1. If your submitting for information update, please complete section A (Section A is

compulsory) and any other relevant parts to be changed.

2. Please sign the application form as per the signature provided to the bank.

3. Should there be any alterations please sign next to those alterations.

4. Please make sure you write all personal information as given on your National Identity Card.

5. If any question is not applicable please write “ dash (-) or nil “.

އޭ ކނޮްމހެނެްވެސް ފުރުއްވނަް މޢަލުޫމތާު އާކުރނަް ފޯރމް ހށުައަޅުއްވނާަމަ، ސެކޝްނަް އޭ (ސެކޝްނަް .1

ހނޭެ) އދަި ބދަލަު ކުރނަް ބޭނުންވާ މޢަލުޫމތާު ފުރުއްވާ ޖެ

ބނޭްކށަް ދފީައިވާ ސޮޔާއި އއެްގތޮށަް ފޯރމްގައި ސޮއި ކުރއަވްާ .2

ޖނެމަަ އތެނަެއް ކައިރީގައި ސޮއި ކރުއަްވާ. އެއްވެސް ކށުެއް ޖހެިއ3ް

. އަމިއލްަ މޢަލުޫމތާު އައިޑީ ކޑާުގައި ދފީައިވާ ގތޮށަް ފުރުއްވ4ާ

ޖައްސަވާ nil) ނުވތަަ -. އެއްވެސް ސުވލާަކއާި ތިޔފަރަތާާއި ގުޅުމެއް ނުވނާަމަ "ޑޝޭް (5

GENERAL INSTRUCTIONS

New Acc: UpdateDormant

CIF No:

D D M M Y Y Y Y

INFORMATION FORMMaldives Islamic Bank

FOR BANK USE ONLY

Mr Ms Mrs Dr Other , Please specify

Full Name (as in ID card/PP for foreigners)

National ID Card No. ID Card Expiry Date

Date of Birth

Passport No. Passport Expiry Date

Work Permit/VisaExpiry Date

(for foreigners) (for foreigners)

Work Permit/Visa No. (for foreigners)

Gender Male Female Single MarriedMarital Status

Other, specify

Educational

Title

Qualification

PassphraseNo. of Dependants

MastersDegreePrimaryBasic Education Professional Secondary/Higher Secondary

SECTION A PERSONAL INFORMATION

D D M M Y Y Y Y

D D M M Y Y Y Y

D D M M Y Y Y Y

Flat No/Floor Flat No/Floor

Street Name Street Name

City/Island/Atoll

Postal Code Postal Code

Permanent PresentPreferred mailing address

CONTACT INFORMATIONSECTION B

(as in ID card/Passport) (if different from permanent)

Next of kin (Optional)In case of my death or to ascertain my whereabouts, please enquire from /inform the status of my account to:

Name Relationship

Address

National ID Card No.

Email Address

Mobile/Telephone No.

Nationality

Present Address

Office Number

House/Building Name

Home Number

Mobile Number

House/Building Name

Email Address

City/Island/Atoll

INDIVIDUAL

If you are submitting for an information update, please complete section A and relevant sections to be changed

Profit Income Pension Gi�/Donation

Sale of property

Rent

Family Remittance Other

Other businesses Involved

Name of business

Name of business

Designation

Designation

Name of business Designation

Other Income (in MVR)

SalariedEmployment Status Self employed Unemployed Student Retired

Civil/StateEmployment Sector Private Public Military/Police Political

Volunteer Judiciary Other, please specify

Employer Name

Joined Date:Occupation/Designation

Address of Employer

House/Building Name

Flat No/Floor

Street Name

City/Island/ Atoll

Postal Code

SECTION C

EMPLOYMENT DETAILS:

OTHER FINANCIAL DETAILS:

N/A

Less than 10,000

Monthly Salary (in MVR) (please specify including allowances)

10,000 to 35,000 35,000 to 50,000

(minor account)

Length of Service

(if you have been in your current job for less than one year)Name of previous employer

(please specify the amount accordingly)

More than 50,000

Less than 10,000 10,000 to 35,000 35,000 to 50,000 More than 50,000

If Self Employed, please specify the details:

Since

NoIs your propertymortgaged?

NoIs your propertyInsured?

Yes, list all insured property(s)

Yes, list all the mortgaged property(s)

Loans or other facilities with other institutions

MotorcycleVehicle/Vessel Car Vessel Others, specify

NoIs your vehicle/vessel insured?

Yes, list all insured vehicle(s)

Description Repayment Amount Frequency Expiry Date

Property, please list name and country of each property

Others, please specify

HSBC

If you are operating accounts in other banks, please specify accordingly

SBI MCB BML CBM

BOC HBL Others, specify

Building Land

Fixed Deposit Shares

Provident Fund Pension Fund

Vehicles/ Vessels None

ASSETS:

Less than 15,000 15,000 to 30,000 30,000 to 50,000 50,000 to 200,000

200,000 to 500,000 500,000 to 1,000,000 More than 1,000,000, please specify a minimun amount

Estimated monthly volume of transactions

SECTION D ACCOUNT TRANSACTION INFORMATION )

Estimated monthly value of transactions ( in MVR)

0 - 10 10 - 20 20 - 30 More than 30

None

ASSETS:

ADDITIONAL INFORMATION

1. Please tick the appropriate box if you are in any of the following positions:

OR

2. If none of the above is applicable, please tick any of the following:

I am actively seeking or being considered for above stated positions;

I have been retired for less than 12 months from the above mentioned positions;

My Close Family Members [Parents, Spouses, Children, sibling etc.] – are holding, OR actively seeking OR being considered OR retired for less than 12 months from the above stated positions. (Please Complete below)

Any individual holding any of the above stated position is associated party with my Business and holds more than 25% voting rights/share in your Business/Company; (Please Complete below)

Any individual holding any of the above stated position has significant influence over the policy, business and strategy of my Business/Company implying that the individual takes part in day to day management and the position is not an isolated consultative role or a non—executive role. (Please Complete below)

I have a joint beneficial ownership of a legal entity or a legal arrangement (for example company or trust etc.) or any other close business relationship with an individual holding any of the above stated positions;

I have a sole beneficial ownership of a legal entity or a legal arrangement (for example company or trust etc.) which is set up by a person holding any of the above stated positions;

Heads of State/Heads of Governments (example: President, Vice President, Prime Ministers)

Cabinet Ministers & State Ministers [includes Deputy or Assistant Ministers]

Members of Parliament [Any Similar Legislative Bodies]

Judges & Magistrates

Elected Council Members

Members & Senior Most Officials of a State Agency or Institution [like board members of central banks]

Senior Military Officials

Senior Officials appointed as per the provisions of a specific law (example: Head of FIU)

Senior Political Appointees of a Government (example: Coordinators at various Ministries)

Board Members of State-Owned Enterprises

Foreign and Local Diplomats [include ambassadors, chargés d'affaires etc.]

Senior Political Party Members [including members of the governing bodies of political parties]

Full Name

Occupation / Designation

None of the above

3. If YES, please specify the details

FATCA DECLARATION

NoAre you a citizen ofany other country?

Home Address

Yes, name of the country

NoAre you a work permitholder of USA

Yes NoDo you hold a green card of USA?

I declare that I possess USA nationality/Lawful Permanent Residency/Passport and authorize Maldives Islamic Bank to disclose requiredinformation to Inland Revenue Services of USA under FATCA.

I declare that I do not possess USA nationality/ Lawful Permanent Residency /passport as on date. I further undertake to inform the Bankof obtaining USA Citizenship/Green card/Passport in future within material time and authorize Maldives Islamic Bank to disclose requiredinformation to Inland Revenue Services in USA.

Signature

FOR BANK USE ONLY

CRP Rating

KYC update frequency Annually Once in 3 years

Forms and supporting documents

Received by

Checked by

Authorized by

Staff ID Signature Date

Risk Categorization Low High

D D M M Y Y Y Y

(Please complete Annexure 1 - Customer Risk Rating sheet and attach with this form)

New Signature

Date:

If updating the specimen signature:

Yes

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Sanction List checked