Branch Details
Name of Branch
Personal Details
Title
Mr.
Mrs.
Ms.
Full Name
Date of Birth
Choose country
Burundi
Kenya
Rwanda
Tanzania
Uganda
Nationality
Email
Mobile No.
Existing Bank Accounts
Guardian (for minors only)
Name of Father / Spouse
Residential Address
Flat No. BLDG Name
Road No. / Name
Area and Landmark
City
Home Telephone
Office Telephone
Fax
Zip Code
Mailing Address
Company Name and Department
Road No. / Name
Area and Landmark
City
Zip Code
Home Telephone
Office Telephone
Fax
Email
Post address / Number
Details of Introduction - Referee
Customer Name
Existing customers only
Account No.
Referee's Signature
Account Details
Choice of Account
Savings
Current
Fixed Deposit
Mode of Funding
Cash
Cheque
NEFT
Initial Deposit Amount
Individual Details
Occupation
Non-executive
House wife
Retired
Student
Unemployed
Other
Job Title
Attach passport photo
Browse Photo
Department
Nature of Business
Education
Under graduate
Graduate
Others
Monthly Income
Zero Income
Below $50,000
Above $50,000
Marital Status
Single
Married
Spouse Name
Other Existing Bank Accounts (If Any)
Name of the Bank
Account No.
Name of the Bank
Account No.
Reason for Account Opening
Please specify
Terms And Conditions
Terms & Conditions Agreement
I hereby agree to be bound by the terms and conditions and amendments governing this account.