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ANNEX I Customer KYC Update Form - Individual

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manikaba148
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106 views

ANNEX I Customer KYC Update Form - Individual

Uploaded by

manikaba148
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION LETTER FOR KYC UPDATING – Personal and Joint customers

BARUA YA KUSASISHA MAELEZO YA AKAUNTI – Akaunti Binafsi na ya Pamoja

TO:
CRDB BANK PLC
________________________Branch

I/We___________________________________________________ (Full Name(s)) holding account number ______________


request for updating of my/our KYC information as per details indicated below:

KWENDA:
BENKI YA CRDB
Tawi la ________________________

Mimi/Sisi _______________________________________________ (Taja Jina/Majina Kamili) mmiliki/Wamiliki wa akaunti


namba _________________________, tunaomba/ ninaomba kusasisha maelezo ya akaunti kama ilivyoonyeshwa hapa chini.

CUSTOMER DETAILS/ MAELEZO YA MTEJA

s/n INFORMATION EXISTING NEW*


Maelezo Maelezo yaliyopo Maelezo mapya
1 Names First Name First Name
Majina Jina la kwanza ____________________ Jina la kwanza __________________

Middle Name Middle Name


Jina la kati _______________________ Jina la kati _____________________

Last Name Last Name


Jina la mwisho ____________________ Jina la mwisho __________________

* If the existing names are different from the new ones, specify the reason(s) for changes
and provide the supporting documents:
*Ikiwa majina mapya ni tofauti na yaliyopo, taja sababu za mabadiliko na ambatanisha vyeti
vinavyoonesha mabadiliko hayo:

_____________________________________________________________________________
_____________________________________________________________________________
__________________________
2 Physical address Region Region
Anuani ya makazi Mkoa _______________________________ Mkoa _______________________________

District District
Wilaya _______________________________ Wilaya _______________________________

Village/Ward/Street Village/Ward/Street
Kijiji/Kata/Mtaa _________________________ Kijiji/Kata/Mtaa _________________________

House/Plot No. House/Plot No.


Namba ya Nyumba _____________________ Namba ya Nyumba _____________________

3 Telephone number
Nambari ya Simu ____________________________________ _____________________________________

4 Email address
Anuani ya Barua pepe ____________________________________ _____________________________________
5 Name of Employer
Jina la Mwajiri _____________________________ ____________________________

Occupation/ Type of
Business _____________________________ _____________________________

Classific
ation:
CRDB
Internal
Aina ya kazi/ biashara
_____________________________ _____________________________
Place of Office/
Business
Mahali pa kazi/
Biashara
6 Nationality
Utaifa _____________________________ _______________________________

7 Identification details ID Type ID Type


Taarifa Za Utambulisho Aina ya Kitambulisho____________________ Aina ya Kitambulisho___________________

ID Number ID Number
Namba ya kitambulisho__________________ Namba ya kitambulisho_________________

(If not Tanzanian, fill numbers 8 and 9)


(Kama sio Mtanzania jaza namba 8 na 9)
8 Passport Details Pass port number Pass port number
Maelezo ya pasi ya Namba ya Pasi_________________ Namba ya Pasi_________________
kusafiria
Date of issue Date of issue
Tarehe ya kutolewa ___ /___/ _____ Tarehe ya kutolewa ___ /___/ _____

Place of issue Place of issue


Mahali ilipotolewa _______________ Mahali ilipotolewa _______________

9 Work/Residency permit Date of issue Date of issue


Kibali cha kazi/ Ukaazi Tarehe ya kutolewa ____ /____/ _____ Tarehe ya kutolewa ____ /____/ _____

Expiry Date Expiry Date


Tarehe ya mwisho Tarehe ya mwisho
wa matumizi ____ /____/ _____ wa matumizi ____ /____/ _____

9. 1 Customer Signature
Sahihi ya Mteja _______________________________

9. 2 Customer Signature
Sahihi ya Mteja _______________________________

ATTACHMENTS/ VIAMBATANISHO

Tick any one of the following Identities/ Certificates and attach its copy
Weka alama (✓) kwenye kitambulisho/ cheti kilichopo na ambatanisha kivuli chake
o Passport or / Pasi ya kusafiria au
o New driving license or /Leseni mpya ya udereva au
o National Identity Card or/ Kitambulisho cha Taifa au
o Voter’s registration card or /Kitambulisho cha Kura
o Birth certificate for JJ Account/ Cheti cha kuzaliwa kwa akaunti ya Jumbo
o Zanzibar ID / Kitambulisho cha Mzanzibari

FOR OFFICE USE ONLY/ KWA MATUMIZI YA OFISI TU


Classific
ation:
CRDB
Internal
Customer risk rating High Medium Low
Conduct customer risk rating using available link (http://172.32.4.215:3330/risk-rating) and tick the appropriate Customer rating.

Receiving officer Approving officer

Name________________________________________ Name _______________________________________

Signature and Stamp ____________________ Signature and Stamp _________________________

Date __________________ Date _______________________

Classific
ation:
CRDB
Internal

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