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Same Base Account Opening Request Form

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Same Base Account Opening Request Form Powered By Docstoc
					Branch: __________


                   SAME BASE ACCOUNT OPENING REQUEST

Account Number: _____________________________________________________________________

Account Title: ________________________________________________________________________

I/We hereby request you to open another account within my/our existing relationship with the following
specifications:

Pak Rupee Account:                                       Foreign Currency Account (Savings):

    Current Account                                          US Dollars
   CitiOne                                                   Great Britain Pounds
    Savings Account                                           Japanese Yen
   Citi Ultimate                                              Euro
   Citi Daily Saver                                           Premium FCY Account
   Citi Profit




                                                                                                           BB - RAO – VC3 - 10 - 09
_____________________________              _________________________              _______________
Account Holder’s Name                      Signature                              Date


_____________________________              _________________________              _______________
Account Holder’s Name                      Signature                              Date

Contact No.: _________________________

                                      FOR BANK USE ONLY

SV: Name: ________________ Initials: ____________     Relationship:    Blue  Gold

Customer No.: __________________________________      Request:  In Person    Mail / Messenger

Relationship No.:________________________________     Name: _______________ Initials: _____________

New Account No. : _____________________________       Date: _______________ Time: ______________

                                                       TPF Updated       PAO Code: ________________

                                                      Name: ______________        Initials: ____________


Acct Opened by: I.D.: __________________ Initials: ____________ Charges: ____________ FED: _______

Charges Deducted by: ______________ Authorized by: __________ Rexme Reviewed by: ______________

				
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