Account open form D - Sole Proprietor or ... - Peoples Bank

FFFFFFDFFFFFFFFFFFFFFORM DACCOUNT OPENING FORMSOLE PROPRIETOR/PARTNERSHIP ACCOUNTSThe Manager…………………………... Bank………………………………………..Please open an account in the name of my/our business as per details given below.BANK USE ONLYDATECIF NOACCOUNT NUMBERCURRENT ACCOUNT SAVINGS ACCOUNT TIME DEPOSIT ACCOUNTPlease () the boxes as appropriate.Section A – Details of Business1. Name of theFirm/Business3.RegisteredBusinessAddress5.ContactDetails6.Principalplace ofbusiness ifsame variesfrom (3) above8. Nature ofthe Business10.Purpose ofopening theaccount & theusage11. Expecteddeposits to berouted throughthe accountp.m(in LKR)2.CIF No4.Date of RegistrationBusiness/Office Residence Mobile fax E-Mail Business Transactions Investment Purposes Other Special Purpose ( Please Specify)……………………………………………………….………………………………………………………. Less than 100,000 Above 100,000 upto 500,000 Above 500,000 upto 1,000,000 Above 1,000,000 upto 2,000,000 Above 2,000,000 upto 3,000,0007.Tax File No or TIN9.Status of the BusinessPremises(free hold, lease hold,others)o Above 3,000,000 upto 5,000,000o Above 5,000,000 upto 7,000,000o Above 7,000,000 upto 10,000,000o Over 10,000,00012. ExpectedT/O of thebusiness13. Name/sSoleProprietor /Partners14. The Detailsof ownershipControls15. Details ofMainContactPerson ofBusiness Less than 100,000 Above 100,000 upto 500,000 Above 500,000 upto 1,000,000 Above 1,000,000 upto 2,000,000 Above 2,000,000 upto 3,000,0001.2.3.4.5.Name of the partner12.3.4.5.1. Name2. Position held in the Business3. Office Address4. Residential Addresso Above 3,000,000 upto 5,000,000o Above 5,000,000 upto 7,000,000o Above 7,000,000 upto 10,000,000o Over 10,000,000NIC NoNIC NoNIC NoNIC NoNIC NoOwnership as a percentage %1.2.3.4.5.

Contact Details16.Other ConnectedBusiness InterestsBusiness/Office Residence Mobile fax E-MailName of Business Type of Business Position Held Business Address12317. OperatingInstructionsSole ProprietorThe Account will be operated by …………………………………………………………….For PartnershipEither of us / Both of us / Any one of us / All of usAny other instructions …………………………………………....…………………………………………….*THE ENTITY IS REQUIRED TO FURNISH DETAILS OF THE SOLEPROPRIETOR / PARTNERS BY INDIVIDUALINFORMATION SHEET (ANNEX B)Name Position (Sole Proprietor /Partner) Signature ( Under RubberStamp/ Seal)TO BE COMPLETED BY THE INTRODUCER (Mandatory for Current Accounts. For others on a risk based approach at the discretion of the BranchManager)I am pleased to introduce the above applicant/s to the ………………………… Bank, for the purpose of opening an account. I provide this introduction as:1.An account Holder of …………………..Bank .My Account Number is …………………………………. at…………………………………………Branch.2. A Company Director of ………………………………………………………………………………………………………….3. A person holding a senior position in a Government Establishment named ……………………………………………………..4. As…………………………………………………………………………………………………………………………………..Telephone No ………………………….Occupation…………………………………………….Date ………………………….. Account No……………………………………………..( If Applicable)NIC No ………………………….. Signature ……………………………………………..FOR BANK’S USE ONLYDetails checked by Data Input By Data Verified By……………………………… ………………… …………………………………..