ATC SHARIAH UNIT FUND

Asset Manager: Asian Tiger Capital Partners Asset Management Limited (ATC AML)

APPLICATION FORM FOR PURCHASE OF UNITS BY INDIVIDUAL

(Please read" Terms & Conditions" on reverse carefull)

Please write using BLOCK LETTERS

Account Status *

A. Principal Applicant

For an Individual Account fill out only the Principal Account holder information.

Name *

Father's/Husband's Name *

Mother's Name *

Postal Address *

Postal Code *

Nationality *

Occupation *

Date of Birth *

Investor ID No.(Existing Unit Holder only)

No. of holding Unit (Existing Unit Holder only)

National ID No./ Passport No. *

Residency Status *

Email(If any) *

Tel/Mobile *

Fax(If any)

BO A/C No. :

Bank Name :

CIP ( Cumulative Investment Plan ):

TIN Certificate Number

Bank Branch Name :

Bank A/C No. :

B. Joint Applicant(If any)

For a Joint Account, fill out both the Principal and Joint Account holders information.

Name *

Father's/Husband's Name *

Mother's Name *

Relation with Principal Applicant *

Address *

Postal Code *

Nationality *

Occupation *

Date of Birth*

National ID No./ Passport No. *

Email (if any) *

Tel/Mobile *

Fax(If any)

C. Nominee

Name *

Father's/Husband's Name * Father Husband

Mother's Name *

Relation with Principal Applicant *

Postal Code *

Address *

National ID No./ Passport No. *

Email (if any)

Tel/Mobile *

Fax(If any)

D. Applicant's Attachment:

Photo of Principal Applicant's*(jpg and Max Size 100kb)

Photo of Joint Applicant's (.jpg and size Max. 100kb )*

Copy of Passport/National ID (.jpg and size Max. 100kb )*

Payee Cheque (.jpg and size Max. 100kb )

Photo of Nominee (.jpg and size Max. 100kb )*

Letter of Authorization (in case of foreign investors)(.jpg and size Max. 100kb )*

B.O application form or portfolio Statement ( jpg/pdf )

E. Purchase Demand

Purchase Quantity *

Per unit (BDT) *

Total Amount (BDT) *

Cheque/PO/D.D. No *

Bank Name*

Bank Branch Name*

Cheque Date *:

Cheque Deposit Date :

Deposit slip (.jpg and size Max. 60kb )

F. Applicant's Signature:

Principal Applicant (.jpg and size Max. 60kb )

Joint Applicant (.jpg and size Max. 60kb )

I accept the Terms & Conditions