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(‫ﻃﻠﺐ ﻋﺎم )أﻓﺮاد‬
General Request Form (Individuals)
Electronic Services Terms & Conditions
(‫ﻃﻠﺐ ﻋﺎم )أﻓﺮاد‬
1. Customer has reviewed and approved all the bank’s electronic services terms and
conditions published on the CIB’s website www.cibeg.com, which include the Higher
Authentication Service: One Time Password (OTP) that allows - as one of the features
- to perform external transfers through electronic channels, and which is subject to
General Request Form (Individuals)
update as per the bank’s assessment.
2. In case the customer has chosen the e-Statement option, s/he will be able to
review/print his bank accounts’ statements and his credit cards’ statements as well
through Internet Banking, and declares that this electronic option replaces the printed
statement that is sent through physical mail. And the customer declares that electronic
statements communicated by the bank are accurate and confirmed by the customer,
unless the customer disputes on what is communicated in the statement within fifteen
days from statement issuance date, and if the customer does not dispute within this
duration, this is considered a confirmation on the accuracy of what is communicated
in the statement, and that the customer declares the accuracy of all entries and
balances on his/her accounts and credit cards. The customer is also responsible for
continuously maintaining the updated e-mail address record with the bank.
3. The debit card along with its number and associated PIN allow access to multiple
electronic services and execution of different banking transactions. Upon using any of
these services, this is considered as the customer’s acknowledgement and
acceptance of the related terms and conditions regulating these services which are
published through the respective channels or on the official website of the bank.
4. Customer should review and adhere to all security guidelines related to electronic
channels published on these channels or on the bank’s official website.
5. The bank takes all necessary security precautions to ensure the confidentiality of
customers’ data, however the bank gives no guarantee against computer viruses or
intrusions, the customer must take all necessary measures to protect private
information. In addition; ClB is not responsible for any damages that might affect the
customer as a result of using online services.
6. Customer must never disclose his/her username or password or any other
authentication method related to electronic services or debit card PIN code to any third
party for any reason including bank employees. In case this information is disclosed to
any third party, this is considered an authorization from the customer to this party to
use his/her accounts, the customer hereby is deemed responsible for all activities
taking place on the accounts following this disclosure. The customer does not have the
right to dispute for any losses incurred as a result of these transactions unless an act
of negligence or deliberate action is proven against the bank.
7. The bank has the right to amend any of the terms and conditions regulating the
electronic banking services at any time and with no need for prior notification to the
customer. The bank will notify the customer with the amendments through the suitable
means and such amendments are considered binding and enforceable.
8. All banking services provided through Electronic channels including internet banking
services are governed by Egyptian laws applied for this matter and all later
amendments.
Declaration
1. Our complete knowledge, awareness and acceptance of the fees, expenses,
commissions and interest list as applied at the Bank on all of the products and services
provided to us, and that the said list is announced at all of the Bank’s branches and
communication channels including the Bank’s official website. Furthermore, we hereby
declare the Bank’s right to amend the said list periodically without reverting to us for
any approvals.
2. In case we wish to close the, or stop the usage of the Bank’s product or service,
subject of the above-mentioned request/contract, we are obliged to head to the
nearest branch and/or contact the Bank’s call center to inquire for the applied fees and
discounts from the Bank’s side (if any) without any liability or responsibility on the
Bank’s part.
3. In case we witnessed any fraudulent , or theft act on any of our accounts held at the
Bank or the loss of any of the Bank Cards delivered to us from the Bank (in all its forms),
O.WHP.FGRQ01.00
February 2020
we are obliged to head to the nearest branch and/or contact the Bank’s call center to
report and prove the said situation in order to allow the Bank to take the necessary
actions and procedures in order to ensure and verify this situation and to prevent the
occurrence of any damages to us (if possible), without any liability or responsibility on
the Bank’s Part in this regard.
4. Our complete knowledge and awareness by the applied complaints mechanism at the
Bank through the printed flyers available at the Bank’s Branches, emails, or call center.
Furthermore, we hereby declare that in case we have any complaints, we are obliged
to revert back to the Bank in this regard first, and we shall not submit any complaints
at Central Bank of Egypt (CBE) unless we did not receive any replies from the Bank’s
side within the agreed on time frame and through the agreed on methods, as
announced to the customers from the Bank’s side.
Customer Signature:
Date:
‫ ﺷﺎرع اﻟﺠﻴﺰة ﺑﺎﻟﺠﻴﺰة‬٢٣ ،٢١ - ٦٩٨٢٦ ‫ ﺳﺠﻞ ﺗﺠﺎري اﺳﺘﺜﻤﺎر اﻟﻘﺎﻫﺮة رﻗﻢ‬- ‫اﻟﺒﻨﻚ اﻟﺘﺠﺎري اﻟﺪوﻟﻲ ﻣﺼﺮ‬
Commercial International Bank Egypt - Commercial Register No. 69826 issued by
Cairo Investment Commercial Registry Office - 21/23 Giza St., Giza
‫ﺷﺮوط وأﺣﻜﺎم اﻟﺨﺪﻣﺎت اﻹﻟﻜﺘﺮوﻧﻴﺔ‬
‫ ﻳﻘﺮ اﻟﻌﻤﻴﻞ ﺑﺄﻧﻪ ﻗﺪ اﻃﻠﻊ وواﻓﻖ ﻋﻠﻰ ﻛﺎﻓﺔ اﻟﺸﺮوط واﻷﺣﻜﺎم اﻟﺨﺎﺻﺔ ﺑﺎﻟﺘﻌﺎﻣﻞ ﻣﻊ‬.١
‫اﻟﺨﺪﻣﺎت اﻹﻟﻜﺘﺮوﻧﻴﺔ اﻟﻮاردة ﻋﻠﻰ اﻟﻤﻮﻗﻊ اﻹﻟﻜﺘﺮوﻧﻲ اﻟﻌﺎم ﻟﻠﺒﻨﻚ اﻟﺘﺠﺎري اﻟﺪوﻟﻲ‬
‫ﻛﺄﺣﺪ اﻟﺨﺪﻣﺎت‬- ‫ واﻟﺘﻲ ﺗﺘﻀﻤﻦ ﺧﺪﻣﺔ اﻟﺮﻗﻢ اﻟﺴﺮي اﻟﻤﺘﻐﻴﺮ ﻟﻠﺴﻤﺎح‬،www.cibeg.com
‫ واﻟﺘﻲ ﻳﺠﻮز ﺗﻌﺪﻳﻠﻬﺎ ﻣﻦ وﻗﺖ‬،‫ﺑﺎﻟﺘﺤﻮﻳﻞ ﺧﺎرج اﻟﺤﺴﺎﺑﺎت ﻣﻦ ﺧﻼل اﻟﻘﻨﻮات اﻹﻟﻜﺘﺮوﻧﻴﺔ‬-
.‫ﻷﺧﺮ وﻓﻘﺎ ﻟﺘﻘﺪﻳﺮ اﻟﺒﻨﻚ اﻟﻤﻄﻠﻖ‬
‫ ﻓﻲ ﺣﺎﻟﺔ اﺧﺘﻴﺎر اﻟﻌﻤﻴﻞ ﻟﻜﺸﻒ اﻟﺤﺴﺎب اﻹﻟﻜﺘﺮوﻧﻲ ﺳﻮف ﻳﺘﻤﻜﻦ اﻟﻌﻤﻴﻞ ﻣﻦ اﻻﻃﻼع‬.٢
‫ﻋﻠﻰ ﻛﺸﻮف ﺣﺴﺎﺑﺎﺗﻪ اﻟﺒﻨﻜﻴﺔ وأﻳﻀﺎ ﻋﻠﻰ ﻛﺸﻮف ﺣﺴﺎب ﺑﻄﺎﻗﺎﺗﻪ اﻻﺋﺘﻤﺎﻧﻴﺔ وﻃﺒﺎﻋﺘﻬﻢ ﻣﻦ‬
‫ وﻳﻘﺮ‬،‫ وأن ذﻟﻚ ﻳﻐﻨﻲ ﻋﻦ اﻟﻨﺴﺨﺔ اﻟﻤﻄﺒﻮﻋﺔ اﻟﻤﺮﺳﻠﺔ ﺑﺎﻟﺒﺮﻳﺪ‬،‫ﺧﻼل ﺧﺪﻣﺔ اﻹﻧﺘﺮﻧﺖ اﻟﺒﻨﻜﻴﺔ‬
‫اﻟﻌﻤﻴﻞ أن ﻛﺸﻮف اﻟﺤﺴﺎﺑﺎت اﻟﻤﺮﺳﻠﺔ ﻣﻦ اﻟﺒﻨﻚ إﻟﻜﺘﺮوﻧﻴﺎ ﺗﻌﺘﺒﺮ ﺻﺤﻴﺤﺔ وﻣﺼﺪﻗﺎ ﻋﻠﻴﻬﺎ‬
‫ إﻻ إذا ﻗﺎم اﻟﻌﻤﻴﻞ ﺑﺎﻻﻋﺘﺮاض ﻋﻠﻰ ﻣﺎ ﺟﺎء ﺑﻜﺸﻒ اﻟﺤﺴﺎب ﺧﻼل ﺧﻤﺴﺔ ﻋﺸﺮ‬،‫ﻣﻦ اﻟﻌﻤﻴﻞ‬
‫ ﻓﺈذا ﻟﻢ ﻳﻌﺘﺮض اﻟﻌﻤﻴﻞ ﺧﻼل ﺗﻠﻚ اﻟﻤﺪة اﻋﺘﺒﺮ ذﻟﻚ ﻣﻮاﻓﻘﺔ ﻋﻠﻰ‬،‫ﻳﻮﻣﺎ ﻣﻦ ﺗﺎرﻳﺦ إﺻﺪاره‬ ً
ً
‫إﻗﺮارا ﻣﻦ اﻟﻌﻤﻴﻞ ﺑﺼﺤﺔ ﻛﻞ اﻟﻘﻴﻮد واﻷرﺻﺪة‬ ‫ وﻳﻌﺘﺒﺮ ﻫﺬا‬.‫ﺻﺤﺔ ﻣﺎ ورد ﺑﻜﺸﻒ اﻟﺤﺴﺎب‬
‫ وﻳﻠﺘﺰم اﻟﻌﻤﻴﻞ ﺑﺎﺳﺘﻤﺮار ﺑﺘﺤﺪﻳﺚ ﺑﺮﻳﺪه‬.‫اﻟﺨﺎﺻﺔ ﺑﻜﺸﻮف اﻟﺤﺴﺎﺑﺎت وﺑﻄﺎﻗﺎت اﻻﺋﺘﻤﺎن‬
.‫اﻹﻟﻜﺘﺮوﻧﻲ ﻟﺪى اﻟﺒﻨﻚ‬
‫ ﻳﺘﻴﺢ رﻗﻢ اﻟﺒﻄﺎﻗﺔ اﻟﻤﺪﻳﻨﺔ ﺑﺎﻹﺿﺎﻓﺔ إﻟﻰ اﻟﺮﻗﻢ اﻟﺴﺮي اﻟﺸﺨﺼﻲ اﻟﺨﺎص ﺑﻬﺎ اﻟﺪﺧﻮل ﻋﻠﻰ‬.٣
‫ وﻓﻲ‬.‫ﻣﺨﺘﻠﻒ اﻟﺨﺪﻣﺎت اﻟﻤﺼﺮﻓﻴﺔ اﻹﻟﻜﺘﺮوﻧﻴﺔ وإﺟﺮاء اﻟﻌﻤﻠﻴﺎت اﻟﺒﻨﻜﻴﺔ ﺑﺄﺷﻜﺎﻟﻬﺎ اﻟﻤﺨﺘﻠﻔﺔ‬
‫ﺣﺎل إﺳﺘﺨﺪام اﻟﻌﻤﻴﻞ ﻷي ﻣﻦ ﻫﺬه اﻟﺨﺪﻣﺎت ﻳﻌﺘﺒﺮ ذﻟﻚ ﻣﻮاﻓﻘﺔ ﻣﻨﻪ ﻋﻠﻰ ﻛﺎﻓﺔ اﻟﺸﺮوط‬
‫واﻷﺣﻜﺎم اﻟﻤﻨﻈﻤﺔ ﻟﺘﻠﻚ اﻟﺨﺪﻣﺎت واﻟﻤﻌﻠﻨﺔ ﻋﻠﻰ اﻟﻘﻨﻮات اﻟﺨﺎﺻﺔ ﺑﻬﺎ أو ﻣﻦ ﺧﻼل اﻟﻤﻮﻗﻊ‬
.‫اﻹﻟﻜﺘﺮوﻧﻲ اﻟﺮﺳﻤﻲ ﻟﻠﺒﻨﻚ‬
‫ ﻳﺠﺐ ﻋﻠﻰ اﻟﻌﻤﻴﻞ اﻹﻃﻼع واﻹﻟﺘﺰام ﺑﺎﻟﻨﺼﺎﺋﺢ واﻟﺘﻌﻠﻴﻤﺎت اﻷﻣﻨﻴﺔ اﻟﺨﺎﺻﺔ ﺑﺎﻟﻘﻨﻮات‬.٤
.‫اﻹﻟﻜﺘﺮوﻧﻴﺔ واﻟﻤﻌﻠﻨﺔ ﻋﻠﻰ ﻫﺬه اﻟﻘﻨﻮات أو ﻋﻠﻰ اﻟﻤﻮﻗﻊ اﻟﺮﺳﻤﻲ ﻟﻠﺒﻨﻚ‬
‫ وﻻ ﻳﻌﻨﻲ ذﻟﻚ أن‬.‫ ﻳﻌﻤﻞ اﻟﺒﻨﻚ ﻋﻠﻰ إﺗﺨﺎذ اﻹﺟﺮاءات اﻟﻼزﻣﺔ ﻟﻀﻤﺎن ﺣﻤﺎﻳﺔ ﺳﺮﻳﺔ اﻟﻌﻤﻼء‬.٥
‫اﻟﺒﻨﻚ ﻳﻀﻤﻦ ﺳﻼﻣﺔ اﻷﺟﻬﺰة اﻟﺸﺨﺼﻴﺔ ﻟﻠﻌﻤﻼء ﺿﺪ أي ﭬﻴﺮوﺳﺎت أو إﺧﺘﺮاﻗﺎت ﺣﻴﺚ أن‬
‫ ﻛﻤﺎ أن اﻟﺒﻨﻚ اﻟﺘﺠﺎري اﻟﺪوﻟﻲ )ﻣﺼﺮ( ﻏﻴﺮ ﻣﺴﺌﻮل ﻋﻦ أﻳﺔ أﺿﺮار‬.‫ﺗﻠﻚ ﻫﻲ ﻣﺴﺌﻮﻟﻴﺔ اﻟﻌﻤﻴﻞ‬
.‫ﻗﺪ ﺗﺼﻴﺐ اﻟﻌﻤﻴﻞ ﻧﺘﻴﺠﺔ إﺳﺘﺨﺪام اﻟﺨﺪﻣﺎت اﻹﻟﻜﺘﺮوﻧﻴﺔ اﻟﻤﻘﺪﻣﺔ ﻋﺒﺮ ﺷﺒﻜﺔ اﻹﻧﺘﺮﻧﺖ‬
‫ ﻳﺠﺐ ﻋﻠﻰ اﻟﻌﻤﻴﻞ ﻋﺪم اﻹﻓﺼﺎح ﻋﻦ ﻛﻠﻤﺔ اﻟﺴﺮ أو أي ﻣﻦ وﺳﺎﺋﻞ ﺗﺄﻛﻴﺪ اﻟﺸﺨﺼﻴﺔ‬.٦
‫اﻟﺨﺎﺻﺔ ﺑﺎﻟﺨﺪﻣﺎت اﻹﻟﻜﺘﺮوﻧﻴﺔ أو اﻟﺮﻗﻢ اﻟﺴﺮي اﻟﺨﺎص ﺑﺎﻟﺒﻄﺎﻗﺔ اﻟﻤﺪﻳﻨﺔ ﻷي ﺷﺨﺺ آﺧﺮ‬
‫ وﻓﻲ ﺣﺎﻟﺔ ﺣﺼﻮل أي ﻃﺮف آﺧﺮ ﻋﻠﻰ أي‬،‫ ﺑﻤﺎ ﻓﻲ ذﻟﻚ ﻣﻮﻇﻔﻲ اﻟﺒﻨﻚ‬،‫ﻷي ﺳﺒﺐ ﻛﺎن‬
‫ﺗﺼﺮﻳﺤﺎ ﻣﻦ اﻟﻌﻤﻴﻞ ﻟﻬﺬا اﻟﺸﺨﺺ ﺑﺈﺳﺘﺨﺪام ﺣﺴﺎﺑﺎﺗﻪ وﻣﺎ ﻳﺘﺒﻌﻪ ﻣﻦ‬ ً ‫ﻣﻨﻬﻢ ﻳﻌﺘﺒﺮ ذﻟﻚ‬
‫ﺗﺤﻤﻠﻪ ﻟﻜﺎﻓﺔ اﻟﻤﺨﺎﻃﺮ واﻟﻤﺴﺌﻮﻟﻴﺎت واﻟﻌﻤﻠﻴﺎت اﻟﻨﺎﺷﺌﺔ وذﻟﻚ دون أدﻧﻰ ﻣﺴﺌﻮﻟﻴﺔ ﻋﻠﻰ‬
‫ وﻻ ﻳﺤﻖ ﻟﻠﻌﻤﻴﻞ أن ﻳﺘﻘﺪم ﺑﻄﻠﺐ رد ﻷي ﺧﺴﺎﺋﺮ ﻧﺎﺗﺠﺔ ﻋﻦ ﻫﺬه اﻟﻤﻌﺎﻣﻼت إﻻ ﻓﻲ‬.‫اﻟﺒﻨﻚ‬
.‫ﺣﺎﻟﺔ ﺛﺒﻮت إﻫﻤﺎل أو ﺗﺼﺮف ﻣﺘﻌﻤﺪ ﻣﻦ ﻗﺒﻞ اﻟﺒﻨﻚ ﺑﺨﺼﻮص ﻫﺬه اﻟﻌﻤﻠﻴﺎت‬
‫ ﻳﺤﻖ ﻟﻠﺒﻨﻚ ﺗﻌﺪﻳﻞ أي ﻣﻦ اﻟﺸﺮوط واﻷﺣﻜﺎم اﻟﻤﻨﻈﻤﺔ ﻟﻠﺨﺪﻣﺎت اﻟﻤﺼﺮﻓﻴﺔ اﻹﻟﻜﺘﺮوﻧﻴﺔ‬.٧
ً
‫ وﻳﻘﻮم اﻟﺒﻨﻚ ﺑﺈﺧﻄﺎر اﻟﻌﻤﻴﻞ ﺑﻬﺬه‬،‫ﻣﺴﺒﻘﺎ‬ ‫ﻓﻲ أي وﻗﺖ ودون اﻟﺤﺎﺟﺔ ﻹﺧﻄﺎر اﻟﻌﻤﻴﻞ‬
.‫اﻟﺘﻌﺪﻳﻼت ﺑﺄي ﻃﺮﻳﻘﺔ ﻳﺮاﻫﺎ ﻣﻨﺎﺳﺒﺔ وﺗﻌﺘﺒﺮ اﻟﺘﻌﺪﻳﻼت اﻟﺠﺪﻳﺪة ﻣﻠﺰﻣﺔ وﺳﺎرﻳﺔ‬
‫ ﻳﺨﻀﻊ إﺳﺘﺨﺪام اﻟﺨﺪﻣﺎت اﻹﻟﻜﺘﺮوﻧﻴﺔ ﺑﻤﺎ ﻓﻴﻬﺎ اﻟﺨﺪﻣﺎت اﻟﺒﻨﻜﻴﺔ اﻟﻤﻘﺪﻣﺔ ﻋﺒﺮ ﺷﺒﻜﺔ‬.٨
.‫اﻹﻧﺘﺮﻧﺖ ﻟﻠﻘﻮاﻧﻴﻦ اﻟﻤﺼﺮﻳﺔ اﻟﻤﻄﺒﻘﺔ ﻓﻲ ﻫﺬا اﻟﺸﺄن وﻣﺎ ﻳﺼﺪر ﻣﻦ ﺗﻌﺪﻳﻼت ﻻﺣﻘﺔ‬
.‫ﻟﻠﻘﻮاﻧﻴﻦ اﻟﻤﺼﺮﻳﺔ اﻟﻤﻄﺒﻘﺔ ﻓﻲ ﻫﺬا اﻟﺸﺄن وﻣﺎ ﻳﺼﺪر ﻣﻦ ﺗﻌﺪﻳﻼت ﻻﺣﻘﺔ‬
‫إﻗـــﺮار‬
‫ ﻧﻘﺮ ﺑﻌﻠﻤﻨﺎ وﻗﺒﻮﻟﻨﺎ ﺑﻼﺋﺤﺔ اﻟﺘﻌﺮﻳﻔﺎت واﻟﻤﺼﺮوﻓﺎت واﻟﻌﻤﻮﻻت واﻟﻌﻮاﺋﺪ اﻟﻤﻄﺒﻘﺔ ﻣﻦ‬-١
‫ﻗﺒﻞ اﻟﺒﻨﻚ ﻋﻠﻰ اﻟﻤﻨﺘﺠﺎت واﻟﺨﺪﻣﺔ اﻟﺘﻲ ﻳﻘﺪﻣﻬﺎ ﻟﻨﺎ وإﻧﻬﺎ ﻣﻌﻠﻨﺔ ﻟﺪى ﻛﺎﻓﺔ ﻓﺮوع وﻗﻨﻮات‬
‫ ﻛﻤﺎ ﻧﻘﺮ ﺑﺄﺣﻘﻴﺔ اﻟﺒﻨﻚ ﻓﻲ‬،‫اﻹﺗﺼﺎل ﺑﺎﻟﺒﻨﻚ ﺑﻤﺎ ﻓﻴﻬﺎ اﻟﻤﻮﻗﻊ اﻻﻟﻜﺘﺮوﻧﻲ اﻟﺮﺳﻤﻲ ﻟﻠﺒﻨﻚ‬
.‫ﺗﻌﺪﻳﻞ ﺗﻠﻚ اﻟﻼﺋﺤﺔ ﺑﺸﻜﻞ دوري دون اﻟﺤﺎﺟﺔ إﻟﻰ اﻟﺤﺼﻮل ﻋﻠﻰ ﻣﻮاﻓﻘﺘﻨﺎ اﻟﻤﺴﺒﻘﺔ‬
‫ ﻓﺈﻧﻨﺎ‬، ‫ أﻧﻪ ﻓﻲ ﺣﺎل رﻏﺒﺘﻨﺎ ﻓﻲ إﻏﻼق اﻟﺤﺴﺎب أو إﻳﻘﺎف اﻟﺘﻌﺎﻣﻞ ﻋﻦ ﻣﻨﺘﺞ أو ﺧﺪﻣﺔ ﻣﻌﻴﻨﺔ‬-٢
‫أو اﻹﺗﺼﺎل ﺑﻤﺮﻛﺰ إﺗﺼﺎل اﻟﻌﻤﻼء اﻟﺨﺎص ﺑﻤﺼﺮﻓﻜﻢ ﻛﻤﺎ‬/‫ﻧﻠﺘﺰم ﺑﺎﻟﺘﻮﺟﻪ إﻟﻰ أﻗﺮب ﻓﺮع و‬
‫ﻳﻤﻜﻦ اﻹﺳﺘﻌﻼم ﻋﻦ اﻟﻤﺼﺮوﻓﺎت واﻟﺨﺼﻮﻣﺎت اﻟﻤﻄﺒﻘﺔ ﻣﻦ ﻗﺒﻞ اﻟﺒﻨﻚ ﻓﻲ ﻫﺬه اﻟﺤﺎﻟﺔ‬
.‫)إن وﺟﺪت( وذﻟﻚ دون أدﻧﻰ ﻣﺴﺌﻮﻟﻴﺔ أو إﻟﺘﺰام ﻋﻠﻰ ﻣﺼﺮﻓﻨﺎ ﻓﻲ ﻫﺬا اﻟﺸﺄن‬
‫ أﻧﻪ ﻓﻲ ﺣﺎل ﺗﺮاءى ﻟﻨﺎ ﺣﺪوث ﺣﺎﻟﺔ ﺗﻼﻋﺐ ﺳﺮﻗﺔ ﺑﺤﺴﺎﺑﺎﺗﻨﺎ أو ﻓﻘﺪان أي ﻣﻦ اﻟﺒﻄﺎﻗﺎت‬-٣
‫ﻓﻮرا ﺑﺎﻟﺘﻮﺟﻪ إﻟﻰ أﻗﺮب‬
ً ‫ ﻓﺈﻧﻨﺎ ﻧﻠﺘﺰم‬،(‫اﻟﻤﺼﺮﻓﻴﺔ اﻟﻤﺴﻠﻤﺔ ﻣﻦ ﻣﺼﺮﻓﻜﻢ ﻟﻨﺎ )ﺑﻜﺎﻓﺔ أﻧﻮاﻋﻬﺎ‬
‫أو اﻹﺗﺼﺎل ﺑﻤﺮﻛﺰ إﺗﺼﺎل اﻟﻌﻤﻼء اﻟﺨﺎص ﺑﻤﺼﺮﻓﻜﻢ ﻟﻺﺑﻼغ وإﺛﺒﺎت ﺗﻠﻚ اﻟﺤﺎﻟﻪ‬/‫ﻓﺮع ﻟﻠﺒﻨﻚ و‬
‫ﺣﺘﻰ ﻳﺘﻤﻜﻦ اﻟﺒﻨﻚ ﻓﻮر إﺧﻄﺎره ﺑﺎﺗﺨﺎذ اﻹﺟﺮاءات اﻟﻼزﻣﺔ ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺔ ذﻟﻚ واﻟﺤﻴﻠﻮﻟﺔ‬
‫دون وﻗﻮع ﺿﺮر ﺑﻨﺎ )إن أﻣﻜﻦ( وذﻟﻚ دون أدﻧﻰ ﻣﺴﺌﻮﻟﻴﺔ أو إﻟﺘﺰام ﻋﻠﻰ ﻣﺼﺮﻓﻨﺎ ﻓﻲ ﻫﺬا‬
.‫اﻟﺸﺄن‬
‫ ﻧﻘﺮ ﺑﻌﻠﻤﻨﺎ ﺑﺂﻟﻴﺔ ﺗﻘﺪﻳﻢ اﻟﺸﻜﺎوي اﻟﻤﺘﺒﻌﺔ ﻟﺪى ﻣﺼﺮﻓﻜﻢ وذﻟﻚ ﻣﻦ ﺧﻼل اﻟﻤﻄﺒﻮﻋﺎت‬-٤
‫اﻟﻤﺘﻮاﻓﺮة ﺑﻔﺮوع اﻟﺒﻨﻚ او رﺳﺎﺋﻞ اﻟﺒﺮﻳﺪ اﻻﻟﻜﺘﺮوﻧﻲ او ﻣﺮﻛﺰ اﻹﺗﺼﺎل ﺑﺎﻟﻌﻤﻼء اﻟﺨﺎص‬
‫ ﻛﻤﺎ ﻧﻘﺮ ﺑﺈﻟﺘﺰاﻣﻨﺎ ﻓﻲ ﺣﺎل وﺟﻮد ﺷﻜﻮى ﺑﺎﻟﺮﺟﻮع إﻟﻰ ﻣﺼﺮﻓﻨﺎ أوﻻ وﻋﺪم ﺗﻘﺪﻳﻢ‬،‫ﺑﺎﻟﺒﻨﻚ‬
‫اﻟﺸﻜﻮى ﻣﺒﺎﺷﺮة إﻟﻰ اﻟﺒﻨﻚ اﻟﻤﺮﻛﺰي اﻟﻤﺼﺮي إﻻ ﻓﻲ ﺣﺎﻟﺔ ﻋﺪم اﻟﺮد ﻣﻦ ﺟﺎﻧﺐ اﻟﺒﻨﻚ ﺧﻼل‬
.‫اﻟﻤﺪة وﺑﺎﻟﻄﺮﻳﻘﺔ اﻟﻤﺘﻔﻖ ﻋﻠﻴﻬﺎ واﻟﻤﻌﻠﻨﺔ ﻟﻠﻌﻤﻼء ﻣﻦ ﺟﺎﻧﺐ اﻟﺒﻨﻚ‬
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 Branch : :‫ﻓﺮع‬ Branch : :‫ﻓﺮع‬

Date: / / :‫اﻟﺘﺎرﻳﺦ‬ Date: / / :‫اﻟﺘﺎرﻳﺦ‬

‫ﻃﻠﺐ ﻋﺎم )أﻓﺮاد( ﺗﺎﺑﻊ‬ (‫ﻃﻠﺐ ﻋﺎم )أﻓﺮاد‬

General Request Form (Individuals) Contd. General Request Form (Individuals)

Signature ( Separate Signature Card to be obtained for signature change )* *( ‫اﻟﺘﻮﻗﻴﻊ ) ﺑﺮﺟﺎء اﻟﺤﺼﻮل ﻋﻠﻰ ﺑﻄﺎﻗﺔ ﻟﻠﺘﻮﻗﻴﻊ اﻟﺠﺪﻳﺪ‬ Customer Information ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻴﻞ‬

Add New Signature* Replace Existing Signature* *‫ﺗﻐﻴﻴﺮ اﻟﺘﻮﻗﻴﻊ اﻟﺤﺎﻟﻲ‬ *‫إﺿﺎﻓﺔ ﺗﻮﻗﻴﻊ ﺟﺪﻳﺪ‬ Customer Name: :‫اﺳﻢ اﻟﻌﻤﻴﻞ‬

Cancel Signature ‫إﻟﻐﺎء اﻟﺘﻮﻗﻴﻊ‬ Account Number: :‫رﻗﻢ اﻟﺤﺴﺎب‬

Customer Signature: ������� ����� :‫رﻗﻢ اﻟﻌﻤﻴﻞ‬

Customer Number:

Certificate / Letter Request ‫ ﺧﻄﺎب‬/ ‫ﻃﻠﺐ ﺷﻬﺎدة‬ ‫( ﻋﻠﻰ اﻟﺨﺎﻧﺔ اﻟﻤﻨﺎﺳﺒﺔ‬ ) ‫ﺑﺮﺟﺎء وﺿﻊ ﻋﻼﻣﺔ‬
(Please Tick Mark as Applicable)
Letter Addressed to: :‫ ﺧﻄﺎب ﻣﻮﺟﻪ إﻟﻰ‬/ ‫ﺷﻬﺎدة‬ ‫ﺗﻌﺪﻳﻞ ﻓﻲ اﻟﺒﻴﺎﻧﺎت‬
Change of Information
Certificate Language: English ������� Arabic ���� ������� � ������� ���
Home Address (Permanent) (‫ﻋﻨﻮان اﻟﻤﻨﺰل )اﻟﺪاﺋﻢ‬
Type of Certificate / Letter ‫ اﻟﺨﻄﺎب‬/ ‫اﻟﻐﺮض ﻣﻦ اﻟﺸﻬﺎدة‬
Building Number and Street: :‫رﻗﻢ اﻟﻤﺒﻨﻰ واﻟﺸﺎرع‬ Floor: :‫اﻟﺪور‬
Salary / Pension Transfer Balance Certificate ‫ﺷﻬﺎدة أرﺻﺪة‬ ‫ اﻟﻤﻌﺎش‬/ ‫ﺗﺤﻮﻳﻞ اﻟﻤﺮﺗﺐ‬
Apartment Number: :‫رﻗﻢ اﻟﺸﻘﺔ‬ Area: :‫اﻟﻤﻨﻄﻘﺔ‬
Indebtedness Certificate Audit Confirmation ‫ﺷﻬﺎدة ﻣﺮاﺟﻌﻴﻦ ﻗﺎﻧﻮﻧﻴﻴﻦ‬ ‫ﺷﻬﺎدة ﻣﺪﻳﻮﻧﻴﺔ‬
Governorate: :‫اﻟﻤﺤﺎﻓﻈﺔ‬ Country: :‫اﻟﺪوﻟﺔ‬
Return Cheque(s) Certificates ‫ﺷﻬﺎدة ﺷﻴﻜﺎت ﻣﺮﺗﺪة‬
Nearest Landmark: :‫أﻗﺮب ﻋﻼﻣﺔ ﻣﻤﻴﺰة‬ Postal Code: :‫اﻟﺮﻗﻢ اﻟﺒﺮﻳﺪي‬
Others (please specify certificate type): :(‫أﺧﺮى )اﻟﺮﺟﺎء ﺗﺤﺪﻳﺪ ﻧﻮع اﻟﺸﻬﺎدة‬
Home: + :‫ﻣﻨﺰل‬
I authorize the Bank to debit my above account with all the related Bank ‫أﺻﺮح ﻟﻠﺒﻨﻚ ﺑﺎﻟﺨﺼﻢ ﻋﻠﻰ ﺣﺴﺎﺑﻲ اﻟﻤﺬﻛﻮر أﻋﻼه ﺑﻜﺎﻓﺔ اﻟﻤﺼﺎرﻳﻒ واﻟﻌﻤﻮﻻت اﻟﻤﺴﺘﺤﻘﺔ‬ Telephone Numbers: :‫أرﻗﺎم اﻟﺘﻠﻴﻔﻮن‬
fees and charges to execute the above transactions. .‫اﻟﻤﻌﻤﻮل ﺑﻬﺎ ﺑﺎﻟﺒﻨﻚ ﻟﺘﻨﻔﻴﺬ ﻣﺎ ﺗﻘﺪم‬ Mobile: + :‫ﻣﺤﻤﻮل‬

E-mail: :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

Customer Signature: :‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬
Customer Signature: :‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬
Request for old Documents copy ‫ﻃﻠﺐ ﺻﻮرة ﻣﺴﺘﻨﺪات ﺳﺎﺑﻘﺔ‬
Business Address ‫ﻋﻨﻮان اﻟﻌﻤﻞ‬
Type of documents: :‫ﻧﻮع اﻟﻤﺴﺘﻨﺪات‬ Building Number and Street: :‫رﻗﻢ اﻟﻤﺒﻨﻰ واﻟﺸﺎرع‬ Floor: :‫اﻟﺪور‬

Documents Date: :‫ﺗﺎرﻳﺦ اﻟﻤﺴﺘﻨﺪات‬ Apartment Number: :‫رﻗﻢ اﻟﺸﻘﺔ‬ Area: :‫اﻟﻤﻨﻄﻘﺔ‬

Account Statement From To ‫إﻟﻰ‬ ‫ﻛﺸﻒ ﺣﺴﺎب ﻣﻦ‬ Governorate: :‫اﻟﻤﺤﺎﻓﻈﺔ‬ Country: :‫اﻟﺪوﻟﺔ‬

I authorize the Bank to debit my above account with all the related Bank ‫أﺻﺮح ﻟﻠﺒﻨﻚ ﺑﺎﻟﺨﺼﻢ ﻋﻠﻰ ﺣﺴﺎﺑﻲ اﻟﻤﺬﻛﻮر أﻋﻼه ﺑﻜﺎﻓﺔ اﻟﻤﺼﺎرﻳﻒ واﻟﻌﻤﻮﻻت اﻟﻤﺴﺘﺤﻘﺔ‬ Nearest Landmark: :‫أﻗﺮب ﻋﻼﻣﺔ ﻣﻤﻴﺰة‬ Postal Code: :‫اﻟﺮﻗﻢ اﻟﺒﺮﻳﺪي‬
fees and charges to execute the above transactions. .‫اﻟﻤﻌﻤﻮل ﺑﻬﺎ ﺑﺎﻟﺒﻨﻚ ﻟﺘﻨﻔﻴﺬ ﻣﺎ ﺗﻘﺪم‬
Work: + :‫ﻋﻤﻞ‬
Telephone Numbers: :‫أرﻗﺎم اﻟﺘﻠﻴﻔﻮن‬
:‫ﻓﺎﻛﺲ‬
Customer Signature: :‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬ Fax: +

‫إﻏﻼق اﻟﺤﺴﺎب‬ E-mail: :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

Closure of Account

Customer Signature: :‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬

:‫ رﻗﻢ اﻟﺤﺴﺎب‬.١
1. Account Number:
Other Mailing Address ‫ﻋﻨﻮان آﺧﺮ ﻟﻠﻤﺮاﺳﻼت‬
2. Account Number: :‫ رﻗﻢ اﻟﺤﺴﺎب‬.٢
Building Number and Street: :‫رﻗﻢ اﻟﻤﺒﻨﻰ واﻟﺸﺎرع‬ Floor: :‫اﻟﺪور‬
Close All Accounts ‫ﻏﻠﻖ ﺟﻤﻴﻊ اﻟﺤﺴﺎﺑﺎت‬ Apartment Number: :‫رﻗﻢ اﻟﺸﻘﺔ‬ Area: :‫اﻟﻤﻨﻄﻘﺔ‬

Reasons for Account Closure: :‫أﺳﺒﺎب ﻏﻠﻖ اﻟﺤﺴﺎب‬ Governorate: :‫اﻟﻤﺤﺎﻓﻈﺔ‬ Country: :‫اﻟﺪوﻟﺔ‬

Nearest Landmark: :‫أﻗﺮب ﻋﻼﻣﺔ ﻣﻤﻴﺰة‬ Postal Code: :‫اﻟﺮﻗﻢ اﻟﺒﺮﻳﺪي‬

Cheque Book Surrendered Yes ‫ﻧﻌﻢ‬ No ‫ﻻ‬ ‫ﺗﺴﻠﻴﻢ دﻓﺘﺮ ﺷﻴﻜﺎت‬ ‫رﺑﻊ ﺳﻨﻮي‬ ‫ﺷﻬﺮي‬ ‫ﻛﺸﻒ ﺣﺴﺎب إﻟﻜﺘﺮوﻧﻲ‬ ‫دورﻳﺔ ﻛﺸﻮف اﻟﺤﺴﺎﺑﺎت‬
Statement Frequency Quarterly Monthly E-statement
ATM Card Surrendered Yes ‫ﻧﻌﻢ‬ No ‫ﻻ‬ ‫ﺗﺴﻠﻴﻢ اﻟﺒﻄﺎﻗﺔ اﻟﻤﺪﻳﻨﺔ‬
Correspondence Details Residence Address ‫ﻋﻨﻮان اﻹﻗﺎﻣﺔ‬ Others ‫أﺧﺮى‬ Business Address ‫ﻋﻨﻮان اﻟﻌﻤﻞ اﻟﺤﺎﻟﻲ‬ ‫اﻟﻤﺮاﺳﻼت‬

Customer Signature(s): :‫ اﻟﻌﻤﻼء‬/‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬ Customer Signature: :‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬

For Bank Use Only ‫ﻹﺳﺘﺨﺪام اﻟﺒﻨﻚ ﻓﻘﻂ‬ Dormant Account Activation ‫ﺗﻔﻌﻴﻞ ﺣﺴﺎب راﻛﺪ‬

Total Fees: Activate Account Number: :‫ﺗﻔﻌﻴﻞ اﻟﺤﺴﺎب رﻗﻢ‬

Prepared By: Signature and Date: I acknowledge the balance of my above account number ‫أﻗﺮ ﺑﺼﺤﺔ رﺻﻴﺪ ﺣﺴﺎﺑﻲ اﻋﻼه و ﺑﻤﻮاﻓﻘﺘﻲ ﻋﻠﻲ ﻛﺎﻓﺔ اﻟﻘﻴﻮد‬
and all the transactions done on the account till today. .................. /......... /........ .‫اﻟﺘﻲ ﺗﻤﺖ ﻋﻠﻴﺔ ﺣﺘﻲ ﺗﺎرﻳﺦ اﻟﻴﻮم‬
Approved By: Signature and Date:
Customer Signature: :‫ﺗﻮﻗﻴﻊ اﻟﻌﻤﻴﻞ‬

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