Aman Bank Individuals Accounts 2

7/26/2019 Aman Bank Individuals Accounts 2

1/9

Central Unit Control

Employer Declaration/

Regional state local affairs

Passport

National Identification card

Water, Electricity bill for proof

of address (Optional)

Legal attorney custody powers

Two recent photos of each

account holder

Residence certificate

Green card

A document from the embassy or

consulate stating the requester is

one of their employee

Tax ID or W-9 formRequireddoc.foropeningan

acc./

Copies

Requireddocumentsfor

openinganaccount/Originals

Individualnon-

citizens

Individualminor non-

citizens

Staff of

embassies

and

consulates

Account type

US Person

-

Branch control

Account nbr.:

Client Name:

Acc. Opening Date:

Account Opening Checklist-Individual Account

Branch:

-

Individualcitizens (1)

Individualminor

citizens(1)

(1) This refers to citizens, Libyan individuals (Libyan nationality or Arabic), who are permanently resident in Libya, as well as to Libyans who are

present temporarily abroad for business or study.

Client Service Officer

Forms

File for opening an account

Signature card

Application form for opening

an account

General terms and conditions

U.S. Person / U.S. Indicia forms

(if applicable)

Assistant Branch Manager/Branch Manager

Name: Name:

Account Data Management

B k ffi S i

Legend:

Additional Information Forms /

Individuals (Joint accounts /

Minor / Case of Attorney)

Required Not required

Compliance & AML

D t t

Signature: Signature:

Date:

Account Data Management Unit

Date Breaches / Irregularities Client Service fficer Correction Date

Date:

Date

Process Control Completion

Account Data Management

B k ffi ffi


2/9

And/Or

/

:

SignatureTerms:

Number of authorized signatories (Joint accounts): :()

Single

Joint

Individual

::Account type

Minor Power of

attorney

Joint

account

!"####

Personal Photo

Authorized Signatory ullName:

: $% &'(

:

Account Name: :

Opening A/C Date: - - :

Form Signature Date: - -

Account Information

Account No: : Branch: :

- Signature Form - Individua

: /

'!lient signed in our "resenceAssistant Branch Manager / Branch Manager: Clients Service Officer: :

For the Bank's use ! " #

Terms of Signature: : $

!"####

Personal Photo

Authorized Signatory ull

Name::$%&'(

!"####

Personal Photo

Authorized Signatory ull

Name::$%&'(


3/9

) !( "#$%

$ ?Are you a U.S.A. Citizen

Are you a U.S.A. Green Card holder?

Are you resident in the U.S.A.?

Are you a U.S.A. taxpayer?

:

: Local ID TAX n:

Place of birth: : Nationality:

Education level: : Dual nationality: :'()

Social security no: *+#

:

personal photo

- : Gender: Female

First Name Father's Name G.Father's Name Family Name

(*+%), -' -' .'

Name in English: :!"#$

Mother's full name:

Date of birth: -

Title: : Marital status: :%&"' Residency status: :($)

Not resident *+,Other: "/:

+-. :0

/

Married 01

Eng. 234 Miss. !5 Divorced 67

Doctor -

Widowed

Account No: :8' ( Branch: :9+:

/ Account Opening Application - Individua

Single 8;%Resident *

Mr. 3

Mrs.


4/9

Joint account (1) (1)98'

(1) If a joint or minor account or operated by a power of attorney must fil l

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Personal 3"8Foreign currency Local currencyCurrent/Checks account '3/79

Minor

Power of attorney Other account +H 8)

Bank/Branch

Account Information #!&!I&% '% Account type: $%+' Current/Card account #$%/7'

Account NoRemarks Account closed on

Assets (deposit accounts,

real estate, stocks, bonds)

/JK 1L))MA(L3/4/L *%

8' ( 8' 9! 9+:/N+>

Remarks Account opened on Account No Account type

Loans, advances and facilities () * +*

,

Other "/ Other loans >"/ #

Real-estate loans &6 />6 &'

:+*A

Public Function & )3

Yes

Signature: :#

Date: :4

%lient&s or the Authori'ed (ignatory&s (ignature in case account is

opened )y poer of attorney / guardianship / trusteeship

I here)y declare that the a)ove mentioned information is true and I

assume full legal responsi)ility, if proven otherise"

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;$&

Branch $se ( &2

Yes !

Position: ::F

! 6?7,& &2"1812

No "Relationship:

Position: ::F

Do you have or had apublic function in the last

12 months?

Do you have a close relative

or a close associate in a

public function?

#96?=

&"No


5/9

Signature

: Country Calling Code /

Kindly accept my application for the short messages service

(SMS) Banking Service and provide me with the relative PIN

code according to your established procedures, to enable me

to use the service on my account No.:

!" #$ %&'!() * +#$ #$ ,-.$ /#/ 0

-,#)1: 2 1#$ ,43

Mobile phone identification !) 67 ##)

Mobile No:

Branch: :

!"

#$

%

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SMS Banking Subscription Applicatio

Service request #$

I hereby authorize to debit my account below for any fees or

charges associated with granting me this service or arising

during the course ot its use:

8#$ 6-))93 8+8#-4 8$!-#)7#$:

Debit authorization $& :

Signature: : Signature: :

Cards Unit Use + #) #$;

Card's employee: :

Name: : Name:

My signature on this application shall constitute full declaration of

y revision! coprehension! receipt and agreeent of AMA" Bank

ters and conditionsd as described on the back of this application!

and #ithout pre$udice to the right of the Bank to aend all or partthereof at any tie%

, # 7)!$;

%+ = ,+ /8

Name: :

Signature: :

:

Issued on: - - : Name: :

Branch Use * #$;

Assistant Branch Manager /

Branch Manager:

/: Signature verified by: : !"#$%#&

Clients Service Officer: :'!( )

Date: :


6/9

9 All terms & conditions will be applicable upon client's request for the service and

the signing of these terms and conditions.

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Terms and Conditions

1 The use of the service by the client is considered an implicit declaration that the

client accepts the terms & conditions of the SMS service.

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The Bank has the right to effect any software changes and system upgrades that

are used in delivering the service after notifying the client at his/her mailing

address as indicated the account opening application one week prior to the

change. Therefore , the use of the service by the client after effecting these

changes is considered as an implicit declaration by the client of the acceptance

and approval of these changes.

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The client's mobile number, user name, account number and password all are

considered as means of identification of the client, and that any transaction that is

performed by using these means is considered to have been created by the client,and the bank shall consider using these means is the client. Therefore, the client

will assume full responsibility for all the transactions that are performed using

his/her identity means, and for the change/ loss/transfer/change of such means to

third party, and until the time the bank manages to stop the service against receipt

of client's written instructions.

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8 The bank has the right to withhold the service for any period without a prior notice

to the client and without giving any reasons. The client can ask the suspension of

the service by submitting a written request to the bank.

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Despite the use by the bank of security measures to protect against penetrationrisks of mobile networks, the bank will not responsible for any damages that may

be sustained by the client as a result of risks evolving from the penetratiion of

these networks. Thus, the client shall assume full responsibility of all the risks

arising from his/her use of the service.

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5 The client assumes full responsibility for the protection of his/her user code and

password, and for safekeeping them from leakage. The bank will not bear any

responsibility or sustain any damages due to client's failure to afford such

protective measures.

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6 In case of loss / theft of password, the client must immediately inform the bank to

stop the service. For the resumptionof the service,the client must submit a request

to issue a new password.

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3 The client will assume the responsibility for the provision & maintenance of his/her

mobile upon subscribing to service.

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10 This service is provided against a fee determined by the bank that is entitled to

change such fee from time to time.

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7/9


8/9


9/9

1

Cu stomer Info rmat io n

Father 's Name F irst Name

Surname Grandfather 's Name

Place of Bir th

Male/ Date of Birth

Note: The Central Bank ofLibya,Libyan Credit InformationCenter , requests this customer information for operationalpurposes . Please fill in the form completely and accuratelyto the bes t of your k nowledge. All fields aremandatory.

Nationality ___________________________________________

National ID:

Passport Autonumber:

Co n tact Info rmat io n

Phone Number: ___________________________________________Mobile Number : ___________________________________________

Correspondence Address

City ___________ ___ ____ ___ _______ ___ _______ ___ __

Area ___________________________________________Street ___________________________________________

Certi f i cat io n o f Info rmat io n

Signature ________________________________________

Date ________________________________________

Pass port Number

(Foreign Citizens only):

.

Female/

I authoriz e (Aman Bank ) to us e any approved credit r eferenc e ag enc y , o r priv ate cr edit bureau, to re trieve

re ferenc es or mak e inqu ires from any sources of infor mation, and I/we authorize the sources of such information topr ov ide the requir ed information to (Aman Bank ) on my /Our beha lf. I unders tand that this information w ill be us edin re lation to my c redit app lic ation and p otential c red it ag reement with ( Aman Bank ). I ha v e been informed a boutthe utilization tha t has done o f s uch infor mation, and about my r ightsc oncer ning the priv acy of s uc h information

Documents

Aman Bank Individuals Accounts 2