Link2Home - Joint Account Opening Form - Ghana Commercial Bank

2nd APPLICANTA. PERSONAL DETAILSTitle (Mr./Mrs./Ms. /Dr./Prof./Others Sex M FSurnameFirst Name/OthersPrevious/Maiden NameNationalityDate of Birth(dd/mm/yy)Marital StatusSingle Married Separated Divorced WidowedPlace & Country of BirthIn case of TRUST Account (Indicate Child’s Name)No. of ChildrenName of SpouseOccupation of SpouseCurrent Residential Address (Abroad)Tel No/Fixed Line/MobileEmail:B. EMPLOYMENT DETAILSEmployer’s Name & AddressOccupation TypeHow Long Employed?Daytime Phone No.Net Monthly IncomeC. ACCOUNTS DETAILSL2H Cedi Account:CurrentSavingsL2H Foreign Currency Account: US$ GBP£ EUR€D. INVESTMENT OPTIONL2H Cedi Investment Fixed Deposit Negotiable Cert. of Deposit Premium Cert. of DepositL2H Foreign Currency Investment:Fixed DepositE. STATEMENT OPTIONMonthly (At a Fee)Quarterly (Fee)(PNB: Applicants opting for investment products must first open an account into which transferswill be lodged before the investment can be made).G H A N A C O M M E R C I A L B A N K L T D 3

SURVIVORSHIP CLAUSEIn the event of the death of any of us, the credit balance standing to theaccount shall be at the disposal of the survivor(s)______________________Signature of 1st Applicant______________________Signature of 2nd ApplicantCUSTOMERS’ DECLARATIONWe apply to open an account(s) with Ghana Commercial Bank Ltd.We understand that the information given herein is the basis for opening suchaccount(s) and therefore warrant that such information is correct and binding on us.We authorize you to apply charges and credit interest to the account whereapplicable.We agree that the Bank reserves the right to close our accountWe agree that information on this account may be divulged through the Bank'sAccredited AgentsName: Name :Signature:______________________1st ApplicantSignature:_______________________2nd Applicant4G H A N A C O M M E R C I A L B A N K L T D

MANDATESignature Mandate: Both to Sign Either to SignName in FullPlease write Name (only) entirely withinthe box below1).Sign./Thumbprint / PhotographPlease sign entirely within the box below(Use black ink/pen only)Name in FullPlease write Name (only) entirely withinthe box below2).Sign./Thumbprint / PhotographPlease sign entirely within the box below(Use black ink/pen only)G H A N A C O M M E R C I A L B A N K L T D 5

REFERENCE / INTRODUCTION (Applicable to only Current Account Applicants)THE MANAGER----------------------------------------------------------------------------------------------------Dear Sir / Madam,A) I deem Mr./ Mrs./Ms/Dr./Prof. _________________________________________who have been known to me for the past _________________suitable to operate aCurrent Account.I also confirm that the physical address quoted by them is correct.Yours faithfully,Signed:______________________Date:____________________B) {To be filled by an existing customer of the Bank introducing the applicant}FULL NAMEBRANCH NAMEADDRESSACCOUNT NUMBER6G H A N A C O M M E R C I A L B A N K L T D

Account No. (To be inserted by your branch)Name of Account Holder:Type of Account:Date of Birth:Nationality:Telephone No. (s):Occupation / PositionEmployer AddressNature of BusinessIdentity Number (Document Attached):Level 1Low risk customerKYC INFORMATION - INDIVIDUALApplicant resides in a high risk countryApplicant’s funding is sourced from normal activitiesLevel 2Medium risk customer Applicant(s) or authourised signatories fall into any typeof account not listed in Level 1 or 3Level 3Special customerResidential Address (Abroad)Residential Address (Ghana)Residential Address Verification (Abroad)Applicant is a Political Exposed PersonApplicant resides in high-risk jurisdictionsApplicant’s source of funding is from high-risk jurisdictionsApplicant’s nature of business (involves gambling, defense or money service)Utility Bill: Electricity Telephone Water Others_________________________(Please specify)Name VerificationPurpose of AccountPassport Driver’s Licence Other_________________________(Please specify)Personal Savings Investment Other_________________________(Please specify)Source of Funds for the AccountPersonal SavingsBusiness OwnershipExpected Volume and Type of Activity:SalariesInvestmentInheritanceOther________________________(Please specify)Expected Deposits / Inward transfers: No. of Transactions per Month Amount per MonthExpected Withdrawals / Outward transfers: No. of Transactions per MonthAmount per MonthG H A N A C O M M E R C I A L B A N K L T D 7

FOR OFFICE USE ONLYACCOUNT TYPE ACCOUNT NUMBER DATE OPENED NAME OF AGENTData Entered by ____________________ Data Verified by___________________Account Opened by___________________ Authourised by___________________RETAIL MANAGER’S FINAL COMMENT:I certify that the information provided conforms to the Bank’s laid down policy onrequirements for opening an account.Retail Manager’s Name:______________________________________________Retail Manager’s Signature___________________Date___________________8G H A N A C O M M E R C I A L B A N K L T D

TERMS AND CONDITIONS FOR ACCOUNT HOLDERS1.0 THE BANKThe information on this page (and any further instructions and conditions that may beprescribed by the Bank from time to time) are the terms of the agreement betweenyou and Ghana Commercial Bank Ltd; when you sign the account application form youaccept these terms as binding on you.2.0 THE ACCOUNT2.1 We will assume full responsibility for the genuineness, corrections and validity of allendorsements appearing on all Cheques, Orders, Bills, Notes Negotiable instrumentsand receipts or others deposited in the account.2.2 All notices or letters will be sent to the address supplied by me and will be consideredduly delivered and received at the time it is delivered. Notices in the press will bedeemed sufficient for this purpose.2.3 It is understood that any funds received from or on behalf of any of us, are to beplaced to the credit of specified account unless the Bank receives written instruction tothe contrary.2.4.1 We understand and agree that you may at your discretion and without giving anyreason thereto decline to accept my/our Account application. We also understand thatuntil such time you shall inform us in writing the relevant Account number, noaccount relationship is established with you.2.5 We agree that in the event that the bank receives from us ambiguous orconflicting instructions in connection with an Account the Bank may in its absolutediscretion and without any liability act or decline to act as the bank thinks it fit.2.6 We agree that these authorities shall be governed by and construed in accordancewith the laws of Ghana and We hereby irrevocably submit to the non-exclusivejurisdiction of the Courts of such jurisdiction.2.7 We hereby authorize and instruct the Bank, until receipt by the Bank of written noticeto the contrary to make available to other Banks such information in relation to anyAuthorize Disclosee may from time to time request, including, without prejudice to thegenerality of the foregoing, details of Account balance and authorized signatory(ies)provided only that the Bank acts in good faith the Bank shall not be liable for any loss,whatsoever, arising that may result from the disclosure of information hereunderincluding as a result of any error contained in the information so disclosed.G H A N A C O M M E R C I A L B A N K L T D 9

LIST OF GHANA COMMERCIAL BANK LTD. BRANCHESAccra Zone1. High Street2. Kwame Nkrumah Circle3. Liberty House4. Republic House5. Dome6. Ring Road West7. Kaneshie Industrial Area8. Kaneshie Market9. Derby Avenue10. Boundary Road11. Accra New Town12. Osu13. Ministries14. Korle-Bu15. Trade Fair Site16. Burma Camp17. Makola Market18. Tantra Hill19. Kasoa Market20. Abelemkpe21. Kasoa Main22. Kisseman• Kotoka International Airport Agency• Aviance Agency• Diamond House AgencyTema Zone23. Tema Main24. Tema Market25. Tema Industrial Area26. Tema Fishing Harbour27. Ashiaman28. Legon29. Madina30. Tetteh Quarshie Circle31. Aburi32. Mampong Akwapim33. Akropong Akwapim34. Somanya35. Akosombo36. Akuse37. Ada Foah38. Safebond• Tema Agency• Evergreen AgencyKoforidua Zone39. Koforidua40. New Tafo41. Suhum42. Asamankese43. Akim Oda44. Kade45. Nsawam46. Kibi47. Anyinam48. Nkawkaw49. Mpraeso50. Donkorkrom51. Konongo52. Agogo53. JuasoKumasi Zone54. Kumasi Main55. Harper Road56. Ahinsan57. Kejetia58. Asafo Market59. Jubilee House60. KNUST61. Tech Junction62. Bantama10G H A N A C O M M E R C I A L B A N K L T D

63. Ejura64. Obuasi65. Yeji66. Bekwai Ashanti67. Dunkwa-On-Offin68. New Edubiase69. New Offinso70. Nkawie71. Mampong Ashanti72. Effiduase Ashanti73. Ejisu74. Agona AshantiTakoradi Zone75. Takoradi Main76. Tarkoradi Harbour77. Takoradi Market Circle78. Sekondi79. Tarkwa80. Axim81. Half-Assini82. Dadieso83. Enchi84. Samreboi85. Sefwi-Wiawso86. Prestea87. Bogoso88. Elubo• GCNET• GCNET EluboCape Coast Zone89. Cape Coast Main90. UCC91. Agona Swedru92. Assin Foso93. Mankessim94. Winneba95. Twifu Praso96. Breman Asikuma97. Saltpond98. Abura DunkwaSunyani Zone99. Sunyani100. Techiman101. Techiman Mkt102. Berekum103. Dormaa Ahenkro104. Drobo105. Wenchi106. Nkoranza107. Kintampo108. Duayaw Nkwanta109. Bechem110. Akumadan111. Tepa112. Hwidiem113. Goaso114. Mim115. Sankore116. SampahTamale Zone117. Tamale Main118. Tamale Market119. Tamale Hosp. Rd120. Navrongo121. Bolgatanga122. Bawku123. Wa124. Tumu125. Lawra126. Kete-Krachi127. Yendi128. Salaga129. Bole130. Damongo131. Bimbila132. WalewaleHo Zone133. Ho134. Ho Market135. Hohoe136. Dzodze137. Aflao138. Keta139. Akatsi140. Sogakope141. Abor142. Kpando143. Peki144. Jasikan145. Kadjebi146. Nkwanta147. DambaiG H A N A C O M M E R C I A L B A N K L T D 11

We Serve You BetterCommernet PlusInternet Banking Application Form(Individual Customers)FULL NAME OF CUSTOMERANY FORMER NAME (S)POSTAL ADDRESSRESIDENTIAL ADDRESSE-MAIL ADDRESSNATIONALITYPROFESSION/OCCUPATIONTELEPHONE NUMBER (S)Please state all your GCB account numbers and indicate by checking which one(s) you want to be linked to this service.ACCOUNT NAME(S) ACCOUNT NUMBER(S) TICK––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I HAVE CAREFULLY READ & ACCEPTED THE GCB COMMERNET PLUS CUSTOMER TERMS &CONDITIONS (printed from http://www.gcb.com.gh).(Where the form is submitted at another branch instead of one’s branch, an ID - passport / voter’s / driver’slicense will have to be provided)__________________________________Signature__________________________________DateFOR OFFICE USE ONLYCUSTOMER IDBranch Name: ........................................... Signature Verified By: .......................................................................NameSignature: .....................................................................12G H A N A C O M M E R C I A L B A N K L T D

ADDRESSES OF MONEY TRANSFER AGENTSUNITED KINGDOMUnity Link Financial Services Ltd158-160 Balham High RoadLondon SW12 9BNTel.: 0044 208 7722160Unity Link Financial Services Ltd10 High street, HarlesdenLondon NW 10 4LXTel.: 0044 208 7722160Unity Link Financial Services Ltd691 Seven SistersLondon Road NW15 5AATel.: 0044 208 7722160Unity Link Financial Services Ltd465 Green Street, Upton ParkLondon E13 9AXSamba International LtdUnit 17 EurolinkBusiness Centre49 Effra RoadSW2 1BZUNITED STATES OF AMERICAMoneyGram Payment Systems Inc1550 Utica AvenueSouth MinneapolisMN 55416, USAFamilyLink Money Transfer Inc.1205 College AvenueBronx N.Y. 10456Tel.: 001 718293 6280Fax: 001 718 2931790Speedy Forex Bureau LLC43618 Preddy CTAshburn 20147Virginia, USATel.: 001 703 729 7919Fax: 001 703 729 0102Vigo Remittances Corp1300 SawgrassCorporate ParkwaySuite 110 Sunrise FL33323 USATel.: 001 9546256741Fax: 001 9548351427GES MoneyU.KGERMANYUniversal Money Transfer GmbhWandsbeker Chaussee29, 22089 HamburgGermanyTel.: 0049 4020007919Fax: 0049 40 2000 7939HOLLANDUnity Monetary Services BVBijlmereef 1129A-1131A1103TT AmsterdamThe NetherlandsTel.: 0031 206957122Fax: 0031 206904956ITALYHajia African Market(Unity Monetary Transfer Gmbh)Viale Europa 36San Martino Di Lupari35018, Padova, ItalyTel./Fax: 0039 0499462030Mobile: 0039 3204512555ADDRESSES OF CORRESPONDENT BANKSUNITED KINGDOMGhana International Bank PlcSt1 Floor, 10 Old Broad StreetLondon EC2N 1DWTel.: 0044 207 8470395Fax.: 0044 207 256 2530/1BIC GHIBGB2LNational Westminister Bank Plc135 135 Bishopgate, LondonEC2M 3URBIC NWBKGB2LUNITED STATES OF AMERICACitibank N. A.th16 Floor, Zone StreetNew York, N.Y. 10043BIC: CITIUS33Deutsche Bank Trust Co. BTC1 Bankers Trust PlazaNew York, N.Y. 1006BIC: BKTRUS33GERMANYDresdner Bank AGJurgen-Ponto Platz 160329Frankfurt Am MainBIC: DRESSDEFFCommerzbank AGFrankfurt MainBIC COBADEFF14G H A N A C O M M E R C I A L B A N K L T D

For further enquiries:International Banking Division1st Floor GCB Towers, Kwame Nkrumah Circle, AccraHelplines: + 233 (21) 257 617 | 24 60 40 | 257 615 | 24 60 31;Fax: + 233(21) 246033; 021 246042E-mail: link2home@gcb.com.gh | global@gcb.com.gh Website: www.gcb.com.gh