Professional Documents
Culture Documents
DAOF - Business
DAOF - Business
CIF # ___________________________________________________________
IBAN# ___________________________________________________________
ACCOUNT OPENING FORM
D D M M Y Y
Account No. CIF# Date
TITLE OF ACCOUNT
In Block Letters
Correspondence Address_______________________________________________________________________________________________________________
OPERATIONAL INSTRUCTIONS ( For Accounts other than sole proprietors)(Please Tick One)
Name Name
Name Name
Name (Mr./Mrs./Miss./Ms.)
Mother’s Name
D D M M Y Y
Marital Status _______________ Date of Birth: Gender: Male Female Other
Place of Birth____________________________________
D D M M Y Y
CNIC/SNIC - - Expiry Date
D D M M Y Y
Passport #(if Applicable) Expiry Date
RESIDENTIAL DETAILS
Area/Location: _______________________City_________________
_____________ Postal Code
Residential Status Owned Rented Other (Please Specify) _____________ Residing Since
Signature
Mr./Mrs./Miss. ______________________________________________________________________________________________________________
S/O,W/O,D/O _______________________________________________________________________________________________________________
CNIC/SNIC/NIC No (ifAny)______________________________________________________________________________________________________________________________________________________________________________
ZAKAT EXEMPTION
Yes (Valid Zakat Exemption Certificate) No
I hereby give consent that above marked Debit Card be issued. Signature _____________________
SMS Alerts
Would You Like SMS Alerts Yes No Mobile
E Statement
Would You Like E Statement sent to your specified Email Address Yes No _______________________________
Email Address__ ______
E Banking
Would you like E Banking facilities with your account Yes No
Account Admitted By
Name Transaction Number/Date
Signature BM Signature
TAGGED TO
Name________________________
__________________________________________ Account No.____________________________________
CNIC/SNIC No. - -
Signature
Account Title
(If yes,please write) Name of Bank & Br.______________________________ Type of A/C ______________________ Account No. _____________________
(If yes, please write) Name of Branch. _________________________________ Type of A/C ______________________ AccountNo. _____________________
Purpose of Account: Describe what the client will use account or product forin detail: ______________________________________________________________
_______________________________________________________________________________________________________________________________________
Country wide:
Internationally:
TH RESHOLD LIMITS FOR EXPECTED MONTHLY DEBIT & CREDIT TRANSACTION(S) AND NUMBER OF TRANSACTIONS PER MONTH
Transaction Type No. of Transactions in a Month Maximum Amount Per Monthly Expected Turn over
Transaction(threshold limit)
Dr.
Cr.
Customer Signature
Note: In case of high risk EDD should be conducted along with approval from concerned authority
OFFICER BM/DBOM
(Signature, Name & Date) (Signature, Name & Date)
Note: The officer taking KYC information and BM/DBOM shall be responsible for ensuring the completeness of Information.
Name (Mr./Mrs./Ms.)
Source of Income Business Salary Inheritance Profession Investment Self Employed Others__________________
(if yes, please write)Name of Bank & Br. _____________________________ Type of A/C ________________ Account No. _____________________
(if yes, please write) Name of Branch _______________________________ Type of A/C ________________ Account No. _____________________
__________
Customer S
OFFICER (Signature, Name & Date) BM/DBOM (signature, Name & Date)
Note: The officer taking KYC information and BM/DBOM shall be responsible for ensuring the completeness of Information.
I/We hereby provide consent to and authorize The Bank of Punjab (“the Bank") for the following in respect of any local or foreign laws or regulations applicable to the Bank:
(a) to disclose, furnish or share information pertaining to my/our account to domestic or overseas regulators or tax authorities where necessary to establish our tax liability in any jurisdiction; and
(b) to deduct applicable withholding tax on my/our account when required to do so by overseas regulators or tax authorities or pay from my/our account such amounts as may be required in order
discharge the Bank's obligations in accordance with applicable laws, regulations agreements with regulators or authorities and directives.
(A company created in U.S, established under the laws of U.S. or a U.S. tax payer)
If No, please provide name of the country in which the entity is incorporated or organized Listed on Stock
Exchange Yes No
Name of Stock
Country
Exchange
______________________________________________________________________________________________________________________________________
• If you select Passive NFFE from the above, please provide in full the details requested in the table below of any Controlling Persons, who hold more than 10% or more interest in the Passive NFFE by
vote or value. Please fill Annexure 1
• I / We hereby certify that the information we have provided in this form is true, correct and complete. I/We indemnify and hold the Bank harmless against any claim, damages, costs, expenses and other
direct and indirect consequence of the Bank disclosing, furnishing and sharing any information pertaining to my/our bank account with any domestic or overseas regulators or tax authorities. I/We
confirm that I / we have provided this information willingly.
• I / We understand that providing false information, withholding relevant information or responding in a misleading way, may result in rejection of my application or other appropriate action taken against
me.
• I / We undertake to notify the Bank within thirty (30) calendar days if there is a change in any information which we have provided to the Bank herein.
• I / We undertake to complete, sign and provide such additional forms as may be prescribed from time to time and required to be furnished to the Bank in relation to the disclosure contained herein.
Authorized S ignatory 1
Title: __________________________________________
(As per identity document)
Authorized Signatory2
Title:
__________________________________________
(As per identity document)
Signature: ________________________
__________________ Power of Attorney / Mandate
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Please confirm the Customer’s FATCA status by checking the relevant box. Yes No
Is the entity specified U.S. person? If yes, please provide form W-9
If yes, please provide form W-9 or W-8 BEN E or other W8 form;
Is the entity Financial Institution? providing the relevant FATCA status.
Is the entity Exempt Beneficial Owner If yes, please provide form W8 BEN E or other W8 form as applicable
Does the entity have one or more U.S. indicia listed in Note 1 ? If yes, please provide form W8 BEN E / other W8 form (as applicable)
or similar documentation establishing foreign status
Does the entity substantial owners have one or more U.S. indicia If yes, please provide form W- BEN E; and U.S. /Non-U.S. passport/ID
listed in Note 2? or similar documentation establishing foreign citizenship; or written
explanation regarding U.S. citizenship.
Account Number
FATCA Status:
Specified U.S. person
Non-U.S. person
Non-Participating FFI
U.S. owned Passive NFFE
Direct Reporting NFFE
Recalcitrant
Other (As per W8 forms and FATCA Due Diligence Form) PleaseSpecify _________________________
Dear Sir/Madam,
In Block Letters
Title
With reference to my/our A/c No., I/We request you to please issue me/us Cheque Book containing
___________________leaves. Please debit the charges (if any) for the issuance of the Cheque Book to my/our Account with you.
Yours Faithfully
Authorized
In Block Letters
Name
Address
I/We hereby confirm having received the Cheque Book, counted the leaves and found in order, with the assurance to keep the same under my/our safe
custody and inform the bank immediately, in case it is lost/misplaced/destroyed.
"I/We have taken the new cheque book with standard cheque layout. Further, the branch staff has explained to me/us new method of writing the
cheques and I/We have understood the same completely. "
Date D D M M Y Y
Authorized Signature