Form C
Form C
Form C
5 10
________________________________________________________________________________________ remitted or
To be remitted by ______________________________________________________________________ on account of
(name and address of remitting bank)
______________________________________
(Name of Applicant)
Nationality _______________________________
Address __________________________________
__________________________________________
Dated ………………………. Signature and Stamp of
the applicant
Coded by _________________________
Checked by _______________________
Purpose of remittance________________________________________________________________________________
We hereby certify that we are satisfied as to the identity of the applicant and that we have seen documentary
evidence which satisfies as to the bona fides of the declaration made on this form.
________________________________
Dated ………………………. Signature and Stamp of
Authorized Dealer
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 1 of 2
See Chapter 5 Para 10 APP. 5 10
BANGLADESH BANK
Foreign Exchange Policy Department
Assistant Director
Date ……………………….
Note: Full details must be given for all remittances which are of capital nature. In the case of amounts
for investment in Bangladesh in shares of Business, the reasons why the investment is required must be
clearly indicated. In the case of the remittance of the sale proceeds of securities the name of the true
owner of the securities must be given and also the approximate date of purchase.
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 2 of 2