KYC - Account Opening Form

ACCOUNT OPENING FORM

Basic Info

Account Info

Account Category Savings

Account Type Mebadaakye

Branch *

Purpose of Account *

Salary

Savings

Others

Personal Info

Picture Upload

Title *

First Name *

Middle Name

Surname : *

Former Name

Gender *

Male Female

Marital Status *

Single Married Divorced Widow

Date of Birth :*

Place of birth:*

Mother's Maiden Name :*

Nationality

TIN No./Ghana Card*

Region

Country/Province :*

Permit Issue Date :

Permit Expiry Date

Resident Permit No:

Contact Details

Residential Address *

City/Town/Village *

Nearest Landmark: *

Proof Of Address(indicate type and Serial number): *

Metopolitan Municipal Assembly Area (MMDA): *

Mailing Address: *

Phone Number *

Phone Number 2:

Email Address:

Account Info

3 VALID MEANS OF IDENTIFICATION

National ID Card No: *

ID Issue Date:

Expiry Date

EMPLOYMENT DETAILS

Employed

Self Employed

Unemployed

Retired

Student

Others(Specify)

5 DETAILS OF NEXT OF KIN

Title

Firstname: *

Middle Name:

Surname: *

Gender *

Date of Birth: *

Phone Number 1: *

Phone Number 2:

Relationship: *

Residential Address: *

Region

Supplementary & Doc

6 ADDITIONAL DETAILS

Name Of Beneficial Owner(s) of the Account:

Spouse's Name:

Spouse's Date of Birth:

Spouse's Occupation:

Sources of Fund to the Acount 1:

Sources of Fund to the Acount 2:

Level of Deposits:

Frequency of Deposit:

Expected Annual income from other source:

Name of Associated business(es) 1:

Name of Associated business(es) 2:

Name of Associated business(es) 3:

Type of Business:

Business Address:

DOCUMENT UPLOAD

Signature Upload

Proof Of Residence

Ghana Card

Others

Minimum Deposit

(Branch) Mechant ID :

Opening Balance Sent Via MOMO

MOMO Transaction ID

Referenced by (Staff Name)

Overview

Account Info

Account Category Savings

Account Type

Branch *

Purpose of Account *

Salary

Savings

Others

PERSONAL INFORMATION

Picture Upload *

Title :

First Name : *

Middle Name :

Surname : *

Former Name

Gender

Male Female

Marital Status

Single Married Divorced Widow

Date of Birth :

Place of birth:

Mother's Maiden Name : *

Nationality :

Tax Identification No.

Region :

Country :

Permit Issue Date :

Permit Expiry Date.

Resident Permit No:

1B PERSONAL INFORMATION

Picture Upload

Title :

First Name : *

Middle Name :

Surname : *

Former Name

Gender

Male Female

Marital Status

Single Married Divorced Widowed

Date of Birth :

Place of birth:

Mother's Maiden Name : *

Phone Number : *

Nationality

Tax Identification No.

Region :

Country:

Resident Permit No:

Permit Issue Date :

Permit Expiry Date.

Purpose of Account

Salary

Savings

Others

Signature

Ghana Card

Other Docs

CONTACT DETAILS

Residential Address

City/Town/Village

Nearest Landmark:

Proof Of Address(indicate type and Serial number): *

Metopolitan Municipal Assembly Area (MMDA): *

Mailing Address: *

Phone Number *

Phone Number 2:

Email Address: *

3 VALID MEANS OF IDENTIFICATION

ID No: *

ID Issue Date:

Expiry Date

EMPLOYMENT DETAILS

Employed

Self Employed

Unemployed

Retired

Student

Other(Specify)

5 DETAILS OF NEXT OF KIN

Title :

Firstname: *

Middle Name: *

Surname: *

Gender :

Date of Birth: *

Phone Number 1: *

Phone Number 2:

Relationship: *

Residential Address: *

Region :

6 ADDITIONAL DETAILS

Name Of Beneficial Owner(s) of the Account:

Spouse's Name:

Spouse's Date of Birth:

Spouse's Occupation:

Sources of Fund to the Acount 1:

Sources of Fund to the Acount 2:

Level of Deposits:

Frequency of Deposite:

Expected Annual income from other source:

Name of Associated business(es) 1:

Name of Associated business(es) 2:

Name of Associated business(es) 3:

Type of Business:

Business Address:

DOCUMENT UPLOAD

Signature Upload

Proof Of Residence

Ghana Card

Others Docs

Minimum Deposite

(Branch) Mechant ID : 0554855055

Opening Balance Sent Via MOMO

MOMO Transaction ID

Referenced by

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