AIMS OF BANGLADESH

Grameen Bank
GRAMEEN BANK-AIMS FIRST UNIT FUND Micro-Savers Special Purpose Growth Scheme Bridge For Financial Inclusion SIP APPLICATION FORM
(Fill up the Form in Block Letters)
Date of Application:
To AIMS of Bangladesh Limited Unique Trade Centre (UTC), Level - 6 8 Panthopath, Karwan Bazaar, Dhaka 1215

For Office Use Only

Client ID:	AIMS
Sale No.
Selling Agent's Code (if any):
Sale Date:
Registered Mobile No.
Sign & Seal of Issuing Office:

I/We, Mr/Ms/Messrs, having BO ID , request you to open a Systematic Investment Plan (SIP) with the Micro-Savers Special Purpose Growth Scheme of Grameen Bank-AIMS First Unit Fund in favor of me/us. Herewith, I/We have enclose Tk. (in words Taka ) as first installment through Cheque/P.O./D.D/BEFTN (Transaction ID) No. Units of Micro-Savers Special Purpose Growth Scheme of Grameen Bank-AIMS First Unit Fund, at a price of Tk. per unit prevailing on the sale date through AIMS/selling agent. I am/we are providing necessary information as follows:

Bank:

Branch Name/Routing No.

Date:

District:

Country:

Timestamp:

I am/we are providing necessary information as follows:

For Existing Unitholder:

Client ID:

AIMS

(For Office Use Only)

No. of Current Outstanding Units Held:

(For Office Use Only)

Investor Category:

Individual (Local)

NRB

Small Saver

Micro-Saver

Welfare/Pension/Provident Fund

Other (pls. specify)

Profession:

Teacher

Doctor

Engineer

Public Service

Private Service

Business

Agriculture

Other (pls. specify)

Installment Amount (Tk): (in words Taka )

Installment Frequency:

Monthly

Quarterly

Yearly

Tenure:

years /

indefinite period

Installment Date:

5^th /

10^th /

15^th /

20^th /

25^th of the installment period

Auto-renewal Option:

Yes

Dividend Option:

Cash

CIP

Both

Payment Mode:

Bank Auto Debit

Bank Transfer

Debit/Credit Card

MFS

Agent Bank

Other

Source of Fund:

TERMS AND CONDITIONS

The SIP of “Micro-Savers Special Purpose Growth Scheme” of Grameen Bank-AIMS First Unit Fund shall be enrolled through AIMS of Bangladesh Limited and authorized selling agents appointed by AIMS from time to time.

Application must be made by an individual or any legal entity but not by any minor or person of unsound mind.

Application by a new investor to the Scheme must be accompanied with a filled-up “Know Your Client (KYC)” form by the Principal Applicant except in the Small & Micro-Savers Category.

In a Joint application, registration will be in favour of the principal applicant while dividend and other benefits, if any, will be addressed to bank account mentioned first in the Beneficiary Owners (BO) account. In case of the death of any of the joint holders, only the survivor shall be recognized as having the title to the units. On death of all the joint holders, the nominee, if any, will be responsible for distribution of the title, as per Supreme Court verdict of April 2016 (Civil Revision No. 1682 of 2015).

The application should be accompanied by an account payee cheque/pay order/bank draft or any evidence of fund transfer (receipt) in favour of “Grameen Bank-AIMS First Unit Fund, A/C Number 1310000102465, Mutual Trust Bank Limited, Panthapath Branch (Routing No. 145263610 SWIFT Code: MTBLBDDHPPB)” for the total value of the first installment of SIP.

After clearance/encashment/confirmation of the cheque/draft/pay order/fund transfer, the applicant shall be issued units at the applicable Purchase Price on the day and notified accordingly through email and/or SMS. Any fractional amount remaining shall be converted when it sums up to the Purchase Price of one unit and the amount shall be kept as liability of the Scheme.

Minimum SIP amount for micro & small savers is Tk100 (monthly) and Tk1,000 (monthly) for other investors. The unitholders can also deposit in flexible multiple amounts above the minimum installment amount for SIP.

In case of failure to deposit SIP installment amount by any unitholder within the stipulated date, the SIP for that period would not be rejected but units shall be allocated based on the Purchase Price applicable for the actual deposit date, as and when received.

The SIP will be considered automatically discontinued if payment is not received for 03 (three) successive installments of monthly payment, 02 (two) consecutive quarterly payment or 01(one) annual payment due. In such an event, the balance of the remaining investment, if any, will be maintained as general investment.

10.

The Asset Manager will not be responsible if a transaction is delayed or not effected, or the investors’ bank account is debited in advance or after the specific SIP date due to the various clearing cycles or bank holiday. The Manager shall not be held responsible or liable for damages or compensation for any loss incurred by the investor as a result of using the auto debt facility.

11.

An investor must continue the SIP for a minimum tenure of 01 (one) year. If a unitholder desires to terminate the SIP, it would be subject to charge of applicable exit load on the applicable Sale/Surrender Price on the effective date of cancellation.

12.

Any other conditions included in the Prospectus shall also be applicable in a pertinent case. The Asset Manager may vary, suspend, change any condition and/or parameters or modus operandi of the SIP program with due notifications to the Commission, Trustee and the general public.

Declaration and Signatures

I/We have read and understood the contents of the Prospectus of the Micro-Savers Special Purpose Growth Scheme of Grameen Bank-AIMS First Unit Fund and agree to be bound and governed by the same on availing/using the offer. I/We hereby apply for allotment/purchase of Units in the Scheme through SIP and agree to abide by the terms and conditions applicable thereto. I/We hereby declare that I/We are qualified and authorized to make this investment in the Scheme and that the amount invested is through legitimate sources only and does not involve and is not designed for the purpose of any contravention or evasion of an Act, Rules, Regulations, Notifications or Directions of the provisions of Income Tax Acts, Money Laundering Prevention Act, Anti-Corruption Commission Act or any other applicable laws enacted by the Government of Bangladesh from time to time or any international law or sanction. I/We hereby authorize the Fund, its Asset Manager and its Agents to disclose details of my/our investment to my/our investment advisor and/or my/our bank/bankers. I/We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment.

I/We confirm that the issuer/distributor has disclosed all commission and/or cost (in the form of trail commission or any mode) payable to the issuer/distributor, if any, for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. I have examined the information provided by me on this form and to the best of my knowledge and belief it is true, correct and complete.

Applicable to NRBs seeking repatriation of redemption proceeds: I/We confirm that I am/We are Non-Resident(s) Bangladeshi Nationality/Origin and that I/We have remitted funds from abroad through approved banking channels or from funds in my/our NITA account. I/We understand that Foreign investors (individual or corporate) shall have to route funds through a custodial bank in order to qualify for repatriation.

I/We have understood the information requirements of this Form and hereby confirm that the information provided by me/us on this Form are true, correct and complete. I/We also confirm that I/We have read and understood all the Terms and Conditions mentioned in this Form and hereby accept the same.

signed by All Applicants)

SIGNATURE(S) (To be

Name:	Name:	Name:
*Upload Image of Signature Image Size(100x100)	*Upload Image of Signature Image Size(100x100)	*Upload Image of Signature Image Size(100x100)
Signature & Seal of Principal Applicant/Authorized Person	Signature & Seal of Joint Applicant (if any) /Authorized Person	Signature & Seal of Nominee (if any)

Systematic Investment Plan (পদ্ধতিগত বিনিয়োগ পরিকল্পনা)

GRAMEEN BANK-AIMS FIRST UNIT FUND

Micro-Savers Special Purpose Growth Scheme

For Existing Unitholder:

Aims Of Bangladesh Limited

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