Kina Bank Business Account Application Form
Kina Bank Business Account Application Form
CIF Number:
Account type: Cheque Account Kina Business Account (SME) Cash Management Account Fixed Deposit
SECTION 1B MAIN BUSINESS ENTITY ACTIVITY
Tick the appropriate boxes where information is provided: IPA TIN (Tax Identification Number) Entity Profile
Construction,Mining & Quarrying,Whole Sale, & Retail Trade,Sale and Repair of Motor Vehicles,Motor cycles,etc.
Digital Banking Channels: Internet Payment Gateway EFTPOS Merchant Payment Portal
Corporate Internet Banking Would you like to be added as a biller for payments? Yes No
Physical address of business: LOT 91, SECTION 227, DIKAGARI STREET,TOKARARA,PORT MORESBY
Natural Persons (Primary holdings of 20% ownership or more as a shareholder is subject to Kina Bank ID requirements)
Full Name Shareholding % Nationality Country of residence Gender Date of Primary ID Expiry
Birth Date
Gershom Toubulukw 60 PNG PNG M 29/04/94 1324383 26.04.25
VICTOR BILLY 40 PNG PNG M 17/11/79 048605807 28.08.29
Organisation/Entity (Any natural person in the organisation/entity is subject to Kina Bank ID requirements)
Full Name Shareholding % Incorporation Name of Natural Nationality Gender Country of
Registration Person residence
Number
Purpose of Account
Borrowing In-Country Facilitate loan proceeds and payments Business Investment Other*
Cash Deposits Domestic Transfers Clearing Cheques Cash Withdrawals International Transfers
0-55 51-100 101-150 151 & above 0-20 21-50 151 & above
0-55 51-100 101-150 151 & above 0-20 21-50 151 & above
Funds will be REMITTED to (where money will be sent to): Funds will be REMITTED from (where money will be sent from):
Country: Country:
Signature:
Signature:
Signature:
Signature:
Signature: Signature:
Date: Date:
Signature: Signature:
Date: Date:
SECTION 8 ACCOUNT(S) LINKING TO KINA BANK INTERNET
Please list the accounts that the Business would like to link to Kina Bank Internet
Account 5 Account 6
Account Name: Account Name:
You (the business) authorise the person named above to act as the Administrator who will control access to your accounts via
Corporate Internet and act as the principal contact for the service.
User 2
Surname: BILLY Given Name(s): VICTOR
Other Information:
Signature:
Signature:
Signature: