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Individual Account Opening Forms

The document is a Know Your Customer (KYC) questionnaire for individuals opening current and savings accounts at Union Bank, requiring personal information, identification, and details about income and residency. It includes sections for proof of income, customer information, and a fax/email indemnity form. The client must declare the authenticity of the provided information and authorize the bank to process transactions based on their instructions.

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diligentgroupcameroon
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2 views9 pages

Individual Account Opening Forms

The document is a Know Your Customer (KYC) questionnaire for individuals opening current and savings accounts at Union Bank, requiring personal information, identification, and details about income and residency. It includes sections for proof of income, customer information, and a fax/email indemnity form. The client must declare the authenticity of the provided information and authorize the bank to process transactions based on their instructions.

Uploaded by

diligentgroupcameroon
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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KNOW YOUR CUSTOMER QUESTIONNAIRE

(Individual Current and Savings accounts)

Branch: date: / /

1. Client’s Names
2. Date of Birth: Place of Birth:
3. Identification type (NIC, RP, PSP,DL) and Number:
4. How did you know about Union Bank? ( )media ( ) friend/family
5. What is your profession?
6. What is your Nationality?
7. Are you resident in the United States of America? (Yes) (No)
8. Are you a US citizen, by birth or marriage or migration? (Yes) (No)
9. Do you have any business interest in the United States of America? (Yes) (No)
10. If yes to any of the above three questions; what is your US address and phone number:

11. Do you agree that the bank sends data concerning your account to your country’s competent authorities should
they so request (Yes) (No)
12. If No, Why

13. What is your source of income? ( )salary ( )business ( ) grants


14. Are there alternate sources of income? ( ) yes ( )No
a. If yes: Name them

15. How much do you intend to be passing through the bank?


16. How often? ( ) daily ( )weekly ( )forth weekly ( )monthly
17. Where do you live?
a. Town: Quarter: street:
b. Your telephone numbers: Email Address:
c. Name of person to contact in case of emergency?
Telephone number: Email:
18. Do you have other accounts in the bank branch? ( ) Yes ( ) NO
a. If Yes; Name them:
19. Do you have accounts in other branches of the bank? ( ) Yes ( ) No
a. If Yes; name them:
20. Are you a signatory in an account not belonging to you here in the branch or other branches?
a. If Yes: name them
21. Which other financial institutions do you work with?

I declare upon my honour that all information given above is authentic.

Names, date & Signature

Official Use

Can Client be classified as PEP? If yes;

Seek Official Authorization for Account Opening from management


PROOF OF INCOME

1. Name of Client: ………………………………………………………………………


2. Identification Card N°: ………………………of……………………..at……………
3. Occupation: …………………………………………………………………………
4. Address: …..………………………………………………………………………….
5. Phone Number(S): …………………………………………………………………………….

I declare upon my honour that I do carry out:

1. …………….. ………………………………………
2. ……………………………………………………..
3. ………………………………………………………

Or I am an employee on contract paid cash with:……………………………..,

I do not have any documented proof of business or payment for my activities, but
these my activities are real and income yielding thus permitting me to run an
account in your institution for safe keep.

I declare upon my honour that all information given above is authentic.

Signature & Name

Date :
Customer’s Information : LOCATION PLAN
Name or Legal Entity : ……………………….
……………………………………………………………..
Activity or Profession: …………………………
……………………………………………………..………..
Neighborhood:……………………………………………
Description of Residence / Head
Office:(colour, street, a close reference
point): ……………...
………………………………………………………………..
………………………………………………………………..
Town :………………………………………………………
Council : …………………………………………….
Unique Identification Number:
…………………………..…………………………………..
P.OBox:……………………………………………………
Email : ………………………………………..……….
………………………………………………………………..
PERSON TO CONTACT (1)
First Name and Surname:
………………………………
………………………………………………………………
Tel: ………………………………………………………
PERSON TO CONTACT (2)
First Name and Surname:
…………….……………………………………………….
………………………………………………………………
Tel: ………………………………………………………
“I hereby certify the accuracy of this location plan and I undertake to inform the Bank in the event of any change”
SIGNATURE: DATE: ……………………………………………………………………………
FAX / E-MAIL INDEMNITY FORM

I the undersigned ………………………………………………………………………………………………..

Hereby inform Union Bank of Cameroon Plc that within the framework of the

functioning of my account number ……………………………………………………………………..

I will expressly and irrevocably authorize transactions by FAX / E-MAIL instructions


without any other written confirmation.

Union Bank of Cameroon PLC is not liable in case of any incident that might arise
in the execution of such orders.

Where need be, this letter will serve as valid document in the court of law.

Done at …………………………………… This ………………Day of ………………………… 20………

[Name & Signature of Client]

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