BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any...

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BUSINESS ACCOUNT OPENING APPLICATION CIF NO. BRANCH NAME CUSTOMER NAME ∞∏e ºbQ 𫪩dG äÉeƒ∏©e 𫪩dG º°SG ´ôØdG º°SG

Transcript of BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any...

Page 1: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship

BUSINESS ACCOUNTOPENING APPLICATION

CIF NO.

BRANCHNAME

CUSTOMERNAME

∞∏e ºbQ

𫪩dG äÉeƒ∏©e

𫪩dG º°SG

´ôØdG º°SG

Page 2: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship

PLEASE WRITE IN CAPITAL LETTERS

Entity Residency Status:

Name(As per Trade License/Registration)

Date of Incorporation(DD/MM/YY)

Date of Expiry(DD/MM/YY)

Country of Incorporation

Issued By

General Partnership/ PartnershipLimited by shares

Public Joint Stock Company

Others

Office/Unit No.

Office/Unit No.

Building

Country

Fax No.

City

Website

Street

Country

License/Registration No.

Date of Issue(DD/MM/YY)

Country of Issue

Limited Liability Company

Branch of a Foreign Company / ForeignCompany

Freezone FZE/Partnership/LLC/Offshore

Detailed Business Activity

PO Box No

Street

E-mail

PO Box No

Building

City

Tel No. Mobile No.

Section I - Entity Details

Constitution

Physical Address

Application To Open New Business Account

Authorized Contact Person Details

Ownership Details

Sole Proprietorship LLE/LLC

Contact Person Name

Please list the name of all owners, their ownership percentage andwhether they are an individual or entity in the table below.

Tel No. Mobile No. Fax No.

E-mail

2

Name Ownership %

Mailing Address (if different from Physical Address)

IÒѵdG ±ôM’ÉH áHÉàµdG ≈Lôj

ácô°ûdG ´ƒf

¿Gƒæ©dG

Gd©æƒG¿ GdÈjó… )GEPG GNà∏∞ Yø Gd©æƒG¿ (

∂æÑdG ™e π°UGƒàdÉH ¢VƒØŸG ¢üî°ûdG äÉfÉ«H

᫵∏ŸG äÉfÉ«H

᫵∏ª`dGNationality á«°ùæ÷Gº°S’G

áeÉb’G äÉfÉ«HResident Non ResidentUnder Formation º«≤e ÒZº«≤eb«ó G’Efû°ÉA

º°S’G

(π«é°ùàdG /ájQÉéàdG á°üNôdG Ö°ùM)

H∏ó GdàÉCS°«ù¢

π«é°ùàdG ºbQ / á°üNôdG ºbQ

T°ôcá / eƒDS°ù°á aôOjá PGä eù°ƒDhd«á óhOIº¡°S’ÉH IOhó á«æeÉ°†J ácô°T / áeÉY ácô°TT°ôcá PGä eù°ƒDhd«á óhOI

T°ôcá GCLæÑ«á / aô´ T°ôcá GCLæÑ«á áeÉY áªgÉ°ùe ácô°T

Private Joint Stock CompanyIOhó áªgÉ°ùe ácô°T

AÉ¡àf’G ïjQÉJ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

πÑb øe IQOÉ°U

JÉQjï G’EU°óGQ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

H∏ó G’EU°óGQ

ácô°ûdG •É°ûf π«°UÉØJ

eƒDS°ù°á eæ£≤á MôI / T°ôGcá

T°ôcá PGä eù°ƒDhd«á óhOI/eƒDS°ù°á NÉQL«á GCNôi

JÉQjï GdàÉCS°«ù¢

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

≈æѪ`dG

ádhódG

¢ùcÉØdG ºbQ

Gd`ªƒb™ G’EdµÎhÊGdÈjó G’EdµÎhÊ

πjÉHƒª`dG ºbQ∞JÉ¡dG ºbQ

ºbQ IóMh /Öàµe

∫ƒªëŸG ∞JÉ¡dG ºbQ

ójÈdG ¥hóæ°U ºbQ

áæjóª`dG´QÉ°ûdG

∞JÉ¡dG ºbQ

ójÈdG ¥hóæ°U ºbQ

≈æѪ`dG

áæjóª`dG

ÖൟG / IóMƒdG ºbQ

´QÉ°ûdG

ádhódG

GdÈjó G’EdµÎhÊ

¢ùcÉØdG ºbQ

º°S’G

AGƒ°S º¡à«µ∏e Ö°ùf h ÚµdÉŸG Aɪ°SG ™«ªL ôcP ≈Lôj

cÉfƒG GCaôGO GCh T°îü°«Éä GYàÑÉQjá ‘ G÷óh∫ GCOfÉ√

G÷õA G’Ch∫ - e©∏ƒeÉä Gd©ª«π

ó````````jó```L …QÉ```````é``J ÜÉ```°ù``M í`````à``a Ö``∏``W

Page 3: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship

Physical Address

3

Name

Ownership %

Nationality Passport No. Passport Expiry Date:

Beneficial Owner : Yes No Authorised Signatory: Yes No

(DD/MM/YY)

ID Expiry Date:(DD/MM/YY)

ID No.

Place of Birth(DD/MM/YY)

Country of BirthDate of Birth

Physical Address

Name

Ownership %

Nationality Passport No. Passport Expiry Date:

Beneficial Owner: Yes No Authorised Signatory: Yes No

(DD/MM/YY)

ID Expiry Date:(DD/MM/YY)

ID No.

ID Expiry Date:(DD/MM/YY)

ID No.

Place of Birth

(DD/MM/YY)

Country of BirthDate of Birth

Physical Address

Name

Ownership %

Nationality Passport No. Passport Expiry Date:

Beneficial Owner: Yes No Authorised Signatory: Yes No

(DD/MM/YY)

Place of Birth(DD/MM/YY)

Country of BirthDate of Birth

CountryStreet

BuildingHouse No.

City

jôL``≈ GS°``൪É∫ GdÑ«Éf``Éä Gdû°``îü°«á GCOf``É√ ÷ª«``™ GŸ``Ó∑ G’a``ôGO h GŸØƒV°``Ú H``ÉOGQI

S°eÉA Lª«`̀™ GŸ`̀Ó∑ GŸù°`̀àØ«óh¿ C G◊ù°`̀ÉÜ / G◊ù°`̀ÉHÉä d`̀ói GdÑæ`̀∂. jLÜ Y∏≈ Gd©ej∫ JV°ej¿ G

Qe C’G ΩRd GPEG iôNG äÉMØ°U áaÉ°VEGh áYÉH• ≈LQj .¿ƒ«FÉ¡ædG

¿ƒ«FÉ¡ædG ¿hó«Øà°ùŸG ∑ÓŸG ,OGôa’G ÚµdÉŸG äÉfÉ«H :ÊÉãdG Aõ÷G

¿Gƒæ©dG

¿Gƒæ©dG

¿Gƒæ©dG

º°S’G

™«bƒàdÉH ¢VƒØª`dG

RGƒ÷G AÉ¡àfG ïjQÉJRGƒ÷G ºbQ

ó«Øà°ùª`dG ∂dɪ`dG ’º©f’º©f ᫵∏ŸG áÑ°ùf

á«°ùæ÷G

᫵∏ŸG áÑ°ùf

᫵∏ŸG áÑ°ùf

OÓ«ŸG ïjQÉJ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

OÓ«ŸG ïjQÉJ

OÓ«ŸG ïjQÉJ

IO’ƒdG ó∏H IO’ƒdG ¿Éµe

IO’ƒdG ó∏HIO’ƒdG ¿Éµe

IO’ƒdG ó∏H

º°S’G

ó«Øà°ùŸG ∂dɪ`dG º©f ’º©f ’ ™«bƒàdÉH ¢VƒØŸG

RGƒ÷G AÉ¡àfG ïjQÉJ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

ájƒ¡dG ábÉ£H AÉ¡àfG ïjQÉJ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

ájƒ¡dG ábÉ£H ºbQ

RGƒ÷G ºbQá«°ùæ÷G

CountryStreet City

BuildingHouse No. ≈æÑŸG

ádhódG´QÉ°ûdG áæjóª`dG

∫õæª`dG ºbQ

IO’ƒdG ¿Éµe

ájƒ¡dG ábÉ£H ºbQ ájƒ¡dG ábÉ£H AÉ¡àfG ïjQÉJ

á«°ùæ÷G RGƒ÷G ºbQ RGƒ÷G AÉ¡àfG ïjQÉJ

ó«Øà°ùŸG ∂dɪ`dG ’º©f’º©f ™«bƒàdÉH ¢VƒØª`dG

º°S’G

CountryStreet

BuildingHouse No.

City

≈æÑŸG

ádhódG´QÉ°ûdG áæjóª`dG

∫õæª`dG ºbQ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

Resident Non ResidentResidency Status MÉdá G’EbÉeẫ≤e º«≤e ÒZ

Resident Non ResidentResidency Status MÉdá G’EbÉeẫ≤e º«≤e ÒZ

Resident Non ResidentResidency Status MÉdá G’EbÉeẫ≤e º«≤e ÒZ

ájƒ¡dG ábÉ£H AÉ¡àfG ïjQÉJájƒ¡dG ábÉ£H ºbQ

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

(áæ°ùdG/ô¡°ûdG /Ωƒ«dG)

≈æѪ`dG

ádhódGáæjóª`dG´QÉ°ûdG

∫õæª`dG ºbQ

Section II - Individual Owners, Ultimate BeneficialOwners & Authorised Signatories Details

Please complete the below personal details of all individual entity owners and all authorised signatories who are designated as the person(s) authorised to operate the account(s) with the bank. The customer must include the names of all ultimate beneficial owners. Please print and add multiple pages if required

1.

2.

3.

Page 4: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship

Value (AED)Transactions

Monthly Inward Remittances

Monthly Outward Remittances

Monthly Inward Cheques

Monthly Outward Cheques

Monthly Cash Withdrawals

Monthly Cash Deposits

No. of Transactions

Expected Account Activity (AED) fû°É• G◊ù°ÉÜ Gd`ªàƒb™ )OQgº GEeÉQGJ»(

ájQÉéàdG äÓeÉ©ŸG Gd≤«ªá )HÉdóQgº G’EeÉQGJ»( äÓeÉ©ª`dG OóY

Maximum amount expected in a single transaction (AED)

Cash

(ºgQO) IóMGƒdG á«∏ª©dG ᪫≤d ™bƒàŸG ≈∏Y’G ó◊G

f≤ó… Non Cash ZÒ f≤ó…

ájô¡°T IQƒ°üH IOQGƒdG ájó≤ædG ä’Gƒ◊G

G◊ƒG’ä Gdæ≤ójá Gdü°ÉOQI GE¤ GÿÉQê Hü°ƒQI T°¡ôjá

ájô¡°T IQƒ°üH IOQGƒdG äɵ«°ûdG

ájô¡°T IQƒ°üH IQOÉ°üdG äɵ«°ûdG

ájô¡°ûdG …ó≤ædG Öë°ùdG äÉ«∏ªY

Yª∏«Éä GG’EjóG´ Gdæ≤ó… Gdû°¡ôjá

Purpose of Opening Account With BOKI

BusinessOther (please specify)

r

Know Your Customer

PEP Declaration

4

Initial Deposits (AED)

Source of Funds:

Investment by Owner/ Partner

Other (please specify)

Annual Turnover (AED)

Projected Annual Account Turnover (AED)

1

Name of BankSerial No.

2

Non - BorrowingBorrowingCountry

Yes No

Existing Relationship with Other Bank

Do you have other accounts in UAE or abroad?If Yes, please provide details below

RelationshipNameSerial

Current Account

Call Account

Savings Account

Cheque Book Required(Applicable to Current Account only)

Yes No

Additional Banking Services

Account TypeAED Others (specify)

Delivery Mode

Courier

e-Statement (Monthly)

SMS

Branch

E-mail

Mobile No.1* **Mobile No.2*

Section III - Application To Open New Business Account

∂∏«ªY ±ôYG

»°SÉ«°ùdG PƒØædG ¿É«H

iôN’G ∑ƒæÑdG ™e áªFÉ≤dG äÉbÓ©dG

(ójóëàdG ≈Lôj) iôNG

EURhQƒj

USD»µjôeG Q’hOºgQO

ÜÉ°ù◊G ´ƒf

…QÉL ÜÉ°ùM

Ö∏£dG â– ÜÉ°ùM

ÒaƒJ ÜÉ°ùM

?äɵ«°T ÎaO êÉà– πg

(§≤a …QÉ÷G ÜÉ°ù◊G ≈∏Y ≥Ñ£æj)’

º©f

ÊhεdG ójôH

1 πjÉHƒª`dG ºbQ

2 πjÉHƒª`dG ºbQ

ÜÉ°ùM ∞°ûc

á«°üf ádÉ°SQ

π«°UƒàdG á≤jôW

gπ dój∂ Mù°ÉHÉä GCNôi ‘ G’eÉQGä Gh ‘ GÿÉQê?

.√ÉfOG π«°UÉØàdG Ëó≤J ≈Lôj "º©f" GP cÉfâ G’ELÉHá H`

*For all accounts with signing instruction as "Any one of us" & "Jointly" a maximum of 2 mobile numbers can be registered for SMS Alert.IÒ°ü≤dG á«°üædG πFÉ°SôdG ÈY ¬«Ñæà∏d ≈°übG óëH ÚdGƒL ÚªbQ π«é°ùJ øµÁ "Écΰûe" h " GC… T°îü¢ eæÉ " `c ™«bƒJ äɪ«∏©J øª°†àJ »àdG äÉHÉ°ù◊G ™«ªL ¤G áÑ°ùædÉH

Inheritance GEQçBusiness Income ájQÉéàdG ∫ɪY’G πNOGES°àãªÉQ eø LÉfÖ GŸÉd∂ / Gdû°ôj∂

:∫Gƒe’G Qó°üe

º°S’G áHGô≤dG á∏°U

¢VÎ≤e ÒZ¢VÎ≤eó∏ÑdG∂æÑdG º°SGπ°ù∏°ùª`dG ºbôdG

π≤f ácô°T

…QÉŒ •É°ûf Investment Qɪã``à°SG

(ºgQO) á«FóѪ`dG ™FGOƒdG

GCNôi )jôL≈ Gdàëójó(

Credit Facility á«fɪàF’G äÓ«¡°ùJ

´ôØdG

ó````````jó``L …QÉ``````````é``J ÜÉ``````°ù``M í````````à``a Ö``∏``W :ådÉãdG Aõ÷G

N``óe``Éä H`æ`µ`«``á GEV°```Éa``«`````á

∂æH ∫Éfƒ°TÉfÎfG »c hG »H iód ÜÉ°ùM íàa øe ¢Vô¨dG

Yes NoIs the company associated directly/ indirectly withany Politically Exposed Person (PEP)?If Yes, please provide below Full Name & Relationship

1.

2.

GCNôi )jôL≈ Gdàëójó(

G’jôGO Gdù°æƒ… )OQgº GEeÉQGJ»(

e©ó∫ GdóhQG¿ Gdù°æƒ… GŸàƒb™ d∏ëù°ÉÜ )OQgº GEeÉQGJ»(

gπ JôJѧ Gdû°ôcá HÉC… T°îü¢ eø GCU°ëÉÜ

ábÓ©dG í«°VƒJ h πeɵdG º°S’G ôcP ≈Lôj º©f ¬HÉL’G âfÉc GPG

»°SÉ«°ùdG PƒØædG?(PEP)

Page 5: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship

Do you have other related corporate accounts in Bank of Khartoum / BOKI?

P

r

Application To Open New Business Account

5

Syria

1

2

3

Account NameSerial No. Country

1

2

3

Serial No. Country City Address

1

2

3

Serial No.

4

5

5

Expected value p.a. in aed

Yes NoIf Yes, please provide details below

r Yes NoIf Yes, please provide details below

Do you have other branches in UAE or abroad?

Branches in UAE or Abroad

Key Suppliers

1

2

3

4

Any other sanctioned country (Updated from time to time)

Iran South Sudan North Korea Cuba

I/ We do not deal directly/ indirectly with any sanctioned countries,

individuals & entities

êQÉÿG ‘ hG á«Hô©dG äGQÉe’G ádhO ‘ ´hôa

¿ƒ«°ù«FôdG ¿hOQƒª`dG

ÜÉ°ù◊G º°SG ó∏ÑdG

π°ù∏°ùàdG ºbQ ó∏ÑdG

Countryó∏ÑdG

áæjóª`dG ¿Gƒæ©dG

π°ù∏°ùàdG ºbQ

ÉjQƒ°S GEjôG¿ ¿GOƒ°ùdG ܃æL

)jôL» GEONÉd¡É( GC… Ohdá GCNôi ¶ƒQ Y∏«¡É

á«dɪ°ûdG ÉjQƒc ÉHƒc

Israelπ«FGô°SG

Republic OfCrimea / Sevastopol

Ωô≤dG ájQƒ¡ªL

Full Name of SupplierπeɵdÉH OQƒŸG º°SG

Currencyá∏ª©dG á©bƒàŸG ájƒæ°ùdG ᪫≤dG

Serial No.

Key Customers ¿ƒ«°ù«FôdG AÓª©dG

ó∏ÑdGπ°ù∏°ùàdG ºbQ

Full Name of CustomerπeɵdÉH 𫪩dG º°SG

Expected value p.a. in aedá©bƒàŸG ájƒæ°ùdG ᪫≤dG

Country Currencyá∏ª©dG

π°ù∏°ùàdG ºbQ

?∫Éfƒ«°TÉfÎfG »c hG »H / ΩƒWôÿG ∂æH ‘ iôNG ácΰûe äÉHÉ°ùM ∂jód πg

jôL» J≤óË GdàØÉU°«π GCOfÉ√ "º©f" GEPG cÉfâ G’ELÉHá H``

jôL» J≤óË GdàØÉU°«π GCOfÉ√ "º©f" GEPG cÉfâ G’ELÉHá H``

?êQÉÿG hG äGQÉe’G ‘ iôNG ´hôa ∂jód πg

GCfÉ/ fëø ’ fà©Éeπ Hû°µπ eÑÉT°ô / ZÒ eÑÉT°ô e™ G… Oh∫,

äÉHƒ≤©∏d á©°VÉN äÉfÉ«c hG OGôaG

ó````````jó```L …QÉ```````é``J ÜÉ```°ù``M í`````à``a Ö``∏``W

Page 6: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship

Application To Open New Business Account

Declaration

6

l/We request you to open an account pursuant to the above data, I/we agree that the submitted information is correct and complete and l/We have received the General Terms and Conditions of the Accounts and Banking Services of BOK International UAE. I/We have read and understood the terms and conditions applicable to the accounts or the banking Services which l/We have selected on which I/we have expressly agree and accept to abide by, whether in Arabic or English language. I/We will periodically refer to BOKI website for any updates/ changes. I/We write to confirm that we will not use our bank accounts with Bank of Khartoum International directly/indirectly for any transactions related to our activities in any countries that is subject to sanctions, including but not limited to US/OFAC/UN/EU/UKHMT sanctions. We also confirm of not dealing directly / indirectly with any Sanctioned individuals or entities.I/We further irrevocably authorize the bank to provide any information as may be required by any third party to process foreign currency/local payments without referring back to us and confirm that we will respond promptly to requests for any additional information.I/We acknowledge that, should we fail to comply with any of the above undertakings, you will thereafter immediately be entitled to take any measure you deem appropriate, which shall include but is not limited to closing/restricting account services without any prior notice or notification.I/We further undertake to indemnify you and to hold you harmless in respect of any liability, loss, damage or expense of whatsoever nature which you may sustain by reason of our failure to comply with this letter.

I/ We acknowledge seeing all sections of Business Account Opening Form and our signature on this page is acknowledgment of signing all the pages.

Witnessed By: Staff Name

Staff Signature

Specimen Signatures

JointlySingly As Per Enclosed Delegation

Signature

Signature (or Thumb impression) to be used in all dealings with the Bank

Account Signing Instructions

Name of the authorized person(s)

1.

2.

3.

4.

.

.

.

.

5.

6.

.

.

(Company Stamp)

™«bƒàdG

Signature ™«bƒàdG

™«bƒàdG

™«bƒàdG

Signature

Signature

Signature

Signature™«bƒàdG 𫪩dG ™«bƒJ

ÜÉ°ù◊G ™«bƒJ äɪ«∏©J

™«bƒàdÉH ÚdƒîŸG ¢UÉî°T’G / ¢üî°ûdG º°SG Signature(s) äÉ©«bƒàdG / ™«bƒàdG

(ácô°ûdG ºàN)

≥aôŸG ¢†jƒØàdG Ö°ùM

™«bGƒàdG êPƒ‰

kÉjOôa

∂æÑdG ™e äÓeÉ©àdG ‘ É¡eGóîà°S’ (ΩÉ¡H’G ᪰üH hG) ™«bƒJ

Signature (or Thumb impression) to be used in all dealings with the Bank∂æÑdG ™e äÓeÉ©àdG ‘ É¡eGóîà°S’ (ΩÉ¡H’G ᪰üH hG) ™«bƒJ

Signature (or Thumb impression) to be used in all dealings with the Bank∂æÑdG ™e äÓeÉ©àdG ‘ É¡eGóîà°S’ (ΩÉ¡H’G ᪰üH hG) ™«bƒJ

Signature (or Thumb impression) to be used in all dealings with the Bank∂æÑdG ™e äÓeÉ©àdG ‘ É¡eGóîà°S’ (ΩÉ¡H’G ᪰üH hG) ™«bƒJ

Signature (or Thumb impression) to be used in all dealings with the Bank

∂æÑdG ™e äÓeÉ©àdG ‘ É¡eGóîà°S’ (ΩÉ¡H’G ᪰üH hG) ™«bƒJ

Signature (or Thumb impression) to be used in all dealings with the Bank

∂æÑdG ™e äÓeÉ©àdG ‘ É¡eGóîà°S’ (ΩÉ¡H’G ᪰üH hG) ™«bƒJ

∞XƒŸG º°SG : ¬«∏Y ó¡°T

∞Xƒª`dG ™«bƒJ

Ú©ªà›

GW∏`̀Ö/ f£∏`̀Ö eæµ`̀º aà`̀í Mù°`̀ÉÜ ÃƒL`̀Ö GdÑ«Éf`̀Éä GŸ≤óe`̀á GCY`̀Ó√, GhGa`̀≥/ fƒGa`̀≥ Y∏`̀≈ G¿

GŸ©∏ƒe``Éä GŸ≤óe``á U°ë«ë``á h cÉe∏``á, GCfæ``»/ GCfæ``É GS°``à∏ªâ/ GS°``à∏ªæÉ Gdû°``ôh• h G’M``µÉΩ

Gd©Ée`̀á d∏ëù°`̀ÉHÉä h Gÿóe`̀Éä GŸü°ôa«`̀á dÑæ`̀∂ H`̀» Gh c`̀» GfÎfÉT°`̀«ƒfÉ∫ / G’e`̀ÉQGä Gd©ôH«`̀á

GŸàë``óI h Gfæ»/GCfæ``É b``ôGCä/ bôGCf``É, a¡ª``â / a¡ªæ``É Gdû°``ôh• h G’M``µÉΩ GŸ£Ñ≤``á Y∏``≈

G◊ù°`̀ÉÜ Gh Gÿóe`̀á GŸü°ôa«`̀á Gdà`̀» GNÎJ¡`̀É/ GNÎfÉg`̀É h Gdà`̀» GChGa`̀≥/ fƒGa`̀≥ h GCbÑ`̀π/

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có GS°àéÉHàæÉ Gdù°ôj©á d£∏ÑÉJµº Hîü°ƒU¢ GC… e©∏ƒeÉä GEV°Éa«á. Oh¿ GdôLƒ´ Gd«æÉ hfƒD

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∫É`̀ãàeÓd É`̀æbÉØNG ÖÑ`̀°ùH É`̀góѵJ ø`̀µªŸG ø`̀e »`̀àdG h É`̀¡à©«ÑW â`̀fÉc É`̀ª¡e äÉ`̀≤Øf hG Qô`̀°V

.ádÉ°SôdG √ò¡d

√òg »∏Y Éæ©«bƒJ Èà©j h ÜÉ°ù◊G íàa Ö∏W êRƒ‰ AGõLG ™«ªL »∏Y ÉæYÓ GCbô/f≤ô HÉW

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∂«ªY ±ôYG

ó````````jó```L …QÉ```````é``J ÜÉ```°ù``M í`````à``a Ö``∏``W

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Client Risk Classification

FOR BANK’S USE ONLY

High Risk client

Client from a High Risk country

Internet Searches

Random Internet Searches

Central Bank Blacklist System

OFAC UN BOE CIA

Sanctions list check

Safe watch

Annual Reports

Safe watch/Sanctions (PEP/OFAC/BOE/CIA)

Central Bank of UAE guidelines and Circulars

Audited Financials

Client involved with a High Risk country

PEP

Non-Resident

Not a High Risk client

If High risk client please provide the following:

2

3.

. Sources of reference for investigation such as

1. Reason for classification with documentary evidence.

عمیل عالي المخاطرلیس ذو مخاطر عالیة

العمیل من دولة ذات مخاطر عالیة

العمیل یتعامل مع معارض سیاسي

بي أي بي

غیر مقیم

إذا كان العمیل ذو خطار عالیة یرجى تقدیم مایلي :-

- سبب التصنیف مع أدلة وثائقیة. 1

- مصدر مرجعیة لالستقصاء مثل 2

البحث على االنترنت تقاریر سنویةالمراجعة المالیة

مشاھدة امنة / عقوبات

CB UAE Circulars / Guidelines تعامیم / مصرف اإلمارات المركزي

- تأكید إجراء عملیات الفحص والتفتیش وفقا لسیاسات مصرف اإلمارات 4

المركزي وتلخیص اإلرشادات واالستنتاجات في الملف الشخصي وإرفاق نسخ مطبوعة من المستندات ذات الصلة.

بحث عشوائي على االنترنت مشاھدة أمنة

القائمة السوداء للبنك المركزي التحقق من قائمة العقوبات

إرشادات وتعامیم البنك المركزي لدولة اإلمارات

DATEالتوقیع Name Signatureاالسم

7

DOCUMENTS REQUIRED Yes No

FATCA & CRS

6

Compliance Checked By Verified by

Documents Checked By Verified by

CIF & Account Opened By Verified by

RM/Bank Confirmation

§```≤```a ∂````æ``Ñ``dG ΩGó``î`à`°S’

𫪩dG ôWÉ ∞«æ°üJ

Confirm conducting checks and searches in accordance with theCBUAE policies and instruction and the findings are summarized in the profile and relevant printouts are attached.

Valid copy of Trade Licence

Valid ID details of Authorized Signatories

Copy of Incorporation

Copy of Memorandum and Articles

Copy of Board of Resolution

Audited Financials (Registered more than one year)

6 Months other Bank statements

ïjQÉàdG

ومعاییر اإلبالغ المشتركة

Page 8: BUSINESS ACCOUNT OPENING APPLICATION · Is the company associated directly/ indirectly with any Politically Exposed Person (PEP)? If Yes, please provide below Full Name & Relationship