Identification document
Contact information
Consents
Consent Statement on the Processing of Personal Data for Natural Persons
Based on Law No. 06/L-082 on “Personal Data Protection,” I declare that I agree for the Bank and the Bank’s representatives to use, process, and transfer my personal data to affiliated companies in accordance with the applicable legislation, for the purpose of providing quality services.
Client consent for the processing of his/her personal data
Client consent for the processing of his/her personal data for the purpose of statistical reports:
Consent Statement for Direct Communication/Marketing
Identification Form for Politically Exposed Persons (PEP)
Politically Exposed Person – persons who are or have been entrusted with prominent public functions
Close family members - spouses/spouse-equivalents, children, spouses/spouse-equivalents of children, parents.
Close associate – means any natural person who may be a joint owner of legal persons, or any close business relationship, and any natural person who is a beneficial owner of a legal person known to have been established for the de facto benefit of the PEP.
*For the above questions you may select the Yes option only once.
*If you answered YES to any of the above questions, please complete the PEP form
Declaration on the Source of Funds and Determination of the Holder of the Right of Ownership
Based on Law No. 05/L-096 on the Prevention of Money Laundering and Combating Terrorist Financing, Article 19.6 (Customer Due Diligence), and the CBK Regulation on the Prevention of Money Laundering and Terrorist Financing, Article 18.5 (Enhanced Customer Due Diligence), the person involved in this activity must provide the bank or financial institution with a written statement that:
The person involved in this activity declares that he/she:
FATCA (Foreign Account Tax Compliance Act) Declaration for Natural Persons
*If you selected Yes, please complete the 2 documents below.
