Kyc Form for Savings Account Opening

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Kyc Form for Savings Account Opening Powered By Docstoc
					                                                          Customer Profile Form (KYC)
                             (Requirement in terms of Financial Transaction Reporting Act No 6 of 2006)

                                                                                                                              For Bank use only

                                                                                                                 DATE          :
                                                                                                                 A/C No        :
                                                                                                                 CIF NO       :
                                                                                                                 BRANCH NO     :
                                                                                                                 OFFICER NO   :
                                                                                                                 MANAGER’SINTL :



Section A – Basic information of the individual including of those with power of Attorney.
        Tick the appropriate boxes
1. Name of the customer :

2. Nature of business (if any) :                                                       3. Occupation/Employment/Status :



4. Position held:                                                                      5. Name of employer:

6. Citizenship :
                          Sri Lankan                                                         Nationality
                          Sri Lankan with dual citizenship
                          Sri Lankan with foreign citizenship                                Type of Visa
                          Foreign national                                                   Expiry date
7. Foreign Address (if any):




Section B -Mandatory checks
        Tick the appropriate boxes
 1. Name, Date of birth and Nationality verification : To be supported by one of the following accepted documents
      National Identity Card                                                Official Armed Forces Service Card
      Passport                                                              Others(specify)
      Birth Certificate for minors
 2. Address verification : Residential address to be supported by one of the following accepted documents
      National Identity Card                           Statement of other Banks                    Letter from a public Authority
      Tenancy Agreement                                Utility Bill (Specify )                     Income Tax Receipt/ Assessment Notice
      Driving License                                  Employment Contract                         Others (Specify)

                                                   N.B.- Mobile phone bills are not accepted.
 3.Status of the Residential Address: :     Premises
      Owner           (A)                             Lease/Rent (C)                                                                     Friends/Relatives       (E)
      Parent’s        (B)                             Official       (D)                                                                 Board/Lodging            (F)
  Permanent Address : [In the case of (C to F)]




  4. Applicants’ ownership of wealth and estimated value:
            Residential property        Rs                                                               Financial assets          Rs
            Business premises           Rs                                                               Investments               Rs
            Motor vehicles              Rs                                                               Others (Specify)          Rs

                                                            (If property is on rent/lease, please indicate)

 5.Other Connected Businesses /Professional activities & interest

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                                                                 Account Profile Form (KYC)
                                     (Requirement in terms of Financial Transaction Reporting Act No 6 of 2006)
                                                                                                    For Bank Use Only
                                                                                                                      DATE          :
                                                                                                                      A/C No        :
                                                                                                                      CIF No       :
                                                                                                                      CURRENCY      :
                                                                                                                      BRANCH NO     :
                                                                                                                      OFFICER NO   :
                                                                                                                      MANAGER’SINTL :



Section C – Basic Account Information
1.Name of the Account :
2.Client Type
      Individual/Joint                                                          Clubs/ Societies/Charities/Associations
      Proprietor/Partnership                                                    Trust/NGOs                                                                    For Bank Use Only
3.Name of          A                                                                                                                         CIF NO
 Owners/partners B                                                                                                                           CIF NO
 /Directors        C                                                                                                                         CIF NO
                   D                                                                                                                         CIF NO
4.A/C Type                          Savings A/c                                   SIERA                                                            Resident Guest Rupee A/c
                                    Current A/c                                   RANSI A/c                                                        Exporters Foreign Currency A/c
                                    Fixed/Call Deposit A/c                        Non Resident Foreign Currency A/c                                Gem & Jewelers Exporters A/c
                                    Money Market A/c                              Resident Foreign Currency A/c                                    Foreign Investment Deposit A/c
                                    Treasury Bill/Bonds                           Resident Non National Foreign Currency A/c                       SFIDA
                                    Non Resident Rupee A/c                        Resident Guest Foreign Currency A/c                              Others (Specify)………………
5 .Purpose for opening the account & the usage
            Business transactions                                               Utility bill payment                                              Investment purposes
            Employment/Professional income                                      Savings                                                           Social & Charity work
            Family inward remittances                                           Loan repayment                                                    Others (Specify)
            Upkeep of family/person                                             Share transactions
  (Indicate in brief the principle and nature of activity in the case of Business Accounts)
  ( In the case of foreign passport holders, give the reason for opening the account in the foreign jurisdiction)

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6.Source of funds :
     Expected source and nature of credits into the account
        Sales and business turnover                                        Contract proceeds                                                  Sale of Property/Assets
        Family remittances                                                 Donations/Charities (Local/Foreign)                                Gift
        Commission income                                                  Salary/Profit/Professional Income                                  Membership Contribution
        Export Proceeds                                                    Investment Proceed                                                 Others (Specify)
       7. Anticipated Volumes :
              Expected/Usual average volumes of deposits into the account in rupees per month
        Less than 100,000 (App. US$ 1,000)                                                                                 3,000,000 to 5,000,000(app US$ 30,000 to 50,000)
        100,000 to 500,000 (app. US$ 1,000 to 5,000)                                                                       5,000,000 to 7,000,000(app US$ 50,000 to 70,000)
        500,000 to 1,000,000 (app. US$ 5,000 to 10,000)                                                                    7,000,000 to 10,000,000(app US$ 70,000 to 100,000)
        1,000,000 to 2,000,000 (app. US$ 10,000 to 20,000)                                                                 Over 10,000,000 (app. US$ 100,000)
        2,000,000 to 3,000,000(app. US$ 20,000 to 30,000)

Section D – Business Information (in the case of Business & Non Personal Accounts)
 1. Assets owned by the business and their values
          Property/Premises  Rs                                                                                 Investments      : Rs                     Rs
          Motor vehicle       Rs                                                                                Others (Specify) : Rs                     Rs
          Financial Assets    Rs

 2. Major Customers/Suppliers & Other Connected Parties

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   Customer Signature …………………………. /……………….……../……………………………../…………………………….
   Date …………………

				
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