Fidelitycrezt

Account Application Form

This application form is for individual or Company applicants. If there are more than two applicants please, ask for an additional form. Before we can open your account, we need to verify your identity and the original source of funds you are depositing with us. If your application is incomplete or supporting documentation is missing, it may take us longer to open your account.

Please complete in ink and use Block capitals. "You will need to tick where applicable and delete where appropriate.

Tick here if you are an existing customer

Tick here if you are to be a new customer

Section 1 - Personal details

Applicant

Mrs

Miss

Other Please State *

First Name (s) *

Surname *

Any aliases / other names *

Father & Mother names *

Residential Address *

Country *

Post Code *

City *

State *

How long have you lived at this address?

Years

Month

Residential information

Home owner

Tenant

Living with family

Other(please specify) *

Phone Number(including dialing code)

Mobile *

Work *

Fax Number *

E-Mail Address *

Nationality *

Identification No *

Date of Birth *

Place of Birth *

Country of Birth *

Gender

Male

Female

Other

Marital Status

Single

Married

Seperated

Divorced

Widowed

Civil partnership

Dissolved partnership

Dependent children *

Yes

Employment Status *

Full time

Part time

Self employed

Retired

Other *

Occupation(if retired,please state former occupation) *

Employer/Institution name *

Gross annual income *

Section 2 - Account details

Please select the account(s) you wish to open (All of the options specified below are also applicable for offshore account relationship)

Flexible + Current Account (Residents only) (Minimum Relationship Balance 200.00)

Host Transit Escrow Account (Minimum Relationship Balance 1,000.00)

Fixed Rate Account (Foreign Currency only) (Minimum Relationship Balance 15,000.00)

Fixed Term Deposit Account (Numbered account applicable) (Minimum Relationship Balance 50,000.00)

Savings Account (Residents only) (Minimum Relationship Balance 100.00)

Trust and Retention Account (Minimum Relationship Balance 1,000.00)

Base Rate Tracker Account (numbered account applicable) (Minimum Relationship Balance 20,000.00)

Call Deposit Account (numbered account applicable) (Minimum Relationship Balance 1,000,000.00)

Section 3 - acctivity

This section must be completed. The information provided enable us to better understand the transactions passing through your account, if the information provided is not clear or is not consistent with other information provided, we may have to ask you for clarification. This may in turn delay the processing of your application.

(A) Give reason for originally establishing account with us *

(B) Give purpose of account *

(Please be specified with the reason for the opening of the account. If question "A" & "B" are the same please, leave "B" blank. Please indicate the ORIGINAL source of funds, i.e. source of the funds expected to be credited, deposited, transferred or paid into your account (Please send in any appropriate documentation to confirm the source of funds)

Accumulation of savings

House of sales

proceeds

Pensionsalary

Inheritance

Sale of shares

Sale of business

Maturity life policy

Other, Please state *

Please specify the average amount (sum) intended to be transact from/to your account and specify t he periodic interval

Weekly

Monthly

Yearly

Other *

Section 4 - Next of Kin

Tick if you will like to add authorized persons to your account

Next of Kin

Fullname *

Telephone *

Relationship *

Section 5 - Account information

Choose Account Currency (Tick Appropriately)

USD $

EUR €

GBP £

ACCOUNT SECURITY CHECK

Secret question *

Secret answer *

When WOC Finance Company Limited opens my account, i would like to receive my Account Details via:

Watsapp

Watsapp Number *

Email Address *

ACCOUNT MANAGEMENT THROUGH THE INTERNET BANK:

To conduct my business with WOC Finance Company Limited, i would like to sign up for the management of my account through the internet bank. I would also like an internet logon ID and Password sent to me via email together with my Access codes.

Password *

Confirm PIN *

I agree with Terms and conditions, Privacy Policy