Singapore SGP · Individual Club / Association / Society Sole Proprietorship Trust Partnership HUF...
Transcript of Singapore SGP · Individual Club / Association / Society Sole Proprietorship Trust Partnership HUF...
Please select the country where you wish to open an account.
Singapore (SGP)
CURRENT ACCOUNT
FIXED DEPOSIT ACCOUNT
ASSOCIATION ACCOUNT
PARTNERSHIP ACCOUNT
SOLE PROPRIETOR's ACCOUNT
Please select the type of account below.
India (IND)
Indonesia (IDN)
Vietnam (VNM)
Philippines (PHL)
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free
46characters
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68characters
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35characters
free
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140characters
free
46characters
23characters
6characters
14characters
23characters
23characters
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23characters
free
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5characters
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140characters
15characters
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
page1
DATE
Account Opening Application FormCurrent Date
Company Name
Registered Address
Registered NameSGP
Company Name
Registration No.
Account Name
IND
SGP
IND
MYS
IDN
VNM
PHL
Other Common names used
Registration No.
PAN Number
IEC No.
SEC No.
FULL NAME OFCOMPANY
Account Name in English
MYSRegistration No.
NAMEIDN
SHORT NAME
ACCOUNT HOLDER
VNM
Abbreviation name
NAME OF DEPOSITOR
PHLTAX IDENTIFICATION
No.US TAX IDENTIFICATION
No.
SGPCountry
IND
City / State
Pin Code
Country
Tel No.
Fax No.
Mobile No.
Contact Person
Designation
MYS Tel No.
Fax No.
IDN
Postal Code
City: SubDistrict: District: Province:
Country
VNM
Details Account
31
Tel No.
23characters
6characters
14characters
23characters
23characters
23characters
23characters
23characters
free
free
free
5characters
free
15characters
15characters
6characters
15characters
free
140characters
free
free
21characters
free
For Current Account free
free
free
free
46characters
free
free
free
free
free
free
free
y y y yd d m m
y y y yd d m m
y y y yd d m m
y y y yd d m m
y y y yd d m m
PHL
Business Phone No/s˜
Mobile No.
Fax No.
US. Phone Number
U.S. PermanentBusiness Address
page2
Account Opening Application Form
Mailing Address
Registered Address
Type of Currency
Type of Account
Date of Birth/ Incorporation
City / State
IND
Pin Code
Country
Tel No.
Fax No.
Mobile No.
Contact Person
Designation
MYS
IDN
Postal Code
Country
Tel No.
Fax No.
VNM
PHL
Tel No.
Fax No.
MYS
VNM
IND
SGP
MYS
IDN
VNM
IND Place of IncorporationDate of Commencement of
BusinessDATE ESTABLISHED & OUTLINE OF HISTORYMYS
IDNPlace of Establishment
PHL Place of Incorporation
Date of Registration
Details Account
32
SINGLE FOREIGN CURRENCY MULTI CURRENCY/
INR USD EUR JPY
USD JPY EUR SGD HKD AUD
IDR USD JPY Others ( )
Ext.
For Foreign Currency Account
For Foreign Currency Account
Capital Account DICA / IICA / Other ( )
Account ordinary / Offshore loan / Other ( )
Account USD JPY VND Others ( )
Capital Account USD JPY VND Others ( )
City: SubDistrict: District: Province:
free
free
free
23characters
free
free
free
free
free
free
free
free
free
free
free
page3
Account Opening Application Form
Type of Entity
Nature of Business
Residency status
IND
MYS
IDN
VNM
PHL
IND
MYS
IDN
VNM
PHL
Nature of Industry IND
MYS
IDN
VNM
PHL
Details Account
Holding/Parent Company
Name
Detail explanationfor the Business Line
IND
BranchIND
BranchVNM
Nature of Business
Registered address
Correspondence address
Contact Person
freeDesignation
Tel No.
Mobile No.
Fax No.
NameIDN
country of establishment
Holding/Parent Company
33
Branch to open your Current Account
Branch of a Head office?
Branch to open your Current Account
RCC (Resident Control)
Manufacturing Retailer / Stockist Finance / Investment Consultant / ProfessionalExport / Import Wholesaler Service Provider Commission Agent / Broker TradingLottery Antique Dealer Arms and Ammunition Bar / Night Club / CasinoLawyers, Notaries Chartered Accountant / CPA Dealer in precious metals / stonesReal Estate Agent Money exchanger Others (Please specify) ( )
Agriculture / Farming / Fishing / Forestry Mining Manufacturing Electricity / Gas / WaterConstruction Hotel and RestaurantExport / Import Distribution Retail
ConsultingTransportation / Freight Forwarding Travel Agency Real EstateFinance / InsuranceHealthcare / Medical Others (Describe)Education Telecommunication
Individual Club / Association / Society Sole Proprietorship Trust Partnership HUFPrivate Limited Company Foreign Company – Branch office / Liaison office / Project officeLimited Company Public Sector / Government Entity Embassy / High CommissionOthers (Please specify) ( )
Consulting EducationConstruction Engineering Financial InstitutionFood & Beverages Manufacturing Marine Medical / PharmaceuticalProfessional Practice Others, please specify ( )
Corporation Partnership Treasurer-In-Trust For In-Trust ForRepresentative / Branch Office Joint Venture Project AccountNon-Resident Corporation / Partnership Others, please specify ( )
PT CV Firm Foundation Joint Operation Representative OfficeOthers (describe) ( )
For Current Account
Corporation Representative Office Project others ( )
For Foreign Currency Account
EPE Non-EPE
Limited Company (Resident) Limited Foreign Co Limited Foreign Co (Non-Resident)Partnership Sole Proprietorship Association
Limited Company Partnership Sole Proprietorship Association
Engineering / Architectural Firm Food Products Power / Electricity IT Software / HardwareGems / Jewellery Retailing Commodities Hotel / Restaurant ShippingConstruction / Real Estate Chemicals Textile Electronic Goods Leather TimberFinancial Services Metals Transport / Logistics Others (Please specify) ( )
NRCC (Non-Resident Control)
Resident Non-Resident
Resident Non-Resident
Yes
Ho Chi Minh City Branch Hanoi Branch
No
COMPANY ACCOUNT
MUFG Bank, Ltd.,Singapore Branch
A/C NO:......................................
Registered Name
Yours faithfullyRegistration No.
DPCA DF (04/19)
Attendedby
Approved by
MANAGEMENT MANAGER
We request you to open a ................................................................... (Type of Currency) current account for and in the
name of ............................................................................................................................................................ a company
incorporated in ............................................................................... and having a registered office at ................................
..................................................................................................................................... Tel No ...........................................subject to the Terms and Conditions Relating to the Operation of Current Accounts and furnished all documents required.
We also request you to pay all cheques purporting to be drawn on our behalf provided that the same are signed by signatories accordingly to the resolution provided.
You are to debit all cheques drawn as above to our account, whether the same be in credit or not. We agree that in the absence of any special arrangement you are not to be bound to honour any cheque, if our account is not sufficiently in credit to meet it.
You will be advised in writing of all changes in the above procedure.
We accept and acknowledge the Terms and Conditions Relating to Operation of Current Accounts (“T&C”) and confirm that we have read, understood and agree to abide and be bound by the T&C (including any alterations, amendments or additions thereto as may be made by you from time to time).
Deposit Insurance SchemeSingapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$75,000 in aggregate per depositor per Scheme member by law.
Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.
Dear Sir/Madam,
........................................Date
..............................................................................Authorised Signature & Impression ofCompany Stamp (if applicable)
MUFG Bank, Ltd.,Singapore Branch
Applicable for Personal Fixed Deposit Account Application
INTRODUCER’S DECLARATION
A/C No:.......................................
Yours faithfully,
DPFD DF (04/19)
Attendedby
Approved by
MANAGEMENT MANAGER
I/We ..................................................................................................................... wish to open the above stated account subject to your Terms and Conditions Relating to Fixed Deposit Accounts.
I/We accept and acknowledge the Terms and Conditions Relating to Fixed Deposit Accounts (“T & C”) and confirm that I have read, understood and agree to abide and be bound by the T&C (including any alterations, amendments or additions thereto as may be made by you from time to time).
For Corporate Account Only
Registered Name: ...............................................................................................................................................................
Registration No. ..................................................................................................................................................................
Registered Address: ...........................................................................................................................................................
Tel No. .........................................................................................................
I/We ................................................................................... of ...........................................................................................(Company Name, if applicable) have read the above letter and declare that I/we know the applicant and that he/sheis a fit and proper person to open an account with you.
Deposit Insurance SchemeSingapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for upto S$75,000 in aggregate per depositor per Scheme member by law.
Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.
Dear Sir/Madam,
........................................Date
..............................................................................Authorised Signature & Impressionof Company Stamp (if applicable)
........................................Date
.........................................................Signature(s)
FIXED DEPOSIT ACCOUNT
ASSOCIATION ACCOUNT
A/C No:...........................................
MUFG Bank, Ltd.,Singapore Branch
Dear Sir/Madam,
We request you to open a current account for and in the name of ........................................................................................ .
subject to Terms and Conditions Relating to the Operation of Current Accounts and furnished all documents
required.
We authorise you to pay all cheques purporting to be drawn on our behalf provided that the same are signed in
accordance with the resolution provided.
You are to debit all cheques drawn as above to our account, whether the same be in credit or not. We agree that in
the absence of any special arrangement you are not to be bound to honour any cheque, if our account is not sufficiently
in credit to meet it.
You will be advised in writing of all changes in the above procedure.
We accept and acknowledge the Terms and Conditions Relating to Operation of Current Accounts ("T&C") and confirm
that we have read, understood and agree to abide and be bound by the T & C (including any alterations, amendments
or additions thereto as may be made by you from time to time).
Yours faithfully,
Date .................................... Authorised Signature & Impression ofAssociation Stamp (if applicable)
Approved by Attendedby
MANAGEMENT MANAGER
DPAA(04/19)
Deposit Insurance SchemeSingapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$75,000 in aggregate per depositor per Scheme member by law.
Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.
PARTNERSHIP ACCOUNT
Dear Sir/Madam,
A/C No :.............................................
MUFG Bank, Ltd., Singapore Branch
We request you to open a current account for and in the name of ......................................................................................... subject to the Terms and Conditions Relating to the Operation of Current Accounts and furnished all documents required.
We are a partnership firm carrying on business at ............................................................................................................... ..
as .............................. ................and we declare that we the undersigned .............................. .............................................. .
request and authorise you to pay all cheques purporting to be drawn on our behalf signed by........................................... .....
........................................ .............................................whose specimen signatures are furnished herewith.
We have agreed that... ............................ ........................................ ...............shall have power to authorise any person or persons whether or not a partner to draw, sign, endorse and negotiate cheques, telegraphic transfers, drafts, bills of exchange and other negotiable instruments on our behalf and generally to operate on our account with you with power to overdraw and we hereby acknowledge and hold ourselves liable thereon in the same way as if the same were signed by us.
We agree that no alteration in the constitution of the partnership or partner by death or the retirement of admission of one or more new partners or otherwise shall affect in any way this authority.
We hereby instruct you to debit all cheques drawn as above to our account, whether the same is in credit or otherwise. We agree that in the absence of any special arrangement you are not to be bound to honour any cheque if our account is not sufficiently in credit to meet it.
The above instruction shall remain in force until you receive written notice altering or rescinding the same.
We accept and acknowledge the Terms and Conditions Relating to Operation of Current Accounts ("T&C") and confirm that we have read , understood and agree to abide and be bound by the T&C (including any alterations , amendments or additions thereto as may be made by you from time to time).
Yours faithfully,
Date Signatures & Impression of Partnership Stamp
INTRODUCER'S DECLARATION
I/We ...................................................................................................................................of (Company Name, if applicable)have read the above letter and declare that to my/our own personal knowledge the statements concerning the above-mentioned partnership and as to the signatories being partners therein are true and that the above-mentioned partnershipand the partners are respectable.
Date...................................Authorised Signature & Impression ofCompany Stamp (if applicable)
DPPA(04/19)
Approved by Attendedby
MANAGEMENT MANAGER
Deposit Insurance SchemeSingapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$75,000 in aggregate per depositor per Scheme member by law.
Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.
SOLE PROPRIETOR'S ACCOUNT
A/C No:.........................................
MUFG Bank, Ltd., Singapore Branch
Dear Sir/Madam,
I request you to open a current account for and in the name of ........................................................................ ............. .
subject to the Terms and Conditions Relating to the Operation of Current Accounts and furnished all documents required.
I request and authorise you to pay all cheques purporting to be drawn by me on my account, and you are to debit all
cheques so drawn to my account whether the same is in credit or otherwise. I agree that in the absence of any special
arrangement you are not to be bound to honour any cheque, if my account is not sufficiently in credit to meet it.
I accept and acknowledge the Terms and Conditions Relating to Operation of Current Accounts (" T&C ") and confirm
that I have read, understood and agree to abide and be bound by the T&C (including any alterations, amendments or
additions thereto as may be made by you from time to time).
Yours faithfully,
Date .................................... Signature & Impression of Company Stamp
INTRODUCER'S DECLARATION
I/We.......................................................................... of..............................................................................................
(Company Name ii applicable) have read the above letter and declare that I/we know the applicant, that he/she is the sole proprietor of the above company and that he/she is a lit and proper person to open an account with you.
Date............................... ..................................Authorised Signature & Impression of Company Stamp (if applicable)
DPSPA(04/19)
Approved by Attendedby
MANAGEMENT MANAGER
Deposit Insurance SchemeSingapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to S$75,000 in aggregate per depositor per Scheme member by law.
Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.
______________________
Details of Account :
o unication Details :
Registered Address
Pin Code Country
e it Code
it Code
o i e
i
Contact Person
esi nation o Contact Person
Correspondence / Mailing Address
City tate
Pin Code Country
e it Code
a it Code
o i e
ai
Contact Person
esi nation o Contact Person
1 of 12
Details of Account :
10. Communication Details :
I/We hereby request MUFG Bank, Ltd.______________________Branch to open my/ our Current Account.
pe of ntit :
ndi idua C u ssociation ociety o e Pro rietors i rust
Partners i Pri ate i ited Co any orei n Co any ranc o ce i ited Co any iaison o ce Pro ect o ce
Pu ic ector o ern ent ntity assy i Co ission t ers P ease s eci y _________________________
ature of usiness :anu acturin etai er toc ist inance n est ent Consu tant Pro essiona
ort ort o esa er er ice Pro ider Co ission ent ro er radin ottery nti ue ea er r s and unition ar i t C u Casino a yers otaries
C artered ccountant CP ea er in recious eta s stones ea state ent oney e c an er
t ers P ease s eci y _________________________
ature of ndustr :n ineerin rc itectura ir ood Products Po er ectricity o t are ard are e s e e ery etai in
Co odities ote estaurant i inConstruction ea state C e ica s e ti e
ectronic oods eat er i erinancia er ices eta s rans ort o isticst ers P ease s eci y _________________________
olding/ arent Co pan :
a e o o din Parent Co any
ature o usiness o o din Parent Co any
e istered address o o din Parent Co any
Corres ondence address o o din Parent Co any
Contact etai s o o din Parent Co any
Contact Person esi nation
e e one it Country Code o i e
ai a it Country Code
Details of Accounts eld it ot er an s Mandator as per R guidelines :
e a icant aintains account s it t e o o in an s
a e o t e an ranc ddress y e o ccount ccount u er
1._______________________ __________________________ _______________ _______________
2._______________________ __________________________ _______________ _______________
3._______________________ __________________________ _______________ _______________
2 of 12
11. Type of Entity :
13. Nature of Industry :
14. Holding/Parent Company :
15. Details of Accounts held with other Banks (Mandatory as per RBI guidelines) :
12. Nature of Business :
Credit acilities it ot er an s Mandator as per R guidelines :e dec are t at e do not en oy credit aci ities it ot er an s any ot er ranc o your an and underta e
to in or t e an in ritin as soon as any credit aci ity is a ai ed ro any ot er an any ot er ranc o your bank.
e dec are t at e en oy credit aci ities it ot er bank s ot er branc es o your bank as er t e o o in detai s
S. No. Nature of Credit Amount Amount utilized Name of the Bank Address of the Bank Account No. Facility etc. sanctioned as on date
nitial a ent Details :A unding C e ue details
Currency ____________ ount _________________ n ords ________________________________________
C e ue o.___________ ated______________ ra n on ank _________________________________________
Branch ___________________________________________ ccount u ber _______________________________Che ue shou d be crossed C Payee dra n ayab e to he Bank o okyo itsubishi td. C ccount
a e and shou d be ro o n account ith other Bank. P ease ensure that si nature s on undin che ue atch ith the s eci en si nature s ro ided to the Bank.
n ard Re ittance
Remitter ____________________________ ddress _________________________________________________
Currency and mount ____________________________________________________________________________
Remittin Bank and Branch ddress _________________________________________________________________
ntroducer Details :
ame o ntroducin customer ___________________________________________________________________
ccount number o the ntroducer ____________________________
e con rm that e maintain an account ith he Bank o okyo itsubishi td.___________________Branch or o er 12 months. e ersona y kno the a icant s detai ed in the ication orm or more than months and con rm his her their identity occu ation and address.
i nature ______________________________________________ ate ith stam i a icab e
Mode of Account peration :
in y ny one oint y s er reso ution attachedither or ur i or Po er o ttorney
ormer or ur i or thers ease s eci y detai s be o under s ecia instructions
ecia instructions ____________________________________________________________________________3 of 12
___________________Branch for over 12 months.
16. Credit Facilities with other Banks (Mandatory as per RBI guidelines) :
18. Introducer Details :
19. Mode of Account Operation :
17. Initial Payment Details :
Details of Directors/ artners :
i nature o uthori ed i natory ies ________________________________________________________________________ith stam
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P P R
R C RP R R
P P R
C R P R P
CR
First Director’s/ Partner’s Details
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome_____________________________
obi e_____________________________
ce _____________________________
a _______________________________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
irector denti cation umber
__________________________________
Third Director’s/ Partner’s Details
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome_____________________________
obi e_____________________________
ce _____________________________
a _______________________________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
irector denti cation umber
__________________________________
Second Director’s/ Partner’s Details
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome_____________________________
obi e_____________________________
ce _____________________________
a _______________________________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
irector denti cation umber
__________________________________
Fourth Director’s/ Partner’s Details
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome_____________________________
obi e_____________________________
ce _____________________________
a _______________________________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
irector denti cation umber
__________________________________
P P R
R C RP R R
P P R
C R P R P
CR
P P C
R C RP R R
P P R
C R P R P
CR
P P R
R C RP R R
P P R
C R P R P
CR
20. Details of Directors/ Partners :
Details of Authori ed Signatories :
ecimen i nature ith stam ecimen i nature ith stam
ecimen i nature ith stam ecimen i nature ith stam
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P P R
R R
P P R
C R P R P
CR
in y Rs.................. n imited
oint y Rs................. n imited
to be si ned oint y ith.......................................................................
ecia nstructions i any
in y Rs.................. n imited
oint y Rs................. n imited
to be si ned oint y ith.......................................................................
ecia nstructions i any
in y Rs.................. n imited
oint y Rs................. n imited
to be si ned oint y ith.......................................................................
ecia nstructions i any
in y Rs.................. n imited
oint y Rs................. n imited
to be si ned oint y ith.......................................................................
ecia nstructions i any
P P R
R R
P P R
C R P R P
CR
P P C
R R
P P R
C R P R P
CR
P P R
R R
P P R
C R P R P
CR
First Authori ed Signator ’s Details:
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome___________ obi e_____________
ce ___________ a ______________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
Third Authori ed Signator ’s Details:
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome___________ obi e_____________
ce ___________ a ______________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
Second Authori ed Signator ’s Details:
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome___________ obi e_____________
ce ___________ a ______________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
Fourth Authori ed Signator ’s Details:
ame _____________________________
ather s ouse ame ________________
__________________________________
esi nation_________________________
ate o Birth________________________
Residentia ddress__________________
__________________________________
__________________________________
Contact details :
ome___________ obi e_____________
ce ___________ a ______________
ai ___________________________
P o.___________________________
Pass ort ri in icense o.___________
__________________________________
P ace o ssue_______________________
ate o ssue________________________
iry ate_________________________
21. Details of Authorized Signatories :
Mode of Account peration ist of Directors/ Partners/ Authori ed Signatories for operating Current Account
s er the Board Reso ution dated .. assed in the Board eetin he d on .. Partnershi eed dated the o o in irectors Partners are authori ed to o erate the Current ccount maintained ith the Bank as er the mandate mentioned be o
Name of Director/ Designation Contact Details Mode of Account Operation SpecimenPartner Telephone Mo ile Signature Fa num er and mail address
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
n addition to the abo e o o in ersons ha e a so been authori ed to o erate the current account as er the Board Reso ution dated .. assed in the Board eetin he d on Po er o ttorney dated Name of Designation Contact Details Mode of Account Operation SpecimenAuthori ed Telephone Mo ile SignatureSignatories Fa num er and mail address
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
in y Rs ................... n imited
oint y Rs .................. n imited to be si ned oint y ith .................... ecia nstructions i any
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Mode of Account Operation- List of Directors/ Partners/ Authorized Signatories for operating Current Account
Nomination Form Form DA n case of ndi idual / Sole Proprietorship Account onl :
es e ant to nominate the ollo in erson.
o e do not ant to nominate.
omination under ection o the Bankin Re ulation ct 1 and Rule 2 1 o the Bankin Com anies omination Rules 1 in res ect o Bank e osits
e nominate the ollo in erson to hom in the e ent o my our death the amount o the de osit s in the account may be returned by he Bank o okyo itsubishi td. ___________________________ Branch .
ominee ame ddress _________________________________________________________________________
______________________________________________________________________________________________
Relationshi ith e ositor s i any ___________ e _____ years ate o Birth
s the nominee is a minor on this date e a oint ame ddress ____________________________________
to recei e the amount o the de osit s in the account on behal o the nominee in the e ent o my our death durin the minority o the nominee. e do hereby declare that hat is stated abo e is true to the best o my our kno led e and belief.
i nature s humb im ression of ccount older s nly in case of ndi idual ole ro rietor
itness ame itness ame
i nature i nature
ddress ddress
ate ate
Notes: humb im ressions must be attested by t o itnesses
ny ariation in or cancellation of the nomination shall be in the rescribed form under the si natures of the e ositor. he Bank recommends that all de ositors a ail the nomination facility. he nominee in the e ent of death of the
de ositor s ould recei e the balance outstandin in the account as a trustee of le al affairs thus hel in in uick and easy settlement.
ndication of Nominee name :
e hereby re uest the Bank to indicate the ominee s name on the statement of account.
e hereby re uest the Bank not to indicate the ominee s name on the statement of account.
i nature s humb m ression of ccount older s nly in case of ndi idual ole ro rietor
7 of 12
22. Nomination Form (Form DA1) [ In case of Individual / Sole Proprietorship Account only ] :
23. Indication of Nominee name :
may be returned by MUFG Bank, Ltd. ___________________________
no our Customer C Details :
Purpose of Account Opening: alary oan Re ayment Business ransactions nter Com any settlement n estment thers lease s ecify ________________________
pected Source of Funds hich shall e credited to the Account : alary Recei ts Business Receipts ncome from n estments ale Proceeds rom Business ners Parent Company thers please specify _____________________________________
rief description of usiness acti ities : ________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
ntit ’s Turno er : mount in R illion es o 1 2 2 1 1 1 1
omestic
mport
port
otal
pected Account Turno er NR : __________ pected Num er of Transactions per ear: ________
pected Account Acti it :
Product er ice otal mount in a re uency Country of Purpose month R in a month Remittance
Cash ithdra als R
Cash ithdra als orei n Currency
Cash eposits R
Cash eposits orei n Currency
ra eller Che ues Purchase ale
s Pay rders Che ues ssued in Clearin
Che ue eposits ocal utstation
Che ue eposits orei n Currency
R C ut ard
R C n ard
orei n ire ransfer ut ard
orei n ire ransfer n ard
ny ther er ices
8 of 12
Know Your Customer (KYC) Details :
Ma or Suppliers : Ma or Customers :
ame Country ame Country
hether etter of Authorit /Po er of Attorne gi en to another person es o
f yes please pro ide P older s name_______________________ ate of Birth ______________________
ddress ___________________________________________ denti cation document ____________________
For Corporate Entities only :
Representati e Director/ E ecuti e ______________________________________________________he hi hest rankin of cer ho is empo ered to commit the corporation le ally e. . C Chairman President ana in irector
hether the Company is listed in Stoc E change es of yes please mention the name of the tock chan e s ____________________________________________
Share holding pattern of the Company
ame oldin Country isted in tock chan e on isted
n case the shareholder holding or more share as stated a o e is Non isted Company please mention the shareholding pattern of such Non isted Company
ame oldin Country isted in tock chan e on isted
9 of 12
For Corporate Entities only :
ltimate ene cial O ner O :
. n case of corporate entities the bene ciary o ner is de ned as the natural person s ho ultimately o n or control le al entity directly indirectly throu h a shareholdin or otin ri hts of 1 or more.
B. n case of foundations and trust hich administer and distribute funds the bene cial o ner is any natural person ho recei es the bene ts of 1 or more of the property assets or income of the le al entity.
hether carryin out transactions for a client es o
f es please specify the relation and also ll the B orm ltimate Bene cial Customer
B here refers that you are maintainin or propose to maintain the account for the bene t of other person
ctin as formation a ent of le al person s
ctin as or arran in for another person to act as a irector or ecretary of a Company.
ctin as or arran in for another person to act as a Partner of a Partnership.
ctin as or arran in for another person to act as a rustee of an press rust.
ctin as or arran in for another person to act as a nominee shareholder of another person.
ny ther Please pecify _____________________________________________________
ltimate ene cial O ner O Form for Corporate Entities :
1. ull e al ame of the ntity __________________________________________________________________
2. umber of ltimate Bene cial ners ___________________________________________________________
3. Please list the names and o nership percenta e attached supportin documentation
Customer ype irst ame ast ame ntity ame nership Country of Residence
upportin ocuments hare Re ister emorandum and rticles of ssociation udited nnual Report Copy of denti cation ocuments to con rm name address and date of birth of indi iduals mentioned abo e
ltimate ene cial O ner O Form for other than Corporate Entities :
1. ull e al ame of the Customer _________________________________________________________
2. umber of ltimate Bene cial ners _____________________________________________________
3. etails of ltimate Bene cial ners please submit respecti e identi cation proof
ame ddress ate of Birth
10 of 12
FORE N E C AN E MANA EMENT ACT FEMA :
e hereby declare that the transactions relatin to forei n e chan e routed throu h your Bank do not in ol e and are not desi ned for the purpose of any contra ention or e asion of the pro isions of the aforesaid ct or of any rule re ulation direction or order made here under. e also hereby a ree and undertake to i e such informationdocuments as will reasonably satisfy you about the transactions in terms of the above declaration.
A T OR T FOR CO ECT ON OF C E ES/DRAFTS/DOC MENTS : e may have occasion from time to time to hand over to you for collection or ne otiation Che ues rafts or Bills of
chan e with or without documents attached and e hereby a ree to your forwardin the same to your a ents for the time bein for collection or ne otiation. n the event of your havin no independent collectin a ent at any centre
e hereby authori e you to send che ues drafts etc. by mail directly to the drawee bank itself.e a ree and undertake to hold you harmless free from any responsibility and indemni ed for any loss suffered by you
in handling this business or transactions due to any cause whatsoever including delay in transit presentation, payment or default by your agent. n addition to your ordinary rights as holder of such Che ues, rafts or Bill of change, you are authori ed to accept in payment thereof a banker s che ue or banker s che ues payable at your station or at other places and in the event of such che ue s not being paid on presentation to debit the amount to our account with all charges incurred thereon.
e con rm that you can present Bills and receive the amount in respect thereof in accordance with the usage of the place where the Bills are made payable. t is understood that these transactions are in all respects at my our entire risk and responsibility.
CUSTOMER DECLARATION :
e hereby acknowledge that e have received, read and understood the Bank s prevailing erms, Conditions and Rules overning eposit ccount and chedule of ees and Charges relating to the above account being opened by me us.
e agree to abide by the same as amended from time to time and further agree to abide by any additional terms and conditions governing any facilities, products and or services offered by the Bank as e may apply for and or utili e from time to time.
e agree to abide by the rules provisions as prescribed by the Reserve Bank of ndia from time to time.e hereby con rm having opted chosen to get tatement of ccount monthly periodically issued by the Bank pertaining
to the ccount to be opened pursuant to this pplication.e also con rm not to commence or undertake any activity transaction which is not permissible under the prevalent
oreign irect nvestment Policy or any other applicable Policy or guidelines of the overnment of ndia Reserve Bank of ndia save and e cept after obtaining speci c prior approval from the concerned authorities under advice to the Bank.
e hereby con rm and declare that in relation to any ransaction, ealing s , Credit including advise or con rmation of the same, the obligations of the Bank shall be subject to the condition that the terms thereof including any document or drafts do not contain state or mention, including without limitationi ny countries, organi ations, entities, or individuals under any law relating to any sanction parties listed under
nited ation, uropean nion, nited tates of merica, apan ndia and other uthoritiesii ny goods of origin from sanction countries listed under nited ation, uropean nion, nited tates of merica,
apan, ndia and other uthoritiesiii ny prohibited goods under the list of nited ation, uropean nion, nited tates of merica, apan, ndia and
other uthoritiesiv ny place of loading, place of discharge, or place of transhipment under the list of nited ation, uropean nion,
nited tates of merica, apan, ndia and other uthorities and orv ny vessel or carrier relating to any sanction parties listed under nited ation, uropean nion, nited tates of
merica, apan, ndia and other uthorities.I/We shall maintain the minimum balance requirement as applicable at all times and the Bank shall levy prescribed charges in case of non-maintenance of minimum balance. In case of change of mailing address and other contact details, the same shall be communicated to the Bank in writing.t is understood that the above account will be opened on the basis of the statements, declarations made by me us and
e represent that the information provided by me us in this application form and in any other document s provided by me us to the Bank is true, accurate and complete.
e acknowledge that the Bank may decline my our application without providing any reason in which event no contractual relationship will arise between the Bank and me us.
_________________________________________ignature of uthori ed ignatory ies with stamp
11 of 12
FOREIGN EXCHANGE MANAGEMENT ACT, 1999 (FEMA) :
AUTHORITY FOR COLLECTION OF CHEQUES/DRAFTS/DOCUMENTS :
CUSTOMER DECLARATION :
For an use only :
1. Customer ame ________________________________________________________
________________________________________________________
2. hort ame ________________________________________________________
3. orting nde ________________________________________________________
. egal ddress ________________________________________________________
________________________________________________________
. ail ddress ________________________________________________________
________________________________________________________
. Postal Code ________________________________________________________
. apanese on apanese _____________________________________________
Staff Con rmation for Account Opening :
, _________________________________, an employee of he Bank of okyo itsubishi , td. ________________________
Branch, ndia and working as _________________________________________________, con rm that have met in person
r. s. _______________________________ of ________________________________________________________________ ame of Customer Company irm ntity .
have provided the customer a copy of the erms Conditions , chedule of ees Charges and obtained duly lled in Current ccount pening pplication orm along with the re uired documents from the customer.
ignature of ccount f cer ___________________________ ame _________________________________ ate _________
Recommended for Account Opening C D/CFD/Deposits :
ccount f cer R anager r. anager
Checked by pproved by perations f cer enior anager
Compliance Check done
anager enior anager C CC
12 of 12
. Customer Country ______________________
. . . Country ______________________
1 . Residence ______________________
11. ndustry ______________________
12. overeign Private ______________________
13. . . Branch ______________________
1 . B Character ______________________
1 . Competent ivision ______________________
1 . C ist Cycle ______________________
1 . CP ist ______________________
1 . a ______________________
1 . 1 ______________________
2 . 2 ______________________
21. ocal ption 1 ______________________
22. ocal ption 2 ______________________
23. ocal ption 3 ______________________
2 . ptional n uiry 2 ______________________
2 . ptional n uiry 3 ______________________
For Bank use only :
I, __________________________________________, an employee of MUFG Bank, Ltd. ________________________________
ANNEXURE 1 - Declaration y Proprietor of Proprietorship Concern on Firm’s Letter ead
, ________________________________________________________________________________ ame of the Proprietor of
__________________________________________________________________________________ Residential ddress , do
hereby declare that am the ole Proprietor of _________________________________________________________________ .
rading irm Business ame , and am fully responsible for all of its obligations and liabilities and shall be responsible for all transactions in my account with the Bank or arising out of its operations or otherwise.
declare that in case of any change in the Proprietorship ame and tyle of my business, shall advise the Bank in writing about the same.
con rm and declare that will be responsible liable in respect of all obligations out standings to the said irm named until all such obligations have been li uidated by me or e pressly discharged by the Bank.
ate ____________________ ignature _________________________________________________________________
Place ___________________ ame ____________________________________________________________________
ANNEXURE 2 - UF Declaration to e e ecuted on Stamp paper of pre alent prescri ed alue
e, the undersigned are members of the indu ndivided amily irm which is carrying on business under the name and style of ___________________________________________________________ .
he rst signatory vi __________________________________ is the arta of the oint amily and the other signatories are the adult co parceners of the said oint amily.
e con rm and declare that the business of the oint amily is carried on mainly by the arta as also by the other signatories in the interest and for the bene t of the oint amily.
e also con rm and declare that _________________________ arta is empowered and authori ed to operate upon the bank account s and all transactions entered into and obligations incurred will be binding on us .
e agree and af rm that all claims amounts due to the Bank from the rm shall be recoverable personally from all or any of us as also from the entire family properties of which the rst signatory is the arta including the share of minor co parceners.
e shall keep the Bank informed about any change in the member s of the oint amily that may occur during the currency of the account.
ame of arta________________________________________ ignatures ______________________________________
Name of Adult Co-parceners ignatures
1. ________________________________________________ 1. _____________________________________________
2. ________________________________________________ 2. _____________________________________________
3. ________________________________________________ 3. _____________________________________________
Name and Date of irth of Minor Co-parceners
1. ____________________________________________________
2. ____________________________________________________
3. ____________________________________________________
ANNEXURE 1 - Declaration by Proprietor of Proprietorship Concern [on Firm’s Letter Head]
ANNEXURE 2 -HUF Declaration [ to be executed on Stamp paper of prevalent prescribed value]
ANNEXURE 3 - Partners’ Declaration to e e ecuted on Stamp paper of pre alent prescri ed alue
e, the undersigned hereby con rm and declare that we are carrying on business in Partnership under the name and style of _____________________________________________________________________________________________________ .
nd that our said irm is registered as per the provisions of the ndian Partnership ct with the Registrar of irms __________________________________________________________________________________________________________________ .
ny change in the constitution of the Partnership shall be intimated by us the irm to the Bank in writing.
ll partners of the irm shall be liable to the Bank in respect of all obligations incurred by anyone or more of the partners whether under the signatures of the rm or by the individual signatures of the person s entering into the transaction.
e af rm and declare that presently we are the only partners of the rm and are jointly and severally liable in respect of all transactions entered into with the Bank by anyone or more of us until all our rm s obligations to the Bank are completely satis ed liquidated.
ur irm s liability shall not in any way be affected even if any third party joins in the transaction s as co obligant.
ny acknowledgement s made or given by anyone or more of us in respect of the transactions outstandings shall be binding on all of us for the purpose of aw of imitation.
ate ____________________ ignature _________________________________________________________________
Place ___________________ ame ____________________________________________________________________
ate ____________________ ignature _________________________________________________________________
Place ___________________ ame ____________________________________________________________________
ate ____________________ ignature _________________________________________________________________
Place ___________________ ame ____________________________________________________________________
ate ____________________ ignature _________________________________________________________________
Place ___________________ ame ____________________________________________________________________
ANNEXURE 3 - Partners’ Declaration [ to be executed on Stamp paper of prevalent prescribed value
True Copy of the Resolution of the Board of Directors of the Company Passed on __________________________________
________________________________
______________________________________________________________________________________________________
________________________________________________________________________________________________________
and hereby declares to the Bank that the said investments are within the powers of the Board as required by the provisions of
_________________________________________________________________________________________ be and
Bank at home or abroad or the discounting of any bills endorsed on behalf of the Company by __________________________________________________________________________ and to give instructions with regard to the purchase or sale of
_________________________________________________
MANAGING DIRECTOR
Annexure 4 - Draft of Board Resolution To Be Submitted By Limited Companies (On Company Letterhead)
________________________________
Verification
Place:Note:
Annexure 5FORM NO. 60
[See second proviso to rule 114 B]
(Signature of Declarant)
(Refer Instruction overleaf)
(Refer Instruction overleaf)
Annexure 5FORM NO. 60
[See second proviso to rule 114 B]
Instruction:
Sl. Nature of Document Document Code
Proof of Identity
Proof of Address
Anne ure - Che ue oo Re uisition
ate _________________
he anager,he Bank of okyo itsubishi , td.
ear ir adam,
Please issue me us a cheque book for my our new current account opened with the Bank.
Current Rupee ccount Current ollar ccount Current uro ccount
Please deli er the che ue oo to me / us
Please deli er the che ue oo to the earer hose signatures are attested elo
Bearer s ignature ________________________________
ame of the Bearer _______________________________
ignature of ccount holder s uthori ed ignatory ies with tamp _______________________________________________
Please note n case the cheque book is not collected within a period of 1 days, the Bank reserves the right to dispatch the same at the correspondence address and debit the delivery charges to the account.
I/ e authori e the an to courier the che ue oo at the correspondence address and de it the deli ery charges to my / our Account
_______________________________________________________ignature of ccount holder s uthori ed ignatory ies with tamp
ccount ame __________________________________________
For an Use only
Currency_______________ ccount umber _________________________
Annexure 6 - Cheque Book Requisition
MUFG Bank, Ltd.
Anne ure - Format of Authority Letter to collect documents to e su mitted on letterhead
ate ________________
he anager,he Bank of okyo itsubishi , td.
ear ir adam,
e authori e the following persons whose signatures are attested below to collect all documents pertaining to transactions undertaken with the Bank such as demand drafts, pay orders, ed deposit receipts, bank guarantees, trade nance documents etc.
r. o. ame esignation ignature
e con rm and declare that in case of any loss misplacement or damage caused to any document and or instrument after delivery to the above named nominated designated authori ed representatives, e shall be solely responsible for the same and the Bank shall not be held liable whatsoever and e shall keep the Bank harmless and indemni ed in all respects.
e con rm that this authority letter shall remain valid until otherwise noti ed by me us.
hanking ou,
ours aithfully,
______________________________________________________ignature of uthori ed ignatory ies with stamp
ccount ame __________________________________________
Annexure 7 - Format of Authority Letter to collect documents ( to be submitted on letterhead)
MUFG Bank, Ltd.
NEEMRANA BRANCH : G-47, RIICO Industrial Area, Neemrana, District Alwar, Rajasthan - 301 705 Tel.: 91-1494- 670 800
NEW DELHI BRANCH : 5th Floor, Worldmark - 2, Asset 8, Aerocity, New Delhi - 110 037 Tel.: 91-11- 4100 3456
MUMBAI BRANCH : 15th Floor, Hoechst House, 193 Vinay K. Shah Marg, (Backbay Reclamation) Nariman Point, Mumbai - 400 021 Tel.: 91-22- 6669 3000
CHENNAI BRANCH : “Seshachalam Centre”, 6th & 7th Floor, Door No.636/1, Anna Salai, Nandanam, Chennai - 600 035 Tel.: 91-44- 4560 5800, 4560 5900
BENGALURU BRANCH : Unit No 701, 7th Floor, World Trade Center, Brigade Gateway Campus, 26/1, Dr. Rajkumar Road, Malleshwaram, Bengaluru - 560 055 Tel.: 91-80- 6758 0000
OPENING ACCOUNT APPLICATION
(CORPORATE)(PERUSAHAAN)
NAME :NAMA PEMILIK REKENING
SHORT NAME :NAMA PENDEK
ACCOUNT CURRENCYJENlS MATA UANG REKENING
BRANCH / SUB-BRANCH :CABANG / SUB-CABANG
TIDAK DIJAMIN LPSDALAM HAL NASABAH MENERIMA TINGKAT BUNGA MELEBIHI TINGKAT
BUNGA LPS(PERATURAN LPS NO.2/PLPS/2010)
DEPOSIT IS NOT GUARANTEED BY LPSIN CASE THE CUSTOMER RECEIVES INTEREST RATE HIGHER THAN LPS
INTEREST RATE(LPS RULE NO.2/PLPS/2010)
OFFICE CODE:KODE KANTOR
ACCOUNT NUMBER :NOMOR REKENING
CIF NO. : NO CIF
:
BANK USE ONLYUntuk Kepentingan Bank
MUFG Bank, cabang Jakarta, suatu institusi perbankan yang telah terdaftar pada dan dibawah pengawasan Otoritas Jasa Keuangan.
MUFG Bank, Ltd., Jakarta Branch, a banking institution which has been registered in and
under observance of Otoritas Jasa Keuangan.
Application Version October 2018/ Aplikasi Versi Oktober 2018
IDR USD JPY
ASD 003-1
MUFG Bank Ltd.
APLIKASI PEMBUKAAN REKENING
:Type of EntityTipe Perusahaan
Postal Code:Kode Pos
Country :Negara
Postal Code:Kode Pos
Country :Negara
Ext.Pswt
Office AddressAlamat Kantor
Detail explanation for the Business LinePenjelasan detail terkait Jenis Usaha
Business Line :Jenis usaha
Mailing AddressAlamat Surat Menyurat
E-mail AddressAlamat E-mail
Phone No.No. Telepon
Facsimile No.No. Faksimili
Is the Customer a Branch of a Head office?Apakah Nasabah merupakan suatu cabang
Head Office's country of establishmentNegara tempat Kantor Pusat didirikan
Name of Head OfficeNama dari Kantor Pusat
Place & Date ofEstablishment :Tempat & Tanggal didirikan
:
:
:
:
:
Annual SalesPenjualan Tahunan
Source of FundSumber Dana
Purpose of FundTujuan Penggunaan Dana
Purpose of OpeningAccount
:
:
:
:
Tujuan Pembukaan Rekening
1. Operational ExpenseBiaya Operasional
2. Salary PaymentPembayaran Gaji
3. Business TransactionTransaksi Bisnis
4. LoanPinjaman
5. ................................
6. ................................
7. ................................
8. ................................
Other Account with the Bank or in other Bank (if any) :Rekening lain dengan MUFG atau pada bank lain (jika ada)
Bank’s nameNama bank
Referee Name :Nama pemberi referensi
; Reference letter dated:Tanggal surat referensi
Currency TypeJenis Mata Uang
USD IDR JPY USD IDR JPY
City:Kota
Sub District :Kelurahan / Desa
District :Kecamatan
Province :Propinsi
City:Kota
Sub District :Kelurahan / Desa
District :Kecamatan
Province :Propinsi
d d m m y y y y
PT CV Firm Foundation Representative Office Others (describe)JointOperation
PLEASE WRITE IN BLOCK LETTERS/Harap ditulis dengan huruf balok
GENERAL INFORMATION Informasi Umum
ACCOUNT INFORMATIONInformasi Rekening
OTHER INFORMATION Informasi Lainnya
Yes No
Up to IDR 50,000,000,000Sampai dengan IDR 50,000,000,000
Agriculture/Farming/Fishing/ForestryPertanian/Peternakan/Perikanan/Kehutanan
MiningPertambangan
Manufacturing Manufaktur
Electricity/Gas/Water Listrik/Gas/Air
ConstructionKonstruksi
Export/ImportExpor/Impor
DistributionDistribusi
RetailRetail
Hotel and Restaurant Hotel dan Restoral
Transportation/Freight ForwardingTransportasi/Pengangkutan Umum
Travel Agency Biro Perjalanan
Real EstatePerumahan
Consulting Konsultan
Healthcare/Medical Kesehatan
EducationPendidikan
Telecommunication Telekomunikasi
Finance/Insurance Keuangan/Asuransi
Others (Describe)Lainnya (Sebutkan)
Capital InjectionInjeksi Modal
Operating IncomePendapatan Operasional
IDR 50,000,000,001 -IDR 250,000,000,000 -IDR 50,000,000,001 - IDR 250,000,000,000
IDR 250,000,000,001 -IDR 1,000,000,000,000 IDR 250,000,000,001 - IDR 1,000,000,000,000
Sponsored or GrantDana Hibah atau Sponsorship
Non-Operating IncomePendapatan Non-Operasional
Business TransactionTransaksi Bisnis
Others (describe)Lainnya (sebutkan)
More than IDR 1,000,000,000,000Lebih dari IDR 1,000,000,000,000
Others (describe)Lainnya (sebutkan)
MUFG Bank Ltd.
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
Article of Associate (AOA)
Under Process Evidence, finished on d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampaidengan
Business Licence(BKPM Approval/SIUP/SIUT, etc)
Under Process Evidence, finished on
d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
Compulsory Registered Company/TDP No.
Under Process Evidence, finished on
d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
Ratification of MOLHR
Under Process Evidence, finished on d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
NPWP (Tax Payer Number)
Under Process Evidence, finished on d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
Others (specify)
Under Process Evidence, finished on d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
Others (specify)
Under Process Evidence, finished on d d m m y y y yd d m m y y y y
Issuing dateTanggal dikeluarkan
Expiry date:;:Berlaku sampai dengan
Others (specify)
Under Process Evidence, finished on d d m m y y y yd d m m y y y y
REQUIRED SUPPORTING DOCUMENTS (PLEASE ATTACH CERTIFIED COPY OF REQUIRED DOCUMENTS)Dokumen-dokumen pendukung yang dibutuhkan (Harap lampirkan copy dari dokumen-dokumen tersebut)
INFORMATION ABOUT THE BOARD OF DIRECTORS / BOARD OF COMMISSIONERS /AUTHORIZED REPRESENTATIVE ***)
Informasi Mengenai Dewan Direktur / Dewan Komisaris / Perwakilan Resmi
INFORMATION ABOUT THE OWNERS / SHAREHOLDERS ***)
Informasi mengenai pemilik / pemegang saham
SERVICE TO BE USEDJenis layanan yang akan digunakan
SERVICENO
1
2
Cash
*) ID Card (KTP) / PassportKartu Tanda Pengenal (KTP) /Passport
**) If in the form of business entity, please attach copy of Article of Association and Business LisenceApabila dalam bentuk entitas, mohon lampirkan fotocopy Anggaran Dasar dan ijin Usaha Perusahaan
***)If the above column given for information of BOD/ BOC/ Auth. Rep and Owners/ Shareholders is not enough, you may add addition form containing those informationApabila kolom yang tersedia untuk informasi BOD /BOC/ Perwakilan Resmi dan Pemilik/ pemegang Saham tidak cukup, silahkan tambahkan formulir format bebas yang memuat informasi diatas
Foreign Remittance
3
4
5
NUMBER OF TRANSACTION / MONTH AMOUNT OF TRANSACTION / MONTH
Name and TitleNama & Gelar
ID Number*Nomor Pengenal
NationalityKebangsaan
Period of AssignmentPeriode Penugasan
valid until:berlaku hingga
valid until:berlaku hingga
valid until:berlaku hingga
valid until:berlaku hingga
valid until:berlaku hingga
*ID card (KTP)/Passport*Kartu Tanda Pengenal (KTP)/Passport
NameNama
ID Number*Nomor Pengenal
Number of SharesJumlah Saham
% Ownership% Kepemilikan
Country of ResidenceNegara tempat tinggal
Nationality / Country of EstablishmentKebangsaan/Negara tempat berdiri
From :
To :
From :
To :
From :
To :
From :
To :
From :
To :
STATEMENTPernyataan
BANK USE ONLYUntuk Kepentingan Bank
d d m m y y y y
DH UH MAKERDH GL RM
GM
DGM
WAIVE OF REFERENCE LETTER
MASTER OF CIF :
ASD 003-1
We hereby state and confirm as follows:Dengan ini Kami nyatakan dan konfirmasikan bahwa :
Authorized RepresentativeName:Title:
[Stamp Duty]
Signature Verified
a. We have received, read, understood and agreed to the terms and conditions of the current account agreement, including any amendment and addendum thereto (hereinafter referred to as “Current Account Agreement”);
Kami telah menerima, membaca, memahami dan menyetujui syarat-syarat dan ketentuan-ketentuan yang tercantum pada perjanjian rekening giro termasuk semua perubahan dan lampiran-lampirannya (selanjutnya disebut sebagai “Perjanjian Rekening Giro”);
b. We agree to abide by the terms and conditions as stipulated in the Current Account Agreement which shall be considered as an integral and inseparable part of this application;
Kami setuju untuk mematuhi syarat-syarat dan ketentuan-ketentuan yang tercantum pada Perjanjian Rekening Giro, yang merupakan bagian yang tidak terpisahkan dari aplikasi ini;
c. We will inform MUFG Bank, Ltd.,_ Branch (the “Bank”) from time to time of any changes on the information provided in this application and submit the related supporting documents;
Kami dari waktu ke waktu akan menginformasikan MUFG Bank, Ltd., Cabang _(”Bank”) atas setiap perubahan dari informasi yang dicantumkan pada aplikasi ini dan akan menyerahkan dokumen-dokumen terkait dengan informasi tersebut;
d. We agree to accept and comply with the terms and conditions prescribed by the Bank with respect to any banking transaction with the Bank; Kami setuju untuk menerima dan mematuhi syarat-syarat dan ketentuan-ketentuan yang ditetapkan oleh Bank atas setiap transaksi perbankan yang dilakukan dengan Bank;e. We cer tify that the information stated in this application together with the supporting documents related to the information are correct
and true. If in the future it is evident that any of the information and/or any of the supporting documents submitted to the Bank are incorrect or not true, the Bank may,at its own discretion, close the account(s) which was opened based on this application.
Kami mengetahui bahwa dari waktu ke waktu, Bank berhak untuk meminta segala informasi dan/atau dokumen tambahan dari kami, dan kami dengan ini berjanji untuk segera memenuhi permintaan tersebut. Bank memiliki hak untuk menutup rekening kami yang telah dibuka jika kami gagal mengkinikan data dan/atau menyerahkan dokumen terkait dengan pengkinian data kepada Bank.
f. We agree that from time to time, the bank has the right to request any additional information and/or documents from us, and we hereby under take to immediately fulf i l l such request. The bank shall have the right to close my account(s) oppened herein if I fail to update my information and/or submit any relevant documents to the bank; Kami Sepakat bahwa dari waktu ke waktu, Bank berhak untuk meminta setiap informasi dan/atau dokumen-dolcumen tambahan dari saya, dan saya dengan ini berjanji untuk dengan segera memenuhi permintaan dari Bank tersebut. Bank berhak untuk menutup rekening(-rekening) saya yang telah dibuka berdasarkan aplikasi ini dalam hal saya gagal untuk mengkinikan informasi dan/atau menyerahkan dokumen apapun sehubungan dengan pengkinian data kepada Bank;g. We certify that, the Bank shall not be liable for any damage(s) and/or consequence(s) resulting from the closure of the account(s) opened herein. Kami menyatakan bahwa Bank tidak bertanggung jawab terhadap kerugian(-kerugian) dan/atau akibat(-akibat) apapun sehubungan dengan penutupan rekening(-rekening) yang dibuka berdasarkan aplikasi ini.h. At all times comply with, or cause to be complied with, all laws, statutes, and rules, regulations, orders and directions of any governmental or judicial authority
applicable to (i) us or our business or assets and/or (ii) the Bank, including but not limited to the applicable internal policy of the Bank and the laws or the regulations or the restrictive measures issued, enacted and enforced by the United States government (including the Office of Foreign Assets Control of the United States Department of Treasury), the Japanese government, the European Union, the United Nations and any other nations and governmental authority related to the prevention of fraud, money laundering, terrorism or other criminal activities or the provision of financial and other services to the sanctioned persons or entities or countries (either directly or indirectly). As a result of our non-compliance, the Bank shall, without any obligation to inform to nor obtain consent from us, terminate or freeze our account(s) that opened with the Bank, also to let the Bank uphold the law enforcement and escalate to any relevant and competent body(ies).
Setiap saat mematuhi, atau mengupayakan dipatuhinya, seluruh undang-undang, perundangan, dan aturan, peraturan, tata tertib dan petunjuk dari setiap otoritas pemerintahan atau pengadilan yang berlaku atas (i) kami atau usaha atau aset-aset kami dan/atau (ii) Bank, termasuk namun tidak terbatas pada kebijakan internal Bank dan undang-undang atau peraturan-peraturan atau aturan-aturan pembatasan yang diterbitkan, diundangkan dan dilaksanakan oleh pemerintah Negara Amerika Serikat (termasuk Office of Foreign Assets Control of the United States Department of Treasury), pemerintah negara Jepang, Uni Eropa, Perserikatan Bangsa-Bangsa dan negara-negara dan otoritas pemerintahan lainnya yang berlaku terkait dengan pencegahan penipuan, pencucian uang, terorisme atau aktivitas-aktivitas kriminal lainnya atau pemberian fasilitas keuangan dan layanan lainnya kepada orang-orang atau entitas-entitas atau negara-negara yang terkena sanksi (secara langsung atau secara tidak langsung). Sebagai akibat dari ketidakpatuhan kami, Bank akan, tanpa adanya suatu kewajiban untuk memberitahu ataupun memperoleh persetujuan sebelumnya dari kami, mengakhiri atau membekukan rekening(-rekening) kami yang dibuka pada Bank, juga memperkenankan Bank untuk menegakkan pelaksanaan hukum dan membawanya kepada badan(-badan) manapun yang terkait dan berwenang.
i. Other matters which are not provided in this application shall be referred to the Current Account Agreement. Furthermore, in the event of any conflict between any provision of such Current Account Agreement and any provisions as set forth in this application, the provision of the Current Account Agreement shall prevail.
Hal hal lain yang tidak diatur dalam aplikasi ini akan dirujuk pada Perjanjian Rekening Giro. Lebih lanjut, dalam hal terdapat pertentangan antara ketentuan manapun dalam Perjanjian Rekening Giro tersebut dan ketentuan ketentuan manapun yang diatur dalam aplikasi ini, ketentuan dalam Perjanjian Rekening Giro akan berlaku.
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(BOD-1006) July 2017
DEPOSIT APPLICATION, AGREEMENT AND INFORMATION SHEET
Corporate Information
Documentary Requirements Submitted
The Bank of Tokyo-Mitsubishi UFJ, Ltd.Manila BranchA member of MUFG, a global financial group
NAME OF DEPOSITOR CIF CODE(For Bank’s Use Only)
TAX IDENTIFICATION NUMBER
Resident
Non-Resident
Residency Date
Construction Engineering Manufacturing Professional PracticeConsulting Financial Institution Marine Others, please specifyEducation Food & Beverages Medical/Pharmaceutical
Date of Incorporation
Place of Incorporation
U.S. Tax Identification No.
Business Fax No./s
E-Mail Address
(Room No./Office Name, Bldg./House No., Street, Subdivision/Barangay, District, Town, City, Province, Country, Postal Code)
(If different from Business Address) (Room No./Office Name, Bldg./House No., Street, Subdivision/Barangay, District, Town, City, Province, Country, Postal Code)
(Mandatory for U.S. Owned Foreign Entity)
SEC No.
Date of Registration
Business Address
Mailing Address
U.S. Permanent BusinessAddress
U.S. Phone Number
Business Phone No./s
Mobile Phone No.
Note: All documents executed outside the Philippines must be notarized and authenticated by the Philippine embassy or consulate in the country where it was issued.All constituted documents should be certified complete, true and exact by the corporate secretary or its equivalent.
Remarks:
TYPE OF ENTITY
SEC Registration CertificateArticles of Incorporation / PartnershipBy-LawsLatest SEC General Information Sheet(GIS)- (If registered for more than a year and already held annual stockholder's meeting per By-Laws)
Update Information Sheet (If GIS is notavailable)
Secretary's Certificate or BoardResolution (notarized)
Valid IDs of all Authorized SignatoriesTax Relief Ruling from BIR (only ifapplicable)
Corporation / Partnership
SEC Registration CertificateCompany or Commercial Registration(translated in English)Articles of Incorporation / Association(translated in English)Special Power of AttorneyLatest SEC General Information Sheet (GIS)(If registered for more than a year)Valid IDs of all Authorized Signatories
Representative / Branch Offff ice
Company or Commercial Registration(translated in English)
Articles of Incorporation/Partnership(translated in English)
Special Power of AttorneyList of Stockholders owning at least 2%Certification from SEC that the Non-Resident corporation is not licensed todo business in the PhilippinesUpdate Information Sheet (If GIS is not applicable)
Written permission or Waiver of Confidentiality allowing the Bank to inform the BIR of their tax exempt status (BIR RR No. 10-98 dated August 25, 1998)
Tax Treaty Application to BIR and filing ofForm 0901 (only if applicable)
Valid IDs of all Authorized Signatories
Non-Resident Corporation/Partnership
From Companies joining the Joint Venture SEC Registration Certificate Articles of Incorporation/Partnership By-Laws Secretary's Certificate of each company naming authorized person to represent them in the Joint Venture
Tax Relief Ruling from BIR (only if applicable))
Valid IDs of all Authorized Signatories
Joint Venture
Authenticated True Copy of Principal Account:
SEC Registration Certificate Articles of Incorporation/Partnership By-Laws Latest General Information Sheet (GIS) Power of Attorney to open Project Account or Board Resolution
Tax Relief Ruling from BIR (only if applicable) Valid IDs of all Authorized Signatories
Project Account
Other Requirements
Proposed Articles of IncorporationValid IDs of the appointed Treasurerand Incorporator/s
Treasurer-in-Trust For
Company or Commercial Registration(translated in English)Articles of Incorporation / Association(translated in English)Special Power of AttorneyValid IDs of all Authorized Signatories
In-Trust For
FATCA Requirements
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For Foreign Financial Institution (FFI)GIIN (Global Intermediary Identification Number)Certification, Consent, Waiver (if Non ParticipatingForeign Financial Institution/Limited Branch)
Others:Note: For other required documents, please refer to
your Relationship Manager
Corporation Joint VenturePartnership Project AccountTreasurer-In-Trust For Non-Resident Corporation /In-Trust For PartnershipRepresentative/Branch Office Others, please specify
NATURE OF BUSINESS
For US Entity: Form W-9 (or substitute)
Cert ification, Consent, Waiver
For Non-U.S. Entity:Form W-8 BEN-E
Certification, Consent, WaiverOthers
MUFG Bank, Ltd.Manila Branch
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Bank Account/s to be enrolled: Password (at least 8 characters)
Each of the person/s listed below is authorized to receive the Electronic Statements for and on behalf of the Company:
Name of Authorized Recipient Email Address
Depositor’s Agreement By signing this form, we hereby certify that the information we provided are true and accurate to the best of our knowledge. We shall notify The Bank of Tokyo-Mitsubishi UFJ, Ltd.- Manila Branch (the "Bank”) in writing of any change in the information supplied in this form.
I/ We have read, understood and agree to be bound by the Terms and Conditions (pages 3 to 4) governing all products, services or facilities rendered / to be rendered by the Bank including all applicable service and maintenance fees. All accounts to be opened under thebusiness name shall be used by the Bank as basis for our banking transactions. We hereby grant full permission to the Bank and its wholly or majority owned affiliates and subsidiaries to access all information relating to our account/s and in compliance by the Bank with theForeign Account Tax Compliance Act (FATCA) due diligence rule. We hereby grant full permission to the Bank to have our financial accounts and all other FATCA prescribed information related to the accounts disclosed and reported to the relevant Philippine authority/agency and/or to the U.S. Internal Revenue Service (IRS), as required under the FATCA.
Signature over Printed Name of the Authorized Signatory / Date Signature over Printed Name of the Authorized Signatory / Date
For Bank‘s Use Only
DH DGMMaker/Officer SignatureVerified DH AO
BOD CBD
E-STATEMENT SERVICE
(For Bank‘s Use Only)Confirm Test Email
Received Approved: Processed:AO Officer Maker
By signing this form, we hereby certify that the information we provided are true and accurate to the best of our knowledge. We shall notifyMUFG Bank, Ltd.- Manila Branch (the "Bank”) in writing of any change in the information supplied in this form.
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1. Depositor’s Capacity to Open an Account: The Depositor represents that the Depositor is freefrom any legal disabilities when opening an account.
2. Operation and Maintenance of Accounts: For Joint (and) accounts, the signature of all account holders is required to operate the account. Joint (and/or) accounts automatically vest full authorityon one Depositor to do whatever he so desireswith the funds without the consent of the other Depositor/s.
3. Mode of Deposit: The Bank shall only accept cash and check deposits after verification. Checks will be accepted on collection basis and may be withdrawn only after the prescribed clearing period. The Bank may charge back any defectiveor lost items credited to this account regardless of time that has elapsed whether or not the item itself can be returned. No second endorsed check isallowed for deposit.
4. Filling up of Deposit Slips: The Depositor agrees to accurately fill up the appropriate deposit slip/s and shall hold the Bank free and harmless of any liabilities for losses caused by any and allinaccuracies in filling up the deposit slip/s.
5. Acceptance of Deposit Slips and Checks: The Bank shall honor withdrawal slips for savingsaccount upon presentation of a duly accomplishedwithdrawal slip. Only checks/withdrawal slips containing signatures in ink or other means of writing with a character of permanence shall be honored.
6. Declining an Account Opening: The Bank may decline to open any account for the Depositor. Nocontractual relationship will arise between the Depositor and the Bank in relation to or as a result of any Account Opening Form which is declined by the Bank.
7. Rules Applicable to Checks: Issuance of checks shall be governed by the rules and regulations imposed by the Philippine Clearing House Corporation (PCHC) and the Bangko Sentral ng Pilipinas (BSP).
8. Dormancy of Accounts: Accounts become dormant if there have been no transactions for two (2) years for savings accounts and one (1) year for current accounts. Moreover, accounts dormant for ten (10) consecutive years shall be escheated in favor of the Treasurer of the Philippines. In case of dormancy fee, if any, the Depositor shall be informed by registered mail with return card on hislast known address at least sixty (60) days prior to the imposition of dormancy fee. The Bank is authorized to close dormant account/s with zero balance after giving the Depositor a one-monthprior notice.
9. Pledge or Assignment of Deposit: The Depositor shall advise the Bank in writing of its intention to assign or pledge deposits as collateral for an obligation by accomplishing a Deed of Assignment form. The Depositor undertakes to comply with the requirements, which the Bank shall impose for such assignments or pledge.
10. Set-off: The Bank shall have a lien and authorityto set-off against the balance of the Depositor any obligation due to the Bank or any of its subsidiaries and affiliates.
11. Interest Rates: Interest rates shall be computedon the basis of the Average Daily Balance (ADB) at month-end and credited to the account on thefirst day of the following month.
12. Fees and Charges: The Bank is authorized to debit the Depositor's account/s for any applicable service charges, maintenance fees, penalties and cost of check booklet/s. However, any change in the terms and conditions for the imposition of service charges and/or maintenance fees, (e.g.,increase in the required minimum monthly ADB of deposits), shall take effect only after due notice to the Depositor; Provided, that information byregular mail, statement of account messages,electronic mail, courier delivery and/or other alternative modes of communication on the Depositor's last known address at least sixty (60)days prior to implementation shall be consideredsufficient notice; Provided further that, failure of the Depositor to manifest or register the Depositor’s objection to the new service chargesand maintenance fees or any change in their terms and conditions in writing within thirty (30)days from receipt of written notice of amendmentshall be deemed to constitute acceptance of suchchanges.
13. Stop Payment Order: Stop payment order shall be made by the Depositor in writing and suchorder will expire on the 180th day of receipt unless otherwise renewed by the Depositor. Revocationshall be in writing if the stop payment order is to belifted prior to the 180-day period.
14. Reversal of Credits: The Bank may without prior notice to the Depositor cancel, reverse or debit allor part of any credit including interest, if any, paidby the Bank on such credit made in relation to any Deposit:(a) to correct a mistake; (b) where an Account has been credited but the
Bank does not obtain cleared and unconditional funds relating to the relevant non-cash deposit in full or promptly for anyreason;
(c) in relation to a non-cash deposit, where theBank is required to return the money to therelevant payer/drawer or paying bank or other financial institution for any reason; or
(d) where the Bank has reasonable grounds for doing so.
The Bank will notify the Depositor as soon as practicable of any such cancellation, reversal or debit.
15. Right to Refuse Deposit: The Bank reserves the right to refuse to accept deposits or to return anydeposits together with interest due thereon. TheBank shall strictly comply with prohibitions, restrictions and freezing requirements covered byU.S. or U.K. economic sanctions. The Depositor agrees not to make any checks available to anyBlocked Country or Specifically Designated Nationals and that the Depositor will fullyindemnify the Bank on demand against all losses that the Bank may suffer as a result of any violation of this undertaking.
16. Issuance of Statement of Account: A statement of account in electronic form together with theimages of paid checks shall be available to theDepositor. If the Bank does not receive any complaint from the Depositor within ten (10)banking days after the receipt of the eStatement, said eStatement and all transaction therein shallbe considered correct and any claim against the Bank shall be waived. The Bank shall not be held liable for claims of forgery and any other defect on honored checks if not reported within ten (10) days after receipt of statement or thirty (30) daysfrom the date of statement whichever comesearlier.
17. Prior Notice of Withdrawal: For large cash transactions, the Bank reserves the right to refuseany cash withdrawal/encashment or cash deposit from the Depositor if no advance notice is given for the Bank tor at least two (2) banking days.
18. Notification of Change: The Depositor shall promptly notify the Bank in writing of any change of information whatsoever by accomplishing theNotice of Change form.
19. Account Opening Requirements: The Depositor agrees that the Bank shall open the account upon complete submission of all regulatory and bank documentary requirements.By opening the account, the Depositor agrees to be bound by the Bank's policies, together with the terms and conditions stipulated in theseConditions, including all other existing laws and regulations. Should the Bank agree to provisionally open an account pending the completion of the requirements, the Bank reserves the right to unilaterally close the account if the pending requirements are not timelyreceived by the Bank. In any case, the Bank reserves the right to close automatically, freeze or place in an inoperative status any account, should the Depositor fail to submit documents requiredby the Bank even after account opening, or if the Bank has reasonable grounds to believe that the account is being misused, or the individual/entity operating the account was known subsequently topose undue risks to the Bank.
20. Verification of Information: The Bank shall exert efforts in ascertaining the accuracy of the information given by the Depositor in the Account Information Sheet and related documents. Should the Bank have reason to believe that any of the information furnished by the Depositor is false,inaccurate, and erroneous or is otherwise notcapable of verification; the Bank shall have the
right and is authorized to close the account without notice to the Depositor. The Bank shall not be liable for whatever losses or damages thatmay arise against the Depositor as a result of theclosure of the account.
21. Waiver of Secrecy: The Depositor waives the benefits and protection of the Secrecy of Bank Deposits Law (Republic Act No. 1405, as amended) or the Foreign Currency Deposit Act (Republic Act No. 6426, as amended) to the extent deemed in good faith to be necessary or appropriate by the Bank. This waiver shall include Bank inquiries and verification of account or other information provided by the Depositor from allsources the Bank may deem appropriate. TheDepositor will notify each Relevant Data Subject that the Bank may from time to time collect andhold information relating to that Relevant Data Subject and further will obtain the consent of that Relevant Data Subject to the Bank’s use of such information in the course of its relationship with the Depositor (including operating any Account or providing any Service) or for any other reasonable purpose notified by the Bank at any time.
22. Mishandled Accounts: The Bank is authorized to close any account/s even without prior notice in cases said account/s are mishandled by the issuance of unfunded or insufficiently funded check/s, involvement in any fraudulent or illicit activities, overdrawn balance due to service charges/maintenance fees/penalties, and to report such closure and reason/s thereof to theBankers Association of the Philippines (BAP),BSP or to any central monitoring entity or body established by the BAP to keep record of and inform the members of the BAP of suchmishandled deposit account. The Depositor agrees to hold the Bank and its officers andemployees free and harmless from any liabilities,claims and demands of whatever kind or nature in connection with or arising from (a) the closing of account/s and/or (b) the dishonor of any checkhereunder which may be presented to the Bank after the closing of the account/s, and/or (c) thereporting of the closure of account/s and thereasons thereof to the BAP, BSP or to any centralmonitoring entity or body established by the BAPto keep record of, and inform the members of BAP of mishandled account/s.
23. No Liability for Inadvertent Errors: It is understood that in handling the processing of the transactions, the Bank may inadvertently commit errors and therefore shall not be held liable for any such errors
24. Extraordinary Inflation or Deflation of Currency: The Depositor agrees that the provisions of Article 1250 of the Civil Code of thePhilippines shall not be applicable to the depositor's accounts.
25. Printing of Checks: The use of MICR checks printed by or secured from entities other thanthose accredited by the Bank shall constitute a waiver on the part of the drawer/issuer of therights to claim for reimbursement/refund or damage of any kind arising therefrom.
26. Maintenance and Service Charges: With prior notice to the Depositor, accounts whether active or dormant shall be subject to service andmaintenance charges adopted by the Bank. Such charges shall be deducted from the account andthe Bank shall not be liable for the dishonor as a result thereof of checks, drafts, notes or other instruments because of insufficient funds.
27. Anti-Money Laundering Financial Action TaskForce (AML-FATF): The Depositor hereby authorizes the Bank to disclose in the payment order for all outward remittance instructions thefollowing information: The Depositor’s name,address, account number and other mandatoryinformation that may be required by the applicablesettlement systems. In this regard, the Depositor agrees to fully indemnify the Bank or any of its authorized representatives against any damages,costs and expenses, losses or obligations in relation to the implementation of the AML-FATFrecommendations.
28. Deposit Insurance: Deposits are insured by Philippine Deposit Insurance Corporation (PDIC). Maximum deposit insurance per depositor per capacity is Five Hundred Thousand Pesos (P500,000.00) or its equivalent in foreign currency.
TERMS AND CONDITIONS
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SAVINGS ACCOUNT
1. Deposits and interests thereon may bewithdrawn only via withdrawal slip forms suppliedby the Bank at the counter which shall be duly accomplished by the Depositor or by anauthorized representative acting under theauthority of the Depositor.
2. Interest will be at such rates as the Bank mayprovide. Any change in the rate of interest shallbe announced to the Depositor.
3. The Bank requires an ADB not lower than theminimum monthly prescribed by the Bank from time to time. Accounts falling below the minimummonthly ADB shall be subject to prevailingservice and maintenance fees adopted by theBank (please refer to the Bank's Deposit andMaintenance Fees Schedule).
TIME DEPOSIT/ SPECIAL SAVINGS ACCOUNT(SSA)/SUPER YIELD DEPOSIT (SYD)
1. The assignment or transfer of the certificate of deposit shall not be binding on the Bank unless made with the Bank's prior consent in writing.
2. If the time deposit is withdrawn before maturity,the prevailing savings deposit interest rateprescribed by the BANK shall be used as the basis for computation of interest subject topre-termination penalty, if any.
3. Without written notice, if the time deposit is notwithdrawn or renewed on maturity date, it shallautomatically be treated as a regular savingsdeposit and shall earn interest as such from thedate of maturity to the date of actual withdrawalor renewal.
4. Interest earned from the deposit shall be taxedbased on the ceilings prescribed from time totime by law and corresponding Internal RevenueRegulations.
CHECKING ACCOUNT
1. The Bank requires the Depositor to maintain abalance not lower than the minimum ADBprescribed by the Bank from time to time.Accounts falling below the minimum monthlyADB shall be subject to prevailing service andmaintenance fees adopted by the Bank (pleaserefer to the Bank's Deposit and MaintenanceFees Schedule).
2. Checkbooks are furnished by the Bank asrequested in writing by the Depositor. All blankspaces on checks drawn must be properlyaccomplished. The Bank may dishonor checks if signatures do not match with the specimensignature registered with the Bank.
3. No stop payment order, renewal or revocationthereof shall bind the Bank, unless;a. The check/s to be affected are described or
specified correctly in all particulars;b. made in writing ;c. served and delivered directly to any
authorized officer of the Bank.
The Depositor agrees to hold the Bank free andharmless from all liabilities, claims and demands,cost and expenses (including reasonableattorney's fees) suffered or incurred by the Bankarising therefrom, in connection with, or relatingto the Bank's refusing payment in accordancewith such stop payment order and further agreesnot to hold the Bank liable on account of paymentcontrary to order, or on account of non-payment contrary to the revocation of the order for stoppayment if the same occurs throughinadvertence, accident or oversight, or if byreason of the aforesaid payment other itemsdrawn by the Depositor are returned for insufficiency of funds.
4. The Depositor undertakes not to use checksprinted or secured from printers not accredited by the Bank and that the Depositor shall be held responsible and liable for any and all damagesarising from the violation of this undertaking.
5. The Bank shall have the right to shred and dispose off the checkbook/s ordered by theDepositors should the Depositor fail to claim thesame from the Bank within a period of one (1) month from the date the checkbooks are
available, as advised by the Bank. TheDepositor waives any right to be notified by theBank of its intention to shred and dispose off the checkbook/s. Should the client place another checkbook reorder, the Bank shall deliver to theDepositor the checkbooks ordered within aperiod of one (1) month from receipt of noticedemanding delivery of the checkbook/s orderedand authorizes the Bank to debit the Depositor'saccount for the cost of checkbook/s.
6. Unclaimed bank statements for more than three(3) months shall be mailed automatically to thelast known address of the Depositor.
The depositor is understood to have accepted the above Terms and Conditions and other additionalregulations the Bank may subsequently prescribefrom time to time. Likewise, the operation of thedepositor's accounts is subject to, and governed by the rules and regulations of the BANK, BSP, PDICand PCHC.
E-STATEMENT SERVICE
If the Bank does not receive any complaint from the Customer within 10 banking days after theCustomer’s receipt of the eStatement, saideStatement and all transactions reported thereinshall be considered correct and any claim against theBank shall be waived. Furthermore the Bank or any of its officers and employees shall not be held liable for claims of forgery and any other defect on honoredchecks if not reported within 10 banking days after receipt of the relevant Bank statement or 30 calendar days from Bank statement date, whichever comes earlier.
The Customer is responsible for informing the Bankimmediately of any change in the Customer’sregistered information. The Customer shall providethe Bank written notice of any change in the Customer’s registered information not later than 5banking days before the last banking day of themonth.
The instruction contained in this Application as received by the Bank, shall supersede all previousinstructions, effective upon receipt by the Bank of this Application.
The Bank has the right to absolutely and exclusivelyrely upon the said instruction until its receipt of asubsequent written instruction to the contrary.
The Bank does not assume any responsibility for anydelay or inaccuracy arising from or in relation to thetransmission of instructions and Bank statementsthrough communication facilities and delivery channels. Risk of transmission, including but notlimited to the risk of delay, non-receipt, third-partyinterception, and/or incorrect registered address, willbe borne by the Customer. The Bank shall not be liable for any loss sustained by the Customer arisingfrom or in relation to the transmission of e-Statements.
Accounts listed in this Application and approved by the Bank shall receive, via the e-mail address/es specified in this Application, Bank statements inelectronic format (“e-Statements”) each month,which shall be protected using the passwordspecified by the Customer in this Application.
The Customer shall be solely responsible for thesecurity and confidentiality of the e-Statementpassword and e-Statement. The Bank is not liable for the actions of the person(s) that have access to thee-mail address/es, password or hard copy of thee-Statement. To protect the password used todecrypt the e-Statement, the Customer isencouraged to use an alpha numeric password, with special symbols, as well as change the passwordalong with the registered e-mail address/es, fromtime to time.
The Bank shall send a confirmation e-mail to theregistered e-mail address/es for each Account uponthe registration of the Account into the e-Statement Service, upon the update of the informationregistered, and upon termination from thee-Statement Service. The Customer is responsiblefor confirming receipt of the confirmation e-mail and
notifying the Bank of any discrepancy. Failure of the Customer to confirm will not make the Bank liable for its reliance on the Customer data and other information on the Bank’s files.
For the safety of the Customer, all electronic mails inrelation to the e-Statement Service shall be sent frombank e-Statement Service ([email protected])to the Customer's Account Name and the e-mail address/es specified in this Application. Electronic mails transmitted differently may be fraudulent. Incase the Customer receives such a mail, the Customer must report the same to the Bank immediately.
The Customer shall, upon approval of the e-Statement Service, be solely responsible for accessing the registered e-mail address/es to retrieve the e-Statement. The settings for the registered email address/es should permit all emailsfrom the bank e-Statement Service([email protected]). The Customer should also ensure email address/es have sufficient storagecapacity to receive e-statement. In case of non-receipt, the Customer shall be responsible for informing the Bank immediately. Failure to receivethe e-Statement will not excuse the Customer from liability for any and all charges and/or penaltiesincurred as result of improper or delayed acceptance.
An Approved Account which reflects a zero balance will, unless otherwise specified by the Customer andsubject to Bank policies as may be applicable from time to time, continue to receive a relevante-Statement.
The Customer is responsible for immediately notifying the Bank of any change in the e-mail address/es authorized to receive thee-Statement, password, or other relevant information. Customers that fail to receive thee-Statement due to changes in their e-mailaddress/es, unavailability of server, inefficiencyor breakdown in telecommunications facilities or any cause other than the fault or grossnegligence of the Bank, shall remain liable for any and all charges and/or penalties that mayhave been incurred or fallen due.The Bank reserves the right at its discretion, tosuspend, restrict, modify or cancel any Customer’s or an Approved Account’s registration for the e-Statement Service, without disclosing the reason for such action.
In case the Bank is not able to dispatch bankstatements using electronic mail, the Bank will deliver the bank statements to the “Mailing Address” indicated in the “Deposit Application, Agreement and Information Sheet” submitted during accountopening.
The Bank shall endeavor to protect, but does notwarrant, the security and confidentiality of each e-Statements. The Customer agrees to hold the Bank, its officers and employees, free and harmless from any and all losses, damages and liabilities in the event of: (i) a breach in the Customer’s e-mailsecurity: (ii) unauthorized or improper access to anyCustomer information resulting from cause notdirectly and exclusively attributable to the Bank, such as tapping or hacking of communication lines, errorsin transmission due to faulty lines, or other forms of high-technology or electronic offences or fraud.
It is understood that each of the Customer's Authorized Signatories who accomplished the Application Form is empowered to register with the Bank one or more e-mail addresses (as well as passwords) other than his or her own.
CUSTOMER FEEDBACK/COMPLAINTS:For any concern regarding deposit accounts withthe Bank, the details on the Bank statement or the e-Statement service, the Customer may call the Bank’s Customer Assistance Team atTelephone No. 750-6466.The Bank will assess, investigate and respond to Customer concerns and/or complaints within theperiod prescribed under pertinent BangkoSentral ng Pilipinas regulations on FinancialConsumer Protection. These regulations, whichare embodied in BSP Circular No. 857 (as may be amended) are incorporated in this DepositApplication, Agreement and Information Sheetby reference and form part hereof. The Customer must read and understand these regulations acopy of which may be obtained from the Bank or downloaded from the BSP website (www.bsp.gov.ph).
SPECIAL TERMS AND CONDITIONS