IPO Full (All in One)

Interested persons are entitled to a prospectus, if they so desire.
Copies of prospectus may be obtained from the issuer and the issue manager
BENGAL WINDSOR THERMOPLASTICS LIMITED

APPLICATION FORM APPLICATION FOR SHARES BY OTHER THAN NON-RESIDENT BANGLADESHI(S) (To be sent directly to the Companys Corporate Office) Warning: Please read the instructions on the back of this form. Incorrectly filled Applications may be rejected. The Managing Director Bengal Windsor Thermoplastics Limited
Bengal House, 75 Gulshan Avenue, Gulshan 1, Dhaka 1212, Bangladesh
Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated.....................................................................................on ............................................................................................................................. ...................Bank................................................................................. Branch. 3. Beneficiary Owner (BO) A/C No.
(If you do not mention your valid BO A/C No. your application will be treated as invalid)
4. I/we agree to fully abide by the instructions given herein. 5. Particulars of Applicant(s):
a) Sole/First Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation: HOUSE WIFE
MOST. SHAMSUN NAHAR LATE SHAMSUL HOQ SADIRON NESA 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any): 01748566325
For Refund Warrant: Please write the correct and full name of bank and branch (Application will not be treated as valid if any one uses a non-scheduled bank. To avoid this complication, applicants are requested not to use the name of any non-scheduled bank). For refund purpose: 1/we want refund through Bank Account* Hand Delivery / Courier ( put tick mark in which refund will be made The applicant shall provide the same Bank Account number in the application form as it is in the BO account of the applicant.
Applicant's Bank A/C No : 100024188 Name of the Bank : SONALI BANK LTD b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Bengal Windsor Thermoplastics Limited 25/each at par. Signature : Signature : and have willingly 6. I/we hereby declare that I/we have read the Prospectus of subscribed for 200 No. of Ordinary Shares of Tk
Branch : KAMLAPUR RAILWAY STATION
7. Specimen Signature(s):
(i) Name (in Block Letters) (ii) Name (in Block Letters)
MOST. SHAMSUN NAHAR
* In case of deposit into the applicants bank account, the applicant will bear the applicable service charge, if any, of the applicants banker, and the i ssuer shall simultaneously issue a letter of intimation to the applicant containing, among others, the date and amount remitted with details of the bank through and to which bank such remittance has been effected.
... ...........
BANKERS ACKNOWLEDGEMENT
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms MOST. SHAMSUN NAHAR Bengal Windsor Thermoplastics Limited. (in word: Five being the application money for
Thousand 200
) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date
Authorized Signature (Name & Designation)
Interested persons are entitled to a prospectus, if they so desire. Copies of prospectus may be obtained from the issuer and the issue manager

Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated.................................................. ...................................on ................................................................................................................................................Bank.................................................................. ............... Branch. 3. Beneficiary Owner (BO) A/C No.
MOST. SHAMSUN NAHAR LATE SHAMSUL HOQ SADIRON NESA 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any): 01748566325
Applicant's Bank A/C No : 100024188 Name of the Bank : SONALI BANK LTD b) Second Applicant: Name: Father's/Husbands Name: Mothers Name : Postal Address : Occupation : HOUSE WIFE MST. MORIUM BEGUM MD. SHARIF MIAH LATE SAFIA BEGUM _DO_ Nationality: Bangladeshi Phone (if any) :
and have willingly Bengal Windsor Thermoplastics Limited 25/each at par. Signature : Signature :
Branch : KAMLAPUR RAILWAY STATION
6. I/we hereby declare that I/we have read the Prospectus of subscribed for 200 No. of Ordinary Shares of Tk
MOST. SHAMSUN NAHAR MST. MORIUM BEGUM
* In case of deposit into the applicants bank account, the applicant will bear the applicable service charge, if any, of the applicants banker, and the issuer shall simultaneously issue a letter of intimation to the applicant containing, among others, the date and amount remitted with details of the bank through and to which bank such remittance has been effected.
..............
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MOST. SHAMSUN NAHAR & MST. MORIUM nos. of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand BEGUM

being the application money for
) only from
200
Bankers SL. No.
Seal &Date

Bankers SI. No.
a) Sole/First Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation: STUDENT
MD. SHAHJALAL SAGOR MD. ABDUL KAIYUM RINA BEGUM 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01717824691
Applicant's Bank A/C No : 118. 105. 62161 Name of the Bank : DUTCH BANGLA BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : ISLAMPUR
MD. SHAHJALAL SAGOR
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms MD. SHAHJALAL SAGOR Bengal Windsor Thermoplastics Limited. (in word: Five being the application money for
Thousand 200
Bankers SL. No.
Seal &Date

Bankers SI. No.
MD. SHAHJALAL SAGOR MD. ABDUL KAIYUM RINA BEGUM 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01717824691
Applicant's Bank A/C No: 118. 105. 62161 Name of the Bank : DUTCH BANGLA BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : SERVICE MD. SHAHJAHAN SIRAJI ABDUR ROB HOWLADER ACHIA KHATUN _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : ISLAMPUR
MD. SHAHJALAL SAGOR MD. SHAHJAHAN SIRAJI
..............
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. SHAHJALAL SAGOR & MD. SHAHJAHAN of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand SIRAJI

200
) only from nos.
Bankers SL. No.
Seal &Date

Bankers SI. No.
a) Sole/First Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation: SERVICE
MD. NAZIR HOSSAIN LATE ANSAR ALI LATE SOBURON NESA 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01911384742
Applicant's Bank A/C No: 10002378-4 Name of the Bank : SONALI BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : KAMLAPUR ICD
MD. NAZIR HOSSAIN
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms MD. NAZIR HOSSAIN Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date

Bankers SI. No.
MD. NAZIR HOSSAIN LATE ANSAR ALI LATE SOBURON NESA 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01911384742
Applicant's Bank A/C No: 10002378-4 Name of the Bank : SONALI BANK LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation : HOUSE WIFE MST. NAZMA BEGUM MD. ANSAR ALI SOBURON NESA _DO_ Nationality: Bangladeshi Phone (if any) :
MD. NAZIR HOSSAIN MST. NAZMA BEGUM
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. NAZIR HOSSAIN & MST. NAZMA BEGUM of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos.
Bankers SL. No.
Seal &Date

Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated .....................................................................................on ............................................................................................................................. ...................Bank................................................................................. Branch. 3. Beneficiary Owner (BO) A/C No.
MD. SAKIL HOSSAIN LATE SHAMSUL HOQ SAMSUN NAHAR 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01926670782
Applicant's Bank A/C No: 102. 101. 0123510 Name of the Bank : EASTERN BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : MOTIJHEEL
MD. SAKIL HOSSAIN
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms MD. SAKIL HOSSAIN Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date
Interested persons are entitled to a prospectus, if they so desire. Copies of prospectus may be obtained from the issuer and the issue m anager

Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated................... ..................................................................on ................................................................................................................................................Bank................................... .............................................. Branch. 3. Beneficiary Owner (BO) A/C No.
MD. SAKIL HOSSAIN LATE SHAMSUL HOQ SAMSUN NAHAR 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01926670782
Applicant's Bank A/C No: 102. 101. 0123510 Name of the Bank : EASTERN BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : SERVICE MD. MANIK MIAH LATE TAHER MIAH MST. SALEHA BANU _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : MOTIJHEEL
MD. SAKIL HOSSAIN MD. MANIK MIAH
..............
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. SAKIL HOSSAIN & MD. MANIK MIAH ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos. of
Bankers SL. No.
Seal &Date

Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated.....................................................................................on ......................................................................................................................................... .......Bank................................................................................. Branch. 3. Beneficiary Owner (BO) A/C No.
a) Sole/First Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation: BUSINESS
MD. SAJIB HOSSAIN LATE MD. SHAMSUL HOQ SAMSUN NAHAR 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01923291572
Applicant's Bank A/C No: 100019826 Name of the Bank : SONALI BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
MD. SAJIB HOSSAIN
* In case of deposit into the applicants bank account, the applicant will bear the applicable service charge, if any, of the applicants banker, and the issuer shall simul taneously issue a letter of intimation to the applicant containing, among others, the date and amount remitted with details of the bank through and to which bank such remittance has been effected.
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms MD. SAJIB HOSSAIN Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date

Bankers SI. No.
a) Sole/First Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation: BUSINESS
MD. SAJIB HOSSAIN LATE MD. SHAMSUL HOQ SAMSUN NAHAR 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01923291572
Applicant's Bank A/C No: 100019826 Name of the Bank : SONALI BANK LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name : Postal Address : Occupation : SERVICE MD. JAHANGIR HOSSAIN LATE KALA MIA LATE JOYNOB BIBI _DO_ Nationality: Bangladeshi Phone (if any) :
MD. SAJIB HOSSAIN MD. JAHANGIR HOSSAIN
..............
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. SAJIB HOSSAIN & MD. JAHANGIR HOSSAIN of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos.
Bankers SL. No.
Seal &Date

APPLICATION FORM APPLICATION FOR SHARES BY AFFECTED SMALL INVESTOR(S) (To be sent directly to the Companys Corporate Office) Warning: Please read the instructions on the back of this form. Incorrectly filled Applications may be rejected. The Managing Director Bengal Windsor Thermoplastics Limited
Bankers SI. No.
MD. ANWAR HOSSAIN LATE MD. TURAB ALI MRS. SALEMAN KHATUN M/S. MODHUMOTI ENTERPRISE, 44, DILKHUSHA C/A(3RD FLOOR), DHAKA, 1000 Nationality: Bangladeshi Phone (if any) : 01912578826
Applicant's Bank A/C No: 105. 101. 274719 Name of the Bank : DUTCH BANGLA BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : SERVICE MST. ABEDA SULTANA MD. ANWAR HOSSAIN SURAYA KHATUN _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : FOREIGN EXCHANGE
MD. ANWAR HOSSAIN MST. ABEDA SULTANA
* In case of deposit into the applicants bank account, the applicant will bear the applicable service charge, if any, of the applicants banker, and the issuer shall simul taneously issue a letter of intimation to the applicant containing, among others, the date and amount remitted with details of the bank through and to which bank such remittance has been effected.
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. ANWAR HOSSAIN & MST. ABEDA SULTANA of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos.
Bankers SL. No.
Seal &Date

Bankers SI. No.
RAHANA AKTER MD. KHALILUR RAHMAN RAZIA KHATUN 67/4 NORTH GOLAPBAG DHAKA, 1203 Nationality: Bangladeshi Phone (if any) : 01923291572
Applicant's Bank A/C No: 10011332 Name of the Bank : JANATA BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : WAPDA
RAHANA AKTER
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms RAHANA AKTER Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date

Bankers SI. No.
RAHANA AKTER MD. KHALILUR RAHMAN RAZIA KHATUN 67/4 NORTH GOLAPBAG DHAKA, 1203 Nationality: Bangladeshi Phone (if any) : 01923291572
Applicant's Bank A/C No: 10011332 Name of the Bank : JANATA BANK LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation : HOUSE WIFE SHILA AKTER ALI AKBER MIA ASMA BEGUM _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : WAPDA
RAHANA AKTER SHILA AKTER
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms RAHANA AKTER & SHILA AKTER ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos. of
Bankers SL. No.
Seal &Date

Bankers SI. No.
NIRJONA IRIN MD. SAKIL HOSSAIN RABEYA 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01674942296
Applicant's Bank A/C No: 100024451 Name of the Bank : SONALI BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : K. RAIL WAYSTATION
NIRJONA IRIN
... ...........
Certified that this Bank has received Tk. (in figure) Mr./Mrs./Ms NIRJONA IRIN Bengal Windsor Thermoplastics Limited.
5000/-
(in word: Five Thousand being the application money for 200
Bankers SL. No.
Seal &Date

Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated.....................................................................................on ......................................................................................................................................... .......Bank................................................................................. Branch. 3. Beneficiary Owner (BO) A/C No.
NIRJONA IRIN MD. SAKIL HOSSAIN RABEYA 47, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01674942296
Applicant's Bank A/C No: 100024451 Name of the Bank : SONALI BANK LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address : Occupation : HOUSE WIFE MST. BEAUTY BEGUM ABDUL KAIUM JELATUN BEGUM _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : K. RAILWAY STATION
NIRJONA IRIN MST. BEAUTY BEGUM
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms NIRJONA IRIN & MST. BEAUTY BEGUM of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos.
Bankers SL. No.
Seal &Date

Bankers SI. No.
NURNAHAR BEGUM MD. YOUSUF ALAM SADIRON NESA 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01939298047
Applicant's Bank A/C No: 24180 Name of the Bank : ISLAMI BANK BD. LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : F. EX. CORP.
NURNAHAR BEGUM
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms NURNAHAR BEGUM Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date
Interested persons are entitled to a prospectus, if they so desire. Copies of prospectus may be obtained from the issuer and the issue m anager

Bankers SI. No.
Dear Sir, I/we apply for and request you to allot me/us the 200 numbers of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Company's Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicant's address stated below: 1. No. of Ordinary Shares 200 of Tk 25/each at par. 2. Total subscription money of the amount of Tk. (in figures) 5000/- Taka (in words) Five Thousand only Deposited vide Cash/Cheque/Draft/Pay Order No ......................................................................dated................... ..................................................................on ................................................................................................................................................Bank................................... .............................................. Branch. 3. Beneficiary Owner (BO) A/C No.
HASNA HENA ABDUL MALEK KHOSHNAHAR BEGUM 168, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01918111564
HASNA HENA
... ...........
Certified that this Bank has received Tk. (in figure) Mr./Mrs./Ms HASNA HENA Bengal Windsor Thermoplastics Limited.
5000/-
(in word: Five Thousand being the application money for 200
Bankers SL. No.
Seal &Date

Bankers SI. No.
HASNA HENA ABDUL MALEK KHOSHNAHAR BEGUM 168, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01918111564
Applicant's Bank A/C No: 24976 Name of the Bank : ISLAMI BANK BD. LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address : Occupation : BUSINESS ABDUL MALEK LATE ABDUL SATTAR LATE AZMERI BEGUM _DO_ Nationality: Bangladeshi Phone (if any) :
HASNA HENA ABDUL MALEK
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms HASNA HENA & ABDUL MALEK ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos. of
Bankers SL. No.
Seal &Date

Bankers SI. No.
NURJAHAN AKTER SULTAN AHAMED LATE SOBURON NESA 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01817523730
Applicant's Bank A/C No: 12100040048 Name of the Bank : SHAHJALAL ISLAMI BANK LTD. b) Second Applicant: Name : Father's/Husbands Name : Mothers Name : Postal Address : Occupation : Nationality: Phone (if any) :
Branch : DHAKA MAIN
NURJAHAN AKTER
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms NURJAHAN AKTER Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date

Bankers SI. No.
NURJAHAN AKTER SULTAN AHAMED LATE SOBURON NESA 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01817523730
Applicant's Bank A/C No: 12100040048 Name of the Bank : SHAHJALAL ISLAMI BANK LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address : Occupation : SERVICE SULTAN AHAMED LATE ABUL HASHEM KHURSIA BEGUM _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : DHAKA MAIN
NURJAHAN AKTER SULTAN AHAMED
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms NURJAHAN AKTER & SULTAN AHAMED of ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos.
Bankers SL. No.
Seal &Date

Bankers SI. No.
MD. WALI ULLAH LATE MD. HAMID ALI BAPARI LATE ANJUMANARA BEGUM 166, SOUTH KAMLAPUR, 1ST FLR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01819159025
Applicant's Bank A/C No: 621562 Name of the Bank : AGRANI BANK LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address : Occupation : HOUSE WIFE FATEMA AKTER SILA MD. WALI ULLAH LATE SOBURON NESA _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : PURANA PALTAN
MD. WALI ULLAH FATEMA AKTER SILA
... ...........
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. WALI ULLAH & FATEMA AKTER SILA ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos. of
Bankers SL. No.
Seal &Date

Bankers SI. No.
MD. YOUSUF ALAM LATE ABU TAHER MUNSHEE LATE MOSA SALEHA BEGUM 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01715547381
Applicant's Bank A/C No: 22251 Name of the Bank : ISLAMI BANK BD. LTD. b) Second Applicant: Name: Father's/Husbands Name: Mothers Name: Postal Address: Occupation : HOUSE WIFE NUR NAHAR BEGUM MD. YOUSUF ALAM LATE SADIRON NESA _DO_ Nationality: Bangladeshi Phone (if any) :
Branch : FOREIGN EXCHANGE CORP.
MD. YOUSUF ALAM NUR NAHAR BEGUM
..............
Certified that this Bank has received Tk. (in figure) 5000/(in word: Mr./Mrs./Ms MD. YOUSUF ALAM & NUR NAHAR BEGUM ordinary shares of Bengal Windsor Thermoplastics Limited.
Five Thousand
200
) only from nos. of
Bankers SL. No.
Seal &Date

Bankers SI. No.
MD. YOUSUF ALAM LATE ABU TAHER MUNSHEE LATE MOSA SALEHA BEGUM 166, SOUTH KAMLAPUR, DHAKA, 1217 Nationality: Bangladeshi Phone (if any) : 01715547381
Branch : FOREIGN EXCHANGE CORP.
MD. YOUSUF ALAM
... ...........
Certified that this Bank has received Tk. (in figure) 5000/Mr./Mrs./Ms MD. YOUSUF ALAM Bengal Windsor Thermoplastics Limited. (in word: Five Thousand being the application money for 200 ) only from nos. of ordinary shares of
Bankers SL. No.
Seal &Date

IPO Full (All in One)

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

IPO Full (All in One)

Diunggah oleh

Hak Cipta:

Format Tersedia

Interested persons are entitled to a prospectus, if they so desire.

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

Branch : KAMLAPUR RAILWAY STATION

MOST. SHAMSUN NAHAR

) only from nos. of ordinary shares of

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

Branch : KAMLAPUR RAILWAY STATION

MOST. SHAMSUN NAHAR MST. MORIUM BEGUM

Five Thousand BEGUM

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

MD. SHAHJALAL SAGOR

) only from nos. of ordinary shares of

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

MD. SHAHJALAL SAGOR MD. SHAHJAHAN SIRAJI

Five Thousand SIRAJI

) only from nos.

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

Branch : KAMLAPUR ICD

MD. NAZIR HOSSAIN

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

Branch : KAMLAPUR ICD

MD. NAZIR HOSSAIN MST. NAZMA BEGUM

) only from nos.

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

MD. SAKIL HOSSAIN

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

MD. SAKIL HOSSAIN MD. MANIK MIAH

) only from nos. of

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

Branch : KAMLAPUR ICD

MD. SAJIB HOSSAIN

Bankers SL. No.

Authorized Signature (Name & Designation)

BENGAL WINDSOR THERMOPLASTICS LIMITED

Bankers SI. No.

Branch : KAMLAPUR ICD

MD. SAJIB HOSSAIN MD. JAHANGIR HOSSAIN

) only from nos.