APPLICATION FORM FOR SAMPATH VISHWA …

1 APPLICATION form FOR SAMPATH VISHWA CORPORATE - SAMAJA Date Please use BLOCK LETTERS. 1. Details of the institution Name : _____. Registration Number : ( If Any). Address : _____. Telephone : Fax : E mail ( For official confidential communication):_____. Account Number : 2. Delegates to operate the account ( Inquiry Only ). Name Designation NIC No. Signature 1. 2. 3. 4. 3. Declaration by the Authorized signatories We, _____designated as_____ who have been duly authorized by resolution dated _____ as authorized signatories of the _____declare that the above information and instructions are true, correct and in accordance with the decision taken by the committee as per the attached minutes dated _____ and undertake to abide by terms, conditions and indemnity of SAMPATH VISHWA Corporate online banking facility.

2 Further, we hereby undertake to promptly notify the Bank in writing if the delegates to operate the account specified above or successors in the office were changed. _____ _____ _____. (Rubber Stamp) (Rubber Stamp) (Rubber Stamp). Name: Name: Name: Designation: Designation: Designation: For Office Use Only Customer ID Date Customer Data Verified by Branch Manager Canvassed By Canvassed by Branch Enterers User Name 1 User ID. User Name 2 User ID. User Name 3 User ID. User Name 4 User ID. Created By Signature Date Verified By Signature Date APPLICATION FOR SAMPATH VISHWA CORPORATE. TERMS, CONDITIONS AND INDEMNITY. SAMPATH Bank PLC (the Bank). Dear Sirs, We, being the (positions)_____ and_____and_____of_____.

3 (Name of the organization ) an unincorporated body of persons domiciled at_____(address). in the Democratic Socialist Republic of Sri Lanka request you and authorize you to issue User Identification Numbers (hereinafter referred to as the User ID ) and Passwords in null status (including the original Passwords in null status confidentially issued by the Bank and the subsequent Passwords issued in null status) to the persons specified by us in our APPLICATION for SAMPATH VISHWA Corporate (hereinafter called the User/s which term shall include those who will be specified by us subsequently and / or additionally from time to time) for the purposes of viewing transaction details and other details in our account/s with you and hereby agree to be bound by the following terms and conditions, assurances and indemnities.

4 1. TRANSACTIONS AND INSTRUCTIONS VIA SAMPATH VISHWA . CORPORATE. We, shall accept full responsibility for all transactions processed or effected by the use of SAMPATH VISHWA Corporate howsoever accept and acknowledge that once the User ID's have been issued by the Bank to us on account of the Delegates (hereinafter effected and undertake and confirm that we shall not act in violation of any statutory or regulatory or other provisions prevailing in the said defined) as requested by us, the Delegates are required to create their own respective passwords personally and that consequently, only each Republic at any time, through the use of SAMPATH VISHWA Corporate. such Delegate shall have access to our account/s thereafter via such shall at no time attempt to effect transactions executed respective User ID's and corresponding passwords.

5 Through SAMPATH VISHWA Corporate unless sufficient funds are available in our account/s, and agree that transactions scheduled for a future hereby authorize the Bank to accept and / or act upon any date will be executed or permitted to be executed by the Bank only if instructions or messages received by the Bank through SAMPATH VISHWA sufficient funds were available in our account on the relevant date and Corporate from the delegates, which are purported to be executed and communicated to the Bank by us (whether or not they act within the further agree that the Bank is under no obligation to honour payment instructions unless there were sufficient funds in the designated powers and authorities vested in them).

6 Account/s at the time of receiving payment instructions and/or at time Delegates means the persons authorized and empowered by us to such payments fall due. create their own passwords for operating our account/s on our behalf through SAMPATH VISHWA Corporate facility and who are vested with agree that when the Bank makes a payment on our behalf such powers and authorities to access our account/s, execute and /or when the Bank acts on the instructions of the Delegates, the transactions on our behalf and in our name and to issue instructions to Bank is not acting as our agent or agent of the party in whose favour the the Bank, whose instructions via SAMPATH VISHWA Corporate, we payment is made or the instructions are carried out.

7 Authorize the Bank to act upon in respect of any matter relating to the agree that the Bank is under no obligation to honour operation of our account/s as deemed fit, and we request and authorize payment or other instructions, if the Bank deems that such instructions the Bank to generate and issue the required user ID's in connection are found to be irregular. therewith. hereby authorize the Bank, at the Bank's discretion to record agree to perform SAMPATH VISHWA Corporate operations by whatever means, the transactions carried out by us through the through the use of specific menu options available on SAMPATH VISHWA Delegates appointed by us via SAMPATH VISHWA Corporate and agree Corporate and assures the Bank that the Delegates too shall operate that such records may be used by the Bank for the purpose of, amongst SAMPATH VISHWA Corporate through such specific menu options within other things, establishing or verifying that a particular transaction was the scope of the product features.

8 Effected by us through the use of SAMPATH VISHWA Corporate in terms accept and agree to provide or cause to be provided our of these terms and conditions. data, information, instructions and messages at our own risk and shall accept the Bank's records and statements of all ensures that all data transmitted to the Bank for or in connection with transactions processed by the use of SAMPATH VISHWA Corporate as SAMPATH VISHWA Corporate service is correct and complete. conclusive and binding on us for all purposes and confirm that all transactions effected and instructions given by the Delegates are undertake and assure the Bank that we shall inform the Bank immediately of any errors, discrepancies or omissions with regard deemed to be effected by us and given by us.

9 To any data, information, instructions and messages upon same coming to its notice and confirm that we shall not hold the Bank liable in any manner with regard to any response the Bank may have made until such notice is received by the Bank in writing, authenticated e-mail or via the e-mail address mentioned in this APPLICATION . Page 3 of 5. APPLICATION FOR SAMPATH VISHWA CORPORATE. TERMS, CONDITIONS AND INDEMNITY. 2. RESPONSIBILITIES FOR SECURITY 5. CHARGES AND PAYMENTS. We are aware that it is our responsibility to obtain and We hereby authorize the Bank to debit our account/s with all maintain any equipment which may be necessary for using SAMPATH charges and levies relating to transactions made through SAMPATH VISHWA Corporate, in proper working condition and with adequate safeguards against malicious threats to such equipment or to SAMPATH VISHWA Corporate, with the amounts of any transactions that we may VISHWA Corporate.

10 Desire the Bank to perform on our behalf provided that the required We agree not to access SAMPATH VISHWA Corporate using documentary support is provided by us and also with any other defective or insecure equipment, or by any manner which might liabilities inclusive of legal fees or other statutory charges if any, relating adversely affect SAMPATH VISHWA Corporate. to the use of SAMPATH VISHWA Corporate. We shall and will set up and maintain adequate measures to safeguard SAMPATH VISHWA Corporate (including all information and We agree that the Bank is entitled to alter the charges for data relating to payment beneficiaries) from disclosure to, and from SAMPATH VISHWA Corporate at any time and from time to time, based on access or use by anyone who is not authorized to do so.