Request To Open An Account

Please Indicate The Category and type of Account to Open by Ticking the Applicable Box Below
Company/Business Name
Field is required!
Field is required!
Date of Incorporation/ Registration
Field is required!
Field is required!
Parent Company's Country of INC.
Field is required!
Field is required!
Type / Nature Of Business
Field is required!
Field is required!
Operating Business Address 1
Field is required!
Field is required!
Corporate Business Address/Registered Office
(If Different From Above)
Field is required!
Field is required!
Phone Number (1)
Field is required!
Field is required!
Tax Identification Number (Tin)
Field is required!
Field is required!
Other Reference Number
Field is required!
Field is required!
Is Your Company Quoted on Any Stock Exchange?
Field is required!
Field is required!
Branch
  • - select a Branch -
  • Asankragua
  • Adum
  • Asokwa
  • Adabraka
  • Abossey Okai
  • Agona Swedru
  • Asamankese
  • Adjiringanno
  • Ashaiman
  • Accra Central
  • Accra NewTown
  • Achimota
  • Bolgatanga
  • Baatsonaa
  • Cape Coast
  • Community 25
  • Dansoman
  • Essam
  • Ebankese
  • Kumasi Main
  • Goaso
  • Juaboso
  • KNUST
  • Kumasi Suame
  • Kasoa
  • Koforidua
  • Legon (University)
  • Labone (Private Banking)
  • Madina
  • Republic Court
  • Sefwi Wiawso
  • Sefwi Bekwai
  • Techiman
  • Tamale
  • Tema
  • Takoradi
  • Tudu
Field is required!
Field is required!
Certificate of Incorporation Registration No.
Field is required!
Field is required!
Country of Incorporation/ Registration
Field is required!
Field is required!
Source of Funds.
Field is required!
Field is required!
Sector/Industry
Field is required!
Field is required!
Operating Business Address 2
Field is required!
Field is required!
Website
(If Any)
Field is required!
Field is required!
Phone Number (2)
Field is required!
Field is required!
Certificate to Commence Business
Field is required!
Field is required!
Please Specify
Field is required!
Field is required!

Account Service(s) Required

(Please tick any applicable option below)
Card Preferences
Field is required!
Field is required!
Visa Card
Field is required!
Field is required!
Electronic Banking Preferences
Field is required!
Field is required!
Statement Preferences
Field is required!
Field is required!
Transaction Alert Preferences
Field is required!
Field is required!
Statement Frequency
Field is required!
Field is required!
Cheque Book Requisition
Field is required!
Field is required!
Field is required!
Field is required!

Details Of The Directors/ Executives / Signatories (1)

Surname
Field is required!
Field is required!
Other Name
Field is required!
Field is required!
Date of Birth
Field is required!
Field is required!
Nationality
Field is required!
Field is required!
Means of Identification
Field is required!
Field is required!
ID Issue Date
Field is required!
Field is required!
Occupation
Field is required!
Field is required!
Status As A Director
  • - select a option -
  • Chairman
  • Managing Director/Cheif Executive Officer
  • Executive Officer
  • Chief Financial Officer
  • Others(Specify)
Field is required!
Field is required!
City/Town
Field is required!
Field is required!
Metropolitan Municipal District Assembly Area (MMDA)
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
First Name
Field is required!
Field is required!
Mother's Maiden Name
Field is required!
Field is required!
Gender
  • - Select a option -
  • Male
  • Female
Field is required!
Field is required!
Resident Permit No.
Field is required!
Field is required!
ID Number
Field is required!
Field is required!
ID Expiring Date
Field is required!
Field is required!
Job Title
Field is required!
Field is required!
Position / Office of the Officer
Field is required!
Field is required!
Residential Address
Field is required!
Field is required!
Nearest Landmark
Field is required!
Field is required!
Region
Field is required!
Field is required!
Other Phone Number
Field is required!
Field is required!

Details Of The Directors/ Executives (2)

Surname
Field is required!
Field is required!
Other Name
Field is required!
Field is required!
Date of Birth
Field is required!
Field is required!
Nationality
Field is required!
Field is required!
Means of Identification
Field is required!
Field is required!
ID Issue Date
Field is required!
Field is required!
Occupation
Field is required!
Field is required!
Status As A Director
  • - select a option -
  • Chairman
  • Managing Director/Cheif Executive Officer
  • Executive Officer
  • Chief Financial Officer
  • Others(Specify)
Field is required!
Field is required!
City/Town
Field is required!
Field is required!
Metropolitan Municipal District Assembly Area (MMDA)
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
First Name
Field is required!
Field is required!
Mother's Maiden Name
Field is required!
Field is required!
Gender
  • - Select a option -
  • Male
  • Female
Field is required!
Field is required!
Resident Permit No.
Field is required!
Field is required!
ID Number
Field is required!
Field is required!
ID Expiring Date
Field is required!
Field is required!
Job Title
Field is required!
Field is required!
Position / Office of the Officer
Field is required!
Field is required!
Residential Address
Field is required!
Field is required!
Nearest Landmark
Field is required!
Field is required!
Region
Field is required!
Field is required!
Other Phone Number
Field is required!
Field is required!

Additional Details

Name Of Affiliated Company/Body 1.
Field is required!
Field is required!
Name Of Affiliated Company/Body 3.
Field is required!
Field is required!

A. Shareholder

A. Full Name of Shareholder
Field is required!
Field is required!
Status
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
Country of Incorporation
Field is required!
Field is required!
Name Of Affiliated Company/Body 2.
Field is required!
Field is required!
Principal Shareholders
Field is required!
Field is required!
Address
Field is required!
Field is required!
Percentage Holding
Field is required!
Field is required!
Nationality
Field is required!
Field is required!
Registration Certificate
Field is required!
Field is required!
Names of Beneficial Owner(s)
Field is required!
Field is required!

B. Shareholder

B. Full Name of Shareholder
Field is required!
Field is required!
Status
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
Country of Incorporation
Field is required!
Field is required!
Address
Field is required!
Field is required!
Percentage Holding
Field is required!
Field is required!
Nationality
Field is required!
Field is required!
Registration Certificate
Field is required!
Field is required!
Names of Beneficial Owner(s)
Field is required!
Field is required!

C. Shareholder

C. Full Name of Shareholder
Field is required!
Field is required!
Status
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
Country of Incorporation
Field is required!
Field is required!
Address
Field is required!
Field is required!
Percentage Holding
Field is required!
Field is required!
Nationality
Field is required!
Field is required!
Registration Certificate
Field is required!
Field is required!
Names of Beneficial Owner(s)
Field is required!
Field is required!

D. Shareholder

D. Full Name of Shareholder
Field is required!
Field is required!
Status
Field is required!
Field is required!
Phone Number
Field is required!
Field is required!
Email Address
Field is required!
Field is required!
Country of Incorporation
Field is required!
Field is required!
Address
Field is required!
Field is required!
Percentage Holding
Field is required!
Field is required!
Nationality
Field is required!
Field is required!
Registration Certificate
Field is required!
Field is required!
Names of Beneficial Owner(s)
Field is required!
Field is required!