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Metbank Individual Account Opening Form

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Metbank Individual Account Opening Form APPLICATION TO OPEN A JOINT / PERSONAL ACCOUNT Documents Required 2 passport sized photographs Proof of Residence Payslip / Source of income declaration SECTION 1: DETAILS OF ACCOUNT (Please Tick in Appropriate Box) Tick where applicable: USD ZAR GBP EURO BWP CNY Other (Please Specify) Current Savings Met Save Met Student Met Home Saver Other (Please Specify) Individual Joint Senior Citizen (60 Years +) SECTION 2: PLEASE FILL IN YOUR PERSONAL DETAILS Salutation/Title: Mr Mrs Other First Name (please specify) Maiden Middle Name Name Surname Gender(Tick): Male F emale Marital Status(Tick): Married Single Widowed Country of Birth Nationality Citizenship Residency Tel. number: Date of Birth D D M M Y Y Y Y Home Mobile Business E-mail Residential Address Postal Address Post Code Accommodation(Tick) Rented Provided by employer Owned but mortgaged Owned without mortgage Other (please specify) Number of Dependents Details of dependants (Please ll in table) Name Gender Date of Birth Type of ID (Tick): National ID Passport Drivers Licence National I.D Number (Mandatory) Issue Date D D M M Y Y Y Y Place of Issue District of Birth Issue Date Passport/Drivers Licence Number (of passport or Drivers license) D D M M Y Y Y Y Expiry Date (passport) D D M M Y Y Y Y Place of Issue Issuer Country SECTION 3: EMPLOYMENT DETAILS Profession Education Average Monthly Expenditure Position Held Employment Status: (please tick) Permanent Casual Contract Employer’s Name Employer Contact Person Name Designation Nature of Employer’s Business: (please tick) Manufacturing Mining Transport Commerce Farming Government Self Employed Other (please specify) Employer’s Physical Address Employer’s Postal Address Post Code Period of Employment (Yrs) Gross Monthly Income Net Monthly Income Other Source/s of Income Total Other Income ©Metbank Limited Page 1 of 8 Initials MFG 26 SECTION 4: SPOUSE’S/CO-ACCOUNT HOLDER’S DETAILS Salutation/Title: Mr Mrs Other First Name (Please Specify) Middle Name Maiden Name Country Surname Gender(Tick): Male Female of Birth Nationality Citizenship Residency Tel. number: Date of Birth D D M M Y Y Y Y Mobile Home Business E-mail Residential Address Postal Address Post Code National Type of ID (Tick): National ID Passport Drivers Licence I.D Number Issue Date D D M M Y Y Y Y Place of Issue District of Birth Issue Date Passport/Drivers Licence Number D D M M Y Y Y Y (of passport or Drivers license) Expiry Date (passport) D D M M Y Y Y Y Place of Issue Issuer Country Employed by Position Held Period of Employment(Yrs) Gross Monthly Income Net Monthly Income Other Source of Income Total Other Income SECTION 5: NEXT OF KIN DETAILS (OTHER THAN SPOUCE /CO - APPLICANT) First Name Surname Relationship Address Tel. number: Home Business Mobile E-mail SECTION 6: CARD AND E-BANKING SERVICES Classic Debit Card Signature Banking Debit Card Internet Banking Mobile Banking E-statement SMS Alerts E-mail Alerts Metbank account number/s to be linked for Mobile Banking and Internet Banking (NB - Only your accounts are allowed) i. ii. Frequency of Preferred mode of account statement delivery: E-mail Weekly Monthly statement delivery: E-alert contact details ( to be linked to mobile and internet banking) Mobile 1: Mobile 2: E-mail 1: E-mail 2: *Please be advised that only one mobile number and and one email address can be linked to an account. Any other Individual/Business account(s) held with Metbank?: Yes No If yes, account number(s) i. ii. ©Metbank Limited Page 2 of 8 Initials SECTION 7: OTHER BANK REFERENCES Bank Branch Account Number Period (Yrs) Bank Branch Account Number Period (Yrs) Bank Branch Account Number Period (Yrs) SECTION 8: REFEREES Name, address and phone number of 2 referees: 1) 2) SPECIMEN SIGNATURE AND DECLARATION *I certify that the information given in support of this application is true and correct and I understand that in the event of any information proving to be inaccurate, the Bank reserves right to decline this application without giving reasons thereof. *I agree to be liable for any overdraft or debt which the bank may permit on this account or any accounts in my name and I understand and agree that a penalty rate of interest as determined by the bank from time to time shall apply on any unauthorised overdrafts. *I understand and agree to abide by the Bank’s requirements and accept the right of the bank to compulsorily close my account without warning if the account is not conducted satisfactorily. PLEASE ENSURE THAT YOU HAVE FULLY COMPLETED THIS FORM BEFORE SIGNING Passport Passport Size Size Photo Photo x x Specimen Signature of First of Sole Applicant Specimen Signature of Second or Joint Applicant Name Name I.D Number I.D Number Date D D M M Y Y Y Y Date D D M M Y Y Y Y Signature Witnessed by Signature Witnessed by Date D D M M Y Y Y Y Date D D M M Y Y Y Y How did you nd out about Metbank? I saw/ heard an advert I was referred by a friend Other (please specify) ________________________________________ What attracted you to Metbank? Your Customer Service Products: (Please mention product ) ________________ Other (please specify) ________________________________________ ©Metbank Limited Page 3 of 8 Initials RELEASE & INDEMNITY FOR INSTRUCTIONS GIVEN OVER THE TELEPHONE, BY E- MAIL AND BY TELEFAX I/ We, Account Name: Account Number: hereby acknowledge and accept my/our duty to exercise reasonable care when giving instructions to the Bank to act on so as to prevent, Metbank Limited, from being misled as a result thereof and to avoid the perpetration of fraud. Furthermore, I/we accept that the giving of valid instructions, on my account, over the telephone, by electronic mail and/or by telefax renders us/me liable to Metbank Limited for any loss howsoever sustained as a result of the instructions so given provided that the Bank has not been negligent, has acted in good faith and in accordance with my/our written instruction. I/We hereby instruct Metbank Limited to honour instructions by me/us and communicated to the bank over the telephone, by electronic mail and/or by telefax. We hereby indemnify the Bank against any prejudice, loss, claims or actions from any person arising out of or in connection with the instructions given over the telephone, by electronic mail and/or by telefax. This indemnity will be valid from today, D D M M Y Y Y Y until further notice is given to Metbank Limited to the contrary by me/us. The bank is authorised to act on banking instructions sent by me/ us in relation to these accounts by facsimile or unless otherwise stated by me/ us. I/ We hereby expressly authorize the bank to send statements and/ or advices in relation to my/ our accounts to the contact address provided by me/ us. All documents or information regarding my/ our account or transactions with the Bank will be binding if they are in the form of data message or accessible in a form which they may be read, stored and retrieved whether electronically or as a computer print out for subse- quent reference. Signature Date D D M M Y Y Y Y FOR BANK USE ONLY ACCOUNT OPENING Customer Number Reserve Bank Code Portfolio Number ITEM OFFICIAL SUPPORTING DOCUMENTS *Identity documents sighted and copy attached 1. Valid I.D(s) 3. Passport Photo(s) 2. Proof of residence 4. Current Payslip *Reports Obtained: Bank *Other *FCB Name Signature Date (DD/MM/YYYY) CSO Data Input By Validated By Account Opened/declined D D M M Y Y Y Y Branch Manager’s Signature: Date ©Metbank Limited Page 4 of 8 Initials TERMS AND CONDITIONS 1. THE ACCOUNT 2. DISCLOSURE POLICY I/ We hereby authorise and request you to: The Customer hereby consents to the disclosure by the Bank and/ or any of its ocers or employees for any purpose of any information concerning i. Open a current/ savings/ xed deposit account in my/ our name and at any time subsequently, to open further accounts as I/ We may direct. I/We the Customer including without limitation, information relating to its business, its accounts held with the Bank , or its relationship with the Bank to understand and agree that you may at your discretion and without giving any reason thereto decline to accept my/ our account application. I/ We also any of the following: understand that until such time that you shall inform me/ us in writing of the relevant Account number, no account relationship is established with (i) any oce or branch of the Bank; you. (ii) any agent, contractor or third party service provider, or any professional adviser of the Bank ; ii. Honour such cheques or other orders which may be drawn on the said account provided such cheques or orders are signed by me/ us and to debit (iii) any guarantor, or third party security provider of the Customer; such cheques or order to the said account whether such account be for the time being in credit or overdrawn or may become overdrawn in (iv) any regulatory, supervisory, governmental, or quasi-governmental authority with jurisdiction over the Bank ; consequence of such debit without prejudice to your right to refuse to allow any overdraft or increase of overdraft and in consideration, I/ We agree; (v) any actual or potential participant or sub-participant in, or assignee, novatee, or transferee of, any of the Bank's rights and/ or obligations in relation to the Customer; a. All cheque books will be collected in person.
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