Application form

PERSONAL BANK ACCOUNT
Preliminary Application Form

WE ARE NOT THE BANK.
If you need assistance when applying for offshore bank account, the following details we will ask at the preliminary application stage. More detailed information, due diligence documents and documents evidencing your business transactions you will have to provide to the bank if preliminary application is accepted.

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Title
Surname
Given name(s)

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Description of banking needs and the account opening procedures

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M	D	(M) Mandatory; (D) Desirable
		Investment services
		Time horizon
		- 1 year
		- 3 years
		- 5 years
		- more
		Investment objectives
		- Capital Preservation
		- Income
		- Balanced
		- Growth
		Product Mix potential
		- Fiduciary deposits
		- Bonds
		- Equity
		- Mutual funds
		- Portfolio Management
		- Forex active trading
M	D	(M) Mandatory; (D) Desirable
		Business banking services
		International wire transfer (telegraphic transfer)
		Check deposit services
		I need the account in following currencies:
		Currency exchange
		Cards
		- ATM
		- Debit
		- Secured Credit card
		- Card for Internet purchases
		- Preferred brand of the card:
		- Currency of the card account:
		Documentary operations
		Interest bearing account
		Remote banking tools
		- Internet Banking
		- Telephone Banking
		- Fax banking
M	D	(M) Mandatory; (D) Desirable
		Account opening procedure
		I prefer opening the bank account by mail
		I prefer opening the bank account in person
		Best time visiting the bank
		Individual service
		I prefer individual service
		I need standardized banking service
		Banking costs
		Minimum transaction costs
		Maximum transaction quality and speed
		No monthly/annual service fees
		No minimum balance requirements
		Planned initial deposit
		Amount:
		Form (cash, cheque, bank transfer, securities, etc.)
		Previous custodian:
		Origin of assets
		Indicate in details how the money was obtained:
I prefer paying the application fee and the account opening fee by:
	Wire Transfer (telegraphic transfer)
	Credit Card
	Western Union
	I can provide the documents confirming the information stated in the application form.
	I agree with terms and conditions.