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ACCOUNT OPENING FORM - INDIVIDUAL ACCOUNT - …

OPENING form - INDIVIDUAL ACCOUNT - priority BANKINGPage 1 of 7 ACCOUNT HOLDERSA pplicant 1 Applicant 2 Applicant 3 Applicant 4 ACCOUNT TYPE (Please tick all that apply)Sole AccountJoint AccountStudent AccountCurrent AccountCall DepositFixed DepositOtherACCOUNT CURRENCY (Please tick all that apply)GBPUSDEURAEDO therACCOUNT ACTIVITY INFORMATIONP urpose of ACCOUNT (Must be Specific)Amount of Initial DepositSource of Initial DepositCashBanker TransferCheque DepositOther (Please specify)ANTICIPATED ACCOUNT ACTIVITY PLANN umber per QuarterSource/MethodPurposeAvg Value per TransactionTotal Value per QuarterCash Deposits/WithdrawalsInward PaymentsOutward PaymentsNames of major/regular remittersNames of major/regular beneficiariesDestination/Origin of Remittances (Countries) ACCOUNT ADMINISTRATIONCHEQUE BOOK FACILITY (for Current Accounts only)Please issue a cheque book and:Deliver it by courier to my Correspondence/Residence AddressI will collect it from the London officePLEASE PROVIDE ME/US WITH THE FOLLOWING SERVICE(S)Debit Card for ApplicantDebit Card for Joint Applicant(s)I/we want my/our name to appear in Visa Electron Personalised Card(s) as (not to be filled in for jointly operated ACCOUNT ):Applicant 1 Applicant 2 Applicant 3 Applicant 1 OF- PERS

02.11 Date D D M M Y Y Y Y Account No. Branch ACCOUNT OPENING FORM - INDIVIDUAL ACCOUNT - PRIORITY BANKING Page 1 of 7 ACCOUNT HOLDERS Applicant 1 Applicant 2

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Transcription of ACCOUNT OPENING FORM - INDIVIDUAL ACCOUNT - …

1 OPENING form - INDIVIDUAL ACCOUNT - priority BANKINGPage 1 of 7 ACCOUNT HOLDERSA pplicant 1 Applicant 2 Applicant 3 Applicant 4 ACCOUNT TYPE (Please tick all that apply)Sole AccountJoint AccountStudent AccountCurrent AccountCall DepositFixed DepositOtherACCOUNT CURRENCY (Please tick all that apply)GBPUSDEURAEDO therACCOUNT ACTIVITY INFORMATIONP urpose of ACCOUNT (Must be Specific)Amount of Initial DepositSource of Initial DepositCashBanker TransferCheque DepositOther (Please specify)ANTICIPATED ACCOUNT ACTIVITY PLANN umber per QuarterSource/MethodPurposeAvg Value per TransactionTotal Value per QuarterCash Deposits/WithdrawalsInward PaymentsOutward PaymentsNames of major/regular remittersNames of major/regular beneficiariesDestination/Origin of Remittances (Countries) ACCOUNT ADMINISTRATIONCHEQUE BOOK FACILITY (for Current Accounts only)Please issue a cheque book and:Deliver it by courier to my Correspondence/Residence AddressI will collect it from the London officePLEASE PROVIDE ME/US WITH THE FOLLOWING SERVICE(S)Debit Card for ApplicantDebit Card for Joint Applicant(s)I/we want my/our name to appear in Visa Electron Personalised Card(s) as (not to be filled in for jointly operated ACCOUNT ):Applicant 1 Applicant 2 Applicant 3 Applicant 1 OF- PERSONAL of BirthDDMMYYP assport of IssueDate of IssueDDMMYYE xpiry DateDDMMYYMARITAL STATUSGENDERS ingleMarriedDivorcedWidowedMaleFemalePER MANENT RESIDENTIAL ADDRESSCORRESPONDENCE ADDRESS (If different from RESIDENTIAL Address.)

2 Please note: The address of Applicant 1 will be used for correspondence unless otherwise requested) ADDITIONAL ADDRESS ( Holiday Home) CONTACT TELEPHONE NUMBERSTel (Residence)Fax (Residence)Personal EmailTel (Office)Fax (Office)Business EmailMobileAdditional MobileTel - Holiday Home(if applicable)APPLICANT 1 OF- EMPLOYMENT/BUSINESS INFORMATIONO ccupationEmployer NameDepartmentEmployer AddressNature of Business, including countries in which it operatesIF SELF EMPLOYEDP ercentage of OwnershipYears in BusinessAPPLICANT 1 OF- FINANCIAL INFORMATIONSOURCE OF INCOMES alaryBusiness EarningsInvestment IncomeRental IncomeOther (Please Specify)Estimated Annual Income in GBPE xplanation on the Source of Income ( of Investment)SOURCE OF WEALTH (Net Worth)SalaryBusiness EarningsGift/InheritanceInvestment IncomeSale of PropertySale of Company/BusinessSupported by FamilyOther (Please Specify)Estimated Total Net Worth (including properties, investments, deposits, etc)Estimated Liquid Net Worth (deposits and liquid investments)Please provide ADDITIONAL DETAILS on the Source of WealthOTHER banking RELATIONSHIPSNameBranch/AddressEstimated Relationship ValuePrimary Bank Country of ResidenceSecondary BankPage 2 of 2 OF- PERSONAL of BirthDDMMYYP assport of IssueDate of IssueDDMMYYE xpiry DateDDMMYYMARITAL STATUSGENDERS ingleMarriedDivorcedWidowedMaleFemalePER MANENT RESIDENTIAL ADDRESSCORRESPONDENCE ADDRESS (If different from RESIDENTIAL Address.

3 Please note: The address of Applicant 1 will be used for correspondence unless otherwise requested) ADDITIONAL ADDRESS ( Holiday Home) CONTACT TELEPHONE NUMBERSTel (Residence)Fax (Residence)Personal EmailTel (Office)Fax (Office)Business EmailMobileAdditional MobileTel - Holiday Home(if applicable)APPLICANT 2 OF- EMPLOYMENT/BUSINESS INFORMATIONO ccupationEmployer NameDepartmentEmployer AddressNature of Business, including countries in which it operatesIF SELF EMPLOYEDP ercentage of OwnershipYears in BusinessAPPLICANT 2 OF- FINANCIAL INFORMATIONSOURCE OF INCOMES alaryBusiness EarningsInvestment IncomeRental IncomeOther (Please Specify)Estimated Annual Income in GBPE xplanation on the Source of Income ( of Investment)SOURCE OF WEALTH (Net Worth)SalaryBusiness EarningsGift/InheritanceInvestment IncomeSale of PropertySale of Company/BusinessSupported by FamilyOther (Please Specify)Estimated Total Net Worth (including properties, investments, deposits, etc)Estimated Liquid Net Worth (deposits and liquid investments)Please provide ADDITIONAL DETAILS on the Source of WealthOTHER banking RELATIONSHIPSNameBranch/AddressEstimated Relationship ValuePrimary Bank Country of ResidenceSecondary BankPage 3 of 3 OF- PERSONAL of BirthDDMMYYP assport of IssueDate of IssueDDMMYYE xpiry DateDDMMYYMARITAL STATUSGENDERS ingleMarriedDivorcedWidowedMaleFemalePER MANENT RESIDENTIAL ADDRESSCORRESPONDENCE ADDRESS (If different from RESIDENTIAL Address.

4 Please note: The address of Applicant 1 will be used for correspondence unless otherwise requested) ADDITIONAL ADDRESS ( Holiday Home) CONTACT TELEPHONE NUMBERSTel (Residence)Fax (Residence)Personal EmailTel (Office)Fax (Office)Business EmailMobileAdditional MobileTel - Holiday Home(if applicable)APPLICANT 3 OF- EMPLOYMENT/BUSINESS INFORMATIONO ccupationEmployer NameDepartmentEmployer AddressNature of Business, including countries in which it operatesIF SELF EMPLOYEDP ercentage of OwnershipYears in BusinessAPPLICANT 3 OF- FINANCIAL INFORMATIONSOURCE OF INCOMES alaryBusiness EarningsInvestment IncomeRental IncomeOther (Please Specify)Estimated Annual Income in GBPE xplanation on the Source of Income ( of Investment)SOURCE OF WEALTH (Net Worth)SalaryBusiness EarningsGift/InheritanceInvestment IncomeSale of PropertySale of Company/BusinessSupported by FamilyOther (Please Specify)Estimated Total Net Worth (including properties, investments, deposits, etc)Estimated Liquid Net Worth (deposits and liquid investments)Please provide ADDITIONAL DETAILS on the Source of WealthOTHER banking RELATIONSHIPSNameBranch/AddressEstimated Relationship ValuePrimary Bank Country of ResidenceSecondary BankPage 4 of 4 OF- PERSONAL of BirthDDMMYYP assport of IssueDate of IssueDDMMYYE xpiry DateDDMMYYMARITAL STATUSGENDERS ingleMarriedDivorcedWidowedMaleFemalePER MANENT RESIDENTIAL ADDRESSCORRESPONDENCE ADDRESS (If different from RESIDENTIAL Address.

5 Please note: The address of Applicant 1 will be used for correspondence unless otherwise requested) ADDITIONAL ADDRESS ( Holiday Home) CONTACT TELEPHONE NUMBERSTel (Residence)Fax (Residence)Personal EmailTel (Office)Fax (Office)Business EmailMobileAdditional MobileTel - Holiday Home(if applicable)APPLICANT 4 OF- EMPLOYMENT/BUSINESS INFORMATIONO ccupationEmployer NameDepartmentEmployer AddressNature of Business, including countries in which it operatesIF SELF EMPLOYEDP ercentage of OwnershipYears in BusinessAPPLICANT 4 OF- FINANCIAL INFORMATIONSOURCE OF INCOMES alaryBusiness EarningsInvestment IncomeRental IncomeOther (Please Specify)Estimated Annual Income in GBPE xplanation on the Source of Income ( of Investment)SOURCE OF WEALTH (Net Worth)SalaryBusiness EarningsGift/InheritanceInvestment IncomeSale of PropertySale of Company/BusinessSupported by FamilyOther (Please Specify)Estimated Total Net Worth (including properties, investments, deposits, etc)Estimated Liquid Net Worth (deposits and liquid investments)Please provide ADDITIONAL DETAILS on the Source of WealthOTHER banking RELATIONSHIPSNameBranch/AddressEstimated Relationship ValuePrimary Bank Country of ResidenceSecondary BankPage 5 of 6 of 7 form OF AUTHORITY FOR ACCEPTANCE OF INSTRUCTIONS BY WAY OF FACSIMILE TRANSMISSIONS, ELECTRONIC MAIL AND TELEPHONE1.

6 I/We hereby authorise Emirates NBD Public Joint Stock Company (the Bank ) to accept this document as my/our authority and to so act upon any facsimile transmission ( fax ) purported to be sent by myself/ourselves to the Bank containing any instructions or information ( Instruction ) whatsoever relating to my/our ACCOUNT (s), whether or not the Bank at its sole discretion obtains from myself/ourselves telephonic confirmation to so act and the fax shall be purported to be sent by myself/ourselves where it contains the name and signature of the person(s) whose name(s) and specimen signature(s) appear below, even though the said fax may actually be compiled or transmitted in error or by negligence or by fraud or by someone other than myself/ourselves or without my/our actual instruction or knowledge.

7 The Bank may in good faith believe that instructions are genuine and authorised, act upon these instructions. The Bank may wait for confirmation from me/us provided for in Clause 4 of this authority or may, at its sole discretion, act upon my/our Instructions whether a confirmation as per Clause 4, has been received by the Bank or not. The Bank may, at its sole discretion, act upon my/our email instructions whether a confirmation, as per Clause 4 has been received by the Bank or not. 2. I/We hereby authorise the Bank to accept this document as my/our authority and to so act upon any electronic mail (email) instruction purported to be made by myself/ourselves to the Bank relating to my/our ACCOUNT (s), and such email communication shall be purported to be made by myself/ourselves where the Bank assumes that the email ACCOUNT from which it originates is in the control of myself/ourselves and have been made by the name and signature of the person(s) whose name(s) and specimen signature(s) appear below, even thoughthe email may actually have been made in error or by negligence or by fraud or by someone other than myself/ourselves or without my/ouractual instruction or knowledge or may have been tampered with after it was sent by me/us below.

8 The Bank may, at its sole discretion, act upon my/our email instructions whether a confirmation, as per Clause 4 has been received by the Bank or I/We hereby authorise the Bank to accept this document as my/our authority and to so act upon any telephonic instruction purported to be made by myself/ourselves to the Bank relating to my/our ACCOUNT (s), and such telephone calls shall be purported to be made by myself/ourselves where the Bank assumes that the calls have been made by the name and signature of the person(s) whose name(s) and specimen signature(s) appear below, even though the telephone calls may actually have been made in error or by negligence or by fraud or by someone other than myself/ourselves or without my/our actual instruction or knowledge. The Bank may, at its sole discretion, act upon my/our telephonic instructions whether a confirmation, as per Clause 4 below, has been received by the Bank or Without prejudice to Clause 1, 2 and 3 of this Authority, I/we agree to clearly mark my/our Letter in confirmation ( Letter ) of the communication whether by telephone call and/or by fax and/or email made by me/ourselves, with the words For information only in confirmation of my/our telephone call and/or by fax and/or email.

9 (date).. and to deliver the same to the Bank on the same day as the telephone call and/or by fax and/or email and should these words not clearly appear on the Letter, I/we will not hold the Bank, its directors, officers, or employees responsible for any loss or other consequence arising from the duplication of the transaction. I/We further understand that all instructions; telephonic, facsimile or mail may be recorded and retained by the to the clauses above I/we elect to communicate instructions to the bank in the following manner(s), please select your preferred means of communicating instructions:TelephoneFacsimileEmailBy electing one or more of the options above and affixing my/our signature to the signature boxes provided below in the section Terms and Conditions I/we agree to be bound by the terms of this & CONDITIONSI/We agree that the information given above is true and complete and that I/We have received, read, understood and accepted(please select one of the options below):and those applicable specifically to the type of ACCOUNT chosen by me/us which I/We understand and expressly agree andaccept to be bound by ACCOUNT Only.

10 We agree with the provisions for Joint ACCOUNT mandates as set out in the General Terms andConditions and we understand that we are jointly and severally liable for any overdrawn balances on the ACCOUNT . We alsorequest you to accept the signing authority instructions as set out below by : Maximum of four named parties allowed on a Joint AccountEmirates NBD PJSC, London Branch, is authorised and regulated by the Financial Services Authority in the UKEmirates NBD PJSC, Jersey Branch, is regulated by the Jersey Financial Services Commission to take depositsSIGNING INSTRUCTIONS (for Joint Accounts only)Singly (Any one to sign)Jointly (All to sign)Other (see Special Instructions below) ACCOUNT HOLDER(S) SIGNATURE(S)SPECIAL INSTRUCTIONSThe General Terms & Conditions for Current ACCOUNT


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