MALAWIAN DIASPORA INVESTMENT ACCOUNT AGREEMENT

Transcription

1 FROM: MALAWIAN DIASPORA INVESTMENT ACCOUNT AGREEMENT NAME OF CUSTOMER: ADDRESS: The undersigned hereby requests you to establish a Malawian Diaspora Investment Account in your b account in chosen currency hereinafter called the "account" and to credit thereto amount(s) of such other c as may from time to time be received by you for the account. In order to induce you to establish the accoun your option, to maintain it in your books, it is hereby agreed that: 1 Withdrawals from the account shall be made only by your instructions or telegraphic transfers or the currency of the account at the request of the undersigned in writing or by authenticated cable. Any transmission, or other charges related to withdrawals from the account will be paid by the undersigne demand. 2 You shall have no responsibility or liability to the undersigned for any diminution due to taxes or or depreciation in the value of funds credited to the account (which funds may be deposited by you name and subject to your control with such depository (ies) as you may select) or for the unavailability funds due to restrictions on convertibility, requisitions, involuntary distrait or any character, exe military or usurped powers or other similar causes beyond control. 3 You may at any time in your discretion discharge your entire liability with respect to the account by to the undersigned, at the address set forth below, your draft in currency of the account without reco you as drawer, payable to the order of the undersigned in the amount of the then credit balance in the a together with such other documents, if any, as may be necessary in your sole discretion, to transfer undersigned such claim as you may have on such funds. 4 The operation of this account is subject to the laws and regulations existing at any time in the Rep of Malawi. Authorised Signatories: Signing Instruction:

2 DOMICILLIARY MALAWIAN DIASPORA INVESTMENT ACCOUNT OPENING FORM PERSONAL DETAILS Click here to upload PLEASE INDICATE YOUR DESIRED ACCOUNT CURRENCY TYPE USD: GBP: SAR: EUR: TITLE: LAST FIRST NAME (S): DOB: PLACE & COUNTRY OF BIRTH: NATIONALITY: Sex (Tick): Male Female: Marital Status: Single Married Divorced If married: Name of Spouse:.. Wedding Anniversary: Maiden Name: Religion: Occupation: Income(monthly) Passport Details: Passport Number Place of Issue Date of Issue Expriry Date 2 ND APPLICANT PERSONAL DETAILS (For Joint Account Only) Click here to upload USD: GBP: SAR: EUR: TITLE: LAST FIRST NAME (S): DOB: PLACE & COUNTRY OF BIRTH: NATIONALITY: Sex (Tick): Male Female: Marital Status: Single Married Divorced If married: Name of Spouse:.. Wedding Anniversary: Maiden Name: Religion:

3 CONTACT DETAILS Overseas contact details HOME ADDRESS: Country: State/ Province: Postal/ Zip Code: PERSONAL OFFICE PHONE: OFFICE ADDRESS: Alternative Malawi Contact Details HOME ADDRESS: Country: State/ Province: Postal Address/ Zip Code: PERSONAL OFFICE PHONE: OFFICE ADDRESS: REFERENCES Referee 1 contact details FULL ADDRESS: Country: State/ Province: Postal/ Zip Code:

4 REFERENCES C0NT D Referee 2 contact details ADDRESS: Country: State/ Province: Postal/ Zip Code: OFFICE PHONE: DOCUMENTS REQUIRED 1. One (1) recent passport-size 2. Proof of identification ( a notarizes copy of international passport) 3. Proof of address ( a notarized copy of utility bill or drivers licence) DECLARATION Notwithstanding anything to the contrary contained in any other document/ agreement, I/We, the undersigned authorise you to act and rely on any instructions or communications for any purpose, (including but not limite instructions/ communications pertaining to the operation of all of my/ our accounts or to any other facilities or serv may be provided by you from time to time) which may from time to time be or purport to be given by telephone, f untested telexes and faxes, telegraph, cable or any other form of electronic communication by me/ us, (includ instructions/ communications as may be purported to be given by those authorised to operate my/our account(s) w I/We understand and acknowledge that there are inherent risks involved in sending the instructions to you via te facsimile, untested telexes and faxes, telegraph, cable or any other form of electronic communication and hereby a confirm that all risks shall be fully borne by me/ us and I/ We assume full responsibility for the same and Allianc Limited will not be liable for any losses or damages including legal fees arising upon your acting or failure to act, wh part, in accordance with the instructions so received. In consideration of you agreeing, subject to the terms and conditions hereunder, to act upon the instructions as a I/We hereby irrevocably agree and undertake that you shall be entitled to act or refuse to act as you see fit, without any liability whatsoever to me/us or any other person, upon any instruction for any purpose which,may from time to or purport to be given by telephone, facsimile, untested telexes and faxes and telegraph, cable or any other form of e communication by me/us. That Alliance Capital Limited shall be entitled to keep records of instructions given or made by aforementioned in su physical or electronic, as you may in your sole discretion deem fit, as your record shall be conclusive and binding on me That this undertaking cum indemnity document shall be governed and construed in accordance with the laws of the of Malawi. I/ We hereby irrevocably submit to the non-exclusive jurisdiction of the courts of Malawi. FIRST S SIGNATORY:

5 REFERENCE FORM FROM: ADDRESS: To: Alliance Capital Limited P.O. Box 510. Blantyre Malawi AFRICA Dear Sirs, NAME OF APPLICANT The above named person(s) wish(es) to open a Malawian Diaspora Investment Account with you. H It/ They is/ are well known to me and I consider him/ her/ it/ them as/ as suitable person(s) to main an investment account with you. The Applicant: Signs thus: FULL NAME OF APPLICANT IN BLOCK LETTERS APPLICAN TS SIGNATURE And I hereby witness his/her/ its/ their signature(s) as being correct. My bankers are: NAME OF BANK BRANCH ACCOUNT NO.

6 ANTI-MONEY LAUNDERING UNDERTAKING FROM (NAME): To: Alliance Capital Limited P.O. Box 510. Blantyre Malawi AFRICA MY/OUR DOMICILLIARY MALAWIAN DIASPORA INVESTMENT ACCOUNT NUMBER I/ We hereby affirm as follows: I. That I/We undertake to abide by the regulations relating to Money Laundering as may be specified from to time. II. That I/ We shall use all means to ensure that all funds deposited into my/ our account above are from cr verifiable and legitimate sources. III. That I/ We shall fully indemnify Alliance Capital Limited against losses, damages, liability that may arise f my/ our default therein. *Corporate bodies to reproduce this undertaking on company letterhead signed by the authorised signatori the company.

7 SPECIMEN SIGNATURE CARD SPECIMEN SIGNATURE CARD REGISTERED ADDRESS: MAILING ADDRESS: ACCOUNT NUMBER: TELEPHONE NO(S) ADDRESS: FAX NO(S): BIRTHDAY: WEDDING ANNIVERSARY: Title (Mr, Mrs etc) Name Signatory Capacity Photograph Signature Click here to uplo Title (Mr, Mrs etc) Name Signatory Capacity Photograph Signature Click here to uplo Authorised combination (For Joint Account holders) Company Stamp/ Seal required: Yes No Stamp/ Seal: Name and Signature of Relation Officer: