BDBL Securities Limited TREC- DSE -020 and CSE- 078 Office Copy Date: 18/11/2018 - 29/11/2018 Genex Infosys Limited Name of Company: Contact Person: Mob: Share SL No Code No Name Quty. Taka Signature 500 5000 01 500 5000 02 500 5000 03 5000 500 04 500 5000 05 500 5000 06 500 5000 07 5000 500 08 500 5000 09 500 5000 10 500 5000 11 5000 500 12 500 5000 13 500 5000 14 5000 500 15 500 5000 16 500 5000 17 500 5000 18 5000 500 19 500 5000 20 500 5000 21 5000 500 22 5000 500 23 500 5000 24 500 5000 25 In words: Applicant Signature: Authorized Signature: BDBL Securities Limited (Client Copy) TREC- DSE- 020 and CSE-078 Date: Name of the Security…………………………………Total Amount Received……………………………….. In words………………………………………………………………………………………………………… No of Application…………Customer IDs:… ………………………………………………………………… Received by: Checked by: Verified by:
BDBL Securities Limited TREC- DSE -020 and CSE- 078 Office Copy Name of Company: Genex Infosys Limited Date: 18/11/2018 - 29/11/2018 Contact Person: Mob: SL No Code No Name Share Quty. Taka Signature 01 500 5000 02 500 5000 03 500 5000 04 500 5000 05 500 5000 06 500 5000 07 500 5000 08 500 5000 09 500 5000 10 500 5000 11 500 5000 12 500 5000 13 500 5000 14 500 5000 15 500 5000 16 500 5000 17 500 5000 18 500 5000 19 500 5000 20 500 5000 21 500 5000 22 500 5000 23 500 5000 24 500 5000 25 500 5000 In words: Applicant Signature: Authorized Signature: BDBL Securities Limited (Client Copy) TREC- DSE- 020 and CSE-078 Date: Name of the Security…………………………………Total Amount Received……………………………….. In words………………………………………………………………………………………………………… No of Application…………Customer IDs:… ………………………………………………………………… Received by: Checked by: Verified by:
IPO_Form_OF_Genex%20Infosys%20Limited.docx