PERSONAL ACCOUNT OPENING FORM

FOR BANK USE ONLY – ACCOUNT NUMBER

ACCOUNT SPECIFICATION
Please tick as applicable
INDIVIDUAL ACCOUNT
NO. 1 NO. 2
JOINT ACCOUNT
APPLICANT APPLICANT
IN TRUST OF (ITF)
PHOTO PHOTO

1 CLIENTS PERSONAL DETAILS (Attach a copy of ID)

Title: First Name(s) Surname

Identification Type: Voters ID Driver’s License Passport National ID Other: ___________________

Please fill as ID Number Issue Date Expiry Date Issued by
applicable TIN: _____________________

Date of Birth Place of Birth

Marital Status Single Married Divorced Widowed Nationality

Profession/Occupation No. of years worked

Number of Children Number of Dependents

Housing Rented Owned Mortgaged Other:

2 ADDRESS / CONTACT

Postal Address

Email Address

Residential Address

Mobile Number Mobile Number

3 CUSTOMER’S EMPLOYMENT DETAILS

Customer’s Economic Activity Salaried Retired Self-Employed Unemployed Student Pastor/Imam

If employed, kindly give details of your employer:

Name of Employer Position

Postal Address

Department Year Employed

Department Department Department Department

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4 2ND APPLICANT JOINT ACCOUNTS HOLDER

Title: First Name Surname

Identification Type: Voters ID Driver’s License Passport National ID Nationality

Please fill as ID Number Issue Date Expiry Date Issued of Issue by

applicable

Date of Birth Place of Birth

Marital Status Single Married Divorced Widowed

Profession/Occupation No. of years worked

Number of Children Number of Dependents

5 NEXT OF KINS

Name Relationship Percentage

Name Relationship Percentage

Name Relationship Percentage

6 IN TRUST OF (IF APPLICABLE)

ITF Name Contact

Purpose of Trust

7 BANK DETAILS

Bank Name Branch

Account Name Account Number

8 INVESTMENT PRODUCTS

Fixed Deposit Plan Investment Call Account

Initial Amount Investment Tenor 91 days 182 days 365 days 2 years

3 years Above 3 years: ________

Source of Funds

Mode of Initial Deposit Intl. Wire Transfer Local Wire Transfer Cheque Deposit Cash

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9 INVESTMENT TERMS

INVESTMENT TERMS
If invested funds are disinvested before maturity, interest rate applicable on the principal amount invested
will be reduced as follows;

Fixed Deposit Investment

a. 50% or Less of Duration,40% of Accrued Interest.

b. Between 50% and 80% of Duration; 30% of Accrued Interest.
c. Between 80% and 95% of Duration; 20% of Accrued Interest.

Plan Investment

i. 50% or Less of the agreed duration – a penalty of 50% of interest accrued

ii. Between 50% and 80% of the agreed duration – a penalty of 30% of interest accrued.
iii. Between 80% and 95% of the agreed duration – a penalty of 20% of interest accrued.

INTEREST RATES

• Please note that, all quoted interest rates are annualized rate (i.e. interest rate per annum).
• On maturity, investments for which no specific instructions have been received shall be rolled over at the
company’s prevailing market rates.

DISCLOSURE TO CREDIT REFERENCE

Darfin Finance will obtain information about you from the Credit Reference Bureaus to check your credit status and
identity. The Bureaus will record our enquiries which may be seen by other institutions that make their own credit
enquiries about you.

Darfin Finance shall also disclose your credit transactions to Credit Reference Bureaus in accordance with the Credit
Reporting ACT, 2007 (Act 726)

10 DECLARATION

I/We hereby apply for the opening of account(s) with Darfin Finance Company Limited. We/I understand that the
information given herein and the documents supplied are the basis for opening such account(s) and I/We therefore warrant
that such information is correct.

I/We further undertake to indemnify Darfin Finance for any loss suffered as a result of any false information or error in the
information provided to the Bank (Darfin Finance).

(A) SIGNATURE: (B) SIGNATURE:

Name: Name:

Date: Date:

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 DARFIN FINANCE COMPANY LIMITED
ACCOUNTS MANDATE FORM

Account Mandate Only to Sign Either to Sign Both to Sign

SPECIMEN SIGNATURE - 1

1)

2) Name:

3) _____________________________

SPECIMEN SIGNATURE - 2

1)

2) Name:

3) ____________________________
__

SPECIMEN SIGNATURE - 3

1)

2) Name:

3) ____________________________
_

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 DIRECTIONAL SIGNS TO CUSTOMERS RESIDENCE / OFFICE

OTHER DETAILS
NEAREST LANDMARK
TOWN / CITY
DISTRICT/METRO

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 OFFICIAL USE ONLY

CHECKED DEFERRED WAIVED N/A

DOCUMENT REQUIRED
1 Accounts Opening Form duly completed

2 Specimen Signature duly completed

3 Tin Registration Number

4 Trust Deed

5 Two (2) passport size photographs of each signatory to the account

6 Residence Permit (where applicable)

7 Power of Attorney (where applicable)

8 Copy of National Identity Card

AUTHENTICATION FOR POLITICALLY EXPOSED PERSON

Is the Applicant a Politically Exposed Person? Yes No

Level of Risk Low Risk Medium Risk Medium High-Risk High Risk

SOURCED BY:

Name: _______________________________________ Dept. __________________ Date: ______________________

ACCOUNT OPENED BY:

Name: ____________________________________________ Date: _____________________

REVIEWED BY:

Name: ______________________________________________________________ Date: ______________________

Signature: __________________________________________________________

Comments: ____________________________________________________________________________________________________

______________________________________________________________________________________________________________

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