parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
DETAILS OF ACCOUNT
Y
$
Current
Fixed Deposit
Others
Domiciliary
Branch:
Account Number:
BVN
NIN
PERSONAL INFORMATION
Title:
(Please specify)
Surname:
First Name:
Other Name(s):
Marital Status:
(Please tick
Single:
as appropriate)
Others
Gender: Male
Female
(Please specify)
D D
Date of Birth:
Married
M M
Y Y Y Y
Place of birth:
Mother’s Maiden Name:
State of Origin:
(Nigerian only)
(Nigerian only)
Nationality: Nigerian
...................................................................................
For Non-Nigerian:
Please specify country
CERPAC/
Permit Issue Date
Resident Permit No
D D
M M
Y Y Y Y
Permit Expiry Date D D
Religion
Parent’s Names (Minor Account): Surname Name
Expected Date of Graduation /Passing Out(if applicable)
First Name
D D
M M
Y Y Y Y
MEANS OF IDENTIFICATION
(Please specify)
ID Issue Date: D D
M M
Y Y Y Y
CONTACT DETAILS
ACCOUNT SERVICE(S) REQUIRED
Cheque
Cheque
1
ID No:
ID Expiry Date:
D D
M M
Y Y Y Y
M M
Y Y Y Y
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
EMPLOYMENT DETAILS
Employed
Self Employed
Unemployed
Date of Employment (If employed)
D D
Annual Salary: (a)Less than N50,000
Retired
Student
Others (Please Specify)
Y Y Y Y
M M
(b)N51,000 - N250,000
(c)N251,000 - N500,000
(d)N501,000 - N1,000,000
(f) N5Million - Less than N10Million
(g) N10Million - Less than N20Million
(h) Above N20Million
(e) N1Million - Less than N5Million
Employer’s Name
Street Name
House Number
Nearest Bus Stop/Landmark:
City/Town
State:
Nature of Business Occupation:
Fax No:
NEXT OF KIN
Surname:
First Name:
Other Name(s):
Marital Status:
(Please tick
Single:
Married
as appropriate)
Date of Birth:
D D
Others
Gender: Male
(Please specify)
M M
Y Y Y Y
Place of birth:
Mobile Number(s): 1
2
Relationship:
Contact Address:
Street No:
Street Name:
Nearest Bus Stop/Landmark:
Local Govt. Area :
State:
ADDITIONAL DETAILS
ii. Spouse’s name (if applicable)
iii. Spouse Date of Birth
D D
Y Y Y Y
M M
iv. Sources of Fund to the account
1.
2.
Expected annual income from Other sources
v. Names of associated businesses (if any)
2.
3.
2
1.
Spouse Occupation
Female
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
ACCOUNT HELD WITH OTHER BANKS
Name & Address of Bank/Branch
Account Name
Status:
Active/Dormant
Account Number
1
2
3
4
ACCOUNT MANDATE
................................................................................
Signatory’s BVN:
.....................................................................................
First Name: ...................................................................................
Other Name: ..................................................................................
Surname:
Class of Signatory:
Telephone No:
Signature & Date:
FOR OFFICE USE ONLY
Name
FOR OFFICE USE ONLY
Signature
Name
Signature
ACCOUNT MANDATE (JOINT ACCOUNT)
................................................................................
Signatory’s BVN:
.....................................................................................
First Name: ...................................................................................
Other Name: ..................................................................................
Surname:
Class of Signatory:
Telephone No:
Signature & Date:
FOR OFFICE USE ONLY
Name
3
FOR OFFICE USE ONLY
Signature
Name
Signature
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
TERMS & CONDITIONS
1.1
The terms hereunder constitute a service agreement between the Customer and Parallex
right of set-off or transfer any sum or sums standing to the credit of any one or more of such
Bank. When this application form has been signed, the terms will be deemed to have been
accounts against liabilities in any other account.
accepted as binding on the Customer and the Parallex Bank. These conditions apply to each
account opened under the Account Opening Form or in any other acceptable manner.
5.
STATEMENTS
5.1 Statements can be delivered to the Customer either physically or by post or electronically
(e-statements or alerts). Where requested, the Bank may provide electronic Statements
1.2 The Customer will provide to Parallex Bank all documents and other information reasonably
required by it in connection with this agreement or any Account or service.
or SMS Alerts or other similar service to provide information on transactions. The service is
provided 'as available' and without any warranty of fitness for a specific purpose. We do
2.
AUTHORITY
not warrant that this service will always be uninterrupted or that any information provided is
2.1
Parallex Bank relies on the authority of each person designated (in a form acceptable to
accurate and current at the time it is received. The Bank disclaims responsibility for the
Parallex Bank) by the Customer to send instructions or do any other thing until Parallex Bank
service provided by any network provider. The Customer will notify Parallex Bank in writing
has received written notice or other notice acceptable to it of any change from a duly
of anything incorrect in a statement promptly and in any case within thirty (30) days from
authorized person and Parallex Bank has had a reasonable time to act (after which time it may
the date on which the statement or advice is sent to the Customer.
rely on the change).
6.
MEANS OF PAYMENT
3.
INSTRUCTIONS
3.1
The Customer and Parallex Bank will comply with certain agreed security procedures (the
unless there are sufficient funds in the account to cover the value of the said means of
“procedures”), designed to verify the origination of instructions between them such as
payment and such means of payment may be returned unpaid.
enquiries, advices and instructions (each a “communication”).
6.1
6.2
3.2 Parallex Bank is not obliged to do anything other than what is contained in the procedures to
The Bank is under no obligation to honour any means of payment drawn on the account
If your means of payment gets lost, missing or stolen, you must notify the Bank
immediately. The Bank will not be held liable for any unauthorised use of your means of
establish the authority or identify of the person sending a communication. Parallex Bank is not
payment where the loss or otherwise of same was not reported immediately.
responsible for errors or omissions made by the Customer or the duplication of any
3.3
communication by the Customer and may act on any communication by reference to an
7.
account number only, even if an account name is not provided. Parallex Bank may act on a
7.1 You will be liable for the payment of interest charges at the rate fixed by the Bank from time
INTEREST AND FEES
communication if it reasonably believes it contains sufficient information.
to time for any outstanding debits in your current accounts. Your current account may also
Parallex Bank may decide not to act on a communication where it reasonably doubts its
be debited for the Bank's usual banking charges, interest, commission etc.
contents, authorization, origination or compliance with the procedures and will promptly notify
7.2 Unless otherwise agreed, Parallex Bank may modify at any time the rate of interest, fees,
the Customer (by telephone if appropriate) of its decision.
or other amount applicable to any Account or Service (but subject to any legal requirement
3.4 If the Customer in writing informs Parallex Bank that he/she wishes to recall, cancel or amend a
as to notice).
communication, Parallex Bank will use its reasonable efforts to comply.
3.5 If Parallex Bank acts on any communication sent by any means requiring manual intervention
(such as telephone, telex, electronic mail or disk sent by messenger) then, if Parallex Bank
8.
8.1
complies with the procedures, Customers will be responsible for any loss Parallex Bank may
communications, clearing or payment system, intermediary bank or other entity (each a
Parallex Bank will retain your information after the closure of your account, if the banking
“system”) it reasonably selects; Parallex Banks performance is subject to the rules and
relationship has been terminated, or if your application is declined or abandoned for as long as
permitted for legal, regulatory, and legitimate business purpose.
3.7
regulations at any time of any system.
8.2 Neither the Customer nor Parallex Bank shall have any liability or any indirect, incidental or
Where you provide personal and financial information relating to others (e.g. dependants or
consequential loss or damages (including loss of profit), even if advised of the possibility of
joint account holders) for the purpose of opening or administering your account, you confirm
that you have their consent or are otherwise entitled to provide this information to Parallex
such loss or damages.
8.3 Neither the Customer nor Parallex Bank will be responsible for any failure to perform any of
Bank to use in accordance with the terms and conditions
its obligations under this agreement if such performance would result in being in breach of
3.8 The Customer irrevocably agrees that all instructions and documentation issued to the Bank
3.9
Parallex Bank will act in good faith and with reasonable care, as determined in accordance
with the standards and practices of the banking industry, and may use any
incur connection with that communication.
3.6
PERFORMANCE
any law, regulation or other requirement of any governmental or other authority in
by the Customer in any electronic form shall be binding and enforceable against the
accordance with which it is required to act or if its performance is prevented, hindered or
Customer.
delayed by a force Majeure Event; in such case its obligation shall be suspended for so
The Customer agrees to fully indemnify the Bank against any expenses, claims or liabilities
long as the Majeure Event Continues. “Force Majeure event” means any event due to any
whatsoever incurred by the Bank by reason of acting on such instruction/documentation.
cause beyond the reasonable control of the relevant party, such as restrictions on
convertibility of transferability, requisition, involuntary transfers, unavailability of any
3.10 The Customer authorises the Bank to set-off any such expenses incurred by it against any of
system, sabotage, fire, flood, explosions, acts of God, pandemic/epidemic, civil
the Customer's accounts with the Bank.
commotion, strikes or industrial action of any kind, riots, insurrection, war acts of
government.
4.
YOUR ACCOUNT
4.1
The Customer assumes full responsibility for the genuineness, correctness or validity of all
endorsements appearing on all means of payment, orders, bills, notes, negotiable instrument
or instructions deposited into its account.
4.2 The Bank will not be responsible for any loss of funds deposited with it arising from any future
government order, law, levy, tax, embargo or exchange restriction or any other cause beyond
its control.
4.3 Your account shall be debited for any service charge that is set by the Bank from time to time.
9.
9.1
CUSTOMER INFORMATION
Parallex Bank will treat information relating to the Customer as confidential, but (unless
consent is prohibited by law) the Customer consents to the transfer and disclosure by
Parallex Bank of any information relating to the Customer to and between the branches,
subsidiaries, representatives offices, affiliates and agents of Parallex Bank and third
parties selected by any of them, wherever situated, for confidential use (including in
connection with the provision of any service or product and for data processing, statistical
4.4 The Bank may exercise its general right of lien or any similar right it is entitled to including the
and risk analysis purposes). Parallex Bank and any branch, subsidiary, representative's
right to combine and consolidate all or any of the Customer's accounts with the Bank, and the
office, affiliates agent or third party may transfer and disclose any such information as
required by any law, court, regulator or legal process.
4
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
TERMS & CONDITIONS
10.
RESTRICTION ON THE ACCOUNT
10.1 The Customer irrevocably consents and agrees that the Bank may in its absolute discretion, if
there is a contending dispute in respect of the Account, or if it reasonably suspects fraud or
other irregular practices in respect of the Account in whatever manner or is based on a
directive/circular from the Central Bank of Nigeria, or any law enforcement agency, place a
restriction on further operation of the Account until such a time as it is reasonably satisfied that
such concern, suspicion no longer exits. This is without prejudice to the Bank's right to close
the Account.
11.
CHANGE OF MANDATE
CAUTION: PARALLEX BANK SHALL NOT BE LEGALLY OR OTHERWISE RESPONSILBLE
WHERE A CUSTOMER'S USERNAME AND PASSWORD KNOWN ONLY TO THE CUSTOMER
IS ACCURATELY PROVIDED BY ANY OTHER PERSON APART FROM THE CUSTOMER
FOR ANY TRANSACTIONS AS PARALLEX BANK MAY ACT ON SUCH COMMUNICATION
WHERE IT REASONABLY CONTAINS SUFFICIENT INFORMATION BELIEVED TO HAVE
EMANATED FROM THE CUSTOMER.
CONSENT TO DISCLOSE MY/OUR CREDIT INFORMATION TO CREDIT REFERENCE
AGENCIES
Parallex Bank is a member of a Credit Reference Agency (CRA) licensed by the Central Bank of
Nigeria (CBN) to create, organize and manage database for the exchange and sharing of
information on credit status and history of individuals and businesses. This information shall be
used for business purposes approved by the CBN and any relevant statute. As a member of CRA,
the Bank is under obligation to disclose to CRAs credit information, and any other “personal
information” disclosed to it in the course of the Banker-Customer relationship with it. By submitting
information to the Bank (whether or not you proceed with your transaction):
11.1 The Customer must notify the Bank immediately of any change in the address, directors,
trustees, designated members, secretaries. Any medication or change in authorized
signatories must be signed in accordance the existing mandate and accompanied by a
resolution to that effect.
1. You agree that the Bank may collect, use and disclose such information to CRA and that the
credit bureau may use the information for any approved business purposes as may from time to
time be prescribed by the CBN and/or any relevant statute.
2. You understand that information held about you by the CRAs may already be linked to records in
12. TERMINATION
relation to one or more of your partners. You may be treated as financially linked and your
12.1 The Customer or Parallex Bank may terminate this agreement at any time subject to any legal
application will be assessed with reference to any 'associated' records. In addition, for any joint
requirement as to notice in writing (taking into account any communications and any service
application made by you with any other person(s), new 'financial association' may be created at
or product affected).
12.2 On closure of the Account, the termination becomes effective after any means of payment
drawn on the account or outstanding on it have been paid; all means of payment and cards
issued to you have been sent back to the Bank and all information and equipment supplied by
the CRAs which will link your financial records.
3. You hereby warrant that you are entitled to disclose information about, any co-applicant or
guarantor and/or anyone else referred to by you, and to authorize us to search and/or record
such guarantor or other person. You understand that an association” will be created at the
Parallex Bank have been returned to the Bank.
12.3 Where the Bank is terminating the agreement and your account is overdrawn, you must pay
all sums outstanding on the account otherwise the Bank may take appropriate legal action for
recovery.
12.4 All mandatory documentation should be completed by the Customer within three (3) months
of opening the account, otherwise, the account will be automatically closed after prior notice to
you.
CRAs, which will link your financial records. You hereby agree to indemnify and hold the Bank
harmless against all claims costs, fees, expenses, damages and liabilities against the Bank
relating to, or arising as a result of, the disclosure of information about such co-applicant or
guarantor or other person or any use of such information by CRAs in compliance with the
provisions of any CBN guideline and/or relevant statute.
4. You hereby release and discharge the Bank from its obligations under the banker's duty of
secrecy and forswear your right to any claim, damages, loss etc on account of such disclosure
13. GENERAL
to CRAs or use by the CRAs.
13.1 Neither the Customer nor Parallex Bank may assign or transfer any of its right or obligations
under this agreement without the other's prior written consent, which will not be unreasonably
withheld or delayed, provided that Parallex Bank may take such an assignment or transfer to a
branch, subsidiary or affiliate if it does not materially affect the provision of services to
Customer.
13.2 If any provision of the agreement is or becomes illegal, invalid or unenforceable under any
applicable law, the remaining provision of this agreement will remain in full force and effect (as
will that provision under any other law).
13.3 No failure or delay of the Customer or Parallex Bank in exercising any right or remedy under
this agreement will constitute a waiver of that right. Any waiver of any right will be limited to the
specific instance.
(ADDITIONAL TERMS AND CONDITIONS FOR DUAL CITIZENSHIP HOLDERS AND/OR DUAL
RESIDENCE HOLDERS)
I/we hereby irrevocably and unconditionally request and authorize the Bank to disclose my/our
account details, transaction and confidential information on my/our account to the United States
Internal Revenue Service or any other jurisdiction in Multilateral Competent Authority Agreement
(MCAA) with Nigeria on the Common Reporting Standard (CRS) as may be requested from time to
time without further recourse to me/us.
I/we hereby irrevocably and unconditionally authorize the Bank to comply without further recourse
to me/us with such instructions and directive as may be issued by the United States Revenue
Service or any other regulator having authority over the country or jurisdiction where I/we reside or
are nationalized. Such directives includes without limitation deducting any sum on my/our account
or withholding any payment on my/our account or made on my/our behalf and freezing my/our
account without any need for any order of court.
Consequently, I/we hereby irrevocably and unconditionally indemnifies and hold the Bank, its
officers, directors, employees and agents harmless against all claims, costs, liabilities, actions,
demands, damages, losses or expenses which they may suffer as a result of compliance with any
such regulation or law or requirements as stated above.
13.4 The Customer and Parallex Bank consent to the telephonic or electronic monitoring or
recording for security and quality of service purposes and agree that either party may produce
telephonic or electronic recordings or computer records as evidence in any proceedings
brought in connection with this agreement.
13.5 All notices or letters will be sent to the physical or electronic address supplied by you and will
be considered duly delivered and received at the time it is delivered or seven days after
DISCLAIMER CLAUSE
The Bank disclaims liability for any funds/assets deposited by you which are subsequently found to
have derived from illegal source or activities. You confirm that the funds/assets deposited are not
derived from any illegal source or activities.
DECLARATION
I/We……………………………................……………………......apply for the opening of an account
or accounts with Parallex Bank. I/We understand that the information given herein is the basis for
opening such account(s) and hereby warrant that such information is correct.
posting. Notices shall be in English unless otherwise agreed.
I/We hereby confirm that I/we have read the above terms and conditions and affirm that I/we truly
understand and accept same as binding on me/us
14. DISCLOSURE OF INFORMATION
14.1 If a fraudulent or suspicious activity is associated with the operation of your account, you agree
I/We further undertake to indemnity the bank for any loss suffered as a result of any false
information or error in the information provided to the bank
that we have the right to apply restrictions to your account and report to appropriate law
enforcement agencies.
14.2 You are informed that issuance of Dud cheque constitute a criminal offence under the Nigerian
Law, and we are obligated by virtue of the Central Bank of Nigeria's directive and/or other
extant laws to submit details of customer who issue cheques on insufficient funded accounts
to the CBN for investigation and prosecution.
14.3 If your Bank Verification Number (BVN) is identified to be involved in confirmed fraudulent
activities, it shall be reported for update on the watch-list database and your account shall be
treated in accordance with the regulation.
5
Name
Name
Signature
Signature
Date
Date
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
JURAT(THIS SHOULD BE ADOPTED WHERE THE APPLICANT IS NOT LITERATE OR BLIND AND THE FORM IS READ TO HIM OR HER BY THIRD PARTY)
I agree to abide by the content of the agreement and acknowledge that it has been truly audibly read over and explained to me by an interpreter
Mark Of Customer/
Magistrate /
Commissioner For Oaths
Thumbprint
Date
D D
M M
Y Y Y Y
Name Of Interpreter:
Address Of Interpreter:
Telephone No:
Language Of Interpreter:
FOR BANK USE ONLY
1. REQUIREMENT CHECKLIST
Savings Account
SN
DOCUMENTS REQUIRED
1
Duly completed Account opening form
2
Specimen Signature card duly completed
3
Recent passport photograph
4
Proof of identity: International Passport, Driver’s License, National ID Card,
Valid Nigeri’s Voter’s Card(Original must be sighted)
5
Resident permit (for none Nigerian)
CHECKED
DEFERRED
WAVED
CHECKED
DEFERRED
WAVED
6
7
Letter from Employer / School / NYSC (for Salary account and or Student only)
Fixed / Current / Domiciliary / Fixed Investment / Other Types of Account
SN
DOCUMENTS REQUIRED
1
Duly completed Account opening form
2
Specimen Signature card duly completed
3
Two (2) recent passport photograph
4
Two (2) independent and satisfactory references
5
Proof of identity: International Passport, Driver’s License, National ID Card,
Valid Nigeri’s Voter’s Card(Original must be sighted)
6
7
Letter from Employer (for Salary account only)
8
Resident permit (for Non-Nigerian)
9
Other document provided
2. AUTHENTICATION FOR POLITICALLY EXPOSED PERSONS
o
o
3. RISK PROFILE
o
o
o
6
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
A.
DEFERRAL/WAIVER OF DOCUMENT(IF ANY) AUTHORISED BY:
Name
Signature
..................................................
Date:
D D
M M
Y Y Y Y
..................................................
Date:
D D
M M
Y Y Y Y
..................................................
Date:
D D
M M
Y Y Y Y
..................................................
Date:
D D
M M
Y Y Y Y
Name
Signature
B.
ADDRESS VERIFICATION CARRIED OUT BY:
Name
Signature
Name
Signature
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
C.
ACCOUNT OPENING AUTHORISED/APPROVED BY:
Name
Signature
..................................................
Date:
D D
M M
Y Y Y Y
Date:
D D
M M
Y Y Y Y
Date:
D D
M M
Y Y Y Y
Date:
D D
M M
Y Y Y Y
Date:
D D
M M
Y Y Y Y
ACCOUNT SOURCED BY:
Name
Signature
..................................................
ACCOUNT VERIFIED BY:
Name
Signature
..................................................
ACCOUNT OPENED BY:
Name
Signature
..................................................
ACCOUNT REVIEWED BY:
Name
Signature
7
..................................................
parallex
INDIVIDUAL ACCOUNT OPENING FORM
Individual / Personal
REFERENCE FORM
CAUTION: IT IS VERY DANGEROUS TO
INTRODUCE ANY APPLICANT(S) WHO
IS/ARE NOT WELL KNOWN TO YOU
The Manager
Parallex Bank Limited
I/We maintain a current account with
Name of Bank
Address
Account No
Contact No(s)
Name of Referee
Address
Authorised Signatory
Authorised Signatory
REFERENCE FORM
CAUTION: IT IS VERY DANGEROUS TO
INTRODUCE ANY APPLICANT(S) WHO
IS/ARE NOT WELL KNOWN TO YOU
The Manager
Parallex Bank Limited
Dear Sir,
NAME OF APPLICANT(S)
I/We wish to confirm that I/We have known the above named applicant(s) for a period of
is/are considered suitable to maintain a current account with the Bank.
I/We maintain a current account with
Name of Bank
Address
Account No
Contact No(s)
Name of Referee
Address
13
Authorised Signatory
Authorised Signatory
SIGNATORY & DATE
SIGNATORY & DATE
and he/she/they