3-Month Profit-Based Sanchayapatra Purchase Form

Fill the purchase application form for the 3-Month Profit-Based Sanchayapatra online, then download the official A4 form as a ready-to-print PDF.

Your details are saved only in this browser on this device, so they are still here next time. Nothing is uploaded to our server.

1. Purchaser information

Purchaser 1

NameNational ID (NID) numberDate of birthMobile numberTaxpayer ID (TIN), if applicableE-mail (if any)Present addressPermanent address

Purchaser 2 (only for a joint purchase)

NameNational ID (NID) numberDate of birthMobile numberTaxpayer ID (TIN), if applicableE-mail (if any)Present addressPermanent address

2. Payment and bank account

Amount in figures (Taka)Amount in words

Payment method

Bank account details

The account where the principal and profit will be paid through BEFTN.

Account type

Account title (in English)Account numberBank and branch nameRouting number

3. Nominee information

Nominee 1

NameNID number (birth registration / passport number if a minor)Date of birthPresent addressPermanent addressMobile numberRelationshipShare (%)

Nominee 2 (optional)

NameNID number (birth registration / passport number if a minor)Date of birthPresent addressPermanent addressMobile numberRelationshipShare (%)

Page 2 – receipt of the Sanchayapatra (optional)

Printed on the second page, under "Signature of the purchaser". Leave blank if you will write it by hand.

Purchaser's nameSecond line (e.g. joint purchaser)Date

Print on A4 paper at 100% scale ("Actual size"), on both sides or as two sheets. Photos, signatures and thumb impressions are added by hand after printing.

The editable PDF keeps your answers as fillable boxes, so you can still change them later in a PDF reader such as Adobe Acrobat. Answers written in Bengali stay fixed; change those here and download again.

How to use this form

Type the purchaser, payment, bank account and nominee details in the boxes above. You can write in English or in Bengali.
Press "Download PDF". Your answers are placed on the official 2-page A4 form exactly where they would be written by hand.
Print it, attach the attested passport-size photos of the purchaser(s) and nominee(s), then sign.
Submit it at your bank, post office or savings bureau with copies of the NID, the e-TIN certificate and the cheque.

Frequently asked questions

Is my information stored on your server?

No. The PDF is created inside your own browser and what you type is saved only in that browser's local storage, so it reappears the next time you open this page on the same device. Use "Clear the form" to erase it, which is recommended on a shared computer.

Will the bank accept the printed PDF?

The printout is the same official A4 form, only filled in by typing instead of by hand. Print it at actual size, then add the photos and signatures by hand. Acceptance is up to the issuing office.

Can I fill the form in Bengali?

Yes. Every box accepts English or Bengali. The account title should be written in English, as the form requires.

Which documents are submitted with the form?

Usually copies of the NID of the purchaser and nominee, two attested passport-size photos of each, the e-TIN certificate, and an MICR cheque or bank details of the purchaser's own account. Purchases above the limit set by the government also need proof of tax return submission. Check with your issuing office.

About this form

This is the purchase application form of the Department of National Savings, Government of Bangladesh, for the 3-Month Profit-Based Sanchayapatra (Tin Mash Ontor Munafa Vittik Sanchayapatra). The layout of the printed form is unchanged; this page only fills in the blanks for you.

The registration number, issue date and section 5 on the second page are filled in by the issuing office, so they are left empty.

ConverterAZ is not affiliated with the Department of National Savings. Always confirm the current rules, investment limits and required documents with the office where you submit the form.