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Application for Business Account
Branch and Account Information
Branch
*
Date (dd mm yy)
*
Type of Account
*
Select Account Type
Current
Savings
Term
Other
If Other, please specify
Currency
*
Select Currency
USD
ZAR
GBP
EURO
BWP
ZWD
OTHER
If Other Currency, please specify
Statement Frequency
Monthly
Quarterly
Transaction Alerts
E-statements
Email for receiving e-statement(s)
Yes
No
If yes, account number(s)
Applicant's Details
Registered Name
*
Trading Name
Country of Incorporation
*
Certificate Incorporation Number
*
Physical Address
*
Postal Address
Telephone Number
*
Mobile Number
Fax
Email
*
Website
Facebook
Twitter
LinkedIn
Skype
Description of Business
*
Form of Ownership
*
Select Form of Ownership
Private Ltd Company
Partnership
Informal Body
Public Company
Other Company/organisation
If Other, please specify
Ownership Details
1. Name of shareholder
*
1. Percentage
*
2. Name of shareholder
2. Percentage
3. Name of shareholder
3. Percentage
4. Name of shareholder
4. Percentage
Other Bank Reference(s)
Bank 1
Branch 1
Account Number 1
Period 1
Bank 2
Branch 2
Account Number 2
Period 2
Affiliated Business
Name and Address of Company
Brief Description of Business
Telephone No.
Director 1/Partner 1/Signatory 1/Shareholder 1
Title
Select
MR
MRS
MISS
DR
OTHER
If Other, please specify
First Name
*
Middle Name
Surname
*
ID Number
*
Passport Details: Number
Passport Expiry Date (dd mm yy)
Date of Birth (dd mm yy)
*
Nationality
*
Country of Birth
Citizenship
Gender
Select
Male
Female
Marital Status
Select
Single
Married
Separated
Divorced
Widowed
Residential Address
*
Telephone No.
*
Mobile No.
Email
Facebook
Twitter
LinkedIn
Skype
Hobbies/Interests
Select
Soccer
Cricket
Golf
Tennis
Other (specify)
If Other hobby, please specify
Position
*
Period with organisation - Years
Period with organisation - Months
% of ownership
Yes
No
If yes, account number(s)
Other Bank Reference - Bank
Other Bank Reference - Branch
Other Bank Reference - Account Number
Other Bank Reference - Period
Yes
No
If yes, give details
Yes
No
If yes, give details
Yes
No
If yes, provide name
Director 2/Partner 2/Signatory 2/Shareholder 2
Title
Select
MR
MRS
MISS
DR
OTHER
If Other, please specify
First Name
Middle Name
Surname
ID Number
Passport Details: Number
Passport Expiry Date (dd mm yy)
Date of Birth (dd mm yy)
Nationality
Country of Birth
Citizenship
Gender
Select
Male
Female
Marital Status
Select
Single
Married
Separated
Divorced
Widowed
Residential Address
Telephone No.
Mobile No.
Email
Facebook
Twitter
LinkedIn
Skype
Hobbies/Interests
Select
Soccer
Cricket
Golf
Tennis
Other (specify)
If Other hobby, please specify
Position
Period with organisation - Years
Period with organisation - Months
% of ownership
Yes
No
If yes, account number(s)
Other Bank Reference - Bank
Other Bank Reference - Branch
Other Bank Reference - Account Number
Other Bank Reference - Period
Yes
No
If yes, give details
Yes
No
If yes, give details
Yes
No
If yes, provide name
Director 3/Partner 3/Signatory 3/Shareholder 3
Title
Select
MR
MRS
MISS
DR
OTHER
If Other, please specify
First Name
Middle Name
Surname
ID Number
Passport Details: Number
Passport Expiry Date (dd mm yy)
Date of Birth (dd mm yy)
Nationality
Country of Birth
Citizenship
Gender
Select
Male
Female
Marital Status
Select
Single
Married
Separated
Divorced
Widowed
Residential Address
Telephone No.
Mobile No.
Email
Facebook
Twitter
LinkedIn
Skype
Hobbies/Interests
Select
Soccer
Cricket
Golf
Tennis
Other (specify)
If Other hobby, please specify
Position
Period with organisation - Years
Period with organisation - Months
% of ownership
Yes
No
If yes, account number(s)
Other Bank Reference - Bank
Other Bank Reference - Branch
Other Bank Reference - Account Number
Other Bank Reference - Period
Yes
No
If yes, give details
Yes
No
If yes, give details
Yes
No
If yes, provide name
Director 4/Partner 4/Signatory 4/Shareholder 4
Title
Select
MR
MRS
MISS
DR
OTHER
If Other, please specify
First Name
Middle Name
Surname
ID Number
Passport Details: Number
Passport Expiry Date (dd mm yy)
Date of Birth (dd mm yy)
Nationality
Country of Birth
Citizenship
Gender
Select
Male
Female
Marital Status
Select
Single
Married
Separated
Divorced
Widowed
Residential Address
Telephone No.
Mobile No.
Email
Facebook
Twitter
LinkedIn
Skype
Hobbies/Interests
Select
Soccer
Cricket
Golf
Tennis
Other (specify)
If Other hobby, please specify
Position
Period with organisation - Years
Period with organisation - Months
% of ownership
Yes
No
If yes, account number(s)
Other Bank Reference - Bank
Other Bank Reference - Branch
Other Bank Reference - Account Number
Other Bank Reference - Period
Yes
No
If yes, give details
Yes
No
If yes, give details
Yes
No
If yes, provide name
Board of Directors Resolutions
Company Name
*
Meeting Date
*
Account Type
*
Branch
*
Signing Arrangement (Official position & signing arrangement)
*
Persons Authorised to Sign
Signatory 1 - Full Names
*
Signatory 1 - Official Position/Panel
*
Signatory 2 - Full Names
Signatory 2 - Official Position/Panel
Signatory 3 - Full Names
Signatory 3 - Official Position/Panel
Signatory 4 - Full Names
Signatory 4 - Official Position/Panel
Signatory 5 - Full Names
Signatory 5 - Official Position/Panel
Signatory 6 - Full Names
Signatory 6 - Official Position/Panel
Signatory 7 - Full Names
Signatory 7 - Official Position/Panel
Signatory 8 - Full Names
Signatory 8 - Official Position/Panel
Signing Instructions
Declaration by Applicant(s)
I acknowledge having read and understood the terms and conditions governing this account and agree to abide by them
*
I confirm that to the best of my knowledge and belief the information given above is correct
*
I authorize the Bank to make such enquiries and take up such references as it considers necessary
*
I agree to be liable for any overdraft or debt due to the Bank
*
Customer's Signature 1
*
Date (dd | mm | yy)
*
Customer's Signature 2
Date (dd | mm | yy)
