استمارة فتح حساب شركات Business Account Opening Form
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1 استمارة فتح حساب شركات Business Account Opening Form تاريخ Branch فرع Bank Use Only a. CIF Number b. Name of Firm/Company c. Customer Basic Number d. Account Number Type of Account (Tick as appropriate) Product/Currency AED USD EUR GBP Others Others Current Account Investment Savings Account Investment Time Deposit Account Special Investment Deposit Account Type of Account Package (Tick as Appropriate) BB Classic BB Gold BB Platinum Others Type of Constitution (Tick as appropriate) Sole Proprietorship Limited Liability Company Free Zone Establishment/Company Public Joint Stock Company Escrow Partnership Government Entity Foreign Company Embassy/Consulates Brokerage Social or Professional Club/Society/Association/Trust, Nominee or Fiduciary/Co-operative Society/Charity Organisation Others (Please specify) نوع باقة حساب )ضع عمة حيثما يكون مناسب ا( خدمات مصرفية لألعم ذهبية خدمات مصرفية لألعم كسيك غير ذلك خدمات مصرفية لألعم بتينيوم نوع شركة )ضع عمة حيثما يكون مناسب ا( فرديةشراكة ملكية هيئة حكومية شركة ذات مسؤولية محدودة شركة أجنبية مؤسسة/شركة منطقة حرة سفارة/قنصليات شركة مساهمة عامة وساطة حساب أمانة نادي اجتماعي أو مهني/جمعية/رابطة/أمانة/اتحاد/مؤتمن/جمعية تعاونية/مؤسسة خيرية أخرى )يجرى تحديد(.1 بيانات تجارية 1. Business Profile /Place of Incorporation/Registration تاريخ/مكان تأسيس/تسجيل Trade License Number رقم رخصة تجارية of Expiry Years in Business تاريخ انتهاء عدد سنوات ممارسة األعم Nature of Business (List Products in which you are dealing) طبيعة نشاطات أعم مؤسسة/شركة )يرجى إدراج منتجات تي تتعاملون بها( Location of Branches (UAE & Abroad) Registered Office Address Building Name Flat/Appt. Room Number Street Name & Number Area Name Nearest Known Landmark P.O. Box Number City Emirate/State Country Zip Code Telephone Number Facsimile Number Mobile Number Website Address Office Ownership Rented Owned مواقع فروع )في دولة اإلمارات عربية متحدة و في خارج( عنوان مكتب مسجل اسم بناية رقم شقة/غرفة رقم واسم شارع اسم منطقة أقرب معلم بارز رقم صندوق بريد مدينة اإلمارة/وية بلد رمز بريدي رقم هاتف رقم فاكس رقم محمول بريد اإللكتروني موقع اإللكتروني نوع ملكية مكتب إيجار ملك خاص Page 1
2 Address of Parent Company عنوان شركة األم Registered Office Address عنوان مكتب مسجل P.O. Box Number رقم صندوق بريد City مدينة Emirate/State اإلمارة/وية Country بلد Telephone Number Facsimile Number رقم هاتف رقم فاكس Mobile Number رقم محمول بريد اإللكتروني Website Address Office Ownership Rented Owned 2. Directors/Principal Beneficial Owners/Signatories Title (Mr./Mrs./Ms) صاحب حساب 1 Account Holder 1 صاحب حساب 2 Account Holder 2 صاحب حساب 3 Account Holder 3 موقع اإللكتروني ملك خاص إيجار نوع ملكية مكتب 2. مدراء/مستفيدين حقيقيين رئيسيين/موقعين صاحب حساب 4 Account Holder 4 لقب )سيد/سيدة/اآلنسة( First Name اسم األول Middle Name اسم األب Last Name % of Shares Passport Number Passport Expiry UAE Visa Number UAE Visa Expiry Nationality UAE ID Number Telephone Number Mobile Number 1 Mobile Number 2 Facsimile Number Capacity (Proprietor/ Partner/Director etc.) اسم عائلة نسبة ملكية % رقم جواز سفر تاريخ انتهاء صحية جواز سفر رقم تأشيرة في إ.ع.م تاريخ انتهاء صحية تأشيرة في إ.ع.م جنسية رقم هوية اإلماراتية رقم هاتف محمول 1 محمول 2 رقم فاكس بريد اإللكتروني صفة )مك/شريك/عضو مجلس إدارة إلخ.( Residential Adderss مكان اإلقامة.3 خدمات األخرى 3. Other Services Cheque Book Yes No Statement Frequency Required Monthly Quarterly Half Yearly No Statement Required *Smart Business Service Requested Yes No SMS Banking Requested Yes No Please state mobile numbers Emirates Islamic Online Banking Yes No (enquiry option only) Debit Card (for sole/fze) Yes No If Yes, Name to appear on card نعم دفتر شيكات طلب كشف حساب بصورة متكررة ربع سنوي شهري كشف حساب غير مطلوب نصف سنوي نعم *طلب خدمات سمارت بزنس نعم طلب خدمات رسائل نصية يرجى ذكر أرقام محمول نعم خدمات مصرفية عبر اإلنترنت )لستعم فقط( بطاقة خصم )للملكيات فردية( نعم إذا كانت اإلجابة نعم يرجى كتابة اسم ظاهر على بطاقة * Related Application to be completed. Terms and Conditions apply *يرجى تعبئة استمارة خاصة. تطبق شروط واألحكام Page 2
3 نموذج اعرف عميلك ستمارة فتح حساب شركات KYC Form for Business Account Opening تاريخ Business Details تفاصيل تجارة موردون/عمء األساسيون ومواقعهم List of Major Suppliers/Clients and their locations رقم اسم مورد Name of Supplier موقع Location رقم اسم عميل Name of Client موقع Location a. Is the Firm/Company involved in Hawala Trading Yes No b. If yes, please state Central Bank Registration Number Total net worth (AED) <500k 500-1mio 1-5mio >5mio نعم أ. هلتمارسمؤسسة/شركة أعمحوة ب. إذا كان جواب نعم يرجى تحديد رقم تسجيل بنك مركزي مليون < 500 ألف قيمة اإلجميةبدرهم <5 مليون 5-1 مليون محولون/مستفيدون األساسيون ومواقعهم List of Major Remitters/Beneficiaries and respective locations رقم اسم محول Name of Remitter موقع Location رقم اسم مستفيد Name of Beneficiary موقع Location Purpose of Remittance (to & from counties abroad) غرض تحويل )من/إلى خارج( Anticipated Annual Value of remittance (to & from countries abroad) in AED قيمة تحويل متوقعة سنويا )إلى/من خارج( بدرهم Approximate Annual Turnover (AED) Expected Annual Account Turnover with EI Expected source of Funds حجم األعم سنوي تقريبي )بدرهم( حجم األعم سنوي متوقع مع اإلمارات اإلسمي مصادر األمو متوقعة Cash Wire Transfer Cheque Others (specify) نقد ا شيك تحويل برقي غير ذلك )يرجى تحديد( Mode of Receipts From Clients (enter in percentage) Cash % Cheque % Wire Transfer % Others (specify) % Mode of Payments of Suppliers (enter in percentage) Cash % Cheque % Wire Transfer % Others (specify) % Expected high volume of cash deposits <500k 500-1mio 1-5mio >5mio Purpose of high volume of cash deposit طريقة تحصيل )نسبة مئوية( % شيك % نقد ا % غير ذلك )يرجى تحديد( % تحويل برقي طريقة دفع إلى موردين )نسبة مئوية( % شيك % نقد ا % غير ذلك )يرجى تحديد( % تحويل برقي مليون >500 ألف أكبر قيمة لإليداع نقدي متوقع <5 مليون 5-1 مليون غرض من ودائع نقدية كبيرة Page 3
4 Account Details a. Does the firm/company maintain any account(s) with EI Yes No b. If yes, please state Account Number(s) تفاصيل حساب أ. هل للمؤسسة/للشركة أي حساب )حسابات( لدى اإلمارات اإلسمي نعم ب. إذا كان جواب نعم يرجى ذكر رقم حساب c. Does the firm/company maintain accounts with other banks Yes No d. If yes, Please state: Bank Name Account Type Deposit/Liability with other banks <500k 500-1mio 1-5mio >5mio Credit facilities Relationship with other banks Yes No If yes, specify types of facilities and Amount نعم ت. هل للمؤسسة/للشركة أي حساب )حسابات( لدى بنك/بنوك أخرى ث. إذا كان جواب نعم يرجى: ذكر اسم بنك نوعحساب مليون < 500 ألف وديعة/التزاممعبنوكأخرى <5 مليون 5-1 مليون نعم تسهيت ائتمانيةمنبنوك أخرى إذا كان جواب نعم يرجى ذكر نوع ومبلغ تسهيت Company Staff Details تفاصيل موظفي شركة Total Number of employees Are salaries paid in cash to employees? If not, please state mode of payment إجمي عدد موظفين هل تدفع رواتب إلى موظفين نقد ا إذا كان جواب يرجى تحديد طريقة دفع. a. Is any of the employees of the Firm/Company involved in Hawala Trading Yes No b. If yes, Please state: Employee Name, Designation & Central Bank Registration Number (Please add aditional sheets if required) أ. هليمارس أي امن موظفينفي مؤسسة/شركةتجارة حوة نعم ث. إذا كان جواب نعم يرجى تحديد اسم موظف ومنصبه ورقم تسجيل مصرف مركزي )يرجى إضافة صفحات إضافية إذا كان ذلك مطلوب ا( c. Additional Sheets attached Yes No ت. تم إرفاق صفحات إضافية نعم Additional Details (Only in case of Trust, Nominee, Fiduciary Accounts, Cooperative Societies, Social Professional Clubs or Charitable Organisations) تفاصيل إضافية )في ح كانت حسابات آمانة أو مؤتمنة أو جمعيات أو نوادي اجتماعية أو مهنية أو مؤسسة خيرية( (Please add additional sheets if required) )يرجى إضافة صفحات إضافية إذا كان ذلك مطلوبا( Nature & Purpose of the Organisation طبيعة وغرض مؤسسة Major Benefactors and their locations 3. متبرعون األساسيون ومواقعهم Source of funds/benefactors مصدر األمو/متبرعون Mode of Operation As per Mandate/Resolution طريقة تشغيل بموجب تفويض/قرار تاريخ Page 4
5 Declaration I/We confirm that the information given here is true and complete and that I/we have received, read and understood/have been read and fully explained to my/ our understanding that Bank s terms and conditions for the maintenance and operations of account and services as requested herein and expressly agree and accept to be bound by them as amended from time to time during the currency of the relationship established as result thereof and agree on opening the account (s) as selected above with the Emirates Islamic. I/We also confirm having read, understood and agree to be bound by the prevailing Pricing Tier, Terms and Conditions posted at emiratesislamic.ae and any amendments or additions thereto which ban may make from time and time. تصريح أنا/نحن أوكد/نؤكد أن معلومات مذكورة هنا صحيحة وكاملة وأنا/نحن استلمت/ استلمنا قرأت/قرأنا وفهمت/فهمنا وقرأت/شرحت لي/لنا بكامل شروط وأحكام مصرف إلدراة وتشغيل حسابات وخدمات مطلوبة كما يتم تعديلها من وقت ألخر وأوافق/نوافق عليها صراحة وأقبل/نقبل التزام بها خل قيام عقة مع مصرف واستمرارها وكما أوافق/نوافق على فتح حساب/حسابات ذي/تي تم اختياره/ها أعه مع مصرف. كما أوكد/نؤكد بأنني/بأننا قرأت/قرأنا وفهمت/فهمنا ووافقت/وافقنا على اإللتزام بشروط وأحكام مستوى تسعير سائدة معلنة على موقع الكتروني emiratesislamic.ae وأي تعديت أو إضافات قد يجرها مصرف عليها من وقت آلخر. اسم عميل.1 Customer Name توقيع عميل Signature اسم عميل.2 Customer Name توقيع عميل Signature اسم عميل.3 Customer Name توقيع عميل Signature اسم عميل.4 Customer Name توقيع عميل Signature Bank Use Only I certify that I have briefed customers on the Bank s product features and all respective terms & conditions. I have checked all information and documents supplied by the Customer and have found them in complete order and in compliance with the Emirates Islamic s requirement. Staff Name Signature Segment Code SM SC SG SP S3 S4 D D M M Y Y Promotion Non Resident Account Yes No Checked by Referrer Code Source Code/Staff Code Referred by Page 5
6 بطاقة نموذج توقيع-تجاري Specimen Signature Card-Commercial Account Number Account Name Please keep signatures within numbered boxes and use BLACK ink only تاريخ رقم حساب اسم حساب وقع في مكان مخصص مستعم حبر األسود فقط Bank Use Only For Signature Capture Centre Only Approved by Singly/Jointly Captured by Verified by بطاقة نموذج توقيع-تجاري Specimen Signature Card-Commercial Account Number Account Name Please keep signatures within numbered boxes and use BLACK ink only تاريخ رقم حساب اسم حساب وقع في مكان مخصص مستعم حبر األسود فقط Bank Use Only For Signature Capture Centre Only Approved by Singly/Jointly Captured by Verified by Page 7
7 مصرف مصرف Page 8
8 Cheque Book Requisition Account Number Account Name Please provide me/us Cheque book(s) as detailed below 25 Leaves 50 Leaves Method of Collection Mail Self Bearer Customer s Signature Bearer s Name and Signature Recipient s Signature Bank Use Only Sign. Verified Input Authorised Issued From To Page 9
9 Please provide us with your location for the Cheque Book delivery Name Address Nearest Landmark Street City Phone Number Original Passport Sighted يرجى تزويدنا بعنوان موقعكم إلرس دفتر شيكات اسم عنوان معلم بارز شارع مدينة رقم هاتف تمت معاينة جواز األصلي Page 10
10 IBB Entities Documents Checklist Document Checklist (Tick as Applicable and Obtained) Sole Proprietorship/Partnership Mark (a) Limited Liability Company Mark (a) 1 Complete EI account opening form signed by the authorised signatories. (Signature on signature card should be in black pen only) Complete EI account opening form signed by the authorised signatories. (Signature on signature card should be in black pen only) 2 Copy of Valid passport originals & residence visa for sole proprietor or partners Copy of Valid passport originals & residence visa for all directors and the signatory/ies 3 Copy of Valid Emirates ID Sighted and Obtained for Partners or Sole Proprietor Copy of Valid Emirates ID copy Sighted and obtained for Partners or Sole Proprietor 4 Copy of Valid Trade License Copy of Valid Trade License 5 Copy of Valid Chamber of Commerce Certificate (if applicable) Copy of Valid Chamber of Commerce Certificate (if applicable) 6 Copy of Registration Certificate (if applicable) Copy of Registration Certificate (if applicable) 7 Certified Copy of Partnership Deed/Agreement (for Partnership) Certified Copy of the Memorandum/Article of Association 8 Board Resolution to open and operate the account. (if applicable) Board Resolution to open and operate the account (if applicable) Remarks: Originals need to be sighted and stamped with notation Original Seen and signed Remarks: Originals need to be sighted and stamped with notation Original Seen and signed Free Zone Entities (FZE/FZC) Mark (a) Foreign Registered/Incorporation Entities Mark (a) 1 Complete EI account opening form signed by the authorised signatories. (Signature on signature card should be in black pen only) Complete EI account opening form signed by the authorised signatories. (Signature on signature card should be in black pen only) 2 Copy of Valid passport originals & residence visa for all directors and the signatory/ies Copy of Valid passport originals for all directors and the signatory/ies 3 Copy of Valid Emirates ID copy sighted and obtained for sole proprietor/partners Copy of Original Certificate of Incorporation 4 Certificate of Incorporation issued from Free Zone Authority Certified Copy of the Memorandum/Article of Association 5 Copy of Share Certificate Board Resolution of the company to open and operate the account (if applicable) 6 Letter from the Free Zone Authority to open an account (In case of under formation entity) 7 Certified Copy of the Memorandum/Article of Association (only applicable for FZC) 8 Board Resolution of the company to open and operate the account (if applicable) Remarks: Originals need to be sighted and stamped with notation Original Seen and signed Remarks: Originals need to be sighted and stamped with notation Original Seen and signed. Document executed outside UAE must be attested by Foreign Ministry in UAE Other Type of Constitution Introduction/Good Standing/Bank Reference Copy of letter of Approval from Ministry of Foreign Affairs &Copy of letter Appointing the Ambassador/Consular General from Native Country (attested) Copy of Permit from Ministry of Education Copy of Permit from Ministry of Labour & Social Affairs Approval for Defferal, if any Check of blacklist/irregular Mark (a) Page 11
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