GEB Account Application Instructions pdf.pdf 1 11/25/13 1:29 PM Account Application Instructions General Information IMPORTANT: If you are unable to provide two (2) primary forms of identification, you may provide one (1) primary form, as listed above, and two (2) secondary forms of identification. All sections of the application must be completed. Your account cannot be opened unless all requested information is provided. Citizenship and Tax Reporting Status • Please mark non-applicable fields “N/A.” . • If you cross out any information, please initial the changes. Do not use Please indicate the country of citizenship and country of tax reporting on the correction fluid/white-out to make corrections, as this will void your application. application for each Account Holder who is a non-resident of the US. • If you type directly on this form, please print the completed application and Security Information initial at the bottom of each page. This information will be used for identification purposes when you contact us by phone. • Once your account application is received, a Global Executive Banking Account Opening Specialist will contact you. Terms and Conditions Account Information Please read and sign where indicated. Each Account Holder must sign. You may view Your primary Citibank account is a Regular or Interest Checking Account. You can easily our deposit accounts and services features such as rates, fees and terms and open Citibank Savings Accounts, including Money Market, Market Rate Accounts, and conditions collectively referred to as Account Disclosures through our website Certificates of Deposit at a later date. at www.globalexecutivebanking.citi.com. You will receive a copy of these Account Disclosures in a form you may keep by no later than 10 days after account opening. Employer Information Please contact us at the numbers listed below under the "Contact Us" section if This information is required for all Account Holders. you would like to receive a copy prior to applying for an account. Address, Telephone and E-Mail C M Y CM MY CY CMY K • If areas of information are the same as that of the Primary Account Holder, the Co-Account/New Account Holder may write “SAME” in the respective section of the application. Please do not leave it blank. • You must provide a residential street address in your account application. “P.O. Box,” “In Care of,” or “Business” addresses cannot be accepted. You may provide a corporate address or a personal P.O. Box as your mailing address only. • Please make sure to complete “Address since” field for your permanent residential address and, where applicable, your previous permanent residential address. • Your home telephone number must be the one at your residential street address. If there is no phone number available, please indicate “N/A”. Identification Each account holder must provide information from two (2) primary/ government issued forms of identification. Please make sure to complete all fields of information requested. Primary* Forms of Identification include: • Valid passport with picture and signature • Valid national ID card with picture, date of birth, signature and with an acceptable issued and expiration date Banking Card and Checkbooks Please indicate whether you would like to receive a Citibank Banking Card (ATM Card.) You can order checks once your account is funded. Signature Cards Each Account Holder must sign both signature cards. The signature(s) of every account holder must appear on both signature cards. Additional Documentation • If you are employed by your company for less than one (1) year, you will be asked for additional documentation at time of account application. • If Co-Account Holder is not employed, additional documentation will be requested at time of account application. Contact Us If you have questions about the account opening process, please contact your Account Opening Specialist, or call the Global Executive Banking Financial Center at (212) 783-6897, Monday through Friday, 9:00 a.m. to 5:00 p.m., Eastern Standard Time, except U.S. Federal holidays. You may also call CitiPhone® Banking at (813) 604-3290, Monday through Friday, from 6:00 a.m. to 9:00 p.m. Eastern Standard Time, except U.S. Federal holidays. Secondary* Forms of Identification include: • Alien Registration / Identification Card • Valid credit card with a photograph issued by a recognized financial institution • Certified Birth Certificate (Official certified copy only, photocopies not acceptable) *Other primary or secondary identification may be acceptable (e.g. driver's license) depending on your country of citizenship or residency. Contact us to find out other types of acceptable identification. Global Executive Banking is a service of Citibank, N.A., providing banking and borrowing products and services. © 2013 Citigroup Inc. Citi with Arc Design is a service mark of Citigroup Inc. or Citibank, N.A., used and registered throughout the world. GEB ACCINS 0708