ACCOUNT NAME ACCOUNT NUMBER. Company School Trust Informal Body e.g. Reg.Group Specify

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1 BUSINESS ACCOUNT OPENING FORM BRANCH DATE ACCOUNT NAME I/We wish to open account with Credit Bank Limited. I/We undertake to comply, observe, and be bound by Terms and Conditions made by you and in force from time to time or as amended by you pertaining to such accounts as shown on the attached page and the general terms and conditions document. ACCOUNT NUMBER Tick inside appropriate box Type of business: Sole Proprietor Partnership Limited Liability Company School Trust Informal Body e.g. Reg.Group Specify TYPE OF ACCOUNT: Current Saving Other (specify) CURRENCY Kshs. Foreign Currency (specify) BUSINESS DETAILS Name of Business /Company /Group :( As per registration certificate) Nature of Business Certificate of registration/incorporation No. Date of Business/Company/Group Registration Postal address: P.O Box Code

2 Fax (s) Business /Group/location(Town/City/Shopping centre) Plot/Bldg/Street/Road) P.I.N No. PROPRIETOR/DIRECTOR/PARTINER Personal P.I.N No. Do you have any other account(s) with Credit Bank or any other Bank

3 2 ND DIRECTOR/PARTINER Personal P.I.N No. Do you have any other account(s) with Credit Bank or any other Bank 3 RD DIRECTOR/PARTINER

4 Personal P.I.N No. Do you have any other account(s) with Credit Bank or any other Bank 3 RD DIRECTOR/PARTINER Personal P.I.N No.

5 Do you have any other account(s) with Credit Bank or any other Bank Why did you choose Credit Bank? INVESTMENT DETAILS What amount of capital has been /will be invested? Please state the source of Funds: THE ACCOUNT MANDATE (Tick as appropriate) Singly either to sign All of us jointly Any two to sign Other (specify) EXPECTED TURN OVER What is the business annual turnover likely to be? EXPECTED EXPENDITURE What is the business annual expenditure likely to be? Cheque Book:Yes No if Yes, Indicate: Number of leaves: Allow Sweep Yes No DECLARATION I/We confirm that : The information I/We have provided herein and disclosures are true and

6 I/We have received,read and understand the General Terms and Conditions of the Bank and undertake to observe,abide, comply and be bound by them. Names in full (Block letters) of Authorized signatories /Directors/partners National Id/Passport No. Official position Specimen Signature Bank use only Account opened by Signature Date Name of staff user ID & signature Form completed by/in presence of Details input by Account verified by Date signed Account opening checklist Original Id s/passport sighted specimen signature obtained

7 Id s /passport copies obtained Applicants details completed Cheque book ordered Mandate forms completed Account opening officer Signature Write Name I confirm that I have checked that all above details have been completed in accordance with KYC & AML policy guidelines and procedures and that relevant documents are attatched.i confirm acceptance of this customer relationship with credit Bank limited. Branch Manager Signature Write Name Date