APPLICATION FOR OPENING A TERM DEPOSIT ACCOUNT

 

Attention-Branch Manager, National Savings and Credit Bank, Branch.

Please fill in the form using BLOCK CAPITALS and black ink. Tick any boxes which apply.

EXISTING CUSTOMER IF NO, PLEASE COMPLETE A NEW ACCOUNT OPENING FORM FOR A SAVINGS.

CIF ID. NUMBER TYPE OF ACCOUNT:

PERSONAL DETAILS

TITLE: ........FIRST NAME: SURNAME:

SHORT NAME: PREFFERED NAME:

GENDER: MARITAL STATUS: DATE OF BIRTH:

NATIONALITY: NRC: COUNTRY OF RESIDENCE:

COUTRY OF BIRTH: EMPLOYED: NUMBER OF DEPENDANTS:

PROFFESSION: OCCUPATION:

RESIDENTIAL ADDRESS :

POSTAL ADDRESS :...

Mobile phone No.: E-mail address:..... EXPECTED MONTHLY INCOME:

SOURCE OF FUNDS:

 

REASONS FOR OPENING AN ACCOUNT:

PREFFERED SERVICES:

Kindly indicate by ticking in the boxes provided which service you would like to enrol for

1.ATM

2.E STATEMENT ...FREQUENCY

3. SMS ALERT

4. INTERNET BANKING ...If yes fill in an Internet Banking application form

5.MOBILE BANKING ....If yes fill in a Mobile Banking application form

NEXT OF KIN INFORMATION
Name: Address:

Phone: Relation:

TAX STATUS

Please complete the table below :( mandatory)

a).EMPLOYER b).YOUR TPIN(Tax Payer Identification Number/ (TPIN)

c).NRC d).NAPSA(Social security Number)

I/We hereby certify that the information contained in this application is true and correct and i have read and agreed to the terms and conditions on the reverse.

Applicant's Signature: Date signed

FOR BRANCH OFFICIAL USE ONLY

CIF NO.

CUSTOMER NO. CUSTOMER CATEGORY CUSTOMER TYPE

Account Opened by:................................................ ACCOUNT NUMBER ALLOCATED:

Authorised by:............................................................

Date Account Opened:................................................

STAMP HERE