PERSONAL ACCOUNT OPENING FORM - JOINT APPLICANT A. PERSONAL DETAILS Title: Mr Mrs Miss Minor Family name First name(s) Maiden/ Former name. Marital status Single Married Others If married, spouse full name:. Multiple Nationality Nationality. I.D/ Passport no. Issue date: / / Expiry Date: / /. I.D/ Passport no. Issue date: / / Expiry Date: / /. I.D/ Passport no. Issue date: / / Expiry Date: / /. Country of birth Date of birth: (dd/mm/yy) / /. Current residential address 6. Time at address (years/months) / 7. Previous address (if less than years at current address) Address Address Address 8. Home address Same as current residential address (Otherwise, kindly fill in below) 9. Correspondence address Same as current residential address (Otherwise, kindly fill in below) 0. Contact Details Home Country Code # Mobile Country Code # Office Country Code # Email. Employment status: Student Employed Full Time Employed Part Time t in Employment Self-Employed Retired. Occupation Nature of occupation Director/Senior management Lecturer/Teacher Middle management/administrative/executive Technical/Skilled manual Professional (e.g doctor, lawyer, architect...) 9 Housewife Secretarial/Clerical 0 Retired Civil servant 7 Student Self-employed/Businessman Others Job title Name and address of present employer Nature of business If retired: Name of previous employer Time at last employment. Personal monthly gross income (Rs) <0,000 0,000-9,999 0,000-9,999 0,000-00,000 >00,000. Please specify the countries in which you pay tax? Country Country Country. Educational level: Primary Secondary Undergraduate Post graduate 6. Residence status: Rented Mortgaged Fully owned Living with relatives 6 Company residence 7. Please list all the countries where you hold HSBC accounts. Country Country Country 8. Main bank HSBC Other (Please specify below in terms of more important to less important) Other bank(s) used:...
For non-national residents only. Are you a permanent resident of Mauritius? (Please specify country of permanent residence). If you are not a permanent resident, please state the purpose of your stay in Mauritius / (Please tick) Entity Nature of Activity Start Date (dd/mm/yy) End Date (dd/mm/yy) Business Work Education Others (Please Specify)
B. ACCOUNT DETAILS Purpose of account Types of Accounts Required Currency of Account Purpose of Account Amount Deposited Current A/C Savings A/C Savings Plus A/C (AVA only) Other *. Salary from Employer. Personal Savings. Sale of assets/property. Gift. Other s (Specify) **. Cash Deposit. Bank Cheque. Electronic Transfer Expected flow of funds Types of Accounts Opened (as per above) Source of Funds Expected Amount (MUR) * Frequency ** Means of Transf er Name of Originator/ Company Current A/C Savings A/C Savings Plus A/C (AVA only) Other * - Weekly - Monthly - Fortnightly - Every 6 months - Once a year 6 - Other (please specify) * * - Electronic Transfer - Bank cheque - Cash deposit - Direct debit - Standing order 6 - Internet banking *Source of Initial Deposit Relationship with Originator **Means of Transfer Country of Origin
C. APPLICATION FOR ATM CARD (AUTOMATED TELLER MACHINE SERVICES) You can access up to accounts with an ATM card. Please link our ATM card to the account(s) opened as per Section B ATM Card collection: we prefer to collect the ATM card at branch. We, hereby authorise and request The Hongkong and Shanghai Banking Corporation Limited to issue us with an ATM card. We confirm that the information given above is true and complete and that we have received, read and understood the terms and conditions and hereby agree to be bound by such terms and conditions. We agree that our account is to be operated by either of us. X Signature of joint applicants D. ONLINE ACCOUNT STATEMENTS You can choose to receive your account statements online once you register to our Personal Internet Banking facility. We agree to receive our account statements online E. MARKETING COMMUNICATIONS We may use and share relevant information about you, your transactions and your relationship with us to give you information about products, services and promotions available from HSBC Group which may interest you, whether by post, telephone, electronic and other means. If you do not want us to contact you about such products and services, please tick here F. CUSTOMER DECLARATION AND SIGNATURE Please arrange to open an account(s) in our joint names as per Section B. We have received, read and understood The Hongkong and Shanghai Banking Corporation Limited s general terms and conditions for account holders and agree to comply with them. We have received, read and understood The Hongkong and Shanghai Banking Corporation Limited s general terms and conditions for Opening and operating Term Deposit Account(s) and agree to comply with them. We hereby confirm that the details given are correct. We have received a copy of the T Bank s website. Declaration: We, the undersigned, hereby request and authorise you as follows:- To open or continue (as the case may be) any account or accounts in our joint names as of us may direct and to close any account so opened or continued or subsequently opened as of us may direct. To place to the credit of any account in our joint names all amounts, including dividends, interest and capital sums arising from securities or proceeds of cheques or bills received or collected by you for the credit of any of us. To honour and comply with all cheques, promissory notes and other orders drawn and all bills accepted on our behalf, whether our current account be in credit or overdrawn, to comply with all directions given for or in connection with any account or accounts or any kind whatsoever on our behalf and to accept and act upon all receipts for monies deposited with or owing by you on any account or accounts in our names provided that such cheques, promissory notes, orders, bills, directions or receipts are signed by of us. To make at the request of of us any advance to us by way of loan or overdraft or discount or in any manner howsoever with or without security.
To deliver on the instructions of of us any securities, deeds, boxes and parcels and their contents, and property of any description held in our joint names. 6 On the death of either or (as the case may be) any of us, to hold any credit balance on any account or accounts in our joint names, and any securities, deeds, boxes and parcels and their contents, and property of any description held in our joint names to the order of the survivor or (if more than one) the survivors of us, without prejudice, however, to any rights you may have in respect thereof arising out r-claim or otherwise whatsoever and also subject to compliance with the law. In the absence of any directions to the contrary, all accounts subsequently opened shall be operated and dealt with upon the terms set out above insofar as the same may be applicable. W ransfer any sum(s) standing to the credit of any such accounts or any other sum(s) owing to us from the Bank in or towards satisfaction of our liabilities to the bank on any other account or in any other respect whether such liabilities be actual or contingent, primary or collateral and several or joint and that the Bank We agree that any liability whatsoever incurred to you by us in respect of the foregoing shall be joint and several. Dated this day of (month) (year) NAMES IN FULL SIGNATURE(S) AND/OR CHOP(S) CUSTOMER NUMBERS (if known) For Bank use only Customer number Bank authorised Signature / stamp Account number(s) System checked Name search Manager Signature MKT/JOAOF/DEC