Professional Documents
Culture Documents
BRANCH
DATE: ................................................................................... :
Note: Kindly fill the form in BLOCK letters and sign in the appropriate space
only after reading the terms and conditions. The terms and conditions which
apply to operating this account form an integral part of this application form.
PLEASE COMPLETE IN FULL AND TICK WHEREVER APPLICABLE.
CUSTOMER NUMBER
:
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( ) )@(
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Wilayat:.............................................Sultanate of Oman
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Tel (R):................................*GSM:..................................
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Tel (O):.................................Fax:.....................................
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E-mail: ............................................................................
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@
() .....................................................................................
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Male
*Nationality:
( / / / / / / ) /
Location:........................Locality:....................................
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*Sex:
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Permanent Address:.........................................................................................
Contact Details:
( )
Omani
Female
Others..................................(please specify)
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(@ )
US Tax Resident
*Employment Details
Employed Unemployed
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Present Position:.................................................................................
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www.bankmuscat.com
Account Details
Individual
Joint
Minor
Saving
Fixed
Currency of Account:
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Call
Other...........................................................................................................
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Other..............................
For Savings Account: With Al Mazyona (no interest) With Interest (no Al Mazyona)
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( )
( )
byE-mail by Post
( ) :@@
/ /
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( )@ ........................................ @
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No
50
10
25
Transfer to Account
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Cheque
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Maturity Date:............................
Source of funds:
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:
@
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( / / / / / ) / )
P.O.Box:.................................PC............................
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Location:...........................Locality:........................
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Wilayat:..................................Sultanate of Oman
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Permanent Address:............................................................................
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Tel (O):..................................Fax:...........................
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E-mail:...................................................................
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@
: @
() .......................................................
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*Sex:
Male
Female
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............................................................................................................ : (@ )
................................ : ....................................... : ( ) @
www.bankmuscat.com
(@ )
Green Card
US Tax Resident
For electronic channels like ATM, Call Center, Internet Banking which operate with individual
PINs, please attach a separate letter requesting for the services and the mode of operation.
*Employment Details
Employed Unemployed
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Present Position:.................................................................................
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Source of Income/Fund:...................................................................
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Signature:..........................................................................................
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..../......./........ ........ /......../..........
...../....../....... /
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Account No.:......................................................................................
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Bank Name/Location:........................................................................
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Account No.:......................................................................................
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Declaration/Operating Instructions
I/We confirm that the information given is true and complete.
I/We have read the terms and conditions (F3B V1 09/08) governing this application including delivery channels and agree to be
bound by the same and any amendment thereto as may be made
by the bank from time to time. Of the account remains without
operation over a reasonable period of time, the bank has the right
to close the account without reference to me/us.
I hereby accept that my name and details as a winner of Al
Mazyona draw shall be advertised in all leading newspapers and on
the banks website without prior consent from me.
Ultimate beneficiary of the account (if different from the
customer)
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Signing instructions:
Self
Jointly
Either or Survivor
www.bankmuscat.com
Specimen Signature
Name:............................................................. :
()
Specimen Signature
Name:............................................................... :
Details of Introducer :
Customer referred by:................................ (Staff No.....................)
*Confirm having met the Customer in person
Yes
No
Yes
No
(................. ) ...............................................( )
Copy Optained
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( )
Passport
Resident Card
Driving License
Account Numbers
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Checked by:....................................................................................
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Signature:...........................................Date:....................................
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Approved by:..................................................................................
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Signature:...........................................Date:....................................
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