Export Import Bank of Bangladesh Limited Pioneer in Innovative Banking Access IBanking with secured & easy rationale Internet Banking Service Request Form Date: ......../........./............ The Relationship Manager/ The Head of ADCD Export Import Bank of Bangladesh Limited ......................................................................Branch I am enjoying the Internet Banking Service of your bank. I need some changes in my account. In this regard, the following information is being provided: Customer Name [in Block Letters] Registered E-mail Address [in Block Letters] Registered Mobile Number (Example Local no.: +8801710000000, Foreign No.: +971420000111): IBanking Customer ID: Fund Transfer Add New Debit Account Account No. (s) AWCD, MSD, MSND Accounts only Yes No Yes No Yes No Yes No Yes No Signature N.B.: Fund transfer is not applicable for jointly operated account User Re-activation (Please check, if you want to re-active your user / forgot your user login name or both password and security PIN ) Change Registration info New E-mail Address [in Block Letters] New Mobile Number (Example Local no.: +8801710000000, Foreign No.: +971420000111): I hereby declare that the above information is correct. I agree to abide by the terms and conditions available on the internet banking site (https://ibank.eximbankbd.com). I would, therefore, request you to kindly take necessary action for the above changes in my Internet Banking service. Signature Verified by Branch Official With Branch & PA Seal Date........................................ Specimen Signature of the Applicant Date........................................ Branch Use Only T24 Customer ID: IBanking Customer ID: Inputted by (Name & Signature) Authorized by (Name & Signature) Date........................................ Date........................................ ADCD Use Only Approved by Authorized by For any inquery please contact Call Center No : 16246, +8809604016246, Email : callcenter@eximbankbd.com