Mashreq Gold Account Opening Form

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1 Mashreq Gold Account Opening Form FOR THE PRIVILEGED FEW MGMAIGoldProposition-AccountOpeningForm.indd 1

2 Personal Details Personal details of Primary Account Holder Name Mr. Mrs. Ms. (as per passport) First name Middle name Last name Please provide either your Passport no. or Emirates ID no. Gender: M F Marital status: Single Married Family size (in UAE) Monthly salary Other monthly income Source of income Favourite city Contact details ID 1 ID 2 Courier Debit Card / Cheque book to Office Home Personal reference in UAE: Name Contact number Professional Details Name of organisation Designation Employee no. of joining Department Division Street name/no. Building name Flat/Villa no. Nearest landmark P.O. Box City/Emirate Telephone Mobile no. 1 Mobile no. 2 Fax Residence address in UAE / Country of residence (in case of non-resident customers) Building name Flat/Villa no. Street name/no. P.O. Box City/Emirate Nearest landmark Country Telephone Mobile no. Residence address in home country Building name Flat/Villa no. Street name/no. P.O. Box City Nearest landmark Country Telephone Mobile no. I/We hereby declare that the information provided above is accurate and true. I/We agree that my/our signature(s) below shall be deemed as an absolute acknowledgement of having received the original copy of terms and conditions booklet governing the relationship with the Bank, and further declare and acknowledge that I/we have read, understood and shall abide with the terms and conditions in the Booklet. I/We agree to abide with any other additional terms and conditions relating to any other products availed by me/us through the Telephone, Internet, ATM or any other alternate channels introduced by the Bank from time to time. In case of any mismatch of information on this application form with information provided on certified copies of the original documents, the information on the certified copies of the original document will be taken by the Bank as true and accurate, and will supersede the information on the application form for the purpose of opening the account, and updating the Bank's official records. Signature of Primary Account Holder For Bank use only CIF no. EDMS no. Customer type: Non-Resident Resident Branch name Branch ID Bank official signature United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 2

3 Account Details Current/Mudarabah Savings Account and Mudarabah Term Investment Account Details I wish to open the below mentioned account(s): Current A/C Mudarabah Savings A/C** Easy Saver Savings A/C** Investment Account Investment Account linked to Account no. Account title Currency Cheque book*: Yes No Debit Card*: Yes No *If applicable (no profit on Current Accounts, no Cheque Book applicable for Savings Accounts and no Debit Card for Easy Saver Accounts) Name as it should appear on Debit Card (21 character limit) I wish to open the below mentioned account(s): Current A/C Mudarabah Savings A/C** Easy Saver Savings A/C** Investment Account Investment Account linked to Account no. Account title Currency Cheque book*: Yes No Debit Card*: Yes No *If applicable (no profit on Current Accounts, no Cheque Book applicable for Savings Accounts and no Debit Card for Easy Saver Accounts) Name as it should appear on Debit Card **Mudarib fee form to be filled and signed. (21 character limit) Deposit Details Mudarabah Term Investment Account** Deposit Account no. Deposit Account Title Amount Amount (in words) Currency Tenure: From to Exchange rate (if applicable) Mode of payment Debit A/C no. Maturity Instruction A Rollover principal with accrued profit for the same tenure B Rollover principal for same tenure credit the profit to A/C no. C Principal + accured profit to be credited to A/C no. I/We hereby agree that the above Accounts will not be used for commercial purposes. Signature of Primary Account Holder Signature of Joint Account Holder 1 Signature of Joint Account Holder 2 For Bank use only CIF No. Campaign Code Bank official signature CATS Code: / / / EDMS no. United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 3

4 Joint Account Holder Details Account Number Account Title Supplementary Debit Card* 1 Yes / No *If applicable Personal Details of Joint Account Holder 1 Name Mr. Mrs. Ms. (as per passport) First name Middle name Last name Please provide either your Passport no. or Emirates ID no. Gender: M F Marital status Family size (in UAE) Designation Name of organisation Employee number of joining Monthly salary Other monthly income Source of income Mobile number Personal Details of Joint Account Holder 2 Name Mr. Mrs. Ms. (as per passport) First name Middle name Last name Please provide either your Passport no. or Emirates ID no. Gender: M F Marital status Family size (in UAE) Designation Name of organisation Employee number of joining Monthly salary Other monthly income Source of income Mobile number Supplementary Debit Card Details (if applicable) Joint Account Holder 1 Joint Account Holder 2 Name as it should appear on Card (21 character limit) (21 character limit) Favourite city Signature of Primary Account Holder Signature of Joint Account Holder 1 Signature of Joint Account Holder 2 For Bank use only CIF no. Mandate or Special Instruction: Single Joint Campaign Code Bank official signature CATS Code: / / / EDMS no. United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 4

5 Annexure1 Mudarib Share Detailed terms and conditions related to Mudarabah term investment accounts are covered in the terms and conditions form. I/We do hereby acknowledge having received an original copy of terms and conditions booklet governing the relationship with the Bank, The Booklet, and further declare and acknowledge that I/we have read, understood, and shall abide with the terms and conditions in the Booklet. The profits share allocation for Savings and Term Investments accounts based on the Mudarabah Contract will be as follows: Type of Account Mudarib s (Bank) Share Customer s Share Mudarabah Savings Account 1 Month Mudarabah Term Investment 3 Months Mudarabah Term Investment 6 Months Mudarabah Term Investment 70% 30% 9 Months Mudarabah Term Investment 1 Year or more Mudarabah Term Investment Mudarabah profit sharing and any variations thereof shall be determined by the Bank s management and shall be notified/ displayed at the Bank s head office and its branches. Profit rates are announced quarterly and displayed in the branches and on the website. Signature 1 Name Signature 2 Name Signature 3 Name United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 5

6 Authority and Indemnity for facsimile transactions 1. I/We hereby represent and declare that at times, I/we require to give instructions to banks by the quickest and most expedient means of communication. 2. I/We understand that transmission by facsimile is the quickest and most expedient means of communicating my/our instructions to banks. 3. I/We hereby represent that if we adopt/employ any other means of transmission other than by facsimile to communicate my/our instructions to the bank, there will be a delay in my/our transactions and I/we may consequently suffer a loss of business opportunity. 4. I/We hereby expressly acknowledge that I/we are fully aware and cognizant of the various risks (e.g. technical forgery, programming of bogus facsimile numbers) inherent and associated with communicating instructions to banks by facsimile transmission and various fraudulent activities arising from and out of such transmissions; therefore I am/we are fully prepared to accept such risks and that it is not in the interest of the Bank to assume such risks which are of far-reaching consequences. 5. I/We hereby request and authorise you to rely upon, accept and act on any and all banking instructions - regardless of the nature of the transaction or the amount of money involved and notwithstanding any error of misunderstanding or lack clarity in terms of such communication - which may from time to time be or be purported to be, communicated/ given by me/us or on my/our behalf to you by facsimile transmission without inquiry on your part as to the authority or identity of the person and regardless of the circumstances prevailing at the time of transmission of such facsimile authorisation. In consideration of the Bank acceding to my/our request and my/our agreement to accept and act upon instructions by facsimile as above, I/we hereby confirm, agree and undertake the following: 1. I/We hereby undertake that no unauthorised person will have access to my/our fax machines other than our Authorised Signatories, and I/we will take all necessary care to enforce this undertaking and I/we will be responsible and liable for any misuse of our fax machines by unauthorised persons. 2. Me/Us action only on instructions transmitted by facsimile will continue to be considered as confirmed, instructions and will have the same legal weight and standing as the originals. The original should be provided to the bank, with it being marked FAXED ON AVOID DUPLICATION. 3. If for any reason you act on instructions received through one of my/our fax machines which has been misused or used without authorisation by any person, or if you do not receive the original of any fax message as above, and subsequently it is proved that this fax was not sent by me/us, you will not be responsible for acting so and I/we will take responsibility and liability for this as this amounts to a violation of our duty to exercise diligence and due care, and of our agreement and undertaking with you as above. 4. Actions by you based on photocopies emanating from my/our fax machines are fully binding on me/us, even if you do not receive the original of the facsimile authorisation/instruction. 5. You will not be held liable for any irregularity, delay, mistake or omission which may occur in the transmission of facsimile instructions or for the non-receipt of or misinterpretation of facsimile instructions. 6. You are hereby irrevocably authorised to rely on facsimile instructions as genuine, true and accurate reproductions of the original facsimile instructions, and you shall bear no liability for acting thereupon and you are entitled to treat each facsimile authorisation/instruction as fully authorised and binding on us, and you are entitled (but not bound) to take such steps in connection with, or with reliance upon, such communication as you may in your sole and absolute discretion, deem appropriate. United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 6

7 7. The Bank may, at its own discretion, decide randomly to undertake call-back checks to the following designated persons (who will have first-hand knowledge of the transfer instruction) at the following designated telephone numbers in order to confirm the authenticity of my/our facsimile instruction for personal accounts: For sole accounts, the account holder himself/herself For joint accounts, any applicant acting alone or both applicants acting together All Power of Attorney signatories, if assigned Full Name Telephone (Home) Telephone (Mobile) I/We undertake to inform the Bank from time to time of any changes to the above call-back instructions or should any of the designated telephone numbers change. It is understood that the Bank will attempt to contact these personnel in the order provided above, and may in failing to make contact with any of them, at its own discretion, decide to disregard the transfer instruction at my/our risk and responsibility until it is able to satisfy itself that the instruction is genuine. 8. If, for any reason you are held responsible or found responsible/liable for acting under these instructions as above by any other party or competent authority, I/we hereby agree and undertake to protect, defend, hold harmless, indemnify and keep you and your shareholders, directors, officers and employees fully indemnified of, from and against any and all claims, losses, damages, liabilities, obligations, demands, penalties, actions, causes of action, proceedings, judgments, lawsuits, costs and expenses of any kind or nature whatsoever and howsoever arising, which are imposed or that may be imposed on, incurred or that may be incurred, asserted or which may be asserted against, suffered or that may be suffered, by you or be required of you to pay, by reason of or as a result of arising directly or indirectly out of your compliance with my/our aforesaid request and authorisations/instructions. 9. In addition to the above, I/we hereby fully, irrevocably and forever waive, discharge and relieve the Bank from any and all claims, obligations and rights whatsoever and howsoever arising that I/we may have against you (if any) which arise or may arise as a result of, or based on, any existing laws, rules or regulations as I/we request and authorise you to act as stated above and induce you to accept my/our transaction requests and authorisations/instructions through facsimile. 10. Without prejudice to your rights as above or otherwise, and notwithstanding any other provision to the contrary in this document, you shall have the absolute right and discretion, for any reason whatsoever, to act or not to act upon facsimile instructions. Authority and indemnity for voice transactions related to investment and insurance 11. I hereby expressly agree and acknowledge that all telephone conversations between me/us and the Bank shall be recorded by the Bank and hereby authorise the Bank to accept, rely and act upon telephone instructions received by the Bank from me/us or from my/our authorised representatives. Accordingly, I/we hereby: a) Consent to the recording of such telephone discussion including order placement, execution, conversations of trading, marketing, and/or other personnel of the Bank and its officers, employees, agents and affiliates in connection with this agreement; b) Agree that recordings may be submitted as evidence in any proceedings relating to this agreement or any related investment transaction; c) Agree that recordings may be available to regulatory authorities in case of any legal dispute; d) Agree that such recordings shall be kept by the bank and shall constitute the sole property of the Bank. United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 7

8 In witness whereof, this letter of indemnity was executed on () 1 st Applicant Signature Please print name in full 2 nd Applicant Signature Please print name in full 3 rd Applicant Signature Please print name in full Note: To be signed in line with the signing authority mandate For Bank use only Attested by Signature Please print name in full Employee ID United Arab Emirates MGMAIGoldProposition-AccountOpeningForm.indd 8

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