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Habib
Canadian Bank
(A Subsidiary of Habib Bank AG Zurich - Switzerland)

Branch

MISSISSAUGA | SCARBOROUGH

APPLICATION FOR OPENING A PERSONAL ACCOUNT

Please use 'CAPS' to complete the form

Account No

Title of Account (for bank use only) King's Line International Freight Forwarding Company
Term Deposit

Checking

Mr

Savings

Canadian Dollar

First Name

Client Information

Mrs

If Other, specify

Currency

If Other, specify

Type of Account

Middle name

Last Name

Ms Asadullah

House.No.
Home
Address: 001

Khan
Social Insurance No. /Passport No. .

17/04/1981

Date of Birth(dd/mmm/yy)

US Dollar

NU4117621

Street

City

Province / State

Hajiabad Asif Killi - Takht-Bhai

Mardan

Khyber Pakhtoon Khwa

Pakistan

Home Tel No. +923005246602

Cell +923469346846

Fax

Country

Postal Code
23160

Email [email protected]

Presently banking with (Bank name, Address) Habib Bank Ltd Pakistan
Address in Country of Residence (if different from home address above)

Makroryan 3rd, Block 22, Apartment # 30

Nationality Pakistani
Previous Address: (if less than 2 years at present address)
House.No.

Street

Employment Information
Business
Address:

City

Self Employed

Province / State

Employer / Business Name

Country

Postal Code

King's Line International Freight Forwarding Company

Unit.No.

Street

City

Province / State

Country

Postal Code

KIA Road

Khoja Rawash

Kabul

Kabul

Afghanistan

25000

Business Telephone
For Students

Occupation

+93794009298

Full Time

Part Time

No. of Yrs 2

Owner & CEO

Elementary School

Graduating Year

High School

University/College

Name and Address of Educational Institution

Source of Fund

Business

Savings

If Other, specify

Introduction / Reference

Account Number (if Applicable )

Name, Address

Self

Any One to Sign

Fax / Phone instructions relating to my/our account

ATM Banking

Internet Banking

Introducer's signature

+1(403) 919-0263 / [email protected]

__________________

Jack Parry, Kaps Intl, 124 Lake Bonavista Dr SE, Calgary AB T2J 3S9

Account Operating Instructions

Telephone /email

Any Two to sign Jointly

Accept
GSM Banking

If Other, specify

DO NOT Accept
Hold Mail at the Bank (for non-resident accounts only)

In case of a Joint Application, the Co-client(s) must complete their information and sign, on page 2 of this application
GENERAL TERMS AND CONDITIONS
I agree that:
In this Application "you" and "your" mean Habib Canadian Bank. "I", "me" and "my" mean the Client who has signed this Application. If a Co-Client has also signed this Application,
these words also mean each of the Client and Co-Client individually.
All information I have supplied to you in this Application is true and complete. If the information supplied to you was entered directly into your computer file, I reviewed the information
entered and verified its accuracy.
You and I have expressly requested that this Agreement and all related documents, including notices, be drawn up in the English language. Vous et moi avons expressement demande que ce
contrat et tout document afferent, compris tout avis, soient rediges en langue anglaise.
If you have approved my Application, I have completed a Signature Card and I have received: a copy of the Client Agreement; a copy of the Privacy Agreement; a General Schedule of
Service Charges and Interest Rates; a copy of the Complaint Handling Procedures; a Personal Banking Card number, if applicable and a sealed envelope with my Personal Access Code
("PAC"), unless I personally selected my PAC (where available); a sealed envelope with my password (if applicable).
You may collect credit and other financially related information (including information related to my transactions) about me (information) from me, from service arrangements I have made
with or through you, from credit bureaus and other financial institutions, and from references I have provided to you. You may give Information to credit bureaus and other financial institutions
and, with my consent, to other parties. You may give Information to determine my financial situation and keep it in your records so long as it is needed for the purposes described above.
Iconsent to and accept this as prior written notice of, your obtaining a credit report of other Information about me from time to time.

Dated (dd/mmm/yy)

Signatures
Revised Novemberr 2005

05/10/2013
____________________
Client

_______________________
Co-Client

_____________________
Co-Client

918 Dundas St E, Mississauga, ON, Canada L4Y 4H9 Phone :+1 905 276 5300 Fax: +1 905 276 5400 Telex: 6738535HCBTOR SWIFT:HBZUCATT

Habib Canadian Bank

(A Subsidiary of Habib Bank AG Zurich - Switzerland)

Branch

Co-client(s) Information for a Joint Account

Mr

Mrs

Account No

First Name

Co-Client Information

Middle name

Last Name

Ms
Social Insurance No. /Passport No. .

Date of Birth(dd/mmm/yy)
Home
Address:

MISSISSAUGA | SCARBOROUGH

House.No.

Street

City

Home Tel No.

Cell

Province / State

Fax

Country

Postal Code

Email

Presently banking with (Bank name, Address)

Address in Country of Residence (if different from home address above)
Nationality
Previous Address: (if less than 2 years at present address)
House.No.

Street

Employment Information
Business
Address:

City

Self Employed

Unit.No.

Country

Postal Code

Province / State

Country

Postal Code

Employer / Business Name

Street

City

Occupation

Business Telephone
Full Time

For Students

Province / State

Part Time

No. of Yrs
Elementary School

Graduating Year

High School

University/College

I have read, understood and agree to the terms and conditions in page 1

Signature____________________________
First Name

Co-Client Information

Mr

Mrs

Middle name

Last Name

Ms
Social Insurance No. /Passport No. .

Date of Birth(dd/mmm/yy)
House.No.
Home
Address:

Street

Home Tel No.

City

Cell

Province / State

Fax

Country

Postal Code

Email

Presently banking with (Bank name, Address)

Address in Country of Residence (if different from home address above)
Nationality
Previous Address: (if less than 2 years at present address)
House.No.

Employment Information
Business
Address:

Unit.No.

Street

Self Employed

Full Time

Province / State

Country

Postal Code

Province / State

Country

Postal Code

Employer / Business Name

Street

Business Telephone
For Students

City

City

Occupation
Part Time

Graduating Year

No. of Yrs
Elementary School

High School

University/College

I have read, understood and agree to the terms and conditions in page 1

Revised Novemberr 2005

Signature____________________________

918 Dundas St E, Mississauga, ON, Canada L4Y 4H9 Phone :+1 905 276 5300 Fax: +1 905 276 5400 Telex: 6738535HCBTOR SWIFT:HBZUCATT

Habib Canadian Bank

(A Subsidiary of Habib Bank AG Zurich - Switzerland)

Branch

MISSISSAUGA | SCARBOROUGH

Contracting Partner

Account No

ESTABLISHMENT OF THE BENEFICIAL OWNER'S IDENTITY

( Form A as per Art. 3 and 4 CDB )

The contracting partner hereby declares:

(mark with a cross where appropriate)

that the contracting partner is the sole beneficial owner of the assets concerned
that the beneficial owner/s of the assets concerned is/are:

Contracting
First Name (Partner
or Company )

Date of Birth

Nationality

Address / Domicile / Country

The contracting partner undertakes to inform the bank, of his own accord, about any changes.
Willfully entering false information in this form is a criminal offense (art. 251 of the Swiss Penal Code, forgery
of documents; under penalty of penal servitude of up to five years or a prison sentence).
Signature of the Contracting Partner

Place and Date

Revised Novemberr 2005

918 Dundas St E, Mississauga, ON, Canada L4Y 4H9 Phone :+1 905 276 5300 Fax: +1 905 276 5400 Telex: 6738535HCBTOR SWIFT:HBZUCATT