APPLICATION TO OPEN AN ACCOUNT

PERSONAL AND SOLE PROPRIETORSHIP

FOR BANK USE ONLY – ACCOUNT Nº:

TO: ECOBANK (INDICATE COUNTRY NAME)

PLEASE READ CAREFULLY AND COMPLETE ALL RELEVANT SECTIONS. ALL SECTIONS MUST BE COMPLETED BY THE PERSON WISHING
TO OPEN A SOLE PROPRIETORSHIP ACCOUNT. SHOULD YOU HAVE ANY QUESTIONS A MEMBER OF STAFF WILL BE HAPPY TO ASSIST YOU.
CUSTOMER
(PLEASE COMPLETE IN BLOCK CAPITALS AND TICK WHERE NECESSARY) PHOTO

APPLICATION TO OPEN A PERSONAL ACCOUNT

APPLICATION TO OPEN A SOLE PROPRIETORSHIP ACCOUNT

ACCOUNT SPECIFICATIONS
TYPE OF ACCOUNT: CURRENT SAVINGS OTHER (PLEASE STATE)

CURRENCY OF ACCOUNT: LOCAL CURRENCY OTHER (PLEASE SPECIFY)

PURPOSE OF ACCOUNT: SALARY BUSINESS OTHER (PLEASE SPECIFY)

RESIDENTIAL STATUS: RESIDENT NON-RESIDENT

RESIDENT PERMIT Nº:

PERMIT VALIDITY: ISSUE DATE: D D M M Y Y Y Y EXPIRY DATE: D D M M Y Y Y Y

PERSONAL DETAILS
TITLE: MR. MRS. MISS. DR. PROF.

OTHER (PLEASE SPECIFY)

SURNAME:

FIRST NAME:

OTHER NAME:

MAIDEN NAME (IF APPLICABLE):

FORM OF IDENTIFICATION: PASSPORT NATIONAL ID

OTHER (PLEASE SPECIFY)

ID Nº:
ISSUE DATE: D D M M Y Y Y Y
EXPIRY DATE: D D M M Y Y Y Y

SOCIAL SECURITY Nº (IF APPLICABLE):

TAX PAYER Nº (IF APPLICABLE):

OCCUPATION:

EMPLOYER’S NAME:

EMPLOYER’S ADDRESS:

GENDER: MALE FEMALE

MARITAL STATUS: MARRIED SINGLE

OTHER (PLEASE SPECIFY)

DATE OF BIRTH: D D M M Y Y Y Y
PLACE OF BIRTH:

NATIONALITY:

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OTHER NATIONALITY:
Note: In case you have a US nationality or you are resident in the USA, please fill a FATCA form.

MOTHER’S MAIDEN NAME:

MOTHER’S FIRST NAME:

SPOUSE’S SURNAME (IF APPLICABLE):

SPOUSE’S OTHER NAME (IF APPLICABLE):

APPLICANT’S DETAILS FOR CORRESPONDENCE

RESIDENTIAL ADDRESS:
(SPECIFY TOWN, CITY, COUNTRY)

POSTAL ADDRESS:

EMAIL:

WORK PHONE Nº:

HOME PHONE Nº:

1ST MOBILE Nº:

2ND MOBILE Nº:

FAX Nº:

FOREIGN ACCOUNT TAX COMPLIANCE ACT (FATCA)

TAX IDENTIFICATION Nº:

SOCIAL SECURITY Nº:

I hereby irrevocably and unconditionally discharge and release Ecobank (________________________________________), hereafter the Bank, from any duty or obligation of
confidentiality owed to me in respect of the account(s) held with the Bank and I do also irrevocably and unconditionally discharge and release the Bank from all and any claims,
demands, liabilities, interest, damages, expenses, costs and penalties, present or in future in respect of any actions or liability whatsoever arising from the disclosure of information by
the Bank to the US Internal Revenue Services (IRS) or other governmental authority of the United States of America.

APPLICANT’S OTHER DETAILS

NEXT OF KIN:
NAME:
ADDRESS:

RELATIONSHIP:
TEL Nº:
EMAIL:

OTHER:

DISPATCH MODE FOR CORRESPONDENCE AND STATEMENTS:

ELECTRONIC MAIL POST HOLD SPECIAL DELIVERY
(OFFERED AT EXTRA COST)

STATEMENT FREQUENCY: MONTHLY QUARTERLY OTHER (PLEASE INDICATE)

DO YOU HAVE ANY OTHER ACCOUNT WITH ECOBANK: YES NO

DO YOU BANK ELSEWHERE? YES NO

PLEASE LIST YOUR OTHER BANKS (IF APPLICABLE):
NAME OF BANK:
NAME OF BANK:

DO YOU HAVE A CREDIT FACILITY: YES NO DO YOU HAVE A CREDIT FACILITY: YES NO

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 REFERENCES / INTRODUCERS
NAME:
ADDRESS:

NAME:
ADDRESS:

SOLE PROPRIETORSHIP
BUSINESS NAME: NATURE OF BUSINESS:

REGISTRATION Nº: TAX PAYER Nº (IF APPLICABLE):

INITIAL DEPOSIT

PAYMENT METHOD: CASH CHEQUE TRANSFER

AMOUNT IN FIGURES:

AMOUNT IN WORDS:

THIS ACCOUNT AUTOMATICALLY COMES WITH THE FOLLOWING PRODUCTS AND SERVICES:
• INTERNET BANKING • SMS-ALERT • E-STATEMENT • E-ALERT
• DEBIT CARD* • CHEQUE BOOK • STANDING ORDER • ECOBANK MOBILE
These products and services may attract additional charges which will be applied according to the Global Banking Terms and Conditions as stated over leaf. Unless the Bank receives
express instruction to cancel a particular product / service, you will continue to benefit from these add-ons. *Please note that the cards will be renewed automatically within one month
of expiry date unless the Bank received express instructions from the customer on the contrary at least one month before the renewal date.

In case you do not wish to have some of these products/services, please indicate them by writing in the box herein

TYPE OF DEBIT CARD: REGIONAL VISA MASTERCARD

NAME TO APPEAR
ON THE CARD:

DECLARATION
The information which I have provided in this form is accurate and is valid at the date of opening the account. I have also fully read and understood the terms and conditions for operating
an Ecobank Account as contained herein, and also the accompanying booklet as applicable and agree to be bound by all terms and conditions as applicable to the banking services applied
for by me. I therefore request that you open an account and provide your services to me in line with the above information.

SIGNATURE:

JURAT (THIS SHOULD BE ADOPTED WHERE THE APPLICANT IS NOT LITERATE OR IS BLIND AND THE FORM IS READ TO HIM / HER BY A THIRD PARTY)
I agree to abide by the contents of this agreement and acknowledge that it has been truly and audibly read over and explained to me by an Interpreter.

MARK OF CUSTOMER / MAGISTRATE /

THUMBPRINT: COMMISSIONER FOR OATHS:

D D M M
DATE: Y Y Y Y
NAME OF INTERPRETER:
ADDRESS OF INTERPRETER:

LANGUAGE OF
INTERPRETATION:

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GLOBAL ACCOUNT CONDITIONS
Please read this page carefully. It provides you with important information about your Ecobank account(s).
A. TERMS / SCOPE The Bank may exercise its discretion in allowing withdrawals against uncleared means of
The information contained on this page together with any further instructions payment(s) where the means of payment are returned unpaid thereafter, the Bank shall
and conditions that may be prescribed by the bank from time to time shall constitute have the right to hold on to the returned means of payment and take further action it
the terms of the agreement between the customer and Ecobank. When this application deems appropriate to recover the value of the withdrawal from you. The Bank shall have
form has been signed, it will be deemed to have been accepted as binding on the the right whenever it deems appropriate to confirm the issuance of a means of payment
customer and the Ecobank representative office or affiliate where the account is held. drawn on the Customer’s current account failing which the means of payment may be
returned with ‘Drawer’s Confirmation Required’ endorsed thereon.
These conditions apply to each account opened under the Account Opening Form
or in any other acceptable manner. You must ensure that your means of payment are kept in a safe place to prevent
unauthorized persons from gaining access to same as failure to do this, may be a ground
These conditions are supplemented and / or amended for Accounts held in certain
for any consequential loss being charged to your account.
countries or territories by local conditions (the “Local Conditions”), which will be
supplied to the Customer by Ecobank and will be binding on the Customer and Ecobank. If your means of payment get lost, missing or stolen you must notify the Bank
immediately. The Bank shall not be held liable for any unauthorized use of your means
If there is a conflict between these conditions and any Local Conditions, the Local
of payment where the loss or otherwise of same was not reported immediately.
Conditions prevail; and if there is a conflict between these conditions or any Local
Conditions and any agreement relating to a service or product provided to the Customer Ecobank may supply checks, payments instruments and related materials to the
(a “Service”), that agreement prevails. Customer and the Customer will make reasonable efforts to avoid any fraud, loss,
theft, misuse or dishonor in respect of them. The Customer will promptly notify
The Customer will provide to Ecobank all documents and other information reasonably
Ecobank in writing of the loss or theft of any check or payment instrument and will
required by it in relation to any Account or any Service.
return to Ecobank or destroy any unused checks, payment instruments and related
B. THE ACCOUNT materials when the relevant Account is closed.
The Customer shall assume full responsibility for the genuineness, correctness
E. OVERDRAWN ACCOUNTS
and validity of all endorsements appearing on all means of payment, orders, bills, notes,
Overdraft may be available to customers upon arrangement with the Bank. If you do
negotiable instruments, receipts or other instructions deposited into the account.
not have such arrangement, the Bank may in its discretion, nonetheless honour a means
The Bank will not be responsible for any loss of funds deposited with it arising from of payment even though such account may become overdrawn in consequence. In such
any future Government order, law, levy, tax, embargo, moratorium, exchange restriction a case, the Customer agrees to repay the overdraft within 7 days, and bear the extra fee
or any other cause beyond its control. and interest at our current rate for unauthorized borrowing for the period that the account
Your account shall be debited for any service charge that is set by the Bank from time to time. remains in debit. If your account does not have enough cleared funds to cover an amount
All notices or letters will be sent to the physical, postal or electronic address supplied you want to draw, we reserve the right to return your means of payment unpaid.
by you and will be considered duly delivered and received at the time it is delivered The Bank reserves the right to use credit balances on your current account (s) to offset
or seven days after posting. any outstanding exposures on any of your accounts.
The Bank will not be liable for funds handed over to members of its staff other than F. STATEMENTS AND ADVICES
the Cashiers / Tellers in the Bank’s premises with the appropriate deposit slip. Statements and Advices can be delivered to the Customer either physically, by post
Any anomaly in the entries on your Bank statements must be brought to the attention or electronically (e-Statements or e-Alerts).
of the Bank within 30 days of the date thereof and you agree that failure to give such Where requested, the Bank may provide electronic Statements or SMS-Alerts or other
notice absolves the Bank from all liabilities arising thereof. similar service to provide information on transactions. The service is provided
The Bank may exercise its general lien or any similar right it is entitled to including ‘as available’ and without any warranty of fitness for a specific purpose. We do not
the right to combine and consolidate all or any of the Customer’s accounts with warrant that this service will always be uninterrupted, or that any information
the Bank, and the right to set off or transfer any sum or sums standing to the credit provided is accurate and current as at the time it is received. The Bank disclaims
of any one or more of such accounts against liabilities in any other account. responsibility for the service provided by any network provider.

C. INSTRUCTIONS Irrespective of the channel used to deliver the statement or advice, the Customer will
notify Ecobank in writing of anything incorrect in a statement or advice promptly
Ecobank may rely on the authority of each person designated (in a form acceptable
and in any case within thirty (30) days from the date on which the statement or advice
to Ecobank) by the Customer to send Instructions or do any other thing until Ecobank
is sent to the Customer.
has received written notice or other notice acceptable to it of any change from
a duly authorized person and Ecobank has had a reasonable time to act (after which G. INTEREST, FEES AND OTHER AMOUNTS
time it may rely on the change). You will be liable for the payment of interest charges at the rate fixed by the Bank from
Each of the Customer and Ecobank will comply with certain agreed security procedures time to time for any outstanding debit on your current account. Your current account may
(the “Procedures”) designed to verify the origination of instructions between them also be debited for the Bank’s usual banking charges, interest, commission, etc.
such as enquiries, advices and instructions. Unless otherwise agreed, Ecobank may modify at any time the rate of interest,
Ecobank is not obliged to do anything other than what is contained in the Procedures fees or other amount applicable to any Account or Service (but subject to any legal
to establish the authority or identity of the person sending an Instruction. Ecobank is requirement as to notice).
not responsible for errors or omissions made by the Customer or the duplication H. FORCE MAJEURE
of any Instruction by the Customer and may act on any Instruction by reference to Neither the Customer nor Ecobank will be responsible for any failure to perform any
an account number only, even if an account name is provided. Ecobank may act on of its obligations with respect to any Account if such performance would result in it being
an Instruction if it reasonably believes it contains sufficient information. in breach of any law, regulation or other requirement of any government or other authority
Ecobank may decide not to act on an Instruction where it reasonably doubts its contents, in accordance with which it is required to act or if its performance is prevented, hindered
authorization, origination or compliance with the Procedures and will promptly notify or delayed by a Force Majeure Event; in such case its obligations will be suspended,
the Customer (by telephone if appropriate) of its decision. for so long as the force Majeure Event continues (and, in the case of Ecobank, no other
representative office or affiliate shall become liable). “Force Majeure Event” means
If the Customer informs Ecobank that it wishes to recall, cancel or amend an Instruction, any event due to any cause beyond the reasonable control of the relevant party,
Ecobank will use its reasonable efforts to comply. such as restrictions on convertibility or transferability, requisition, involuntary transfers,
If Ecobank acts on any Instruction sent by any means requiring manual intervention unavailability of any system, sabotage, fire, flood, explosion, acts of God, civil commotion,
(such as telephone, telex, telefax, electronic mail or disks sent by messenger) then, strikes or industrial action of any kind, riots, insurrection, war or acts of government.
if Ecobank complies with the Procedures, the Customer will be responsible for any loss
Ecobank may incur in connection with that Instruction.
D. MEANS OF PAYMENT
The Bank is under no obligation to honour any means of payment drawn on the account
unless there are sufficient funds in the account to cover the value of the said means of
payment and such means of payment may be returned unpaid.
All means of payment or other orders signed by you (or either or both of you if a joint
account) will be processed by the Bank and your account will be debited for such means
of payment whether such account is for the time being in credit or overdrawn or may
become over-drawn in consequence of such debit.

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I. SHARING OF INFORMATION L. TERMINATION
Ecobank will treat information relating to the Customer as confidential, but (unless consent Either party may terminate this agreement at any time (but subject to any legal
is prohibited by law) the Customer consents to the transfer and disclosure by Ecobank requirement as to notice) by notifying the other in writing.
of any information relating to the Customer to and between the representative offices, On closure of an Account, the termination becomes effective after any means of
affiliates and agents of Ecobank and third parties selected by any of them, whenever payment drawn on the account or outstanding on it have been paid; all means
situated, for confidential use (including in connection with the provision of any Service of payments and cards issued to you have been sent back to the Bank; and all
and for data processing, statistical and risk analysis purposes). information and equipments supplied by Ecobank have been returned to the Bank.
The Customer hereby expressly consents and authorizes the Bank to disclose, respond,
advise, exchange and communicate the details or information pertaining to the Customer’s Where the Bank is terminating the agreement and your account is overdrawn, you must
account(s) to other Banks, financial institutions, credit card companies, or credit reference pay all sums outstanding on the account otherwise the Bank may take appropriate legal
bureaus, including authorized agents, representatives, lawyers or debt collection agents action for recovery.
for the purposes of any bona fide enquiry or collection of any data or towards recovery of All mandatory documentation should be completed by the Customer within three
any sums due and outstanding to the Bank. The Customer acknowledges that the Customer (3) months of opening the account. If you do not provide the required document within
Information obtained or exchanged may be positive or negative and it includes any three (3) months, the account will be automatically closed after prior notice to you.
Customer information as defined under the Banking (Credit Reference Bureau) Regulations M. JURISDICTION
2008 of the Laws of Kenya or any statutory modification or re-enactment thereof. In relation to any account these conditions and the relevant Local Conditions are
Ecobank and any representative office, affiliate, agent or third party may transfer and governed by the law of the country or territory in which that account is held.
disclose any such information as required by any law, court, regulator or legal process. N. DISCLAIMER CLAUSE
J. ELECTRONIC MONITORING OR RECORDING The bank disclaims liability for any funds / assets deposited by you which are
The Customer and Ecobank consent to telephonic or electronic monitoring or recording subsequently found to have derived from illegal source or activities.
for security and quality of service purposes and agree that either may produce telephonic You confirm that the funds / assets deposited are not derived from any illegal source
recording or computer records as evidence in any proceedings brought in connection or activities.
with these conditions or any local conditions.
O. BANK CHARGES
K. CHANGE OF MANDATE
The Customer shall be debited with fees relating to due diligence carried out on
The customer must notify the Bank immediately of any change in the address, directors, the Customer by the Bank. The Customer further indemnifies the Bank against
committee members, trustees, designated members, secretaries. Any modification of all costs whatsoever incurred by the Bank in respect of any legal, arbitration
change in authorized signatories must be signed in accordance with the existing mandate or other proceedings arising out of any dealings or transactions with respect
and accompanied by a resolution to that effect. to the Customer’s account, which shall be debited from the Customer’s Account
without prior notice.

FOR BANK USE ONLY

ACCOUNT OFFICER:

INITIATOR CODE:

BUSINESS UNIT:

SUBSIC CODE:

ACCOUNT OPENING DATE: D D M M Y Y Y Y SIGNATURE VERIFICATION:

MANDATE / POWER OF ATTORNEY: DEFERRED DOCUMENTATION:

DEFERRED PERIOD: C.S.U.: B.M.: