ACCOUNT OPENING FORM & KYC – Personal (For Individual)
Please use BLOCK LETTERS
Tick in the boxes as appropriate Date: 14 / 06 / 2024
Account Type: {SavingAccount} Saving {CurrentAccount} Current {CallAccount} Call {OthersAccount} Others (Specify)
Account Currency: {AEDCurrency} AED {USDCurrency} USD {GBPCurrency} GBP {EURCurrency} EUR
Purpose of opening the account: Savings Salary transfer Investment Loan payment Foreign remittance {othersPurpose} others (specify):
Bank Channel: Branch Digital
Applicant Details
Full Name: First: Middle: Surname:
Nationality: Secondary Nationality (If Any):
Date of Birth: 09/10/1982 Place of birth: Country of birth:
Residence Status: Resident Non-Resident Citizen Gender: Male Female
Marital Status: Single Married Divorced Widowed
Highest Education Qualification
Are you a Resident of UAE by Investment? Yes No
Do you have any other nationality or residency other than the above? No Yes (Complete the below table)
ID Correspondent Address (Zip Code/Postal
Country/Nationality ID Type Expiry Date Tax ID Number
Number Code)
{countryNationality_details} {idType} {idNumber} {expiryDate} {taxIdNumber} {postalCode}
Identification Details
Passport No: AB635654 Passport Expiry date: 2026-06-29T00:00:00
Residency visa No.: {residencyVisaNo_Identification} Visa Expiry date: {visaExpiryDate_Identification}
Emirates ID No.: Emirates ID Expiry date:
Contact Details
P.O. Box: {POBox_Contact} Office/Department Name: {officeDepartmentName_Contact}
Area/Landmark: {areaLandmark_Contact} Villa/Flat no: {villaFlatNo_Contact}
City: {city_Contact} Emirate: {emirate_Contact}
Country: {country_Contact} Mobile no: 971522233333
Email: apoel19@[Link]
Residential Address
Building name: test Street Name: test
Area/Landmark: {areaLandmark_Residential} Villa/Flat no: {villaFlatNo_Residential}
City: Umm Al Quwain Emirate: {emirate_Residential}
Country: United Arab Emirates P. O. Box: {POBox_Residential}
Overseas/Home Country Address
Address Line 1:
Address Line 2:
Emirate/City: {emirateCity} Country: {country_Overseas}
Telephone No. {telephoneNo}
Are you a PEP or an immediate family member, close friend or business relation in a politically exposed position (PEP) or any affiliation to any political or
past political party?
No If yes specify:
Customer Profile Individual
Employment Self- Others (Unemployed/
{EmploymentSalaried} Salaried {EmploymentSelfEmployed} {EmploymentOthers}
Status: Employed Retired/ Dependent)
Salaried Self employed
Employer Name & Country: 3I INFOTECH LIMITED - SHARJAH Industry:
Monthly salary: 10000 Monthly income from Business: 10000
Other source of income: {otherIncomeSource_Salaried} Other source of Income: {otherIncomeSource_SelfEmployed}
Profession: {profession_Salaried} Company Name & Country: {companyNameAndCountry_SelfEmployed}
Employment start date: {employmentStartDate_Salaried} Provide copy of trade license: {tradeLicenseCopy_SelfEmployed}
Source of fund for Unemployed/ Dependent:
Additional source of Income (if any): Source, Location Country & Value (AED): {additionalSourceOfIncome_Salaried}
Initial Deposit Amount (AED):
(Own account) Bank Name: bank Location:
If 3rd party, please provide below information:
Person/entity Name: Bank Name: Bank location:
Source of Wealth (If Any)
Anticipated Account Activities with Invest Bank
Estimated amount turnover in the account (Yearly AED) Credit: Debit:
Expected type of account activity yearly in AED (Credit): Cash: 12 Cheques: 12 Internal Transfers: 12 External Transfers: 0
Expected type of account activity yearly in AED (Debit): Cash: 12 Cheques: 12 Internal Transfers: 12 External Transfers: 0
If cross border please mention: Purpose: No. of transfers: Country:
Accounts with Other Banks (In and outside UAE)
Bank Name Location (Country)
1-
2-
Banking Facilities Required
E-Statement Yes No SMS Banking Yes No Cheque Book Yes No
Online Banking Yes No Debit Card Yes No
Name required on debit card:
Customer Declaration
I / We request you to open account pursuant to the above data. I/ We have read and understand the terms and conditions (which can be found at
[Link]) applicable to the accounts or the banking services which I/ We have selected on which I / We expressly agree and accept to abide by
whether in Arabic or English language.
Customer Signature:
FOR BANK USE ONLY
Name Signature
Signed in my presence
Designation Staff ID
All documents collected: Yes No If no specify
Name Signature
Reviewed / Approved By
Designation Staff ID
RM Name:
Additional Information from
RM (if Any)
al bank regulated and licensed by the Central Bank of UAE
P.O. Box -1885, Sharjah – U.A.E | [Link] | Tel. 600 544 404.