2014-02-27 | FPR/DIR/GEN/CIR/01/004This document is a checklist and account opening form for a corporate bank account in Nigeria. The form requires various pieces of information, including the company's details, the type of entity it is, its registration details, details of directors, shareholders, secretary, etc., and its banking requirements. It also requests certain supporting documents to verify the details provided in the form. Some sections of the document allow for multiple signatories. The form must be signed by authorized personnel from the company and may require additional authorization or waiver of some documents if necessary. Finally, it requires an address verification by a third party before account opening approval. The signature section is where these documents are physically signed.
Financial Policy and Regulation Department Central Business District P.M.B. 0187 Garki, Abuja.
09-46237404 Tel: E-mail: fprd@cbn.gov.ng 24th February, 2014 FPR/DIR/GEN/CIR/01/004 CIRCULAR TO ALL BANKS AND OTHER FINANCIAL INSTITUTIONS OPENING UNIFORM ACCOUNT FORMS AND MINIMUM INFORMATION REQUIREMENTS FOR THREE-TIERED KYC FOR CUSTOMERS OF BANKS AND OTHER FINANCIAL INSTITUTIONS IN NIGERIA Towards the effort to ensure that depositors in banks and other financial institutions provide necessary background information for effective Know Your Customer (KYC) due diligence, the CBN in collaboration with relevant stakeholders has developed Uniform Account Opening Forms.
The uniformity is to ensure that Customer Due Diligence (CDD) is consistently and uniformly practiced in account opening process for prospective customers of financial institutions.
Individual prospective customers are required to complete account opening FORM A(1), FORM A(2) and FORM A for accounts in Tier I, Il and III respectively, while legal entities are to complete FORM B.
Whereas prospective customers are required to provide the relevant information applicable to them as prescribed above, existing customers are to regularly update their records in line with the formats.
KEVIN N. AMUGO DIRECTOR, FINANCIAL POLICY AND REGULATION DEPARTMENT
This form shauld be cempleted in CAPITAL LETTERS, Characters and marks should be unular in style to the fallowing (4000) ACCOUNT No. (for official use only) BRANCH BIOMETRIC ID NO: I. PERSONAL INFORMATION Titla First Name Surname Other Name Marital Status (Please tick as appropriate) Single Married Ochers (please specify) Gender E M Place of Birth Date of Birth ME Mother's Maiden Name Tax Identification Number (TIN) (If available) LGA State of Origin
Residential Address Street Number Street Name Nearest Bus Stop/Landmark City/Town Local Govt. Area State Mailing Address Phone Number (1) Phone Number (2) E-mail Address (Optional) 3. ACCOUNT SERVICE(S) REQUIRED (Please tick applicable option below) Card Preferences: Verve Card [] Master Card [ Visa Card [ Others (Specify) Electronic Banking Preferences: internet Banking [] Mobile Banking [] ATMIPOS [] Other Bectronic Crannels (Fres may app)y) Specify E SMS Alert (Fee applies) Transaction Alert Preferences: Email Alert (Free) 4. EMPLOYMENT DETAILS (OPTIONAL) Employment Status Employed Others (Please specify) Retired Student Self Employed Unemployed Date of Employment (if employed) Business/Employer's Name Employer's /Employment Address State Business / Occupation
Surname Other Name(s) First Name Date of Birth Title (Specify) Gendar M E
Affix Passport Photograph here 1 Relationship : Mobile Number 1 Mobile Number 2 E-mail Address Contact Details House Number Street Name Nearest Bus Stop/Landmark City/Town Local Govt. Area State
11: The operations of the account is limited to a maximum single deposit amount of N20,000 and maximum cumulative balance of N200,000 at any point in time.
Mobile banking is limited to a maximum transaction limit of N3,000 and daily limit of N30,000.
m International funds transfer is prohibited.
You will be required to provide further documents at any point in time when transacting above the regulated threshold.
This account is strictly savings.
s.
DECLARATION: Account Opened by: Confirm Opened by.
FOR BANK USE ONLY ...
Name: .
Name: Manager of the Children Children Children Management Signature Arman Market Children Comments of 2
This form should be completed in CAPITAL LETTERS. Characters and marks should be similar in spie to she following (3002) ACCOUNT No. (for official use only) Affix Passport Photograph here BRANCH BIOMETRIC ID NO: I. PERSONAL INFORMATION Title Sumamo First Name Other Name Marital Status (Please tick as appropriate) Single Married Others (please specify) Gender F M Place of Birth Date of Birth Mother's Maiden Name L.G.A State of Origin Tax Identification Number (TIN) (If available)
Religion (Optional) Residential Address Street Number Street Name Nearest Bus Stop/Landmark City/Town Local Govt, Area State Malling Address Phone Number (1) Phone Number (2).
E-mail Address (Optional) 3. MEANS OF IDENTIFICATION Please Specify ID No.
ID Issue Date ID Expiry Date 4. ACCOUNT SERVICE(S) REQUIRED (Please tick applicable option below) Card Preferences: Verve Card [] Master Card [ Visa Card [ Others (Specify) Electronic Banking Preferences: Internet Banking | Mobile Banking | ATM/POS | | Cther Electrolic Crannels (Fues my apply) Specify Transaction Alert Preferences: Email Alert (Free) [] SMS Alert (Fee applies) [ 5. EMPLOYMENT DETAILS (OPTIONAL) Employment Status:Employed Unemployed Sall Employed Others (Please specify) Retired Student Date of Employment (if employed) Business/Employer's Name Business / Occupation
Other Name(s) Surname First Name Date of Birth roo of DK MI D A Gender Title (Specify Relationship Mobile Number 1 Mobile Number 2 E-mall Address Contact Details House Number Street Name Nearest Bus Stop/Landmark City/Town Locul Govt. Area Scate
li The operations of the account is limited to a maximum single deposit amount of N50,000 and maximum cumulative balance of N400,000 at any point in time.
Mobile banking is limited to a maximum transaction limit of N10,000 and daily limit of N100,000.
You will be required to provide further documents at any point in time when transacting above the regulated threshold.
International funds transfer is prohibited.
4.1 This account is strictly savings.
Account Opened by: Name: ... Name ... No and on the status of the Signature ... Signature ..
Confirm Opened by: Name ...
...
2
Category of Account: (Tick as appropriate) Joint Account [ Fixed Investment Account Other Types of Account Account Type: (Tick as appropriate) Current Account | Fixed Deposit Account | Savings Account Domiciliary Account This fann should be complesed in CAPITAL LETTERS. Characters and marks should be stession in style to the fallowing (41033 ACCOUNT No. (for official use only) BRANCH Others Affix Passport Photograph here BIOMETRIC ID NO:
Title First Name Surname Other Name Marical Status (Please tick as appropriate) Single Married Others (please specify) Gender F M Pisce of Birth Date of Birth Mother's Maiden Name Nationality (for con Nigerian) p Resident permit No Permit Issue Diste g Permit Expiry Date.
LGA State of Origin Religion (Optional) Tax Identification Number (TIN) Purpose of Account
Residential Address Street Number Street Name Nearest Bus Stop/Landmark City/Town Local Govt. Area State Mailing Address Fhone Number (2) Phone Number (1) E-mail Address 3. VALID MEANS OF IDENTIFICATION INEC Voters Card [ * Others (please specify) National ID Card [] National Dever's License [] International Passport [] ID Issue Date ID No.
Cheque Confirmation Threshold: if the answer to the above is yes, please specify the threshold 3
Retired Student Others (Please specify) Employed Date of Employment (if employed) Annual Salary/Expected Annual Income Annual Salary: (a) Less than N50,000 [] (b) N51,000- N250,000 - N250,000 - N250,000 - N500,000 [ (d) N501,000- Less than NImillion [] (o) N million - Less than NSmillion - Less than N Omillion - Less than N Omillion - Less than N20million - Less than N20million - J (h) Above N20million [ Employer's Name Employer's /Employment Address House Number Street Name Nearest Bus Stop/Landmark City/ Town Local Govt. Area State Nature of Business/ Occupation Office Phone Number 6. DETAILS OF NEXT OF KIN Fax Number Surname First Name Other Name(s) Date of Birth
CHANGE EN EX Gender Title (Specify) F M Relationship Mobile Number 1 Mobile Number 2 E-mail Address Contact Details House Number Street Name Nearest Bus Stop/Landmark City/Town Local Govt. Area State
| Name of Beneficial Owner(s) (If any) II Spouse's Name (If appliable) III Spouse Date of Birth [30 Spouse Occupation IV Sources of Fund to the Account 1 2 Expected Annual Income from Other Sources V Name Of Associated Business(es) (If any) 1.
2 3.
VI Type of Business VII Business Address 2
| ACCOUNT HELD WITH OTHER BANKS : | |||
|---|---|---|---|
| NAME AND ADDRESS OF | STATUS: | ||
| S/N | ACCOUNT NAME | ACCOUNT NUMBER | ACTIVE/DORMANT |
| BANK/BRANCH | |||
| - | |||
| 2. | |||
| m | |||
| 4. |
· Each Financial Institution is to develop its own Terms and Conditions · The conditions should include a pledge/stringent conditions for Current Account Customers on issuance of dud cheque
(Please tick as appropriate) a. Category of Account: Joint Account Fixed Investment Account Other Types of Account Account Type: Current Account Fixed Deposit Account | Savings Account Domiciliary Account Oche b. Account Name c, Account No.
(for official use only) d. Mandate authorisation/Combination rule (Please tick as appropriate);Sole Signatory [] Either to Sign[] Both to Sign[] e. Signatories: I. Name: Surname First Name Other Name Class of Signatory Identification Type: Identification Not Telephone Number Signature & Date FOR BANK USE ONLY FOR BANK USE ONLY Name Signature Name Signature
Bank Plc. I/We understand that the Information given hereln and the documents I/We hereby apply for the opening of account(s) with .....
supplied are the basis for opening such account (s) and I/We therefore warrant that such Information is correct.
I/We further undertake to indemnify the Bank for any ioss wiftered as a result of any false information or error in the information provided to the Bank.
Name ... .
Name ... ... ... ... ... ... ... .
12 JURAT(THIS SHOULD BE ADOPTED WHERE THE APPLICANT IS NOT LITERATE OR IS BUND AND THE FORM IS READ TO HIM OR HER BY A THIRD PARTY) l agries to abide by the content of the agreement and acknowledge that it has been truly and audibly read over and explained to me by as interpreter MAGISTRATE / MARK OF CUSTOMER COMMISSIONER FOR OATHS THUMBPRINT DATE: NAME OF INTERPRETER: ADDRESS OF INTERPRETER: TEL: NO.
LANGUAGE OF INTERPRETATION: 3 FOR BANK USE ONLY
| Savings Account | ||||
|---|---|---|---|---|
| DOCUMENTS REQUIRED | CHECKED | DEFERRED | WAIVED | |
| S/N | ||||
| 1 - | Duly completed Account opening form | |||
| 2 | Specimen signature card duly completed | |||
| Recent passport photograph | ||||
| 3. | ||||
| 4. | Proof of Identity: International passport, Driver's license, National ID card, | |||
| Valld Nigerian Voters Card (organi must be sighted) | ||||
| is | Resident Permit ( for non-Nigerian) | |||
| 6. | Proof of Address: Litility bills, etc (Geralled true capy is acceptable il original is not hold) | |||
| 7 | Letter from Employer / School / NYSC (for salary account and or Student only) |
| Fixed/Current/Domiciliary/Fixed Investment/Other Types of Account | WAIVED | ||
|---|---|---|---|
| S/N | DOCUMENTS REQUIRED | CHECKED | DEFERRED |
| 1- | Duly completed Account opening form | ||
| 2. | Specimen signature card duly completed | ||
| 3. | Two (2) recent passport photographs | ||
| Two (2) independent and satisfactory references | |||
| 4 | Proof of Identity; International passport, Driver's licence, National ID card or INEC Voters Card | ||
| 5 | (arginal | ust be sighted] | |
| Proof of Address: Utility bills ecc (Certified true copy is acceptable il original is not held) | |||
| e | Letter from amployer (for salary account only) | ||
| 17. | |||
| 8. | Resident permit (for non-Nigerians) | ||
| Other document Provided | |||
| 9 |
Fixed/Current/Domiciliary/Fixed Investment/Other Types of Account
12 11.
YES NO ls the customer socially or financially disadvantaged?
if answer to the (I)above is yes, state other documents obtained in line with the bank's policy on socially/financially disadvantaged customer in compliance with Regulation 77 (4) of AML/CFT Regulation, 2013
...
HI Does the Customer enjoy tiered KYC requirements?
NO YES | iv If answer to question (iii) above is yes, identify the customer risk category: Low Risk [ ] Medium Risk | High Risk
Is the Applicant a Politically Exposed Person? YES For Bank Use Only: A ACCOUNT OPENED BY: Name Signature .......
Date: Name Signature .
Date: DEFERRAL/WAIVER OF DOCUMENT (IF ANY) AUTHORISED BY: B.
Name Date: Signature ............ Name Date: C. ADDRESS VERIFICATION CARRIED OUT BY: Name Date: Signature: Name Date: Signature: server strengther COMMENT(S)(Address description and result finding): D. ACCOUNT OPENING AUTHORIZED! APPROVED BY: Name and Date; Name Date: Signature: an in the control to control of the collection of the country of the country of the country of r production of the managers contraction and any and contraction and the production and other comments of the more of the more of the most of the most of the most of the mos manufactures and control control control control comments of the more of the doctor of the more will be any works of the world of the successful and
...
Signature : .
5 ACCOUNT OPENING FORM - ENTITIES (Incorporated and Non-Incorporated) ( Please indicate the business category and type of account to open by ticking the applicable box bolow) Category of business: Limited Liability Company | Partnership | Sole proprietorship | MDA's | Schools | Others s 8 . 15 others Account Type: Current Account Fixed Depasit Account ] Domiciliary Account This form should be completed in CAPITAL LETTERS. Characterians and marks should be similar in syle to the following (655) ACCOUNT No. (for official use only) BRANCH I. COMPANY DETAILS ( Please complete in BLOCK LETTERS and tick where necessary) Company/Business Name Certificate of Incorporation/Registration Number Date of Incorporation/Registration Jurisdiction of Incorporation/Registration .
Type/Nature of Business Sector/industry Operating Business Address 1.
Operating Business Address 2.
Corporate Business Address/ Registered office (if different from above) Email address Website (If any) Phone Number (I) Phone Number (2) Tax Identification Number (TIN) CRM No/ Borrower's Code (where applicable) Special Control Unit against Money Laundering (SCUML) Reg. No:
N500 Million - Less than N5 Billion Above N5 Billion (a) Less than N50 Million N50 Million - Less than N500 Million | (b) Is Your Company Quoted on any Stock Exchange?
Yes [ No (c) If answer to question (b) is yes, indicate which Stock Excharge and the Stock Symbol: 3. ACCOUNT SERVICE(S) REQUIRED (Please tick applicable option below) [ Visa Card Others (Specify) Card Preferences: Verve Card Master Card Electronic Banking Preferences: Internet Banking | Mobile Banking | | ATMPOS | Other Electronic Channels (Fees may apply) Specify Transaction Alert Preferences; Emall Alert (Free) [] SMS Alert (Fee applies) [ Quarterly _ Semi- Annually Annually Statement Preferences: Email | Post | Collection at Branch | Statement Frequency: Monthly Cheque Book Requisition: (Fets applies) Opened Cheque Crossed Cheque [ 25 Leaves 50 Leaves I OD Leaves Cheque Confirmation: Will you like to pre-confirm your cheques?
Yes No Cheque Confirmation Threshold: If the answer to the above is yes, please specify the threshold)
If you would like to have a higher threshold for pre-confirmation, please specify the amount (i e threshold above Nxxx,000.00) "In line with extant law and existing regolation 1 :
1, Surname First Name Date of Birth ATHE Gender M F Nationality (for non-Nigerians) Means Of Identification
EXE H 24 ID Expiry Date o opend D ID Number ID Issue Date Biometric ID No: Occupation
Stacus/job Tide Position/Office of the Officer Residential Address House Number
Street Name Nearest Bus Stop/Landmark Local Gove Area City Town State Phone Number (2) Phone Number (1) E-mall Address Class of Signatory (Plasse indicalle class in the box provided) Signature Date
Other Name 2 Surname First Name REA EMA Gendar M F Date of Birth Mother's Maiden Name Nationality (for non-Nigerians) Means Of identification ID Number ID issue Date ID Expiry Date Blametric ID No: Occupation Position/Office of the Officer Residential Address House Number Nearest Bus Stop/Landmark City Town State Phone Number (2) E-mail Address Class of Signatory (Peare indicate class in the box provided) Signature -
Date Other Name Mother's Maiden Name Status/Job Title Street Name Local Gove. Area 2 Phone Number (1) ] Surname Other Name First Name
Mother's Maiden Name Date of Birth
RESERVED BEEL ITA F Gender M Nationality (for non-Nigerians) ID Number Means Of Identification o I s and at E o H ID Expiry Date ID Issue Date Blometric ID No.
Status/Job Title Occupation Position/Office of the Officer Residential Address House Number Street Name Nearest Bus Stop/Landmark Local Gove Area Clty/ Town Stato Phone Number (1)
Phone Number (2) E-mail Address Class of Signatory (Flease include dass in the box provided) Signature
6 A. DETAILS OF THE DIRECTOR'S/EXECUTIVES/TRUSTEESPROMOTERVEXECUTORS/ADMINISTRATOR/PRINCIPAL OFFICERS Other Name I. Surname Mother's Malden Name First Name LO SCE INSTILE IN F Gender M Date of Birth ID Number Means of Identification a F 1970 Ma ID Expiry Date ID Issue Date Biomatric ID No: Occupation Status/Job Title Residential Address Street Name House Number Nearest Bus Stop/Landmark City Town Local Gov. Area State Phone Number (2) Phone Number (1) E-mail Address 3 n Surname
Other Name Mother's Maiden Name First Name Date of Birth
Gender M F
ID Number Biometric ID No: PRO ID Issue Date RO Means of Identification 4 ID Expiry Date B I BALL HI
Street Name Nearest Bus Stop/Landmark E-mail Address 3. Surname
Other Name Mother's Maiden Name
Date of Birth Gender M F ID Number ID Issue Date ID Expiry Date E a E Status/job Title Nearest Bus Stop/Landmark City/ Town Local Gove. Area State Phone Number (1) Phone Number (2) Residential Address Status/Job Title Residential Address House Number Street Name First Name ROMES MISTER KA Means of Identification
REEN R. B. B. B. B.
ID in of State Occupation ni Occupation House Number Biometric ID No: Phone Number (1) Phone Number (2) City/ Town Local Govt. Area E-mail Address 6 8. DETAILS OF A SOLE PROPRIETOR I. PERSONAL INFORMATION Title First Name Surname Other Name Marital Status (Please tick) Singlo Married Others (please specify) Gender F M ID D EN THE 24 Date of Birth Mother's Maiden Name Place of Birth Nationality (for non Nigerian) Resident permit No.
Permit Issue Date.
. . . . . . . . .
Permit Expiry Date.
LG.A State of Origin Tax Identification Number (TIN)
Business/Residential Address House Number Street Name Nearest Bus Stop/Landmark City/ Town Local Govt. Area State Phone Number (1) Phone Number (2) E-mail Address
National ID Card National Driver's License International Passport Valid INEC Voters Card ID Issue Date Others (please specify) ID No ID Expiry Date Blometric ID:No:
EP D H H Reiationship Other Name
Gender F M Title (Specify) Date of Birth Mobile Number 1 Mobile Number 2 E-mail Address Contact Details House Number Street Name Nearest Bus Stop/Landmark I. Name of affiliated company/Body: I.
1 3 2 Parent Company's Country of Incorporation 5 7. ADDITIONAL DETAILS: Local Govt. Area City/Town First Name State
| III. DETAILS OF ACCOUNT HELD WITH OTHER BANKS BY THE PROSPECTIVE COMPANY/PARTNERSHIP/SOLE PROPRIETORSHIP | ||
|---|---|---|
| NAME AND ADDRESS OF | STATUS: | |
| SIN | ACCOUNT NAME | ACCOUNT NUMBER |
| BANK/BRANCH | ACTIVE/DORMANT | |
| - | ||
| 2 | ||
| m | ||
| 4. |
............................................................................................................... Bank Plc ...
...
Dear Sir, AUTHORITY TO DEBIT OUR CURRENT ACCOUNT FOR SEARCH FEE We hereby authorize you to debit our account with the applicable charges for the legal search conducted on our account at the Corporate Affalrs Commission or relevant agency/authority.
Thank you.
Yours faithfully, Authorized Signature of the Customer /Representative & Date Authorized Signature of the Customer / Representative & Dote
Financial Institutions are permitted to lasert their terms to reflect unique business operations 10. ACCOUNT OPENING MANDATE a. Category of Account: (Please tick as appropriate) Joint Account | Fixed Investment Account | Other Types of Account Account Type: Current Account | Fixed Deposit Account | Savings Account | Domiciliary Account b. Account Name Account No.
c d. Mandate authorisation/Combination rule (Please tick as appropriate): Sole Signatory T Two or more [ If two or more are to Sign, please specify e. Signatories:
Name Signature III.Name: Sumame First Name Other Name Class of Signatory Identification Type: Identification No: Telephone Number Signature & Date FOR BANK USE ONLY FOR BANK USE ONLY Name
Signature Name Slanature NOTE: Financial Institutions can provide more space if the number of Signatories is more than spaces provided.
Financial Institutions are permitted to insert their terms to reflect unique business operations
CUSTOMER INFORMATION I/ We hereby apply for the opening of any account or accounts with for opening such account(s) and hereby warrant that such information is correct. I/ We further undertake to Indemnity the Bank for any loss suffered os a result of any false information at error in the information provided to the Bork.
" In Wilness whereof , the common seal of ................................ ( Name of Company) is hereby offixed this In the presence of i Director (Name and Signature) Director (Secretary (Name and Signature)
Name
Status Signature ... Date
Name Status Signature .
and and and the same of the submit and the management of the many of the many of the may be and Date 7 Company Seal here
PHOTO PHOTO
Name Address Occupation ON ERC ROL Date ll KI BA Signature .
8
| I. REQUIREMENTS CHECKLIST | |||||
|---|---|---|---|---|---|
| S/N | DOCUMENTS REQUIRED | CHECKED | DEFERRED | WAIVED | N/A |
| 1- | Account opening form duly completed | ||||
| Specimen signature card duly completed | |||||
| 2. | |||||
| 3. | Copy of CAC Certificate of Registration | ||||
| Board Resolution | |||||
| 4. | |||||
| 5. | Copy of Memorandum and Article of Association | ||||
| (certified as true copy by the Registrar of Companies) | |||||
| (a)Form C07 Particulars of Directors | |||||
| 6. | (Certified oroe capies by the Regionar of Companies and a zerstication by a Natury Public for Foreign Clargarren) | ||||
| (b)Form C02 Allotment of Shares | |||||
| 7. | (Cerilled true copies by the Register of Companies and a cartification by a Notary Public for Farrager Correpartes | ||||
| 8, | Partnership Deed ( where applicable) | ||||
| 9. | Approval Letter ( for Government Agency) | ||||
| IO. | Act/Gazette( for Government Agency) ( where applicable) | ||||
| Two(2) passport sized photographs of each signatory to the account with | |||||
| = | name written on the reverse Side | ||||
| Introduction letter ( where applicable) | |||||
| 12. | |||||
| 13. | Status report from Banker (where applicable) | ||||
| 14 | Resident Permit (for non-Nigerians) | ||||
| 15. | Evidence of Registration with Nigerian Investment Promotion Council | ||||
| (NIPC) (where applicable) | |||||
| Evidence of Registration with Special Control Unit on Money Laundering | |||||
| 16. | (SCUML) (where applicable) | ||||
| Search Report | |||||
| 17. | |||||
| 18 | Power of Attorney (where applicable) | ||||
| 19. | Letter of indernnity | ||||
| Proof of Company address | |||||
| 20, | |||||
| 21 | Business Premises visitation certificate | ||||
| 22 | Proof of Identity of all Signatories and Directors/Officers whose name appear | ||||
| on the account opening form/document (Preferred Identity card are | |||||
| Int'l Passport, National Identity Card, National Driver's Licence, and Valid | |||||
| Nigerian INEC Voter's card) | |||||
| Proof of Address of all Signatories and Directors/Officers whose name appear | |||||
| 23. | on the account opening form/document Utility bill (Certified true copy is | ||||
| acceptable if original is not held) | |||||
| 24 | Two Completed satisfactorly reference forms. | ||||
| 25 | Copy of the audited Financial statements | ||||
| 26 | Others (please specify) |
9 A ACCOUNT OPENED BY: Name Date Signature .......
Name Date: B. DEFERRAL/WAIVER OF DOCUMENT(IF ANY) AUTHORISED BY: Name Date: Name Date: C. ADDRESS VERIFICATION CARRIED OUT BY: Name Date: Name Date: Signature: COMMENT (S): (Address description and Result Findings) D. ACCOUNT OPENING AUTHORISED/ APPROVED BY: Name Date: Name Date: . . .
Signature .
Signature: . . .
Signature .
ourementon Signature .
steen and the provinced e consisted on the manufacture and the commend to the manage of the many works and successful and the many would be and the more in nce work and the comments of the many and the superior would more of the man and more of the management of the comments of the comments of the many of the minister of the mo and and the same of the same of the manufacturers and the submit and the submit and the country of the many of the many of the many of the may be n the group of the mail and the work of the more of the first and the subject of the status of the status and Signature .
Signature: 10