Account Opening Form

1 Account Info

2 Business Details

3 Owner Details

4 UBO & KYC

5 Services & Mandate

6 Reference & Submit

Account Information

Please select the appropriate account type and provide required details.

Applicant Type

Sole Proprietor

Company

Individual

Account Type

Current Account

Fixed Deposit Account

Savings Account

Currency

Purpose of Account

Account No. (For official use only)

Branch

Company / Business Details

Please provide complete business registration and operational details.

Company / Business Name

Certificate of Incorporation / Registration No.

Jurisdiction of Incorporation / Registration

Date of Incorporation / Registration

Parent Company's Country of Incorporation

Certificate to Commence Business

Source of Funds

Type / Nature of Business

Sector / Industry

Operating Business Address

Email Address

Phone Number (1)

Phone Number (2)

Tax Identification Number (TIN)

Annual Turnover

GHS 0 – 9,999

GHS 10,000 – 49,999

GHS 50,000 – 99,999

GHS 100,000 and above

Proprietor / Individual Details

Please provide complete personal identification and contact information.

Surname

Other Name(s)

Date of Birth

Gender

Male

Female

Mother's Maiden Name

Nationality

Residence Permit No.

Means of Identification

ID Number

ID Issue Date

ID Expiry Date

Place of Issue

US Citizen?

Yes

Residential Address

Nearest Landmark

City / Town

Region

Phone Number (1)

Phone Number (2)

UBO Declaration & KYC Information

This section must be completed by one of the shareholders or directors.

Company Name

Declaration of Ultimate Beneficial Owners (UBOs)

I/We declare the above company is ultimately owned by the following listed entity/ies:

Company Name	Address of Registered Office	% of Shares in Company

Disclosure to Credit Reference Bureaus

The Bank will obtain information about you from credit reference bureaus to check your credit status and identity. The bureaus will record our enquiries which may be viewed by other institutions that perform credit checks. The Bank may also disclose your credit transactions to credit reference bureaus in accordance with the Credit Reporting Act, 2007 (Act 726).

I acknowledge and agree to the above disclosure

General Declaration

I/We hereby apply for the opening of account(s) with the Bank. I/We understand that the information given herein and the documents supplied are the basis for opening such account(s) and I/We therefore warrant that such information is correct. I/We further undertake to indemnify the Bank for any loss suffered as a result of any false information or error in the information provided to the Bank.

I agree to the terms of this declaration

KYC Risk Profile

Low

Medium

High

Authority to Debit Account for Search Fee

To:

Dear Sir,

AUTHORITY TO DEBIT OUR CURRENT ACCOUNT FOR SEARCH FEE

We hereby authorize you to debit our account with the applicable charges for the legal search conducted on our account at the Registrar General's Department or relevant agency / authority.

Thank you.

Yours faithfully,

Authorised Signature of Customer / Representative

Please sign on a plain white sheet of paper and submit via WhatsApp after form submission.

IMPORTANT: After submitting this form via WhatsApp, you must send a clear photograph of your signed signature on a plain white sheet of paper, along with a clear photograph of your Ghana Card (ID) to the same WhatsApp number.

Authorised Signature of Customer / Representative

Please sign on a plain white sheet of paper and submit via WhatsApp after form submission.

Is the Applicant a Politically Exposed Person (PEP)?

Yes

Reference & Final Submission

For applicants without an existing bank account — referee must be employer or account holder with acceptable bank.

Reference Form

Referee Name

Referee Address

Name of Applicant

The above named Individual(s)/Person(s) wishes to open a current Account with you. They are well known to us/me and we/I consider them as suitable to maintain a current account with you.

The Applicant(s) signs / sign thus

and we/I witness their signature(s) as being correct

Please sign on a plain white sheet of paper and submit via WhatsApp after form submission.

Referee's Bank Name

Referee's Account No.

Referee's Bank Branch

Signature of Referee

Please sign on a plain white sheet of paper and submit via WhatsApp after form submission.

Bank Verification Section

Referee's Bank

Branch

We hereby verify and confirm our client's signature(s) hereon correct/irregular.

Signed and Stamped by Authorised Signatory

Please sign on a plain white sheet of paper and submit via WhatsApp after form submission.

Account Opening Form

Account Information

Company / Business Details

Proprietor / Individual Details

UBO Declaration & KYC Information

Disclosure to Credit Reference Bureaus

General Declaration

Authority to Debit Account for Search Fee

PEP Details

Account Services & Mandate

Account Opening Mandate

Signatory A Details

Reference & Final Submission

Reference Form

Bank Verification Section