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| Full Name | Contact | Branch | Account Type | Dep. Amount | Transaction ID | Status | Action |
|---|---|---|---|---|---|---|---|
| Samuel Osei Boahen | 02456266578 | Wiamoase | Savings | 100 | G2158582547 | Pending |
ACCOUNT OPENING FORM – INDIVIDUAL/JOINT ACCOUNT
BISMARK : 12/12/1212
ACCOUNT TYPE
PERSONAL INFORMATION
Marital Status
Gender
Purpose of Account
1B PERSONAL INFORMATION
Marital Status
Gender
Purpose of Account
CONTACT DETAILS
3 VALID MEANS OF IDENTIFICATION
EMPLOYMENT DETAILS
5 DETAILS OF NEXT OF KIN
6 ADDITIONAL DETAILS
7 ACCOUNTS WITH OTHER BANKS
| # | NAME AND ADDRESS OF BANK/BRANCH | ACCOUNT NAME | ACCOUNT NUMBER | STATUS: ACTIVE/DORMANT |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 |
7 ACCOUNTS MANDATE
| Name | ||
| Surname | ||
| Other Name | ||
| Class of Signatory | ||
| Identification Type | ||
| Identification No. | ||
| Telephone Number | ||
| Date |
10 DECLARATION / DISCLOSURE
I/We hereby apply for the opening of account(s) with Bank. I/We understand that the information given herein and the documents supplied are the basis for opening such account(s) I/We therefore confirm that such information is correct. I/We further undertake to indemnify the Bank for any loss suffered as a result of any false information provided to the Bank.
The Bank will obtain any information about you from the credit reference bureaux to check your credit status and identity. The bureaux will record our enquiries which may be seen by other institutions that make their own credit enquiries about you. The Bank shall also disclose your credit transactions to credit reference bureaux in accordance with the Credit Reporting Act, 2007 (Act 726).
11 (THIS SHOULD BE ADOPTED WHERE THE APPLICANT IS NOT LITERATE AND THE FORM IS READ TO HIM OR HER BY A THIRD PARTY
I agree to abide by the content of this agreement and acknowledge that it has been truly and audibly read over and explained to me by an interpreter.
1 REQUIREMENT CHECKLIST
| # | DOCUMENTS REQUIRED | CHECKED | DEFERRED | WAIVED |
|---|---|---|---|---|
| 1 | Duly completed Account opening form. | |||
| 2 | Specimen signature card duly completed | |||
| 3 | Recent passport photograph | |||
| 4 | Proof of identity: International passport, Driver’s license or National Health card, Valid Ghanaian Voters ID (original must be signed) | |||
| 5 | Resident Permit (for non-Ghanaian) | |||
| 6 | Proof of Address: Utility bills etc. (Certified true copy is acceptable if the original is not held) | |||
| 7 | Letter from Employer / School (for salary account and or student only) |
| # | DOCUMENTS REQUIRED | CHECKED | DEFERRED | WAIVED |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 | ||||
| 6 | ||||
| 7 |
AUTHENTICATION FOR FINANCIAL INCLUSION
Is the customer socially or financially disadvantaged
if answer to the question (i) above is YES, state other documents obtained in line with the Bank’s policy on social/financially disadvantaged customer in compliance with paragraph of AML/CFT Regulation,
Does the Customer enjoy tiered KYC requirement?
If answer to question (iii) above is YES, identify the customer risk category