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I-BANK

INTERNET BANKING PERSONAL ACCOUNT APPLICATION FORM


SECTION 1: CUSTOMER DETAILS Date: .................................................................
Surname: Other Names:
ID/PP/SSN NO: Nationality:
P.O Box: Postal Code: Town: Country:
Mobile: Email:
How would you like to receive your login details? Mobile phone Email Both
A. PLEASE INDICATE THE DAILY TRANSACTION LIMIT
(This is the maximum transaction amount to iBank per day on all your accounts)
For Bank Use Only
Currency: Amount: Equivalent in Base Currency :
B. ACCOUNTS TO ACCESS
(Account authorization will be set as per the mandate held with the bank)
Access Type (Tick as appropriate) For Bank Use Only
No. Account Number View Only Transact Customer ID
1.
2.
3.
4.
5.

Register for KCB Simba loyalty program Y N


CUSTOMER ACCEPTANCE OF THE TERMS AND CONDITIONS
I/We, understand and accept the KCB-I Bank Terms and Conditions, a copy of Which I/We have been given.

Signed: .............................................................................. Date: .................................................................


FOR JOINT ACCOUNTS ONLY
We confirm having authorized the above applicant to be registered for internet Banking against our joint account.
We confirm having read and understood the KCB internet Banking terms and conditions a copy of which we have been
given.
NO. SIGNATURE DATE
1.
2.
PAP 1128 – INTERNET BANKING PERSONAL APPLICATION FORM (Rev. June 2018)

3.
4.

SECTION 2: FOR BANK USE ONLY


A. INTERNET BANKING ADMINISTRATORS
(STAFF NO.) NAME SIGNATURE DATE
Authenticated by:
Created by:
Approved by:
DAO:
B. LOG-IN DETAILS
Log-in ID

OFFICIAL USE ONLY


Name of Sales Staff/Agent: Sales Code (12X):
Staff Number: Branch Name: Branch DAO Number:
Immediate Sales Supervisor: Sales Code (12X):
Name of Staff making the Sale referral: Sales Code (12X):
Sector: Target: Customer Type: Risk Class:

Branch Manager’s Signature: ....................................................................................... Branch Stamp: ................................................................


Regulated by the Central Bank of Kenya

www.kcbgroup.com SMS: 22522 0711 087 000 / 0732 187 000 contactcentre@kcbgroup.com
1
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OMMISIONS
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shallshall shall
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Regulated by the Central Bank of Kenya

www.kcbgroup.com SMS: 22522 0711 087 000 / 0732 187 000 contactcentre@kcbgroup.com
4
ACCEPTANCE OF THE TERMS AND CONDITIONS
INTERNET
I/We, understand and accept the provisions and the Terms and Conditions contained in this Agreement.
FOR BUSINESS ACCOUNTS ONLY

Signed: ___________________________________________________________ Date: __________________________

Banking as mobile as you. https://onlinebanking.kcbgroup.com

Regulated by the Central Bank of Kenya

www.kcbgroup.com SMS: 22522 0711 087 000 / 0732 187 000 contactcentre@kcbgroup.com
5

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