CUSTOMER INFORMATION - MINOR / TEEN ACCOUNT OPENING

Branch at which you wish to maintain the account : *		Please Select Akkaraipattu Akurana Akuressa Alawwa Aluthgama Aluthkade Ambalangoda Ambalantota Ampara Angunakolapelessa Anuradhapura Anuradhapura 2nd Customer Centre Apollo Hospital Customer Centre Asha Central Hospitals Customer Centre Athurugiriya Avissawella Badulla Balangoda Bambalapitiya Bandaranaike International Airport Customer Centre Bandarawela Batticaloa Beruwala Bibile Biyagama Bogawantalawa Boralesgamuwa Borella Buttala Chankanai Chavakachcheri Chenkaladi Chilaw Chunnakam Cinnamon Gardens City Office Dambulla Dankotuwa Dehiwela Delgoda Dematagoda Deniyaya Devinuwara Digana Divulapitiya Ekala Elpitiya Embilipitiya Emirates Customer Centre Galewela Galgamuwa Galle Gampaha Gampola Gelioya Giriulla Godakawela Grandpass Green Path Gunasinghepura Customer Centre Hambantota Hanwella Haputale Hatton Head Office Branch Hendala Hettipola HNB Anamaduwa HNB Aralaganwila HNB Atchchuveli HNB Bandaragama HNB Batapola HNB Dehiattakandiya HNB Dickwella HNB Galaha HNB Ginigathhena HNB Hakmana HNB Hikkaduwa HNB Kaithady HNB Kalawana HNB Kallady HNB Kilinochchi HNB Kodikamam HNB Kolonnawa HNB Kundasale HNB Kurumankadu HNB Mallavi HNB Maruthamunai HNB Medirigiriya HNB Mullaitivu HNB Mullipothana HNB Mulliyawalai HNB Muttur HNB Nanaddan HNB Padaviya-Parakramapura HNB Pamunugama HNB Peliyagoda HNB Serunuwara HNB Uppuveli HNB Urubokka HNB Veyangoda HNB Wadduwa HNB Walasmulla HNB Weligama HNB Yakkalamulla Homagama Horana Hulftsdorp Ingiriya International Water Management Institute Ja-ela Jaffna Jaffna Stanley Road Customer Centre Jampettah Street Kadawatha Kaduwela Kahawatte Kakirawa Kalmunai Kalutara Kaluwanchikudy Kandana Kandy Kandy City Centre (KCC) Kantale Karaitivu Karapitiya Kataragama Kattankudy Katugastota Katunayake Kegalle Kelaniya Kilinochchi Kinniya Kiribathgoda Kirindiwela Kirullapone Kochchikade Koggala Kollupitiya Kollupitiya 2nd Customer Centre Kottawa Kuliyapitiya Kurunduwatte (Nawalapitiya Ext) Kurunegala Madampe Maharagama Mahiyanganaya Malabe Maligawatte Manipay Customer Centre Mannar Maradana Marandagahamula Marawila Maskeliya Matale Matara Matugama Mawanella Medawachchiya Middeniya Minuwangoda Mirigama Mirihana Monaragala Moratumulla Moratuwa Mt. Lavinia Mutwal Narahenpita Navam Mawatha Nawala Nawalapitiya Nawaloka Hospitals Customer Centre Nawinna Negombo Negombo 2nd Customer Centre Negombo Metro Nelliady Nikaweratiya Ninthavur Nittambuwa Nochchiyagama Norochchole Nugegoda Nuwara Eliya Overseas School Of Colombo Padukka Panadura Panchikawatte Passara Pelmadulla Peradeniya Pettah Pettah 3rd Customer Center Pilimathalawa Piliyandala Pinnawala Pitigala Point Pedro Polonnaruwa Pottuvil Pugoda Pussellawa Puttalam Ragala Ragama Ratmalana Ratnapura Rikillagaskada Samanthurai Sea Street Seeduwa Siyambalanduwa Sooriyawewa Sri Jayewardenapura Hospital Sri Jayewardenapura Kotte Sri Lanka Ports Authority Sri Lankan Airlines Customer Centre Tangalle Thalangama Thalawakelle Thalawathugoda Thambuttegama Thandavanveli Thimbirigasyaya Thirukkovil Thirunelvely Tissamaharama Trincomalee Trincomalee 2nd Customer Centre Udappuwa Uhana Valachchanai Vavuniya Velanai Velanai Customer Centre Warakapola Wariyapola Wattala Welimada Weliveriya Wellawatte Wellawatte 2nd Customer Centre Wellawaya Wennappuwa Wijerama Yakkala
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Name of the Minor / Teen
Full Name : *   Select Rev. Mr. Mrs. Ms. Miss. Date of Birth :* (dd/mm/yyyy)   / /  (dd/mm/yyyy)       Name of the Parent / Guardian     Full Name : *   Select Rev. Mr. Mrs. Ms. Miss. Address : *   Telephone : *   Mobile :   Fax No :

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