:

.

Entity Name

CIS No. Main Account No.

purpose of theadditional account

Please open an additional account connected to the main account mentioned above،

With the same account currency.

Another currency, specify the type of currency:

Same authorities to sign on behalf of the entity and existing internal agents on the main accountsome of the same authorities with the same current

are listed below:

Additional Account Opening Request

DateBranch NameBranch No.

Notes:• New authorized representatives should sign the Signature Specimen Card and

• Kindly attach photocopies of the Government IDs duly signed by the cardholders.

:Include the name of the new authorized represntatives:

The Continued Authorized Representative From The Main Account And The New Authorized Representative

New Representative Continued Representative

4

3

2

1

5

Representative Type Please Select

NameID No.AddressSignatureDate

1 of 2

Check CollectionsPayments of Obligationsand Expenses

DepositsDeposit Shares of CapitalOther (Specify)

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1

2

3

Address

Branch Name

Name code Date

Branch Nom

Signature

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