111~1~1~1~ Account Opening Form - Individual. Single Account D Joint Account D Fixed Investment AccountD Account Type:

Transcription

1 1 Account Opening Form - Individual Category of Account: (Tick as appropriate) Single Account Joint Account Fixed Investment Account Account Type: (Tick as appropriate) ~ Seed Capital Current Account Savings Account eposit Account Others (Please specify) This form should be completed in CAPITAL LETTERS. Characters and marks should be similar in style to the following: 0 0 IIJ 0 A Branch: ' ' Account No: I I I (for official use only) ~~~~------'------' '------'-----'------' ' Bank Verification I No: Personal Information Title:~-~ Surname:I I I I I I I I I I (Please specify) First Name: I I I I I I I I I I I I Other Name:(s).I ---' '------LI.I.I.I.I.l '-----'------' '-----' ' ' '---I rr.l ' '---I -----' ' Manta Status: Single Married (please specify) ' ' '------' ' ' ' ' '------J. Others I I Place ofbirth I I I I I I I I I Mother's Maiden Name I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Educational Level:! I I I I I I I I I I I I I I I I I Name of First Childj I I I I I I I I I I I I I I I I I First Child's ate of Birth: I I 11 I 11 I I I I ay Month Year L.G.AofOrigin: I I I I I I I I I I I I StateofOrigin:I I I I I I I I I I (Nigerians only) (Nigerians only) Jfa:a!l~b7e~tification No: I I I I I I I I I I I I I I I I I I Gender: Male Female ate of Birth: ~I ~I I I I I I I I I Month Year Reliaion: I I I I I I I I I I I I I I I I I I I I I I I I (Optioi'ial) Purpose of Account: I I I I I I I I I I I I I I I I I I I I I Nationality Nigerian Others (Please specify) I Resident Permit No: I I I I I I I I I I (for non - Nigerians) Permit lssue ate: I I 11 I I I I I I I (for non - Nigerians) ay Month Year Contact etails Residential Address: Permit Expiry ate: I (for non - Nigerians) House/Plot Nu~ber~ I I I Street Na~e=~I ~~~~------' '------~~I------' '---~------' ~~ Nearest Bus Stop/LandMark: I I I I I I I I I I I I City/Town: I I I I I I LG.A: I I I I 111~1~1~1~ ay Month Year

2 SAVINGS SEE SAVINGS ACCOUNT SEE GROW ACCOUNT SEE TARGET SAVINGS SEE POWER ACCOUNT (HYBRI) SEE SMART KIIES ACCOUNT CURRENT SEE CAPITAL ENTERPRISE ACCOUNT - SETA MICRO LOANS SME LOANS SEE GROUP LOANS FIXE EPOSITS TENURE CALL EPOSITS

3 State: Mailing Address: I I I I I I I I I I I I II I I I I I I I I I II I I I I I I I Mobile No:I I I I I I I I I I I I I Phone No: Address: I I I I I I I I I I I I I Means of Identification National I Card National river's license International Passport INEC Voter's Card Others: (Please specify) ate Issued: I I I I I I I I I I I I I I I I I I I I I I I I [J ay Month Year I No.: ate Issued: I I I I I I I I Account Service(s) Required( Please tick applicable option below) Internet Banking Statement Naira ebit Card SMS Alert E - Mail Alert Mobile Money {Charges apply) *Kindly note that your account will be debited with a fee of N1000(Vat Inclusive) as cost for your debit card once the account is opened. *Checked e - banking services are provided automatically when the account is opened (3rd party transfers one-channel will require a token) Statement Preferences: Collection at Branch Statement Frequency: Monthly Quarterly Semi - Annually Annually Cheque Book Requistion: Crossed Cheque 50 Leaves 100 Leaves 200 Leaves Cheque Confirmation: Will you like to pre- confirm your Cheques? Yes No Cheque Confirmation Threshold: If the answer the above is yes,please specify the threshold ~I ~l-~1-~i ~l-~1-~i ~l-~1-~i ~1-1 * Minimum confirmation is currently NSOO, Employment etails Employment Status: Employed Self Employed Unemployed Retired Student Others I I I I I I (Please specify) ate of Employment: I I I.I..I.I.I.I 'T. (If employed) ay Month Annual Salary/Expected Annual Income Annual Salary (a) Less than#s0,000 (b) ff51,00 -=N250,000 N~1,000 - NW0,000 (e) =N1 Million -Less than N=S Million (f) =NS Million - Less than =N10 Million (h)tq: 20 Million - less than #100 Million Year (I) Above =N100 Million (d) N: 01,000 - Less than N::l million (g) N=*O, Milllion - less than l\rnj million Business/Employer's Name I I I I I I I I I I I I I I I I I I I I I I I I Business/Employer's Address: I I I I I I I I I I I I I I I I I I I I I I I I House/Plot Number: ~I -~~-~~~ Street Name: Nearest Bus Stop/ Landmark: City/Town: L.G.A: State: Nature of Business/ Occupation: Office Phone No: Fax No:

4 I t:kivi;:) ANU \..UNUI I IUN;:)/ A\..\..UUN I;:, Ut't:NIN\:11 AUKl:t:IVll:N I We confirm and agree that my/our account(s) and all banking transactions between me/us ("The Customer" or "I", or "me", or "us" or "we") ("The Bank")shall be governed by the conditions specified below and for the terms of any specific agreement between me/us and the Bank or where not regulated by either the conditions or such agreement, by customary banking practices in Nigeria. 1. The Bank will not establish or operate the requested account(s) unless and until it has received the required supporting documents for the account, a list of which has been provided to us and is included with this application form. 2. The Bank is hereby authorized to undertake all "know Your Customer" (KYC) procedures specified by applicable law and/or regulations and /or Bank policies including the confirmation of our details and legal status at the appropriate government registry. We hereby authorize you to debit my/our account without further notice to me/us for the costs attendant to such KYC procedures. 3. The Bank my, without prior notice, impose or change the minimum balance requirements for my/our account(s) or alter the applicable interest rate(s) for or the charges relating to such account(s) or any of them. 4. The Bank is authorized, where the balance standing to the credit of my/our account(s) is below the required minimum balance, to either amend the rate(s) of interest payable or close the account(s). 5. The Bank I authorized to transfer money from any deposit account. I/we maintain to any other account(s). I/we maintain with the Bank whose balance is below the required minimum. 6. The Bank shall, in addition to any right of set-off or similar right prescribed by law, be entitled, without notice, to combine and consolidate all or any of my/our or account(s) with the Bank and/or to set off any amount owed by me/us or either of us to the Bank against any money which the Bank may hold for my/our account whether held on current or deposit account or otherwise and whether in Naira or any other currency (hereinafter referred I as "foreign currency"). 7. The Bank shall be entitled to retain and not repay any amount whatsoever that it owes to me/us or which it holds on my/our behalf and whether, such amount is in Naira or foreign currency unless and until all amount owed by me/us to the Bank have been repaid or discharged in full and, for so long as such amounts have not been discharged or repaid in full, the Bank shall be entitled to appropriate any amount so owed to me/us or held on my/our behalf in or towards the payment and discharge of the amounts owed by me/us or either of us to the Bank. 8. When effecting any set-off the bank shall be entitled at its absolute discretion, upon notice to us to convert any Naira or foreign currency into the currency in which the amount owed was incurred at the applicable official exchange rate for the currencies in question prevailing in Nigeria at the time of such conversion. 9. I/We shall be responsible for all costs expenses and liabilities arising from the purchase, retention and sale of investments made on our behalf by the Bank which include but are not limited to all taxes statutory fees, duties and levies. 10. The Bank is hereby authorized, in the absence of any written instruction to the contrary, to place my/our funds in any appropriate investment (which for the purpose of this clause shall include but not be limited to investments in Commercial Paper whether guaranteed by the Bank or otherwise) or on deposit and to renew/reinvest at maturity any investments or deposit made in my/our name(s) on the conditions as the bank may, in its absolute discretion, consider appropriate under the circumstances. 11. The Bank may, unless otherwise instructed by me/us, retain on my/our behalf, on a safe custody basis, any investment instruments issued in respect of an investment made on my/our behalf and unless otherwise specifically agreed. I/We will not have recourse to the Bank for the value or worth of such investments. 12. Where the Bank, in the absence of any previous agreement as to rate of interest and costs and charges that will apply if my/our accounts or any of them becomes overdrawn, in its absolute discretion allows us to make any drawing that results in my/our account(s) or any of them becoming overdrawn, the Bank shall be entitled to charge such rate of interest and impose such charges as, in its absolute discretion, it considers appropriate in the circumstances and I/we agree to pay such interest and charges to the Bank on demand. 13. I/We agree that where I/we give any instruction for a payment or payments that in aggregate exceed(s) the amounts standing to the credit of my/our account(s) against which payment is to be made, the Bank reserves the right to decline to carry out such instruction or where there is more than one transactions, to select the transactions that shall be executed without reference to the date of dispatch or time or receipt of my/our instructions. 14. Where I/we maintain a credit account with the Bank in any foreign currency, the credit balance of such account may be held by the Bank with any bank or financial institution it considers first rate located in any country in which such foreign currency is legal tender. Such credit balance will accordingly be subject to all laws and applicable regulations in Nigeria and in the country in which such credit balance is held and the Bank shall not be held liable if the credit balance or any part thereof becomes unavailable as a result of any of the laws and regulations to which such credit balance is subject. 15. Where any uncleared effects credited to my/our account(s) by the Bank are subsequently dishonoured and/or the Bank for any reason is required to repay to the paying banker or any other party all or any part of any amount credited to our account. The Bank will be entitled to debit my/our account(s) with the amount of such uncleared effects and/or repaid amounts.

5 16. No failure or delay in exercising any right power or privilege vested in the Bank by these conditions shall operate as a waiver thereof nor shall any partial exercise of such right power or privilege preclude any other or further exercise thereof. 17. If any of the Conditions or the provisions specified herein are invalid, illegal or unenforceable in any respect under the law the validity legality and enforceability of the remaining conditions and/or provisions contained herein shall not in any manner be affected or impaired thereby. 18. Commission and charges shall be levied in accordance with the Bank's standard scale of charges in force from time to time and copies of which are available on request. The Bank reserves the right to amend its rates of interest, standard scale of charges and/or conditions. 19. Where these conditions are signed by or on behalf of more than one person as the Customer, all of such persons are bound by the terms of these conditions. 20. Any Communication by the Bank shall be deemed to have been made as soon as it is sent to the most recent address provided by me/us and the date indicated on the duplicate copy of such letter or on the Bank's mailing list will constitute the date on which the communication was sent. Any statement or confirmation of any transaction between me/us or either of us and Bank shall be deemed to have been examined by me/us and to be conclusive and binding unless within 10 working days from the date specified on such statement/confirmation, I/we or either of us advise the Bank in writing that an item contained therein is being disputed, whether or not such item was made in accordance with the mandate from time to time given by me/us to the bank. 21. I/we understand and acknowledge that electronic mail, facsimile and verbal communications are insecure transmission media where I/we advise the Bank to accept instruction in such manner. I/we however undertake to indemnify the Bank in full for any lost it may suffer or incur by reason of its honouring my/our letters, electronic mail, facsimile or verbal instructions, irrespective of whether same are erroneous fraudulent or issued otherwise than in accordance with the mandate for my/our account(s). The Bank is hereby authorized to honour for and to the debit of my/our Account(s), any and all payment instructions issued in accordance with the Mandate for the my/our account(s) and which bears or purports to bear the facsimile or electronic mail signature of the person(s) whose specimen signatures have been provided to the bank by me/us. The Bank is hereby authorized to honour for and to the debit of my/our account(s), any and all payment instructions/confirmations issued or provided by me/us using a pre-agreed format for same which may include but is not limited to oral or written instructions/confirmations and where given orally such oral instruction may if previously agreed involved the use of specific password(s) and when given in writing may be given be letter, facsimile or electronic mail. 22. I/we am/are aware that SEECAPITAL MFB is a member of a Credit Reference Agency (CRA) 23. I/we agree that the Bank may collect, use and disclose such information to CRA or CBOs and that the Credit bureau may use the information for any approved business purposes as may from time to time be prescribed by the CBN and/or any relevant statute. 25. I/we understand that information held about me/us by the CRAs or CBOs may already be linked to records relating to one or more of my/our partners or associates. I/we may be treated as financially linked and my/our application will be assessed with reference to any "associated" records. In addition, for any joints application made by me/us with any other person(s), new 'Financial association' may be created at the CRAs or CBOs which will link our financial records. 26. I/we hereby warrant that you are entitled to disclose information, both written and oral, about me/us, any co-applicant or guarantor and/or anyone else referred to by me/us, and to authorize you to search and/or record such information at CRA or any CBOs about me/us such co-applicant or guarantor or other person. I understand that an "association" will be created at the CRA o any CBOs, which will link my/our financial records. I/we hereby agree to indemnify and hold the Bank harmless against all claims costs, fees, expenses, damages and liabilities against the bank relating to, or arising as a result of, the disclosure of information about me/us or such co-applicant or guarantor or other person or any use of such information by CRAs or any CBOs in compliance with the provisions of any CBN Guidelines and/or relevant statute. 27. I/we hereby release and discharge Seed Capital Micro Finance Bank, from its obligations under the Banker's duty of secrecy and forswear my/our right to any claim, damages, loss etc on account of such disclosure to CRAs or CBOs or use by the CRAs or CBOs in accordance with the provisions of any CBN Guideline and/or relevant statute. 28. The conditions stated above shall be governed and constructed in accordance with Nigerians law and I/we agree that any proceedings arising out of or in connection therewith may be brought in the High Court and we irrevocably submit to such court's jurisdiction. 29. I/we hereby authorize the Bank to debit my/our account with the cost incurred in respect f cheque book for the above account. 30. Honour all cheques or other orders which may be drawn on the said account provided such cheques or

6 orders are signed by me/us and to debit such cheques or orders to the said account whether such account be for the time being in credit or overdrawn or may become overdrawn in consequence of such debit without prejudice to your right to refuse to allow any overdraft or increase ofoverdraft and in consideration. I/we agree: (i) To assume full responsibility for the genuineness or correctness and validity of all endorsements appearing on all cheques, orders, bills, notes, negotiable instruments, receipts and/or other documents deposited in my/our account. (ii) To be responsible for any repayment of any overdraft with interest and to comply and be bound by the bank's rules for the conduct of a current account receipt of which I/we hereby acknowledge. (iii) To free the Bank from any responsibility for any loss or damage of funds deposited with the bank due to any future Government order, law, tax, embargo, moratorium, exchange restriction and for all other causes beyond the Bank's control. (iv) That all funds standing to my/our credit are payable on demand only in such local currency as may be in circulation. (v) To be bound by any notification of change in the conditions governing the account directed to my/our last known address and any notice or letter sent to my/our last known address shall be considered as duly delivered and received by me/us at the time it would be delivered in the ordinary course of post. (vi) That if a cheque credited to my/our individual account is returned dishonoured, the same may be transmitted to me/us through my/our last known address either by bearer or by post. (vii) And I/we note that the Bank will accept no liability whatsoever for funds handed to members of the staff outside banking hours or outside the Bank's premises. (viii) That my/our attention has been drawn to the necessity of safe guarding my/our cheque book so that unauthorized persons are unable to gain access to it and to the fact that neglect of this precaution may be ground for any consequential loss being charged to my/our account. (ix) That my/our attention has also been drawn to the necessity of safe guarding my/our passwords and access codes to the bank's non branch channels including, but not limited to ATM, Internet Banking, Telephone Banking, Mobile banking and SMS banking, so that unauthorized persons are unable to gain access to it and to the fact that neglect of this precaution may be a ground for any consequential loss being charge to my/our account. (x) That the bank in under no obligation to honour any cheque(s) drawn on the account unless there are sufficient funds in the account to cover the value of the said cheques and I/we understand and agree that any such cheque may be returned to me/us unpaid but if paid, I am/we are obliged to repay the bank on demand. (xi) That any disagreements with entries on my/our bank statements will be made by me/us within 15 working days of the dispatch of the bank statement. Failing receipt by the bank of a notice of disagreement of the entries within 15 days from the date of dispatch of my/our bank statement as rendered is correct. (xii) That any sum standing to the debit of the current account shall be liable to interest charges at the rate fixed by the bank from time to time. The bank is authorized to debit from the account the usual banking charges, interest, commission, and any service charge set by the same terms and conditions that applied to such investment/deposit immediately prior to its maturity or on such other terms and Management from time to time. (xiii).i/we hereby agree that the operational dynamics of my account can be modified without recourse to me/us at any time based on any new directive from the CBN. (i) Tier 1 - Low value accounts limited to a maximum single deposit amount of N20,000 and a maximum cumulative balance of N200,000 at any point in time (ii) Tier 2 - Medium value accounts limited to a maximum single deposit of N50,000 and a maximum cumulative balance of N400,000 permitted at any point in time. (iii) Tier 3 - High value accounts where customers provide an acceptable or valid means of identification for account opening.

7 etails of Next of Kin Title: Surname: I I I I (Please specify) ~------r----r------r r-----r , r r r----r------r r-----r----, r r r-----,------, , First Name: I I I I I I I Other Name:(s) I I I I I I I I I I ate of Birth: I I I I I I I I I Gender: Male Female ay Month Year Relationship: I I I I I I I I I I I I I Mobile No.: I I I I I I I I I I I Phone No: l~~~------r--~~~ Address: I I I I I I I I I I I Contact etails: House/Plot Number: I I I I I Street Name: ~I ~I ~~~~~~ Nearest Bus Stop/LandMark: I I I I I I I I City/Town: I I I I I I I I I I I I L.G.A ~I ~~~~~~~ State: I I I I I I I I I I I I Additional etails Name of Beneficial owner(s) if any: I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Spouse's Name ( if applicable): I I I I I I I I I I I I I I I I I Spouse ate of Birth: I I 11 I 11 I I I I Spouse Occupation: l~i ~I ~l~i ~I ~~~~~ ay Month Year Source of Fund to the Account: 1 I I ;::::::::::::::===::::==:;:::::::::::::===::==:::;:::::::::::===::::=::::;::::::::::===:::::==:::;::::::::::====::::::=::::::;::::::::====::::::=::::::;::::::::====::=~ 2 I I Expected Annual income from other sources: ~~~~~~~~~~~~~~ Name of Associated Business(s) (if any) 1. ~~~~~~~~~~~~~~ 2. Type of Business: Business Address: I I I I Accounts held with other banks 2 3 4

8 I Address of Interpreter: ~I Language of Mo bi I e No:...,' ,'--.. I Interpretation Signature of Interpreter: ocuments Required Checked eferred Waived 1) uly Completed Account Opening Form 2) Specimen signature card duly completed 3) Recent passport photograph 4) proof of ldenti~: International passport, river's Licence National I car, valid Nigeria Voters card (original must be sighted) 5) Resident permit (for Non - Nigerian) 6) Proof of Address: Utility bills etc( Certified true copy is acceptable if original is not held) 7) Letter from Employer/ School/NYSC ( for Salary or student Accounts) Fixed Investment/Other types of Account Checked eferred Waived 1) uly completed Account opening Form 2) Specimen signature card duly completed 3) Two(2) recent passport phorograph 4) Two(2) recent independent and satisfactory references 5) proof of ldenti~: International passport, river's Licence National I car, valid Nigeria Voters card (original must be sighted) 6) Proof of Address: Utility bills etc( Certified true copy is acceptable if original is not held) 7) Letter from Employer( For salary account) 8) Resident permit (for non Nigerians) 9) Other ocuments provided 4) Two(2) recent independent and satisfactory references Authentication For Financial Inclusion and Risk Classification FOR BANK USE ONLY Is the customer socially or financially disavdantages? Yes No If the answer to the above is yes, state other documents obtained in line with the bank's policy on socially/ financially disadvantaged customer in compliance with the regulation Tk4 of AML/CFT regulation, 2013 oes the customer enjoy tiered KYC requirements? Yes If the answer to the above is yes, identify customer's risk category Low Risk Medium Risk High Risk

9 Account Mandate Mandate authorization/combination Rule (Please tick as appropriate): Sole Signatory Either to sign Both to sign Signatory A Name: First Name: OtherName(s) Class of Signatory: Identification Type: ~ Identification No: Telephone No: Signature&at~ Signatory B Name: Surname: First Name: OtherName(s) Class of Signatory: ldentification Typ~ Identification No: Telephone No: Signature&ate: eclaration Trust I/We hereby apply for the opening of an account with Seed Capital Microfinance understand that the Bank information ltd. I/We and understand that the information given herein and the documents supplied are the basis for opening such account warrant and I/We therefore warant that such information is correct. I/We have read the terms and conditions governing the operations of the account which are presented I/We have read the terms of the account which are overleaf and agrees to be bound by them. and agrees to be bound by them ~ 11 I 11 I Name Signature ay Month Year ~ Name Signature 11 I 11 I ay Month Year Jurat( This should be adopted where the customer is not literate or blind and the form is read to him or her by a third party) I agree to abide by the content of this agreement and knowledge that it has been truly and audibly read over, explained by an interpreter and understood by me before appending my thumb print. Mark of Customer/ I Thumbprint: Magistrate/ Commissioner for Oaths: ~ ~ I 11 I 11 I I I I ay Month Year Name of Interpreter: I I I I I I I I I I I I I I I I I I I I I I I I I I

10 , Authentication for politically Exposed Persons Is the customer a politically exposed person? Yes No If yes, please provide details: Customer Address Verification/Call Memo(if Applicable) Address Visited: Comment on Location - Landmarks~ Location - Colour of building: Full Name of Visiting I Location - escription of building: Certfication Staff: Signature: ~.-~I.I ~~I.I ~~.-~ hereby confirm that the information contained herein is correct and a true representation of the customer's Profile ay Month Year Full Name: Signature: ay Month Year eferral/waiver of ocuments (if any) authorised by Full Name: Signature: ----~~I ~I ~I I~~ ay Month Year Account Opening Authorised A/C Manager's Code:.I A/C Opened by: Name: CB Signature: ate: Approved by: Name OPERATIONS HEA Signature: ate: