlref.a PdhdrEmhla f,aLkfhys wvx.= úh hq;=hs' uq,a msgm; ne,sh hq;= w;r" ‘uq,a msgm; ÿgq njg’ igyka l< msgm;l uqødj ;nd w;aik fhdod r|jd.; hq;=hs'Mtzj;jpy; thbf;ifahshpd; Gifg;glk; ,Uf;f Ntz;Lk;. %yg;gpujp ghh;itaplg;gl;L> mjd; xU gpujpapy; “%yg;gpujp ghh;itaplg;gl;lJ” vd;W Kj;jpiuAk; ifnahg;gKk; ,lg;gl;L itj;jpUf;fg;gl Ntz;Lk;.

Official Armed Forces Service Card;%súOyuqod fiajd ks, ldâm;cj;jpNahg+h;t MAjg;gilr; Nrit ml;il

Official Driving Licenseks, ßhÿre n,m;%hrhujp mDkjpg;gj;jpuk;

Marriage Certificate (for only Name Change purposes) újdy iy;slh ^ku fjkia kï&jpUkzr; rhd;wpjo; (ngah; khw;wk;)

Other ________________________________ (Specify)fjk;a ^meyeÈ,s lrkak&NtW (Fwpg;gplTk;)jghy; milahs ml;il(18 tajpw;F cl;gl;lth;fSf;F)

Family Inward Remittancemjqf,a wNHka;r fm%aIKcs;tUk; FLk;gg; gz mDg;gPLfs;

Date/Èkh/jpfjp : D D M M Y Y YY

CIF No./wxlh/,y. :

Branch/YdLdj/fpis :

Male/mqreI/Mz;

Female/ia;S%/ngz;

Instructions to complete the KYC form / KYC fmdaruh msrùug WmfoiA / KYC gbtj;ij g+h;j;jp nra;tjw;fhd mwpTUj;jy;fs;

• Each account holder is requested to fill a separate form. iEu .sKqïysñhl=u tla fmdaruh ne.ska msrúh hq;=h' fzf;if Muk;gpf;Fk; xt;nthUtUk; jdpj;jdpahd gbtq;fis g+h;j;jp nra;a Ntz;Lk;.

• In the case of a Limited Liability Company, Partnership or Club/Society/Association, each Director, Partner or Office Bearer respectively is requested to fill a separate form. iSudiys; iudÕï" yjq,a jHdmdr" iñ;s iy ix.ï j, ish¨u wOHlaIljreka" yjq,lrejka iy ldrl iNd idudclhska tla fmdaruh ne.ska msrúh hq;=h' fk;gdpfs;> $l;L tpahghuk; my;yJ fofq;fd;/r%f Nritfs; mikg;G/rq;fq;fs; vd;gtw;wpd; KiwNa gzpg;ghsh;fs;> gq;fhsh;fs;> mYtyf nghWg;ghsh;fs; jdpj;jdpahd gbtq;fis g+h;j;jp ntz;Lk;.

• In the case of Children’s Savings Account, the Parent/Guardian/Initiator of the account holder is requested to fill the form. <ud b;=reï .sKqï i|yd foudmshka$Ndrlre$.sKqï wrUkakd fuu fmdaruh msrúh hq;=h' rpWth; Nrkpg;G fzf;Ffshapd; mjid Muk;gpf;Fk; ngw;Nwhh;/ghJfhtyh; my;yJ mjid Muk;gpg;gth; ,e;j gbtj;ij g+h;j;jp nta;a Ntz;Lk;. • Please take duplicates if neccessary. wjYH m%udKhg fuu fmdarufha Pdhd msgm;a ,nd.kak' ,e;j gbtj;jpd; cq;fs; gpujpfs; Njitg;gbd; ngw;Wf; nfhs;Sq;fs;.

• Please write in clear BLOCK LETTERS and mark () where applicable. meyeÈ<s w;a wl=frka fuu fmdaruh mqrjkak" wod< ia:dkj, () ,l=Kqlrkak' njspthd ngupa vOj;Jf;fspy; gbtj;ij g+j;j;jp nra;aTk;. Njitahd ,lq;fspy; () Fwpg;gplTk;.

(Underline Surname/jdi.ug háka brla w¢kak/gpujhd ngahpd; fPo; NfhblTk;)

cd'ye'$.='n'$ß'n wxlh

Utility Bill PaymentWmfhda.s;d ì,am;a f.ùunghJtrjpf; fl;lzf; nfhLg;gdT

Loan RepaymentKh wdmiq f.ùufld; kPsspg;G

Employment / Professional Income/lshd $ jD;a;suh wdodhunjhopy;$epGzj;Jtr; Nrit tUkhdk;

Upkeep of Family / Personmjq, $ mqoa.,hka kv;a;=jFLk;g$jdpg;gl;l nryTfs;

Savingsb;sß lsÍïNrkpg;G

Share Transactionsfldgia .Kqfokqgq;Ff; nfhLf;fy; thq;fy;

Investment Purposeswdfhdack fya;+kaKjyPl;L Nehf;fq;fs;

Social Charity WorkiudÔh mqKH lghq;=r%fNrit> jUkg; gzpfs;

Currentcx.ueilKiw

Term Investmentld,Sk wdfhdackfhy KjyPL

Savingsb;sß lsÍïNrkpg;G

Other (Specify)fjk;a ^meyeÈ,s lrkak&NtW (Fwpg;gplTk;)

__________________________

Other ____________(Specify)fjk;a ^meyeÈ,s lrkak&NtW (Fwpg;gplTk;)

Wmka Èkh Wmka ia:dkh cd;sh$mqrjeisNdjhgpwe;j jpfjp

epiyahd Kftup

ÿrl:k wxlhnjhiyNgrp ,y.

*elaia wxlh/ngf;]; ,y.

úoaHq;a ;eme,a ,smskh<-nkapy Kftup

njhopy; (jw;NghJ);

gpwe;j ,lk; Njrpa ,dk;/gpu[hAupik

tpahghuj;jpd; jd;ikjD;a;sh ^oekg&

fiajdfhdaclhdf.a ku

jHdmdrfha iajNdjh

^oekg yd fmr&(jw;NghJ/Kd;dh;);

njhopy; toq;Fehpd; ngah;

Nj.m.m/flTr;rPl;L/rh.m.g. ,y.

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SECTION B - MANDATORY CHECKS (CONTINUED) / wkq.uH mÍCIdj i|yd ^;jÿrg;a& / fl;lha tpguq;fs; (njhlUk;)

Rs. _______________

Rs. _______________

Rs. _______________

Status of Residential Address (Premises)/mosxÑ ,smskfha ;;a;ajh /trpg;gpl Kfthpapd; epiyik :

Applicant’s Ownership of Wealth and Estimated Value/ whÿïlreg ysñ j;alï yd weia;fïka;= jákdlu/ tpz;zg;gjhuhpd; nry;t chpikAk; kjpg;gPl;Lg; ngWkjpAk; :

Sources of Wealth (Wealth generated from)/ j;alï ,nk ud¾. ^j;alï Wmhkqfha& / nry;tj;jpd; %ytsq;fs; (vq;fpUe;J nry;tk; fpilf;fpwJ) :

Owner/ysñlre/nrhe;j tPL

Parent’s/foudmshkag wh;a/ngw;Nwhhpd; tPL

Residential Property /mÈxÑ foam</trpg;gplr; nrhj;J

Business Premises/jHdmdßl mßY%h/tpahghu nrhj;J

Motor Vehicles/r: jdyk/Nkhl;lhh; thfdq;fs;

Business/jHdmdr/tpahghuk;

Registered Name of Business/jHdmdrfha ,shdmÈxÑ kduh/tpahghuj;jpd; gjpTg; ngah; :

Nature of Business /jHdmdrfha iajNdjh /tpahghuj;jpd; jd;ik :

Details of accounts held with other banks /fjk;a nexl=j, we;s .sKqï ms<sn| f;dr;=re /Vida tq;fpfspYs;s fzf;F tpguq;fs; :

Business Registration No. / Date (If Applicable) /jHdmdrh ,shdmÈxÑ iy;sl wxlh $ Èkh ^wod, fõ kï& /tpahghuj;jpd; gjpT ,y./jpfjp (nghUj;jkhapd;) :

Investments Proceeds /wdfhdack wdodhï/KjyPLfspypUe;J tUkhdk;

Family Remittances/mjqf,a iïfm%aIK/FLk;gg; gz mDg;gPLfs;

Commission Income/fldñia wdodhï/juFg;gz tUkhdk;

Income Details (Monthly Salary Income) / wdodhï úia;r ^udisl jegqma wdodhu& / tpahghu tpguq;fs; (khjhe;j rk;gs tUkhdk;) :

Less than Rs. 15,000/re'15"000g wvq/&.15>000f;F FiwT More than Rs. 100,000/re'100"000g jeä/&.100>000f;F Nky;

Rs./re'/&. 15,000 - 24,999

Rs./re'/&. 25,000 - 39,999

Rs./re'/&. 40,000 - 59,999

Rs./re'/&. 60,000 - 79,999

Rs./re'/&. 80,000 - 99,999

Anticipated Deposits to the Account (Monthly) / .sKqug nerlsÍug woyialrk ;ekam;= ^udislj&/ fzf;fpy; itg;Gr;nra;a cj;Njrpf;Fk; njhif (khjhe;jk;) :

If Self Employed/ iajhx /lshdjl kshq;= kï / Ranjhopy; nra;tjhapd; :

Other Connected Businesses / Professional Activities & InterestsiïnkaOj isák fjk;a jHdmdr $ jD;a;Suh l%shdlrlï yd ,eÈlï njhlh;Gila Vida tpahghuq;fs;/epGzj;Jt njhopy; eltbf;iffSk; <LghLfSk; :

Other Details / Remarks / Notes (if any) fjk;a f;dr;=re $ m%ldY $ igyka ^;sfí kï& Vida tpguq;fs;/fUj;Jf;fs;/Fwpg;Gf;fs; (,Ug;gpd;) :

Public Positions held (Current & Previous) orkq ,enQ rdcH ;k;=re ^oekg yd fmr&

murhq;fg; gjtpfs; (jw;NghJ/Kd;dh;); :

Does the client appear in any known suspected terrorist list or any other alert list? oekqj;a ;%ia;jd§ iellrejkaf.a ,ehsia;=jl fyda fjk;a fidaÈis ,ehsia;=jl fyda .Kqfokqlre ,ehsia;=.; ù ;sfío@ thbf;ifahsh; VNjDk; mwpag;gl;l gaq;futhj re;Njfegh;fs; gl;baypy; my;yJ vr;rhpf;ifg; gl;baypy; cs;shuh? :

Less than Rs. 100,000/re'100"000g wvq/&.100>000f;F FiwT Rs./re'/&. 4,000,000 - 5,000,000

More than Rs.5,000,000/re'5"000"000g jeä/&.5>000>000f;F Nky;Rs./re'/&. 100,000 - 500,000

Rs./re'/&. 500,000 - 1,000,000

Rs./re'/&. 1,000,000 - 2,000,000

Rs./re'/&. 2,000,000 - 3,000,000

Rs./re'/&. 3,000,000 - 4,000,000

Salary / fõ;kh /rk;gsk;

Donations/Charities / mß;Hd.$mqKH lghq;=/ ed;nfhilfs;/jUkq;fs;

Export Proceedss/wmkhk uÕska Wmhk/Vw;Wkjpr; rk;ghj;jpaq;fs;;

Others/fjk;a/NtW _______________________________

Rs. _______________

Rs. _______________

Rs. _______________

Financial Assets /uQ,Huh j;alï/epjpr; nrhj;Jf;fs;

Investments/wdfhdack/KjyPLfs;

Others/fjk;a/NtW _______________________

Lease/Rent / noaog$l=,shg/ Fj;jif/thlif tPL

Official/ks, ksjila/cj;jpNahfg+h;t trpg;gplk;

Friends/Relatives/ ñ;=rkag$kEoEhkag wh;a/ ez;gh;/cwtpdhpd; tPL

Board/Lodging/ kjd;eka$,e.=ï/ tpLjp/jq;Fkplk;

YesTõ ke;Mk; ,y;iy

No

_______________________________________________ Period/ld,h/fhyk; : _____________________

_______________________________________________ Period/ld,h/fhyk; : _____________________

_______________________________________________ Period/ld,h/fhyk; : _____________________

Includes individuals in Sri Lanka or abroad who are or have been entrusted with prominent public functions. E.g.: Heads of State or of Government, Senior Politicians, Senior Government,Judicial or Military Officials, Senior Executives of state owned corporations, important political party officials.Y%S ,xldfõ fyda úfoaYhl m%isoaO rdcH ks,hka ork ,o ;ks mqoa.,hka o we;=¿j' Wod ( rdcH kdhlhka" fÊHIaG foaYmd,k{hka" fÊHIaG rdcH" wêlrK" wud;HdxY ks,OdÍka" rchg ysñ ixia:dj, m%Odk úOdhlhska" jeo.;a foaYmd,k mCIj,g wh;a ks,OdÍka',yq;ifapy; my;yJ ntspehl;by; Kf;fpa mur flikfis Mw;Wk; my;yJ Mw;wpa egh;fis cs;slf;Fk;. cjh:Njr my;yJ murhq;fj; jiyth;fs;> rpNu\;l murpay;thjpfs;>

rpNu\;l mur> ePjpj;Jiw kw;Wk; gilj;Jiw mjpfhhpfs;> mur $l;Lj;jhgdq;fspd; rpNu\;l epiwNtw;W mjpfhhpfs;> Kf;fpa murpaw; fl;rp cj;jpNahf];jh;fs;.

Address Verification/ ,smskh i;Hdmkh lsÍu / Kfthpia Ch;[pjk; nra;jy; : (Permanent address verified and supported by one of the following accepted documents/iaÓr ,smskh i;Hdmkh l< hq;= w;r" ;yjqre lsÍu i|yd my; i|yka ms<s.; yels f,aLkj,ska tlla iuÕ/epue;ju Kfthpia cWjpg;gLj;Jtjw;Fg; gpd;tUk; Mtzq;fSs; xd;W rkh;g;gpf;fg;gl Ntz;Lk;;)

Utility Bill (Specify : _____________________) Wmfhda.S;d ì,am;a ^i|yka lrkak&nghJtrjpf; fl;lzg; gl;bay; vJ vd Fwpg;gplTk;

Tenancy Agreementnÿ .súiquthlif xg;ge;jk;

National Identity Cardcd;sl ye÷kqïm;Njrpa milahs ml;il

Statement of Other Banksfjk;a nexl=j, m%ldYkVida tq;fpfspd; tpguf;$w;W

Employment Contract/lshd .súiqunjhopy; xg;ge;jk;

Letter from a Public AuthorityrdcH wdh;khlska ksl=;al< ,smshlamur mjpfhurignahd;wpd; fbjk;

Income Tax Receipts / Assessment Noticewdodhï nÿ ,ÿm;a $ jßmkï oekaùïtUkhd thpg; gw;Wr;rPl;Lfs;/thp kjpg;gPl;L mwptpj;jy;

Other ________________________ (Specify)fjk;a ^meyeÈ,s lrkak&NtW (Fwpg;gplTk;)

uq,a msgm; ne,sh hq;= w;r" ‘uq,a msgm; ÿgq njg’ igyka l< msgm;l uqødj ;nd w;aik fhdod r|jd.; hq;=hs' cx.u ÿrl:k ì,am;a ms<s.kq fkd,efí%yg;gpujp ghh;itaplg;gl;L> mjd; xU gpujpapy; “%yg;gpujp ghh;itaplg;gl;lJ” vd;W Kj;jpiuAk; ifnahg;gKk; ,lg;gl;L itj;jpUf;fg;gl Ntz;Lk;. ifalf;fj; njhiyNgrp gpy;fs; Vw;Wf;nfhs;sg;glkhl;lhJ.

Note: The original should be sighted and a copy should be held & stamped and signed as ‘Original Seen’. Mobile phone bills are not accepted.

Signature / w;aik/ ifnahg;gk; Date/ Èkh / jpfjp

Name / ku / ngah;

FOR BANK USE ONLYDetails Checked by :

Signature : ________________________________ Date: __________________

Name : ___________________________________________

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