Personal Banking Account Opening Request Issued by Bank Egypt. CRN 18502. Copyright. Bank Egypt S.A.E. (2018). ALL RIGHTS RESERVED. part of this publication may be reproduced, stored in a retrieval system, or transmitted, on any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of Bank Egypt S.A.E. CRN 18502 ٠٨)
Bank Egypt S.A.E Personal Account Opening Request Branch: Date: Your Personal Details Title Mr. Mrs. Male Female Ms. Name (As in IDPassport) Gender Date of Birth Place of Birth Nationality Do you have Multiple Nationalities? If yes, please provide multiple nationalities. اﳉﻨﺴﻴﺔ Nationality 3 Nationality 2 Nationality 1 (1 If no, please provide only nationality (1) Country of Residence ID Type Passport National ID Military ID PassportID Number PassportID expiry date Purpose of the account Opening Occupation Clerical Housewife Self Employed ProfessionalSenior Administrative Student Unemployed Skilled Manual Retired رﺑﺔ ﻣﻨﺰل ﻣﻮﻇﻒ ﻣﺪﻳﺮ إداري ﻣﻬﻨﺔ ﺣﺮة ﻋﻤﻞ ﺣﺮ ﻣﺘﻘﺎﻋﺪ ﺣﺮﰲ ﺑﺪون ﻋﻤﻞ ﻃﺎﻟﺐ اﳌﻬﻨﺔ أﺧﺮى Your Contact Details Home Address (Home Country) Permanent current Residential Address (Residency) If Residing at the stated address for less than 3 years please provide your previous residence address details Address Residing at this address since Employer Address Telephone Numbers Work Home Personal E-mail Address Work E-mail Address Home Address Mailing Address Employer Address Permanent Current Residential Address Customer Authorised Signature
Your Employment Details Present employer name ProfessionJob Job title role Salary (EGP) Frequency Other income (EGP) Frequency Household income (EGP) Frequency With this employer since Previous employment Length of employment If Self Employed Annual Business Turnover Credit Turnover in EGP Average balance in EGP About You (Thank you for taking the time to provide us with further details about yourself. We shall use this information to help us serve you better) Marital status Single Married Educational level Primary Graduate Preparatory Secondary Post Graduate Home ownership status Owned Living with parents Car ownership Divorced Widowed Hobbies Interest Rented Spouse name Spouse Profession Number of children 1D.O.B Names of children and date of birth - 2D.O.B - 3D.O.B - Relationship With Other Banks Financial Institution Account Type BalanceValue Monthly Investment Maturity Date 1 1 1 1 1 2 2 2 2 2 3 3 3 3 3 Your Account Type Current Account Savings Account EGP USD GBP EUR Please Provide MeUs With The Following Service(s) 1- Account statement is sent quarterly by default on your email. Please specify the email: Personal Work Please tick the below box, if you wish to receive it in printed statement* Printed Statement Please tick the below box if you wish to receive it monthly. Monthly * To receive free electronic statement you must register immediately for Personal Internet Banking Service upon receiving your account tools. Tariff and charges apply on printed statements. Customer Authorised Signature * *
2- Debit Card Account(s) to be accessed through the above card First Account Second Account Third Account Name in (English letters) as it will appear on the card (maximum 19 characters including spaces with no special characters) ٩ Collection of Debit Card To be delivered to correspondence address (for Debit Cards only) 3- SMS Alert Service To complete your SMS alert setup, logon to Online Banking service and subscribe using the option tification settings ﻗﻢ ﺑﺘﺴﺠﻴﻞ اﻟﺪﺧﻮل إﻟﻰ ﺧﺪﻣﺔ اﻹﻧﺘﺮﻧﺖ اﻟﺒﻨﻜﻰ وإﺷﺘﺮك ﻹﻛﻤﺎل إﻋﺪاد اﻟﺘﻨﺒﻴﻪ ﻋﺒﺮ اﻟﺮﺳﺎﺋﻞ اﻟﻨﺼﻴﺔ اﻟﻘﺼﻴﺮة tification Settings ﺑﺈﺳﺘﺨﺪام ﺧﻴﺎر Other Information Level of the activity anticipated on the Account EGP Frequency: Monthly Quarterly Half yearly Yearly Reason for anticipated frequent payments including inwardoutward wire transfers Source of Account opening initial deposit: Total initial deposit amount and currency: Your Sources of Fund (SOF) refers to the source of the amount to be transferred to the account initially and on- going basis Is your source of incomewealth derived from any of the following countries: Syria, Iran, rth Korea, Sudan, Cuba, Zimbabwe, Belarus, Crimea Region? Your Accounts Overseas Do you hold any accounts overseas? Country 1 Balance Country 2 Balance Country 3 Balance Kindly mention your jurisdiction of tax residency: Country 1 Country 2 Connected Parties: Do you have connectedassociated parties who have control or influence over your account? If you fall under any of the following categories, please specify as appropriate: Do Did you hold a high ranking public position in the politicalgovernmental judicial or military field? (Please specify) Are you connected to any person who holds or held a high ranking public position in the politicalgovernmentaljudicial or military field? (Please specify) Are you an owner or partner of any other business? (Please specify) Customer Authorised Signature
www.hsbc.com.eg Declaration - I declare that all information in this application is true and correct and acknowledge and accept Bank Egypt General Terms and Conditions for the Operations of Account and Electronic Banking Services as well as tariff of charges available on Bank Egypt public website www.hsbc.com.eg which I read, understand, received a copy of it upon my request and expressly agree to be bound by. I understand that the mentioned Terms and Conditions shall apply to any personal account(s) that I may hold with the Bank from time to time (which the Bank may amend from time to time according to bank sole discretion), which constitutes an integral and complimentary part of this application which we refer into. - I declare that my usage for this account will only be only for personal usage without any commercial transaction, the bank has the right to close my account at any time without notification according to its sole discursion and I agree now for such. - In case you have an overdraft or any other due outstanding for the bank, the bank has the right to setoff between your debit and credit accounts to settle these due outstanding s without notifying you for such and incase there are no debit balances, the bank reserves the right to claim the outstanding by all legal means. - I declare that I am fully aware that I cannot make any abroad transfers except after 3 months from the account opening date, and I agree on such. Also, the bank has the right to accept or refuse the transfers according to its sole discretion and the customer accepts such. - In case any checks are presented on my current account it could not be cashed from any other account of my accounts bases on the independency of the accounts. Unless, I provided the Bank with authorization or written instructions stating otherwise. - I declare to provide the bank latest information personal data related to me upon any changes or upon bank request. Iwe confirm receiving Account Key Feature Document which I read and understand and accept without any objection made from my side. Account Holder Verified Signature For Bank Use Only Account Number Form Completed & Signed in my Presence Date Account Opened Black List Checked Documentation Check List Bank Authorised SignatureStamp Remarks Approved Change of Account status Date Valid PassportID Copy Status Changed To Authorised By Valid Visa Page (Residence) * Child s Birth Certificate * Child s Passport Copy Power of Attorney Staff Name Initial Workstation Fiscal Stamps to be deducted from AC BMLCO Signature if initial deposit exceeds threshold no. Does the customer belong to SCC category * For Minor Accounts Fees Exemption Account Service Charge Exemption International Customer Number: Branch Manager Signature: Remarks: Master Level Suffix Level Reason:
Bank Egypt S.A.E Credit Card Application From Bank Egypt Your Choice Visa Platinum Visa Gold Card Type Primary Card Supplementary Card Primary Card Applicant Details ٠ ٠ Name in (English Letters) as it will appear on the card (maximum 20 characters including spaces with no special characters) Employment status Salaried Self Employed Professional Public sector Multinational Company Private Sector Business sector Proprietorship Government Length of Service Time in current work Previous employer Time with previous employer Name of a FriendRelative in Arab Republic of Egypt Name Relationship Tel. Office Tel. Res. Supplementary Card Applicant Details Mr. Mrs. Ms. Full name (as in National ID Passport) Name in (English Letters) as it will appear on the card (maximum 20 characters including spaces with no special characters) Gender Male Relationship to primary cardholder FatherMother Female Son Daughter BrotherSister Spouse Date of Birth Place of Birth Nationality Multiple Nationalities If, please provide multiple nationalities Nationality (2) () ID type National ID Nationality (1) () Passport National ID Passport. Place of issue Expiry Date Residential Address Building. & Street Name City District Name Floor & App. Tel. Res. Governorate E-mail Employment Data Employer Name Occupation Building. & Street Name City District Name Tel. (Ext.) Floor & App. Tel. Office Governorate Fax. Business Sector Government Private Sector Multinational Co. Public Sector Proprietorship Credit Card(s) Limit I would like to have the maximum Credit Limit I would like to set a maximum limit for the card(s) of EGP Limit on supplementary Card I would like to share my Credit Card limit with my Supplementary Cardholder I would like to assign a credit limit of EGP Automatic Settlement Instructions The accounts specified hereunder must be the Card Applicant s sole accounts or joint accounts holding sole signature authority to any or either of the account holders. Please debit amounts due on my Card Account automatically from my account number Monthly settlement percentage (minimum 5%) ( ٥
ATM Service The accounts specified hereunder must be the Card Applicant s sole accounts or joint accounts holding sole signature authority to any or either of the account holders. Requested CurrentSavings Accounts to be accessed through the ATM network Primary Card First AC Second AC Supplementary Card First AC Second AC Correspondence and Card Delivery Please direct my correspondence to the address of Residence Bank Branch Office Correspondence Address Bank Branch Please deliver my card to: Cards statements Kindly be advised that there is a delivery charge for the hard copy statements. Register for free to Personal Internet Banking Service to enjoy free e-statements. * The correspondence address will be applied to all types of Bank correspondence * Confirmation of Other Outstanding Balances IWe hereby declare that myour outstanding balancesfacilities until the date that Iwe deal with are as follows: held with other banks, financial leasing companies and mortgage companies 1- Account name at BankCompany Name of BankCompany Account balanceportfolio (in words and numbers) 2- Account name at BankCompany Name of BankCompany Account balanceportfolio (in words and numbers) 3- Account name at BankCompany Name of BankCompany Account balanceportfolio (in words and numbers) IWe hereby confirm and acknowledge the above outstanding balancesaccounts, notwithstanding any interests, commissions or expenses thereof. I further confirm my awareness that providence of any misleading or incorrect balances pertaining the data included herein shall void procession of the facility. Related Parties Declaration Related Parties to the client including relatives till the fourth degree and sole proprietorships that heshe owns and their guarantor. Nature of Relation Documents Legal Type Profession Address Name te: The Bank has the right to request any guarantees or other documents ٤ ٥ www.hsbc.com.eg ٦ ٧ ٨ ٩ ٠ ٨٠ ٠ Declaration ٤ ٥ ٦ I hereby apply for Credit Card(s) from Bank Egypt and declare the following: 1- I declare that all information provided by me in this application is true and correct. I authorise Bank Egypt to seek verification of the data given from whatever sources it may so select also to provide the bank latest information personal data related to me or my supplementary (if any) upon any changes or upon bank request. 2- I accept that Bank Egypt is entitled in its absolute discretion to accept or reject this application without assigning any reason whatsoever. And I accept that in case of disapproval on issuing the Card to me, the Bank has the full right to keep the documents attached to this Application. 3- In consideration of Bank Egypt granting credit facilities to me, I do hereby undertake to pay to the Bank on the first demand all sums due on the Card Account. 4- I expressly agree that the bank has the authority to fully settle any due amounts on my credit card and have a lien and right of set-off against the funds placed in all my accounts, deposits and property rights and interest, which are in the Bank s custody. 5- I have read and accepted all the Terms and Conditions governing the use of the Card (which may be amended from time to time according to the bank s sole discretion) which are available on the bank s general website www.hsbc.com.eg and in the branches, and which constitute an integral and complementary part of this application which we refer into.in case of the approval on issuing a Card to me, the use of the Card and any supplementary Cards issued on my account shall consider my acceptance to the Terms and Conditions ( The customer has the right to request a printed copy of the terms and conditions). 6- In case of a supplementary card request, the Primary Cardholder hereby acknowledges the Bank s right to debit hisher account with any transactions operated by the supplementary Cardholder whereby shall have no right to object upon any transactions made thereto. Moreover, confirms and agree to be bound by the Terms and Conditions governing the use of the card (which may be amended from time to time according to the bank s sole discretion) being available on the bank's general website www.hsbc.com.eg constituting an integral and complementary part of this application which we refer to. The primary cardholder further declare hisher Civil and Criminal responsibility resulting from the transactions operated by the supplementary Cardholder for whom heshe requested issuance of a supplementary Credit Card under hisher full responsibility. 7- I hereby acknowledge that I am and my supplementary (if any) the sole beneficiary of card(s). 8- I hereby acknowledge and accept that the bank issues the card active and charges issuance fee upon card issuance. Furthermore, I agree and accept that the card gets automatically renewed, issued active and annual renewal fees to be charged. 9- I do hereby undertake to protect the Credit Card and the Credit Card security details (and this includes the PIN). 10- I declare that I have read and accepted cards fees, charges and tariffs which are available in the Key Features Document, Bank Egypt s public web site and bank s branches. Also, I expressly agree that the bank has the authority to amend any fees, charges and tariffs from time to time according to its discretion. Thus, the use of the credit card after amendment date shall be considered as my acceptance for this these amendment(s) without any objection. 11- I declare that the card belongs to Bank Egypt so the bank can cancel the card, amend or cancel my credit limit straightaway without notice. 12- I expressly agree that bank Egypt has the right to cancel or restrict purchases or cash advances credit limits inside or outside Egypt whether in Egyptian pound or any other currencies according to its discretion without notice. 13- I do hereby undertake to report to the bank immediately the loss or theft of the primary card (or supplementary card if any), therefore I will be fully responsible for any transactions effected before reporting to the bank. 14- I declare that I am fully responsible for all transactions and amounts posted to Credit card account. And in case of disputing any transactions or amounts, I have the right to inform the bank in writing of any discrepancies within 30 days of the transaction date. Also, I understand that the investigation through VisaMasterCard may take up to 180 days or more to resolve and the bank is not responsible to creditrefund any disputed amounts unless the investigation process is over and proved to be genuine. In case, it is not genuine, the bank will not refund any amounts. 15- I do hereby undertake that the purpose of the credit card is to be used in personal transactions without any business purposes and in case of violation or in case of using the credit card in suspicious commercial transactions whether in a local or a foreign currency or depositing huge cash amounts that exceed the existing current dues on the credit card account, the bank has the right to cancel andor stop the credit card without prior notification to the customer. 16- I declare that I know that access to statements is available all the time through internet banking, and in case I did not register for internet banking, I will be responsible to notify the bank to send the statements to my correspondence address. And if I did not receive them, I am obliged to visit any of Bank Egypt branches to read and receive them or inquire about them through phone banking, hence, the contents of the statement will be deemed to be correct and accepted and the bank should consider this a final confirmation from me to its contents. Signature of Primary Card Applicant Date