1

FRONT

ey;y ed;gu;fs; mUfpypUe;jhy;

mDgtq;fs; ,dpjhFk;

HSBC ml;thd;]; tPrh gpsl;bdk; Secure fpnwbl; fhh;l;

tpz;zg;g tif

cWjpr;rPl;Lf; FwpaPL : _______________________________________________________

VNjDk; jhkjkpd;wp ckJ tpz;zg;gj;ijr; nra;Kiwg;gLj;Jtjw;F vkf;F

cjTtjw;nfd ,t;tpz;zg;gj;ij (jbj;j vOj;Jf;fspy;) KOikahf epug;gTk;.

*vdf; Fwpaplg;gl;l vy;yh tplaq;fSk; fl;lhakhf epug;gg;gLjy; Ntz;Lk

jdpg;gl;l tpguq;fs;

ePq;fs; xU HSBC jw;Nghja thbf;ifahsuh? Mk; ,y;iy

Mnkdpd;>

thbf;ifahsh; ,yf;fk;: _____________________________________________________

cq;fs; me;j];J*: jpU. jpUkjp nry;tp fyhepjp

Ntnwdpd;> Fwpg;gplTk;: ____________________________________________________

cq;fs; KOg; ngah; *: _____________________________________________________

2

___________________________________________________________________________

___________________________________________________________________________

(gpujhd ngahpd; fPo; NfhblTk;)

cq;fs; Kd;ida ngah; *: ___________________________________________________

(Kd;ida rl;lg+h;t ngah;. cq;fs; tq;fp cwTfspy; Kd;ida ngah; ghtpf;fg;gl

Ntz;Lkhapd;> gj;jphpif mwptpj;jy; my;yJ tpthfr; rhd;wpjopd; gpujpia

,izf;fTk;)

Vida ngah; *: ____________________________________________________________

(jw;NghJ gad;gLj;Jk; NtNwJk; rl;lg+h;t ngah;)

gpwe;j jpfjp* jpjp khkh tttt ghy; *: Mz; ngz;

Njrpa ,dk; *: _______________________ gpwe;j ehL: __________________________

gy;Njrpa chpik: Mk; □ ,y;iy □ Mnkdpd;>

ehl;Lupik 01 ………………………….

ehl;Lupik 02 ………………………….

ehl;Lupik 03 ………………………….

ePq;fs; thp nrYj;Jgtuh? Mnkdpd;> thp trpg;gpl ehL (ehLfs;) kw;Wk; thpf; Nfhg;G

,y.

01 ………………………….

02 ………………………….

03 ………………………….

fy;tp kl;lk; *: Muk;gepiy ,ilepiy cah;epiy

gl;ljhhp gl;lg;gpd;gbg;G

tpthf epiy*: jdpahs; tpthfkhdth; jhukpoe;jth;

tpthfuj;Jg; ngw;wth;

jq;fpapUg;gth;fspd; vz;zpf;if*: ____________________________________________

3

jhahhpd; fd;dpg; ngah;* : ____________________________________________________

(jpUkzj;jpw;F Kd; jhahhpd; FLk;gg; ngah;)

(ePq;fs; njhiyNgrpapy; NgRk;NghJ> cq;fs; milahsj;ij cWjpnra;a ,J vkf;F

cjTk;)

trpg;gpl chpik*: jdpg;gl;l thlif tPL nrhe;j tPL

mur thlif tPL milkhdk; itf;fg;gl;l nrhj;J

ngw;Nwhhpd; tPl;by; trpj;jy; cj;jpNahfg+h;t trpg;gplk;

HSBC apy; ckJ fpl;ba FLk;gTWg;gpdnuhUtu; my;yJ cwtpdu; gzpg;ghsuhf

my;yJ Copauhf cs;shuh?* Mk; ,y;iy

mYtyhpd; ngah; *: _________________________________________________________

ml;iliag; ngWtjd; Nehf;fk; *:____________________________________________

chpa $l;bDs; milahskplTk; (xd;wpw;F Nkw;gl;l $LfspYk; milahskplyhk;)

Muk;g kw;Wk;

jw;Nghja

nry;t my;yJ

tUkhd

%ytsk;

njhopy; rk;ghj;jpak; nrhj;njhd;wpd; tpw;gid (cjh.fhh;)

tpahghu tl;b tUkhdk; guk;giur; nrhj;J

nyhj;jh;/ghpR ntw;wpg; gzk; jdpg;gl;l Nrkpg;G

KjyPl;L tUkhdk;/ fiyg;nghUs; tpw;gid

KjyPl;bd; Kjph;r;rp

NtW (Fwpg;gplTk;)……………………

tq;fp cwT

njhlh;gpy;

gad;gLj;jg;gl

,Uf;Fk;

gzj;jpd;

%ytplk;

gz itg;G

fhNrhiy itg;G

Vida fzf;FfspypUe;J ghpkhw;wk;

Vida tq;fpfspypUe;J je;jpg; ghpkhw;wk;

NtW (Fwpg;gplTk;) ……………….……

4

gad;gLj;jg;gl

,Uf;Fk;

Nritfspd;

tiffs;

nghJthd tq;fpr; Nritfs; (cjh. gzk;> fhNrhiy> jdpg;gl;l

,izaj;js tq;fpr; Nrit Kjypad)

KjyPL

fld; Nritfs; (cjh. fld;> fpnwbl; fhh;l; Kjypad)

gz mDg;gPl;Lr; Nritfs; (cjh. je;jpg; ghpkhw;wk;> Nfhuy; tiuT)

NtW (Fwpg;gplTk;) ………………………

kPsspg;gpw;fhd

%yhjhuk;*

njhopy; rk;ghj;jpak; nrhj;njhd;wpd; tpw;gid (cjh.fhh;)

tpahghu tl;b tUkhdk; guk;giur; nrhj;J

nyhj;jh;/ghpR ntw;wpg; gzk; jdpg;gl;l Nrkpg;G

KjyPl;L tUkhdk;/ KjyPl;bd; Kjph;r;rp

NtW (Fwpg;gplTk;)…………………….

,dq;fhzy; tpguq;fs;

,dq;fhzy; tif*: Nj.m.ml;il flTr;rPl;L

,dq;fhzy; Mtzg;gLj;Jif ,yf;fk;*

(,yq;if ehl;ltu;fSf;Fj; Nj.m.ml;ilapd; gpujp fl;lhakhdJ)

ehl;ltuy;yhNjhUf;F Vw;Gilaw;ghyJ

flTr;rPl;nldpy;> KbTWifj; jpfjpia toq;fTk;: jpjp khkh tttt tprh ,yf;fk;: _____________________________________________________________

tprh tif: ________________________________________________________________

tprh KbTWifj; jpfjp: jpjp khkh tttt

5

Kfthp tpguq;fs; (epue;ju Kfthp)

Kftup/njUg; ngau;*: ____________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________

gl;bdk;/efuk;*: __________________________________________________________________

vj; jpfjpapypUe;J*___________________________________

trpg;gpl Kfthp

epue;ju KfthpapypUe;J trpg;gpl Kfthp khWgLkhapd; mjidf; Fwpg;gplTk;.

Kftup/njUg; ngau;*: ____________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________

gl;bdk;/efuk;*: __________________________________________________________________

vj; jpfjpapypUe;J*___________________________________

Kd;ida Kfthp tpguq;fs; (trpg;gpl Kfthp)

(jw;Nghja Kfthpapy; trpg;gJ 3 tUlq;fSf;Ff; Fiwntdpd;> Kd;ida trpg;gpl

Kfthp njhptpf;fg;gl Ntz;Lk;)

Kftup/njUg; ngau;*: ____________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________

gl;bdk;/efuk;*: __________________________________________________________________

vj; jpfjpapypUe;J*___________________________________

6

njhlh;G tpguq;fs;

trpg;gplj; njhiyNgrp ,yf;fk;* : ____________________________________________

mYtyfj; njhiyNgrp ,yf;fk;* : ___________________ ePbg;G : ______________

nkhigy; njhiyNgrp ,yf;fk;* : ____________________________________________

jdpg;gl;l kpd;dQ;ry; Kfthp* : ____________________________________________

fbjj; njhlh;G Kfthp

rfy fbjq;fSk; mDg;gl Ntz;baJ*: vdJ trpg;gpl Kfthpf;F

vdJ mYtyf Kfthpf;F

(HSBC,y; Ngzg;gLk; rfy fpnwbl; fhh;l;fs; njhlh;gpYk; Nkw;Fwpg;gpl;l KfthpNa

fbjj; njhlh;G Kfthpahfg; gad;gLj;jg;gLk;)

,yj;jpudpay; tpguf;$w;Wfs;

cq;fSf;F ,yFthd> #oYf;F eykhd topKiw

,yj;jpudpay; tpguf;$w;Wfs; Neuk; jtwhjit> ghJfhg;ghdit> ,yFtpy;

ngwf;$bait! cq;fs; tpguf;$w;iw vt;tpj jhkjKkpd;wp ePq;fs; tpUk;gpa

Ntisapy; ghh;f;f KbAk;.

cq;fs; fpnwbl; fhh;l; tpguf;$w;iw ,e;j tpz;zg;gj;jpy; ePq;fs;

Fwpg;gpl;Ls;s kpd;dQ;ry; Kfthpf;F ehk; mDg;gpitg;Nghk;.

my;yJ>

ePq;fs; fhfpj tpguf;$w;iw ngw tpUk;gpdhy; fPOs;s $l;bDs;

milahskplTk;.

ehd; fhfpj tpguf;$w;Wfisg; ngw tpUk;GfpNwd;. jaTnra;J vdJ fpnwbl;

fhh;l; tpguf;$w;iw vdJ jghy; Kfthpf;F mDg;gTk;.

7

njhopy; tpguq;fs;

njhopy; me;j];J*: KO Neuk; gFjp Neuk;

jFjpfhz; epiy Ranjhopy;

njhopy; nra;ahjth; Xa;T ngw;wth;

,y;yj;jurp khzth;

nra;Ak; Ntiy*: ____________________________________________________________

njhopy; tif/tpahghuj;jpd; jd;ik*:

MAjr; Nritfs; gazj;Jiw tpkhd Nrit

tq;fpapay;/epjp th;j;jfk; epGzj;Jt Nritfs;

Mil jahhpg;G jfty; njhopy;El;gk; gy;$l;Lj; njhopy;

murhq;f Nrit njhiyj;njhlh;G ngUe;Njhl;lj; njhopy;

n`hl;Nly; kUj;Jtk; fg;gw; ruf;F/ fg;gw;

Nrit

fhg;GWjp fl;Lkhdj;Jiw NGO/NPO/jUkgzp

Vw;Wkjp/,wf;Fkjp nghJtrjpfs; cw;gj;jpj; njhopy;

tpsk;guj;Jiw NtW

NtW vdpd;> vJntdf; Fwpg;gplTk; ___________________________________________

fk;gdpapd; ngah;*: __________________________________________________________

Nritf; fhyk;*: Mz;Lfs; ______________________ khjq;fs; ____________________

gjtp/njhopw; ngah;*: ________________________________________________________

tUlhe;j tUkhdk;*: ________________________________________________________

(mbg;gilr; rk;gsKk; epiyahd gbfSk;)

khWgLk; gbfs;;*: ___________________________________________________________

(Cf;Ftpg;Gf;fs; kw;Wk; tpw;gidj; juFg;gzk;)

8

Vida tUkhdk;: __________________________________________________________

(rk;gsk; jtph;e;j Vida tUkhdk;)

Vida tUkhd %yq;fs;:

njhopy;%y rk;ghj;jpak; tpahghu%y rk;ghj;jpak;

KjyPl;L tUkhdk; itg;gpypUe;J tl;b tUkhdk;

Vidait (Fwpg;gplTk;) _____________________________________________________

Kd;ida njhopy; toq;Fehpd; ngah;*: _________________________________________

(jw;Nghja njhopypy; Nritf; fhyk; 2 tUlq;fSf;Ff;; Fiwntdpd;> Kd;ida

njhopy; toq;Fehpd; ngaiuf; Fwpg;gpl Ntz;Lk;)

Nritf; fhyk; (Kd;ida njhopy; toq;Fehplk;)*: _______________________________

(jw;Nghja njhopypy; Nritf; fhyk; 2 tUlq;fSf;Ff;; Fiwntdpd;> Kd;ida

njhopy; toq;Fehplk; Ntiynra;j fhyj;ijf; Fwpg;gpl Ntz;Lk;)

mYtyf Kfthp

Kftup/njUg; ngau;*: ____________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________

gl;bdk;/efuk;*: __________________________________________________________________

vj; jpfjpapypUe;J*___________________________________

9

tifg;gLj;jy;

ehd; my;yJ vdJ FLk;g mq;fj;jtu; xUtu; my;yJ tpahghuj; njhlu;ghsp /

tpahghuj; gq;fhsp xUtu; (murhq;f> ePjp gupghyd;> nghyp]; my;yJ gilj;Jiwapy;)

rpNu\;l nghJepiyg; gjtpia tfpf;fpNwdh (tfpf;fpwhu;?) * Mk; ,y;iy

Mnkdpd;> jaTnra;J cwtpd; jd;ikia tpgupf;fTk;*__________________________

crhTeh;fs;

cq;fSld; trpf;fhj cwtpdh;/ez;gh; xUth;

crhTehpd; ngah;*: __________________________________________________________

crhTeUldhd cwTKiw*: _________________________________________________

crhTehpd; njhiyNgrp ,yf;fk;*: ____________________________________________

crhTehpd; Kfthp;*: _________________________________________________________

epjprhh; njhlh;Gfs;

cq;fSf;F NtW tq;fpfspy; fzf;Ffs;/fld; trjpfs;/fpnwbl; fhh;l;fs;

cs;sdth?* Mk; ,y;iy

epjprhh; njhlh;G - eilKiw/Nrkpg;G/epiyahd itg;G

epjprhh; njhlh;G - fld; trjpfs;

tq;fpapd; ngah; fzf;F ,y. fzf;F tif vg;NghjpUe;J

epjp epWtdk; fld; tif khjhe;j kPsspg;G

10

epjprhh; njhlh;G - itj;jpUf;Fk; fpnwbl;/nlgpw; fhh;l;fs;

Nkyjpf fhh;l;bw;fhd Ntz;LNfhs;

Nkyjpf fhh;l;bw;fhd tpz;zg;gjhuh;> gpujhd fhh;l; itj;jpUg;gthpd; FLk;g

mq;fj;jtuhfTk; Fiwe;jgl;rk; 18 taJilatuhfTk; ,Uf;f Ntz;Lk;.

cq;fSf;F xU Nkyjpf fpnwbl; fhh;l; Njitah? Mk; ,y;iy

Nkyjpf fhh;l; - jdpg;gl;l tpguq;fs;

ePq;fs; jw;NghJ xU HSBC thbf;ifahsuh? Mk; ,y;iy

Mnkdpd;>

thbf;ifahsh; ,yf;fk;: ___________________________________________________

me;j];J*: jpU. jpUkjp nry;tp fyhepjp

Ntnwdpd; Fwpg;gplTk;: _____________________________________________________

cq;fs; KOg; ngah;*: ______________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(gpujhd ngahpd; fPo; NfhblTk;)

cq;fs; Kd;ida ngah;*: _________________________________________________

(Kd;ida rl;lg+h;t ngah;. cq;fs; tq;fp cwTfspy; Kd;ida ngah; ghtpf;fg;gl

Ntz;Lkhapd;> gj;jphpif mwptpj;jy; my;yJ tpthfr; rhd;wpjopd; gpujpia

,izf;fTk;)

Vida ngah; *: __________________________________________________________

(jw;NghJ gad;gLj;Jk; NtNwJk; rl;lg+h;t ngah;)

toq;Fehpd; ngah; fhh;l; ,y. fld; cr;rtuk;G vg;NghjpUe;J

11

Nkyjpf fhh;l;by; ,Uf;f Ntz;ba ngah;*:

(,ilntspfs; cl;gl Mff;$Ljyhf 19 vOj;Jf;fs;)

gpujhd tpz;zg;gjhuUldhd cwTKiw*: ____________________________________

gpwe;j jpfjp* jpjp khkh tttt gpue;j ,lk; _____________________

Njrpa ,dk; *: __________________________

ghy; *: Mz; ngz;

jpUkzj;Jf;F Kd;du; jhapd; ngau ;*:_________________________________________

(ePu; vk;ikj; njhiyNgrp%yk; miof;Fk;NghJ ck;ik ,dq;fhz;gjid cjTtjw;F

,J vkf;Fj; Njit)

HSBC apy; ckJ fpl;ba FLk;gTWg;gpdnuhUtu; my;yJ cwtpdu; gzpg;ghsuhf

my;yJ Copauhf cs;shuh?* Mk; ,y;iy

mYtyhpd; ngah; : _______________________________________________________

ePq;fs; my;yJ cq;fs; FLk;g mq;fj;jth; xUth; rpNu\;l murhq;f mjpfhhpah (mur>

ePjp ghpghyd> nghyp]; my;yJ ,uhZt Nrit)? * Mk; ,y;iy

Mnkdpd;> cwTKiwapd; jd;ikia tpghpf;fTk;*:

_________________________________________________________________________

Nkyjpf fhh;l; ,dq;fhzy; tpguq;fs;

,dq;fhzy; tif*: Nj.m.ml;il flTr;rPl;L

,dq;fhzy; Mtzg;gLj;Jif ,yf;fk;*

(,yq;if ehl;ltu;fSf;Fj; Nj.m.ml;ilapd; gpujp fl;lhakhdJ)

ehl;ltuy;yhNjhUf;F Vw;Gilaw;ghyJ

flTr;rPl;nldpy;> KbTWifj; jpfjpia toq;fTk;: jpjp khkh tttt

12

tprh ,yf;fk;: _____________________________________________________________

tprh tif: ________________________________________________________________

tprh KbTWifj; jpfjp: jpjp khkh tttt

Kfthp tpguq;fs; (epue;ju Kfthp)

Nkyjpf fhh;l; tpz;zg;gjhuhpd; epue;ju KfthpAk; gpujhd fhh;l; tpz;zg;gjhuhpd;

epue;ju KfthpAk; xd;whdjh? * Mk; ,y;iy

,y;iynadpd;>

Kftup/njUg; ngau;*: ____________________________________________________________

______________________________________________________________________________________

________________________________________________________________________________

gl;bdk;/efuk;*: __________________________________________________________________

Nkyjpf fhh;l; tpz;zg;gjhuhpd; trpg;gpl Kfthp tpguq;fs;

Nkyjpf fhh;l; tpz;zg;gjhuhpd; trpg;gpl KfthpAk; gpujhd fhh;l; tpz;zg;gjhuhpd;

trpg;gpl KfthpAk; xd;whdjh? * Mk; ,y;iy

Nkyjpf fhh;l; tpz;zg;gjhuhpd; trpg;gpl KfthpAk; Nkyjpf fhh;l; tpz;zg;gjhuhpd;

epue;ju KfthpAk; xd;whdjh? * Mk; ,y;iy

,y;iynadpd;>

gl;bdk;/efuk;*: __________________________________________________________

Kfthp; *: ________________________________________________________________

___________________________________________________________________________

_________________________________________________________________________

vj; jpfjpapypUe;J*___________________________________

13

Nkyjpf fhh;l; tpz;zg;gjhuhpd; njhlh;G tpguq;fs;

trpg;gplj; njhiyNgrp ,yf;fk;* : ___________________________________________

mYtyfj; njhiyNgrp ,yf;fk;* : ______________________ ePbg;G: ______________

nkhigy; njhiyNgrp ,yf;fk;* : ___________________________________________

Nkyjpf fhh;l; tpz;zg;gjhuhpd; njhopy; tpguq;fs;

njhopy; me;j];J*: KO Neuk; gFjp Neuk;

jFjpfhz; epiy Ranjhopy; njhopy; nra;ahjth;

Xa;T ngw;wth; ,y;yj;jurp khzth;

njhopy; *: _______________________________________________________________

epWtdj;jpd; ngah; *: _____________________________________________________

gpujhd tpz;zg;gjhuhpd; Vida njhlh;Gila jfty;fs;

khjhe;jf; nfhLf;fy; thq;fy;fspd; mz;zsthd ngWkjp: _______________________

gpujhd fpnwbl; fhh;l;by; ,Uf;f Ntz;ba ngah;*:

(,ilntspfs; cl;gl Mff;$Ljyhf 19 vOj;Jf;fs;)

HSBC cldhd cq;fs; fzf;Fld; ATM %yk; njhlh;Gnfhs;Sk; trjp

vdJ gpd;tUk; fzf;FfSld; ATM %yk; njhlh;Gnfhs;tjw;Fk; vdJ fhh;l;ilg;

gad;gLj;j tpUk;GfpNwd;*. (Mff;$Ljyhf 2 fzf;Ffs;)

fzf;F tif gpujhd

eilKiwf; fzf;F ,y.

Nrkpg;Gf; fzf;F ,y.

14

fpnwbl; fhh;l; jPh;g;gdT tpUg;Ghpikfs;

vdJ fhh;l; fzf;ifj; jPh;g;gdT nra;tjw;F> gpd;tUkhW vdJ HSBC fzf;fpy; gw;W

itf;fTk;. Mk; ,y;iy

HSBC fzf;F ,yf;fk;:

khjhe;jj; jPh;g;gdT .............................................. % (4% - 100%)

cq;fs; fpnwbl; fhh;l; kPjp gw;wp HSBC cq;fSf;F SMS* %yk; mwptpf;f Ntz;Lkh?

(HSBC CC)

Mk; ,y;iy

nkhigy; njhiyNgrp ,yf;fk;(,yf;fq;fs;) : __________________________________

Nr/g; nthyl; (Safe Wallet)

cq;fs; fpnwbl; fhh;l; jpUlg;gLk; gl;rj;jpy;> mjd; ,og;Gg; gw;wp mwptpf;fg;gLtjw;F

Ke;jpa 48 kzpNeuj;jpw;Fs; ,lk;ngwf;$ba mDkjpaw;w nfhLf;fy; thq;fy;fSf;F

vjpuhf cyfshtpa hPjpapy; tpNrl fhg;gPl;il toq;Ftjw;fhf> ehk; Allianz

,d;#ud;]; yq;fh ypkpl;ll;Lld; Vw;ghL nra;Js;Nshk;. ,f; fhg;gPlhdJ> cq;fs;

fpnwbl; fhh;l;Lld; njhiyAk; my;yJ jpUl;Lg;NghFk; gpd;tUtdtw;iwAk;

cs;slf;Fk;:

rhtpfs;> milahsg; gj;jpuq;fs;> flTr;rPl;L> rhujp mDkjpg;gj;jpuk;> eide;J

gOjilAk; gzk;> SIM> fpilf;f Ntz;ba gzj;jpw;fhd gw;Wr;rPl;Lfs;> ATM

];jhdj;jpy; topg;gwpf; nfhs;isapd;NghJ Vw;gl;l fhaq;fSf;fhd tpgj;J kUj;Jtf;

fhg;gPL. (Allianz ,d;#ud;]; epWtdj;jpd; tpjpfs; kw;Wk; epge;jidfSf;F cl;gLk;)

Nkw;Fwpg;gpl;l fhg;GWjp ,ytrkhf toq;fg;gLk; vd;gijj; jaTnra;J ftdpf;fTk;.

n`hq;nfhq; md;l; \q;fha; ghq;fpq; Nfhg;gNu\d; =yq;fh (HSBC) ,yq;ifapYs;s

Allianz, ,d;#ud;]; epWtdj;jpdhy; cj;juthjkspf;fg;gl;Lr; nraw;gLj;jg;gLk;

Nkw;Fwpg;gpl;l fhg;gPl;Lj; jpl;lq;fspd; toq;Feh; my;y. MfNt> HSBC ml;thd;];

fhh;l; itj;jpUg;gtUf;Fk; ,yq;if> Allianz ,d;#ud;]; epWtdj;jpw;Fk; ,ilNa

nra;Jnfhs;sg;gLk; xg;ge;jk; njhlh;gpy; HSBC vt;tpj nghWg;igAk; Vw;fhJ.

15

,q;F Fwpg;gplg;gl;Ls;s VNjDk; fhg;GWjpj; jpl;lj;ijg; ngw;Wf;nfhs;s tpUk;Gk;

HSBC ml;thd;]; thbf;ifahsh;> rk;ge;jg;gl;l fhg;GWjpj; jpl;lk; njhlh;ghf

,yq;if> Allianz ,d;#ud;]; epWtdk; ntspapl;Ls;s gpuRuq;fisg; ghh;itapl

Ntz;Lk;. Nkyjpf tpguq;fSf;F ,yq;if> Allianz ,d;#ud;]; epWtdj;Jld;

njhlh;Gnfhs;sTk;.

njhiyNgrp : +94 11 2300400 ,izaj;jsk;: http://www.allianzinsurancesrilanka.com

fpnwbl; fhh;l; kPjp ,lkhw;wq;fs;

cq;fs; Vida tq;fpf; fpnwbl; fhh;l; (OBC) kPjpfis cq;fs; HSBC fpnwbl; fhh;l;

fzf;fpw;F ,lk;khw;w tpUk;GfpwPh;fsh? Mk; ,y;iy

fzf;fpd; ngah;: ___________________________________________________________

(fpnwbl; fhh;l;bYs;s ngah;)

,lk;khw;w Ntz;ba njhif: ________________________________________________

kw;iwa tq;fpapd; ngah;: ___________________________________________________

kw;iwa tq;fpf; fpnwbl; fhh;l; ,yf;fk;: ______________________________________

tpUg;gj;Njh;T 1: 3 khjq;fSf;F 0%

tpUg;gj;Njh;T 2: 6 khjq;fSf;F 1%

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vdJ/vkJ ntspg;gilahd Ntz;LNfhSf;F ,zq;fTk; vdJ/vkJ g+uz mwpT>

Ghpe;Jzh;T kw;Wk; rk;kjj;jpd; NghpYNk ……………………………………………

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,zq;fNt gbtj;ij epug;gpdhy; vd;gijAk; ,e;j tpz;zg;gj;jpYs;s jfty;fs;

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16

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17

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18

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19

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20

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21

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22

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mDg;gg;gLk;.

23

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………………………………………………. ……………………........……

Nkyjpf fhh;l; tpz;zg;gjhuh; jpjp khkh tttt

24

,yq;if kj;jpa tq;fp

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25

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............................. .......................................................................... jpjp khkh tttt gpujhd ml;il itj;jpUg;gtupd; ifnahg;gk; .............................. ...................................................................................... jpjp khkh tttt ,uz;lhe;epiy ml;il itj;jpUg;gtupd; ifnahg;gk;

tq;fpapd; ghtidf;F kl;Lk;

______________________ (mYtyhpd; ngah;) Mfpa ehd; _________________________

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tq;fp ,zq;Ffpd;wJ.

26

___________________ _________________________________

jpjp khkh tttt tq;fpapd; rhh;gpy; mjpfhukspf;fg;gl;l

mYtyhpd; ifnahg;gk;

Fwpg;gPl;L milahs ml;il*: _______________________________________________

(DSA kw;Wk; nuyp tpw;gid KftUf;fhf kl;Lk;)

,e;j Mtzj;jpd;; Mq;fpy kw;Wk; rpq;fs gpujpfs; Njitg;gbd;> www.hsbc.lk vd;w

tq;fpapd; ,izaj;jsj;jpy; gpuNtrpf;fTk;. my;yJ tq;fpapd; fpis xd;wpy;; Nfl;Lg;

ngwTk;.

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