• No results found

Personal Banking Account Opening Form Personal Account Opening Personal Unsecured Loan Personal Credit Card

N/A
N/A
Protected

Academic year: 2021

Share "Personal Banking Account Opening Form Personal Account Opening Personal Unsecured Loan Personal Credit Card"

Copied!
16
0
0

Loading.... (view fulltext now)

Full text

(1)

Personal Banking Account Opening Form

• Personal Account Opening

• Personal Unsecured Loan

• Personal Credit Card

www.cbagroup.com

Checklist

I have attached the following documents:

Primary identification

Identification document

(Passport/Driving license/Voter’s/Financial/NSSF card) One passport size color photograph

Introduction letter from a referee who holds a bank account; or Account holder with CBA for at least the last 6 months or current employment contract from reputable and well known employer; or letter from a practicing Advocate; or 6 months Bank statement.

Confirmation of residential address. Any of the following;

Utility Bill; or Tenancy Agreement; or Letter from Employer; or Lawyer listed in CBA’s panel; or Area chief; or Church / Mosque clergy confirming residential address.

Work permit for Foreign Nationals

Letter from Embassy or parent firm and Immigration file number for non residents

For Credit Card Processing

Duly completed Credit Card application form Latest 3 months pay slips

Certified copies of bank statements for the last 6 months

(2)
(3)

PERSONAL ACCOUNT OPENING FORM

PERSONAL DETAILS (FIRST APPLICANT)

Please complete all details in CAPITAL letters.

I/We wish to open the following account and undertake to comply, observe and be bound by the attached General Terms and Conditions. ACCOUNT TITLE

Indicate type of account required:

Account type Current Savings Call deposit Fixed deposit

Currency UGX USD GBP EURO Other (specify)

Foreign Currency Accounts: Please state the nature and source of the Foreign Currency

Account Category Individual Joint

For Fixed Deposits Only Period (In Months)

(DD/MM/YYYY)

Title: Mr. Mrs. Ms. Dr. Prof. Hon. Other

Name:

First Middle Last

Date of birth Country of Birth Nationality Marital Status Single Married Divorced Widowed

Gender Male Female

Identification Doc: Document No.

Postal Address Town/ City Country

Physical (Residential) Address Plot No.

Tel Off. Tel Home

Mobile No. (1) Mobile No. (2)

Email (Preferred) Email (Other) Next of Kin (Name)

Relationship Spouse Child Son Parent Daughter Other (Specify)

Next of Kin Tel Contacts Postal Address

Town/ City Country

Physical Address

(4)

Title: Mr. Mrs. Ms. Dr. Prof. Hon. Other

Name:

First Middle Last

Date of birth TIN No. Nationality Marital Status Single Married Divorced Widowed

Gender Male Female

Identification Doc: Document No.

Postal Address Postal Code Town/ City Country

Physical (Residential) Address Plot No.

Tel Off. Fax Tel Home

Mobile No. (1) Mobile No. (2)

Email (Preferred) Email (Other) Next of Kin (Name)

PERSONAL DETAILS (SECOND APPLICANT)

EMPLOYER/ BUSINESS DETAILS (FIRST APPLICANT)

Employment type: Formal Employment Informal Employment Self Employment Unemployed

Occupation Name of Employer

Employee Department Employee Position

If Self employed, State Nature of Business

Gross Income Band (UGX ‘000) A 0 - 1,000 B 1,100 - 5,000 C 5,100 - 10,000 D 10,100 - 20,000 E 20,100 - 40,000 F Above 40,000 Employers Postal Address Town/ City Country

Employers / Business Physical Address Plot no.

Tel (Off) Mobile No. (Off)

Employers / Business Email Address

Other accounts held currently (with CBA or other banks)

Bank Name Branch A/C No

Bank Name Branch A/C No

(DD/MM/YYYY)

(5)

Relationship Spouse Child Son Parent Daughter Other (Specify)

Next of Kin Tel Contacts Postal Address

Physical Address

Postal Code Town/ City Country

EMPLOYER/ BUSINESS DETAILS (SECOND APPLICANT)

Employment type: Permanent Pensionable Contract Casual Self Employed Other

Occupation Name of Employer

Employee Department Employee Position

If Self employed, State Nature of Business

Gross Income Band (UGX ‘000) A 0 - 1,000 B 1,100 – 5,000 C 5,100 – 10,000 D 10,100 - 20,000 E 20,100 - 40,000 F Above 40,000

Employers Postal Address Town/ City Country

Employers / Business Physical Address Plot no.

Tel (Off) Mobile No. (Off)

Employers / Business Email Address

Other accounts held currently (with CBA or other banks)

Bank Name Branch A/C No

Bank Name Branch A/C No

Please tick as appropriate:

Cheque Book Book(s)

To be collected from Branch

Statement Cycle Monthly Quarterly No Statement Statement delivery Postal Address Email

Please tick if interested in the following products

Internet Banking Yes No

Mobile Banking Yes No Credit Card Yes No Your preferred mobile number to receive alerts from the Bank

Recreation Interests (please tick as appropriate)

Golf Art/Antiques Photography

Health club/gym Dance/Ballet Foreign travel

Tennis/Other Racket sports Music/Theatre Fine foods/Wine

Athletic/Other Activity sport Equestrian sports Others (please specify) Bicycling/Mountaineering/Hiking Monthly

REFEREE DETAILS

Name: Signature:

Bank: A/C No:

Address: Tel. Contacts

(6)

Electronic Banking

(Mobile and Internet Banking)

Second Applicant

First Applicant

(First Applicant)

* The memorable word you specify will be requested when you first log onto the internet to authenticate your identity. Your memorable word will also be requested should you require to reset/unlock your token. (NB: The word must be between 6 and 20 characters)

* This register will be accessible through your mobile phone.

Beneficiary Bank Branch Code

* This information will allow you to access card available balance, amounts due and the due date for payment on Mobile Banking.

(First Six Digits) (Last Four Digits) Phone Make

Memorable Word*

e.g Nokia, Android, Blackberry Token Number

(For Bank use only)

Phone Make Memorable Word*

e.g Nokia, Android, Blackberry Token Number

(For Bank use only)

(Second Applicant)

* This register will be accessible through your mobile phone.

Beneficiary Bank Branch Code

* This information will allow you to access card available balance, amounts due and the due date for payment on Mobile Banking.

(7)

Electronic Banking

(Mobile and Internet Banking)

Second Applicant

First Applicant

(First Applicant)

* The memorable word you specify will be requested when you first log onto the internet to authenticate your identity. Your memorable word will also be requested should you require to reset/unlock your token. (NB: The word must be between 6 and 20 characters)

* This register will be accessible through your mobile phone.

Beneficiary Bank Branch Code

* This information will allow you to access card available balance, amounts due and the due date for payment on Mobile Banking.

(First Six Digits) (Last Four Digits) Phone Make

Memorable Word*

e.g Nokia, Android, Blackberry Token Number

(For Bank use only)

Phone Make Memorable Word*

e.g Nokia, Android, Blackberry Token Number

(For Bank use only)

(Second Applicant)

* This register will be accessible through your mobile phone.

Beneficiary Bank Branch Code

* This information will allow you to access card available balance, amounts due and the due date for payment on Mobile Banking.

(First Six Digits) (Last Four Digits)

Name:

Signature:

I/D or Passport No:

Mobile No:

Name:

Signature:

I/D or Passport No:

Mobile No:

Authorised Signatories

Dated This: Day of 20

Operating Mandates Sole Either/Or All to sign Other (specify)

I /We have read the conditions necessary to open and operate an account with Commercial Bank of Africa (Uganda) Limited (CBA) and I/we oblige to comply. I /We agree that this account shall be solely at the discretion of CBA and hereby agree to indemnify CBA at my/our cost against any loss or claims arising out of the account being closed by CBA without notice due to unsatisfactory performance.

I undertake to inform the bank of any changes of contact or my personal details.

(8)

Customer number _____________________________ A/C number ____________________________ A/C officer _____________________________________________ A/C opened by ________________________________ Date ___________________________________ Signature ______________________________________________ Authorized by _________________________________ Date ___________________________________ Signature ______________________________________________ Sector ________________________________________ Industry ________________________________ Legal Entity ___________________________________________

(Please tick requisite documents obtained and attached)

Original primary identification Document as applicable. Original and Certified copy of TIN Certificate

(1) Passport size colour photograph Work Permit for Foreign Nationals

For non residents, Letter from Embassy or Parent firm

FOR BANK USE ONLY.

AIDE MEMOIRE CHECKLIST

T24 Mapping:

(9)

DECLARATION

Signature of applicant Date

Signature of joint applicant Date

(DD/MM/YYYY) (DD/MM/YYYY)

I instruct the bank to contact me before crediting my account.

4. I agree to obtain credit insurance cover for the loan and authorize CBA to deduct premiums payable towards the Cover.

I authorize the bank to create a loan account in my name and disburse the approved amount without reference to me.

I authorise my employer to channel my monthly salary to CBA account No. Please tick as applicable:

In the event that the amount I qualify for is less than the amount requested:

Please attach original documents to assist in fast processing of your application. Please attach latest 3 months ORIGINAL payslips Budget planner Monthly Income Monthly Expenses Commissions Salary Total Income (l) Card payments Surplus (S=I-E) Rental /receipts Other income (Specify)

Mortgage / rent payments Loan payments

Total (E) Other expenses

Credit details

Unsecured Loan Top-up

UGX USD EURO

Period (months)

School fees Home improvement Medical

Plot purchase Other (please specify) Purpose of loan

Amount Currency

I would like to apply for

PERSONAL UNSECURED LOAN

Other loans/Credit

NAME OF LENDER MONTHLY PAYMENT CURRENT BALANCE 1.

2. 3.

(10)
(11)

Please indicate the percentage of the outstanding amount to be debited monthly. (min 20%) Percentage Account Name Account Type Account No.

Instructions to the Bank

I/We instruct you to pay autocredit payments from my/our account at the request of CBA VISA Card.

The amounts are variable and are to be debited on various dates (but not to exceed total amount outstanding on due date).

Authorized Signatory Date

Authorized Signatory Date

Name

Signature

Date

DECLARATION

DIRECT DEBIT INSTRUCTIONS

(Optional)

Please issue me with a CBA VISA Classic /Gold Card. I warrant that the information given in the application form is true and complete and I authorize you to make any inquiries necessary in connection with this application. I have read, accepted and agree to be bound by the CBA VISA Card General Terms and Conditions of use (as amended from time to time). I agree that I/We are jointly and severally liable for all charges incurred through the use of CBA VISA Card. I/We understand that Commercial Bank of Africa (Uganda) Limited reserves the right to decline the application without giving resons.

(12)

Customer number _____________________________ A/C number ____________________________ DAO Code A/C opened by ________________________________ Date ___________________________________ Signature Authorized by _________________________________ Date ___________________________________ Signature Sector ________________________________________ Industry ________________________________ Legal Entity

Sales Code

INITIAL DEPOSIT

Cash Amount

I n house Cheque Amount

Local Cheque Amount Bank A/C number

I nternal Transfer Amount

Signature Verified Name Signature Date

T24 Mapping

Customer enabled for Internet Banking by Customer enabled for Mobile Banking by Notifications mapped

Accounts mapped Token issued by

Checklist for Branch /Account Relationship Manager

Checklist completed6 months statements checked against payslip If foreigner, attach contract and work permit

BANK USE ONLY (Personal Unsecured Loan)

Recommended by: Account Relationship Manager

Signature Date

Is application compliant with existing product profile? If No, list the exceptions

i) ii) iii)

Yes No

(13)

Name Signature Date Name Signature Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

DECLARATION

(14)
(15)
(16)

References

Related documents

United Bank UK and UBL UK are the trading names of United National Bank Limited... FIRST APPLICANT (Please complete all section in

Where I/we have applied for HSBC Select Proposition, I/we agree to be bound by the terms and conditions applicable for HSBC Select that are mentioned in the ‘Account Terms

• you consent to each of Standard Chartered Bank PLC and its subsidiaries and affiliates (including each branch or representative office) (“Standard Chartered Group”) its

I/We agree that the Data Policy Notice in force from time to time together with any other notices and communications concerning my/our data issued by the Bank from time to time

All active Personal and/or Savings accounts can be viewed, as well as the account balance of your Credit Card(s), Personal loan(s), Mortgage(s), Time Deposit(s)?. What needs to

5.2.4 If you are our Private Banking, Priority Banking or Personal Banking customers holding a Preferred World Credit Card and a Preferred current account, you will be eligible

ECONOMIC AND PERSONAL FINANCE CONCEPTS • ATM card • Checking account • Checkbook register • Credit union • Debit card • Direct Deposit • Online banking •

infiltration) to convince the user to disclose personal data and sensitive banking details (access password to Internet banking, bank account data, credit card data, etc.).