Professional Documents
Culture Documents
Date DD MM YY YY
PART A
Branch
4) Business Ac vi es (Tick where applicable) Agriculture Trading Manufacturing Mining and quarrying
Educa on NGO Health Real estate Legal services Financial and insurances services
Art gallery Tourism and hospitality Informa on & Communica on Technology Construc on and Housing
Gambling or Casino Motor vehicle/ Vessel trading Cross boarder cash traders Germstone traders/Jewellers
Others (specify)
PART B
6) References
Name of Firm/ Company Name of Firm/ Company
Name of Contact Person Name of Contact Person
Address Address Telephone
One signatory to sign Two signatories to sign Others Three signatories to sign
(describe alterna ve mode of opera on below)
Name Designa on
Contact address
PHOTO
Authorised Signatory 2.
Name Designa on
Na onality Date of birth
PHOTO
Authorised Signatory 3.
Name Designa on
Na onality Date of birth
Contact address
PHOTO
Authorised Signatory 4.
Name Designa on
Na onality Date of birth
PHOTO
PART C
Account Number
KYC requirement submi ed Yes No Customer Risk Classifica on Low Middle High
Business seg
Signature
Stamp
Account opening authorised by (Name):
Signature