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Personal Account

Business Account

Application Information

Application Date:

Currency:

Personal Information

Full Name:

Designation:

Nationality:

Date of Birth:

Place of Birth:

Passport No.:

Date of Issue:

Expiry Date:

Home Address:
Postcode:
Personal Email:
Telephone Number:

Applicant's Declaration

I/we hereby apply for the opening of account(s) with Euromonzo Bank PSC, England & Wales. I/we understand that the information given herein and the documents supplied are the basis for opening such account(s) and I/we therefore warrant that such information is correct.

I/we further undertake to indemnify the bank of any loss suffered as a result of any false information or error in the information provided to the bank.

I agree to the terms and conditions.

Application Information Application Date: Currency: Operating Authority:

Single

Joint

Title of Account: Business Name: Nature of Business/Occupation: Number of Employees: Number of Branches: Countries of Operations: Business Address/Location: Permanent Address: Business Registration Number/Date of Issue: Office Telephone Number: Work Email: Primary Contact Person: Annual Income:

Applicant's Declaration

I/we hereby apply for the opening of account(s) with EUromonzo Bank PSC, England & Wales. I/we understand that the information given herein and the documents supplied are the basis for opening such account(s) and I/we therefore warrant that such information is correct.

I/we further undertake to indemnify the bank of any loss suffered as a result of any false information or error in the information provided to the bank.

I agree to the terms and conditions.

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