Account Opening Form - Individual

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Account Opening Form - IndividualThe form should be completed in CAPITAL LETTERS. Characters and marks should be similar in style to the followingCategory of Account:(Tick as appropriate)Fixed Investment AccountJoint AccountOther Types of AccountAccount Type:(Tick as appropriate)Fixed InvestmentCurrentStandard SavingsSkye RainbowSkyeWiseSkye Select Domiciliary AffixPassportPhotographhere OthersWorkplace BankingACCOUNT No. (For official use only)BRANCHBANK VERIFICATION ID NO:1A. PERSONAL INFORMATIONTitleSurnameOther NameFirst NameMarital Status (Please tick as appropriate)SingleMarriedOthers (please specify)GenderCountry of BirthDate of BirthFMDDMMYYYYDDMMYYYYMother’s Maiden NameNationality (for non Nigerian)DPermit Issue DateDResident Permit No.MMYYYYDPermit Expiry DateL.G.A.DMMYYYYState of OriginReligion (Optional)Tax Identification Number (TIN)(If available)Purpose of Account1B. ADDITIONAL INFORMATIONAre you a citizen of any other country? YesNoIf yes please specifyID NumberGovernment Issued Identification: ID TypeIssue DateDDMMYYYYAre you tax resident in more than one country: YesExpiry DateNoDDMMYYYYIf yes please specifyTax Identification Number (TIN)(If available)Power of Attorney if yes:YesNoIf yes please specify (Name)Street AddressState/ProvinceCountryPhone No. (1)Phone No. (2)Country CodeCountry CodeWaiverI hereby authorize the Bank to take appropriate action to comply with relevant regulations.DateSignature2. CONTACT DETAILSResidential AddressStreet NumberStreet NameNearest Bus Stop/LandmarkCity/TownStateLocal Govt. AreaCountryMailing Address/P.O. Box -11

Mailing Address/P.O. Box -2Phone No. (1)Phone No. (2)Country CodeCountry CodeEmail Address (Optional)3. VALID MEANS OF IDENTIFICATIONNational Driver’s LicenseNational ID CardInternational PassportID Issue DateID No.DD*Others (please specify)INEC Voters cardMMYYYYID Expiry DateDDMMYYYY*People in peculiar circumstances - Artisans, Petty Traders, Students who may not have the prescribed Ids4. ACCOUNT SERVICE(S) REQUIRED (Please tick applicable option below)Card Preferences: Verve CardMaterCardElectronic Banking Prefrences: Internet BankingMobile BankingTransaction Alert Preferences: Email Alert (free)Statement Preferences: EmailPostOthers (specify)Visa CardATMOther Electronic Channels (Fees may apply) SpecifyPOSSMS Alert (Fee applies)Collection at BranchCheque Book Requisition: (Fees applies) Opened ChequeStatement Frequency: MonthlyCrossed ChequeCheque Confirmation: Will you like to pre-confirm your cheques?Yes25 LeavesQuarterly50 LeavesSemi-AnnuallyAnnually100 LeavesNoCheque Confirmation Threshold: If the answer to the above is yes, please specify the threshold5. EMPLOYMENT DETAILS (OPTIONAL)Employment Status: EmployedSelf EmployedDate of Employment (if employed)DDMMUnemployedYYYRetiredStudentOthers (specify)YAnnual Salary/Expected Annual IncomeAnnual Salary: (a) Less than N50,000(b) N51,000 - N250,000(e) N1 million - Less than N5 million(c) N251,000 - N500,000(f) N5 million - Less than N10 million(d) N501,000 - Less than N1 Million(g) N10 million - Less thanN20 million(h) Above N20 MillionBusiness/Employer’s NameEmployer’s/Employment AddressHouse NumberStreet NameNearest Bus Stop/LandmarkCity/TownLocal Govt. AreaStateNature of Business/OccupationOffice Phone NumberFax Number6. DETAILS OF NEXT OF KINOther NameSurnameFirst NameDate of BirthDDMMYYYYGenderFTitle (Specify)MRelationshipPhone Number (1)Phone Number (2)Email Address (Optional)Contact DetailsHouse NumberStreet NameNearest Bus Stop/LandmarkCity/TownLocal Govt. AreaState2

7. ADDITIONAL DETAILSI. Name of Beneficial Owner(s) (If any)II. Spouse’s Name (if applicable)III. Spouse’s Date of BirthDDMMYYYYSpouse OccupationCountry of BirthNationalityStreet AddressState/ProvinceCountryPhone No. (1)Phone No. (2)Country CodeCountry CodeIV. Sources of Fund to the Account 12Expected Annual Income from Other SourcesV. Name of Associated Business(es) (if any) 1.23VI. Type of BusinessVII. Business Address8. ACCOUNT MANDATE(Please tick as appropriate)a. Category of Account:Joint AccountFixed Investment AccountOther Types of AccountAccount Type:Current AccountFixed Deposit AccountSavings AccountDomiciliary Account Othersb. Account Name:(for official use only)c. Account Number:d. Mandate authorisation/combination rule (Please tick as appropriate): Sole SignatoryEither to SignBoth to signe. Signatories:i. Name:1. SurnameFirst NameOther NameClass of SignatoryAffixPassportPhotographhereIdentification TypeIdentification NumberTelephone NumberDDMMYYYYDateSignature2. SurnameFirst NameOther NameClass of SignatoryAffixPassportPhotographhereIdentification TypeIdentification NumberTelephone NumberDFOR BANK USE ONLYNameDMMYYYYDateSignatureFOR BANK USE ONLYSignatureNameSignature3

9. DECLARATION:I/We hereby apply for the opening of account(s) with Skye Bank Plc. I/We understand that the information given herein and the document supplied are the basisfor opening such account(s) and I/We therefore warrant that such information is correct.I/We further undertake to indemnify Skye Bank for any loss suffered as a result of any false information or error in the information provided to the Bank.1. Name. Signature . Date.2. Name. Signature . Date.10. JURAT (THIS SHOULD BE ADOPTED WHERE THE APPLICANT IS NOT LITERATE OR IS BLIND 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 and explained to me by an Interpreter.MARK OF CUSTOMER/THUMBPRINTDDMMAGISTRATE/COMMISSIONER FOR OATHSMYYYYDATENAME OF INTERPRETERADDRESS OF INTERPRETERTELEPHONE NO.LANGUAGE OF INTERPRETATION11. ACCOUNT HELD WITH OTHER BANKS:S/NNAME AND ADDRESS OFBANK/BRANCHACCOUNT NAMEACCOUNT NUMBERSTATUS:ACTIVE/DORMANT1.2.3.4.12. TERMS AND CONDITIONThe Responsibilities of the Account HolderRights of the Bank Send account opening documentation and requireddocumentation to amend existing mandates and otherrelated instructions on the account as may be prescribedby the Bank from time to time. The Bank may debit the account(s) with usual Bankingcharges, interest, commission, and fees as may bedetermined by the Bank from time to time Ensure proper completion of signature cards Promptly send in cheque book requisition slip/ letter Provide Skye with specimen signatures of its authorisedsignatories Inform Skye immediately of any change(s) to the list ofauthorised signatories Complete necessary details for cheque payments Keep his/her/its cheque booklet properly and promptlynotify Skye the loss of a cheque booklet and/ ordetachment of leaves of a cheque booklet Shall assume full responsibility for the genuineness or andvalidity of all cheques, orders, bills, notes, negotiableinstruments, receipts and/or other documents includingendorsements appearing on the same, deposited in ordrawn on in respect of his/her/its account(s) with the Bank. The Bank shall not be liable for any loss or diminution offunds or damage to instruments deposited with the Bankdue to any Government order, law, levy, tax, embargo,moratorium, exchange, restriction and/or all of othercauses beyond the Bank's control The Bank is under no obligation to honour any chequesdrawn on the account(s) unless there are sufficient and unimpaired funds in the account to cover the value of the saidcheques. The Bank reserves the right to return suchcheques to the Account Holder unpaid. In the event that the Bank honours a cheque where theamount in the account is not sufficient to cover the value ofthe cheque, any amount drawn in excess of the value ofthe accounts shall be treated as an overdraft facility andthe Account Holder agree to repay the Bank the principalamount together with the interests and/or charges that theBank may prescribe. Shall be responsible for the repayment of any overdraftwith interest and to comply and be bound by the Bank'srules for conduct of savings, current, domiciliary and otheraccount(s) as may be determined by the Bank from time totime. The Account Holder shall be bound by any notification ofchanges in conditions governing the account directed tohis/her /its last known address and any notice or letter sentto his/her/its known address shall be considered as dulydelivered and received three business days after dispatchof same by ordinary pre-paid post or on the date endorsedon the proof of delivery if delivered by courierservices/hand delivery. Shall indemnify the Bank against any loss, damage,expense or claim the Bank may suffer by reason ofopening the said account(s) or by reason of the falsehoodor inaccuracy of any information or misrepresentationmade to the Bank by the Account Holder except thoselosses, damages, expenses or claims directly resultingfrom the acts, defaults or gross negligence of the Bank. No notice which may be given to the Bank by the AccountHolder shall be binding upon the Bank until it shall havebeen received by the Bank and sufficient time shall haveelapsed thereafter to permit the Bank in due course and bysuch means the Bank may deem appropriate to notify theconcerned/affected department offices, branches andcorrespondents. Shall hold the Bank harmless and free of any liabilitywhatsoever for any loss, damages, fraud or claims that theAccount Holder may incur from the fraudulent use of anytelephone number, fax number or email address suppliedin this form or subsequently by the Account Holderwhether for the purpose of issuing instructions,receiving/sending account information or indeed anytransaction related to this account. Any disagreement with entries on the Bank's statementswill be made in writing to the Bank by the Account Holderwithin 30 days of dispatch of the statement, failing which itwill be concluded that the statement as rendered is correctand same shall no longer be disputable, except in case ofmanifest errors. Shall ensure that he/she/it collects duly stamped depositslip for any sum deposit into the account. cheques drawn upon such incorrect entry whether or notdrawn in good faith and without any notice of error andwhether the error has been corrected or not, and the Bankis entitled to reverse such incorrect entry without priorconsent of the Account Holder and any liability on the partof the Bank. The Bank may at any time and in absolute judgement closethe account(s) and discharge all liabilities with respect tothe account(s) by hand delivery or by mailing to theAccount Holder by courier services a Bank draft in thecurrency of the account without recourse to the Bank as adrawer, payable to the order of the Account Holder in theamount of the then credit balance in the account(s) lessfees, charges or commission to which you may be entitledby law or by any agreement between us and the Banktogether with such documents, if any, as may benecessary in your sole discretion, to transfer to us. The Bank will not be liable whatsoever for funds handed bythe Account Holder or his/her/its representatives or agentsor employees to any of the Bank's employees withoutevidence of a duly stamped deposit slip. In addition to any general lien or right to which the Bank asBankers may be entitled by law, the Bank may at any timeand without notice to the Account Holder combine orconsolidate all or any of his/her/its accounts withoutliability to the Bank and set off or transfer any sum or sumsstanding to his/her/its credit in any one or more of suchaccounts or any other credit, be it cash, cheques,valuables, deposits, securities, negotiable instruments orother assets with the Bank or in any other respect whethersuch liabilities be actual or contingent, primary collateral,several or joint. To affirm and undertake that all the documents used inopening the account(s) are genuine and we will indemnifythe Bank if at any time it is shown otherwise and we will befurther liable for any wrong that may be occasionedthereby. This indemnity to you shall be continuing andshall not be withdrawn by us so long as we maintain thisaccount with the Bank. The Account Holder and the Bank agree that the operationof the account(s) is subject to laws and regulations at anytime existing in the Federal Republic of Nigeria, and to bebound by the terms and conditions herein. If or where any entry is made into the Account Holder'saccount(s) in error, the Bank is entitled to dishonor itled to4

FOR BANK USE ONLYI. REQUIREMENT CHECKLISTSavings AccountS/NDOCUMENTS REQUIRED1.Duly completed Account Opening Form2.Specimen Signature Card duly completed3.Recent Passport Photograph4.Proof of Identity: International passport, Driver’s license, National ID card, Valid Nigerian Voters Cards5.Resident Permit (for non-Nigerian)6.Proof of Address: Utility bills, etc (Certified true copy is acceptable if original is not held)7.Letter from Employer / School / NYSC (for salary account and or Student 8 - BEN and W9Fixed/Current/Domiciliary/Fixed Investment/Other Types of AccountS/NDOCUMENTS REQUIRED1.Duly completed Account Opening Form2.Specimen Signature Card duly completed3.Two (2) recent passport photographs4.Two (2) independent and satisfied references5.Proof of Identity: International passport, Driver’s license, National ID card, Valid Nigerian Voters Cards6.Proof of Address: Utility bills, etc (Certified true copy is acceptable if original is not held)7.Letter from employer (for salary account only)8.Resident permit (for non-Nigerian)9.Other document provided.2. AUTHENTICATION FOR FINANCIAL INCLUSIONI.Is the customer socially or financially disadvantaged?YesNoIi. If answer to the (i) above is yes, state other documents obtained in line with the bank’s policy on socially/financially disadvantaged customer in compliancewith Regulation 77(4) of AML/CFT Regulations, 2013.Iii. Does the Customer enjoy tiered KYC requirements?YesNoiv. If answer to question (iii) above is yes, identify the customer risk category: Low RiskMedium RiskHigh Risk3. AUTHENTICATION FOR POLITICALLY EXPOSED PERSONSIs the Applicant a Politically Exposed Person?YesNoFor Bank Use OnlyA. ACCOUNT OPENED TE5

B. DEFERRAL/WAIVER OF DOCUMENT (IF ANY) AUTHORISED MMYYYYDDMMYYYYDATENameSignatureDATEC. ADDRESS VERIFICATION CARRIED BY:NameSignatureDATENameSignatureDATECOMMENT(S) (Address description and result finding):D. ACCOUNT OPENING AUTHORIZED / APPROVED BY:NameSignatureDATENameSignatureDATE6

INDIVIDUAL ACCOUNT MANDATEINDEMNITYCUSTOMER INFORMATION UPDATE NOTICE7

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