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Account Opening Form Individual

This document summarizes an account opening form for individuals at a bank. It requests information such as account type, applicant details, employment details, next of kin, and terms and conditions. The terms state that the bank may decline to open an account or freeze it due to disputes. The customer must provide accurate information and notify the bank of any significant incidents like a death. The bank is not responsible for unauthorized access if security details are lost or stolen.

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TOORACH JOEL
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0% found this document useful (0 votes)
189 views4 pages

Account Opening Form Individual

This document summarizes an account opening form for individuals at a bank. It requests information such as account type, applicant details, employment details, next of kin, and terms and conditions. The terms state that the bank may decline to open an account or freeze it due to disputes. The customer must provide accurate information and notify the bank of any significant incidents like a death. The bank is not responsible for unauthorized access if security details are lost or stolen.

Uploaded by

TOORACH JOEL
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACCOUNT OPENING FORM (Individuals)

Branch Single Joint Guardian /Trustee(s) Date DD / MM / YYYY


Account Number
(To be filled by Bank Official)

Account Title
(To be filled by Bank Official)

A. ACCOUNT TYPE & SERVICES


SERVICES
Specify
ACCOUNT TYPE Account Post Post Post Mobile Post Post Post
Alerts Card *263# App Online E-Statement
Diaspora Account
Early Start Account
Foreign Currency Account
Save As You Earn (SAYE)
Smart Woman Account Self Pre-ticked
register
Summit Account services are
“offered by
Transaction Account default”
VSLA Account - Individual
Youth Save Account
Other Account
- Please specify currency UGX KES TZS USD GBP EUR

B. APPLICANT DETAILS
Surname
Other Name(s) Date of Birth: DD / MM / YYYY
Gender Male Female Marital Status

Type of ID Card National ID ID Card No. (NIN)


(We only accept these) Passport Refugee ID ID Card Expiry Date DD / MM / YYYY
Nationality Country of Residence
Contact Details
Mobile Phone No. P.O. Box No.
Other Phone No. Postal Office
Email (Personal)
I guarantee the accuracy of the contacts (mobile/email) provided above and consent to the use of my Mobile Phone No. and Email above
for the bank’s digital services.
I accordingly agree to hold the bank harmless from any loss/claims that may arise should the bank rely on them.

Current Residential Details


State/City/District Province/County
ZIP Code/ Village Zone/Plot No./ Street

C. SPECIMEN
Signing mandate Applicant’s Photo Specimen Signature

Alone
Either to sign
All/Both to sign
Other(Specify)
D. EMPLOYMENT/ BUSINESS DETAILS
Source(s) of Income Salary Business Other (Specify)
If self-employed, specify the nature of business involved
in e.g. Agriculture, Trade, Tourism, Transportation, etc.

Current Employer’s Name


Work Physical Address
Current role/title
Monthly gross income or Below 500,000 500,000 - <1m 1 - <3m 3 - <5m
UGX Equivalent
Monthly gross turnover 5 - <10m 10 - <20m 20 - <50m Above 50m

E. NEXT OF KIN
Names Relationship
Address Telephone No.
Email

F. OTHER ACCOUNT DETAILS


Other accounts with Post Bank if any Yes No
Account Names Account No.
Account Names Account No.

G. DEPOSIT PROTECTION FUND REQUIREMENTS


Please choose below your preferred mode of payment and provide the details:
Alternative Bank Account Details (Not in PBU) Registered Mobile Money Number Details
Bank Name Telecom Name
Account Names Registered Names
A/C Number Registered Number

TERMS AND CONDITIONS

1. INTRODUCTION
1.1. These terms set out the terms and conditions upon which we, the Bank will provide banking services to you and references to
‘we’, ‘us’, or ‘our’ read to mean the Bank. References to ‘you’ or ‘your’ or ‘yourself’ are references to the person or persons in
whose names the account is held.

1.2. The terms and conditions are limited to providing general banking services and form a legal agreement between you and us; so
please confirm that you understand all of them.

1.3. The terms and conditions apply to all accounts (both transactional and savings) whether opened on the date of signing these
terms and conditions or on a later/prior date.

1.4. We reserve the right to change or amend any or all of these terms upon giving you notice in accordance with the Bank of Uganda
Consumer Protection Guidelines.

2. ACCOUNT OPENING
2.1. By signing these terms, you guarantee the accuracy of the information submitted on this application. We shall not be held liable
for any misrepresentation or any legal consequences arising from reliance on the information provided by yourself.

2.2. We may at our discretion decline to open an account for any applicant for an account. We are under no obligation to communicate
the reason for our decision to the applicant.

2.3. At account opening and at any time throughout the lifetime of the account, you are agreeing to provide us with any supplementary
documentation and information we may request for from time to time in order to undertake our due diligence as required.

2.4. You will provide us with specimen signatures of each of the persons authorized to operate your account.

2.5. If false or inaccurate information is provided and fraud is identified or suspected, your details may be forwarded to the relevant
enforcement agencies for any further action as may be required.
3. ACCOUNT OPERATION OBLIGATIONS
3.1. We shall not be liable whatsoever for funds handed to Bank Tellers outside banking hours and/or outside designated banking
premises or channels.

3.2. It shall be incumbent on you to request for and/or acquire a duly signed deposit slip or acknowledgement receipt at all times when
you make a deposit transaction from any of our designated points of representation to aid your transaction confirmation and
reconciliation.

3.3. You will authorize us to accept instructions signed by yourself/yourselves.

3.4. We shall not make any payment out of your account to any party unless you have consented by giving instruction in accordance
with the mandate held by us.

3.5. Any cancellation of an instruction shall be communicated to us at least one working day before the payment is due to be debited.
For avoidance of doubt, the time of receipt is the time we receive the instructions not the time you send them.

3.6. We shall at any time freeze your account as long as there is any dispute or reason to suspect any fraud on the persons entitled to
operate the same.

3.7. We shall at our discretion refuse to act on any instruction if;


- We are unable to authenticate the origin of the instructions
- The instructions are unclear, incomplete, not signed or not in the approved form.
- The instruction would cause you to exceed authorized limits for your account.
- Complying with the instruction would be contrary or in breach of any law/regulation applicable to us

3.8. We shall notify you with reasons in case we decline to honor instructions, unless if we are limited by circumstances beyond our
control preventing us to give this information.

3.9. You shall keep confidential at all times your ATM Card/Password/PIN/Login credentials/phone messages or any other security
information secure to prevent any fraudulent use to them. We will not be held liable in case your password/PIN/Login credentials/-
phone messages are misappropriated by a third party to access and/or transact on your account.

3.10. You shall within 24 hours write to us if any card/PIN/security device or security details are lost or stolen or suspect to be used
or accessed by an unauthorized person.

4. COMPLAINTS
4.1 We shall not be liable for any matters unless you make a complaint to us as soon as reasonably possible either verbally or in
writing, through our official communication or feedback channels provided.

5. INCIDENT COMMUNICATION
5.1. You will communicate to us in writing in the event of any significant incident or decision alteration (such as change in signatories
or signing mandate) in the general operations of your account.

5.2. In the unfortunate event of death of any signatory of a joint account holding, the survivor(s) undertake(s) to advise the bank in
writing of such death within reasonable time. In absence of acknowledgment (in any form) of receipt of such notification, the Bank
shall not be held liable for allowing continuation of operations on any affected account(s).

6. BANK CHARGES
6.1. We may apply charges for use of the account and for services provided to you in accordance with our prevailing tariff guide in
accordance with the Consumer Protection Guidelines issued by the regulator.

6.2. We may apply new or revised charges to your account at least 30 calendar days after the change notice is given in print media
and displayed in our designated branches and website.

6.3. We are mandated to debit your account for any of the followings;
- Interest on any facility granted by us at a prescribed date, unless otherwise agreed in writing.
- All charges including but not limited to statement printing, taxes and duties and any other expense incurred in operating this
account.

7. DEBIT INSTRUMENTS
7.1. We have the discretion to issue you with a debit card for operations of your account and to retain or cancel your instruments if
there is any suspicion of fraud regarding your account.

7.2. We shall not be liable for any loss arising from lost or misplaced debit instruments e.g. In-house vouchers or voucher book(s) if
we are not notified within a reasonable period (at most within 24 hours of its loss).

8. STATEMENTS
8.1. We shall provide you with free regular electronic copies of your statements onto your availed email address and upon registration
on the Bank’s internet banking platform, the same shall be available online. Any paper statements or additional requests will be
charged in accordance with our prevailing tariff guide.
8.2. We shall avail your transactional information for a period of 10 years preceding the date of request in accordance with the regula-
tions; any information required exceeding 10 years will be at our discretion.

9. DISCLOSURE OF PERSONAL DATA


9.1. We shall treat your personal information as private and confidential (even when you cease to be a customer). We may however
disclose your personal data:
- where such disclosure is required for performing obligations in the course of or in connection with the provision of our services
or
- to third party service providers, agents and other organizations engaged by the bank in compliance with our statutory or legal
obligations.

9.2. We may provide all your credit information with any Credit Reference Agencies who may make this information available to other
organizations at any time during the operation of your account to help us, as financial service providers, make credit decisions
and/or detect crime.

10. INACTIVE ACCOUNTS


10.1. Your account will be classified as inactive if there are no customer-initiated transactions for a consecutive period of 6 months.
Anytime thereafter, you may be given 14 calendar days’ notice to re-activate or authorize its closure.
10.2. In any case, if this inactive state continues for a consecutive period of 18 months, the account shall be deemed to be dormant
and therefore dealt with in accordance with the prevailing laws of the country.

11. CLOSING OF ACCOUNT


11.1. You reserve the right to give us written instructions to close your account as per the signed mandate.

11.2. We may terminate your account immediately if we have reasonable grounds to suspect any of the following:
- That you provided us with false information.
- That it is being used for illegal dealings.

CONFIRMATION AND CONSENT:

I/We, the undersigned confirm that the information given is true and complete and agree that I/We have read and understood the
above terms and conditions and hereby fully consent to be bound by them as construed and governed by the laws of Uganda.

Name Signature Date

DD / MM / YYYY

DD / MM / YYYY

DD / MM / YYYY

DD / MM / YYYY

FOR BANK USE ONLY Customer ID No. P B


PEP Status Yes No PEP Reason
Sales Agent Name Agent ID/PF Code

Maker_Name Signature & Date


Core Banking
Checker_Name Signature & Date

Maker_Name Signature & Date


Card Man
Checker_Name Signature & Date

Maker_Name Signature & Date


Mobile/Internet
Checker_Name Signature & Date

Comments (If any)

Customer Deposits are protected by the Deposit Protection Fund of Uganda. PostBank is regulated by the Central Bank of Uganda

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