Download - Aman Bank Individuals Accounts 2
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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
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And/Or
/
:
SignatureTerms:
Number of authorized signatories (Joint accounts): :()
Single
Joint
Individual
::Account type
Minor Power of
attorney
Joint
account
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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: : $
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Personal Photo
Authorized Signatory ull
Name::$%&'(
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Personal Photo
Authorized Signatory ull
Name::$%&'(
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) !( "#$%
$ ?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.
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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)
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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 $se ( &2
Yes !
Position: ::F
! 6?7,& &2"1812
No "Relationship:
Position: ::F
Do you have or had apublic function in the last
12 months?
Do you have a close relative
or a close associate in a
public function?
#96?=
&"No
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Signature
: Country Calling Code /
Kindly accept my application for the short messages service
(SMS) Banking Service and provide me with the relative PIN
code according to your established procedures, to enable me
to use the service on my account No.:
!" #$ %&'!() * +#$ #$ ,-.$ /#/ 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$udice to the right of the Bank to aend all or partthereof at any tie%
, # 7)!$;
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Name: :
Signature: :
:
Issued on: - - : Name: :
Branch Use * #$;
Assistant Branch Manager /
Branch Manager:
/: Signature verified by: : !"#$%#&
Clients Service Officer: :'!( )
Date: :
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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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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