Formulario individual INGLES
15970
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Client Application – Individual
You have accessed Dbank Onboard security page. The information provided here will be used only for the purpose of opening your bank account at Dbank Ltd.
Full Name
Date of Birth
Marital Status
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Single
Married
Divorced
Widowed
Other
Nacionality
Place of Birth
Identification
V
E
Passport
V
E
Place of Issue
Issue Date
Due Date
Profession
Ocuppation
US Resident
---
Yes
No
PEP Client
A politically exposed person (PEP) is a person who has (or had) a relevant public function, or who maintains some type of relationship with people in a relevant public function..
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Yes
No
Suspicious Activity
Irregular or questionable conduct or activity by a customer that could be related to money laundering or other criminal offence, or to financing terrorist activity. It can also refer to a transaction that is inconsistent with the customer's known legitimate business, personal activities, or the normal level of activity for that type of business or account.
Email
Address
Phone
Economic Situation
Company Name (Employer or own business)
Position
Since
Company Activity
Products/Services
Company Address
Phone
Email
Average Annual Income
Source of Funds
Professional Fees
Capital Distribution
Rents
others
Estimated Asset Value
bank accounts, investments, properties, Othres
Others
Authorized Signatures
Authorized Signatures
Relationship
Join or Individual
Authorized Signatures 2
Relationship
Join or Individual
Authorized Signatures 3
Relationship
Join or Individual
Monthly Coming
№ Monthly Incoming
Monthly Total Amount
Countries
№ Monthly Outgoing
Monthly Total Amount
Countries
Do you have other products with the bank?
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Yes
No
Related Accounts
Investment Client
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Yes
No
Referred by
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Bank Advisor
Website
Social Networks
Date
I declare the veracity of the information provided and I undertake to document the same when requested.
I agree to be bound by all of the terms, provisions and conditions of DBank LTD and shall be deemed to be a party to the DBank Customer Agreement once I agree to purchase its products or services
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