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ACCOUNT OPENING FORM - INDIVIDUAL 7.1 The Customer or Access Bank (Rwanda) Plc may terminate this Agreement on reaso Access Bank (Rwanda) Plc ACCOUNT TYPE Standard Current Standard Savings Salary Account Access Advantage 8.1 Neither the Customer nor Access Bank (Rwanda) Plc may assign or transfer any of its F $ £ Early Savers Youth Savings Ntugasaze Fixed Deposit will not be unreasonably withheld or delayed, provided that Access Bank (Rwanda) Plc Others: Family & Friends 8.2. If any provision of this Agreement is or becomes illegal, invalid or unenforceable PERSONAL DETAILS under any applicable law, the remaining provisions of this Agreement will remain in fulI Title: Mr/Mrs/Ms/DR/ .......................... 8.3. No failure or delay of the Customer or Access Bank (Rwanda) Plc in exercising any Surname: First Name: Middle Name: Marital Status: 8.4 The Customer and Access Bank (Rwanda) Plc consent to telephonic or electronic mo Single Married Others (Please specify) Gender: F M nitoring or recording for security and quality of service purposes and agree that either produce telephonic or electronic recordings or computer records as evidence in any Date of Birth: / / Yes No If Yes, please specify Place of Birth Permanent Address Current Address Country Country Country Province Province Province District District District CAUTION: ACCESS BANK SHALL NOT BE LEGALY OR OTHERWISE RESPONSIBLE WHERE Sector Sector Sector Cell Cell Cell ACCURATELY PROVIDED BY ANY OTHER PERSON APART FROM THE CUSTOMER FOR ANY Village Village Village TRANSACTIONS AS ACCESS BANK (RWANDA) PLC MAY ACT ON SUCH COMMUNICATION Street N° Street N° Street N° House N° House N° House N° Contact Details: Mobile N° Email Address Foreigner ID ( issued by NIDA) Others (Please specify) ID N° Issue Country Issue date / / Expiry Date / / Social Security N° Residence/Work Permit N° (for foreigners) Health Insurance N° Social Economic Class Number of Dependants Residence Type: Owner Tenant Related Party in Access Bank: Yes No Related Party Name: EMPLOYMENT DETAILS Employment status: Employed Self-Employed Unemployed Student Others (Please specify) Income range Income frequency Employer's Name Employee ID Employer's Address: Country Province District Sector Cell Village NEXT OF KIN DETAILS Title: Mr/Mrs/Ms/DR/ .......................... Surname: First Name: Middle Name: Gender: F M Mobile N° Email Address Foreigner ID ( issued by NIDA) Others (Please specify) ID N° Account Opening Form 1 ACCOUNT SERVICE(S) REQUIRED 2. Debit card terms and conditions 8.4. It shall be responsible of the Cardholder to change the PIN as soon as a replacement Card is issued. 1. Definition Card Preferences (Fees Apply): Visa Debit Card 8.5 Any Card that is reported as lost, stolen, or missing which is found or recovered thereaf- In this Agreement ter must be returned to the Bank immediately upon being found or recovered Electronic Banking Preference (Fees Apply): Mobile USSD Access Pay “Account” means any account held by a Cardholder in the Bank from which the Cardholder 9. Bankruptcy, insolvency and Receivership Transaction Notification: Email Alert (Free) SMS Alert (Fees Apply) can carry on transaction with the Card. In the event of the dissolution, death, bankruptcy or liquidation, the Bank may at its discre- “Accountholder” means a customer of the bank has an account with the Bank. tion terminate this agreement and disable the Card, or in the absence of any court to the Cheque Book Requisition 24 Leaves 48 Leaves “Card or access card” means the debit card, including any renewal, replacement or Additio- contrary, for a fee and within two weeks of notification of any of the events aforesaid, issue nal card(s) issued by the Bank to the Cardholder. a new card in favor of the receiver, receiver/manager, liquidator, trustee-in-bankruptcy, exe- Cheque Confirmation Will you like to Pre-confirm your cheque? Yes No “Cardholder” means the person to whom the Bank issues one or more of the Card. cutor or administrator of the Cardholder “Hotlist” means the list containing information or missing, lost, stolen, invalid cancelled Cheque Confirmation Threshold: If the answer to the above is yes, please specify the threshold 10. Disclosure of the Information cards. i. Access Bank may hold and process by computer or any other means, information obtains ACCOUNT OPENING MANDATE / SIGNATURE FORM - SIGNATORY A “Participating Bank” means any bank other than one Bank participating in the interswicth, about the Cardholder in consequence of this agreement. Visa or Payment System. ii. Access Bank may disclose information on the Cardholder to: Surname: First Name: Middle Name: 2. Issue of Cards a) Any person (including the police) for purpose of investigation of a fraud related matter. 2.1. The Card is a debit card available only to Account holders of the Bank. b) Any relevant party involved in processing Accesscard transactions. Signature Date / / 2.2. The Card shall only be used by the Cardholder and in accordance with the terms and c) Any person who may assume Access Bank’s right under this agreement. conditions herein stated d) Any party, if permitted or compelled to do so by the provision of any enactment, order of 2.3. Withdrawal of funds with the card from any ATM is only allowable against the credit a court of law or any regulatory institution. ACCOUNT OPENING MANDATE / SIGNATURE FORM - SIGNATORY B balance on the relevant account of the Cardholder. e) If a fraudulent activity is associated with the operation of your account, you agree that 2.4. The Card may be used at all ATMs of the Bank wherever situated, and the ATMs of other Surname: First Name: Middle Name: we have the right to apply restrictions to your account and report to appropriate law enfor- banks. cement agencies 3. Use of the Card and PIN Signature Date / / 11. Termination of This Agreement 3.1. The Cardholder shall exercise all possible care to ensure to the safety of the Card in his/ Either party terminate this agreement with seven days’ written notice to the other party. her possession at all times. Provided however, that the Bank may terminate his agreement with or without notice if the ACCOUNT OPENING MANDATE / SIGNATURE FORM - SIGNATORY C 3.2. The Cardholder shall be responsible for the formulation and imputation of his/her PIN circumstances so warrant. which shall at all times be known only used solely by Cardholder. 12. General Provisions Surname: First Name: Middle Name: 3.3. The PIN shall not under any circumstances be disclosed to any third party and if written 12.1. The Bank reserves the right at all times to supplement aimed or vary this agreement on any material, it shall be the responsibility of the Cardholder to keep such material entirely as a result of a requirement of law or product development or such other reason commu- Signature Date / / secure at all times. nicated to the Cardholder at the time of notification of the change. Any such change will be 3,4. Use of the Card shall not be allowed after the validity period stated on the Card, after effective upon notice to the Cardholder and notice shall be by any means the Bank thinks fit. MANDATE AUTHORISATION / COMBINATION RULE same has been placed on the hotlist, or after any notification to be Cardholder by the bank or On receipt of such notification may at its discretion terminate this agreement in accordance any of its officers or agents of the cancellation or withdrawal of the Card. with the condition of this agreement. 3.5. It shall be the responsibility of the Cardholder to notify the Bank immediately in respect Sole Signatory Either to Sign: Two to Sign All to Sign 12.2. On termination, bankruptcy, dissolution, insolvency, liquidation or death, the Cardhol- of any change in his/her name, business or residential address or telephone number(s) der’s obligation will continue until all cards issued in respect of the account are returned and 3.6. The Bank shall not be liable of any machine malfunction, strike or dispute or any other all outstanding indebtedness owe the Bank by the Cardholder is fully repaid. TERMS AND CONDITIONS circumstances affecting the use of the Card which is outside the direct control of the Bank. 12.3. The waiver by the Bank of any breach of any term of this agreement will not prevent 3.7. The Cardholder shall be exclusively responsible for any losses arising from use of the in these terms or for any loss or damage that over suffered or incurred by the the subsequent enforcement of that term and will not be deemed a waiver of any subse- 1. Individual account opening form Card by any unauthorized person up to seven days after the Bank receives written notifica- customer by the customer however caused and whether such loss or damage quent breach To Access Bank (Rwanda) plc tion in accordance with clause 8.2 below. is attribute (directly or indirectly) to any despite or any other matter or circums- I HEREBY CONFIRM THAT I HAVE READ THE ABOVE TERMS AND CONDITIONS AND AFFIRM I/WE (THE CUSTOMER) HEREBY REQUEST AND AUTHORIZE YOU TO: 3.8. The Cardholder shall be exclusively responsible for any losses to the Bank arising from tances whatsoever. THAT I TRULY UNDERSTAND AND ACCEPT SAME AS BINDING ON ME IN RELATION TO THE 1. Open an account in my/our name and at time subsequently open further account the want of exercise of care in keeping the Card in keeping the Card or secrecy of the PIN or k) The customer shall solely be responsible for ensuring full compliance with all the ISSUANCE AND LEASE FACILITY accounts as I/we may direct the use of the Card by any person whatsoever other than the Cardholder.