Customer Number

Branch Name

FOR BANK USE ONLY

Type of Account

Customer Type

Statement Frequency

Purpose of Account

Personal Information

Title of Account: Applicant Name:

Father’s/Husband’s Name:

(as per passport)

(as per passport)

Date of Birth:d d m m y y y y

Gender: Male Female Marital Status: Single Married

Professional Status: Salaried: Self Employed:

Mother’s Maiden Name:

Currency of Account

Nationality: Residence Country:

UAE Resident Non Resident

Passport No:d d m m y y y y

Passport Expiry:

Visa No:d d m m y y y y

Visa Expiry:

Emirates ID #:d d m m y y y y

Emirates ID Expiry:

Employment Details (Salary Individual )

Employer Name:

Department: Salary:

Employee No.: Designation:

(per month)Other Income (if any):

Address /Contact Details

P.O. Box: Villa /Apartment No.: Building:

Street: Area:

Nearest Landmark: City: Country:

Current Residence Address:

E-mail:

Tel. No. (Res): Tel. No. (Off): Mobile No: Fax No:

Permanent Home Country Address:

House /Apartment No.: Building:

Street: Area:

Nearest Landmark: City: Country:

E-mail

Tel. No. (1): Tel. No. (2): Mobile No: Fax No:

Account Open Date

Account Number

I / We request you to open an account. Note: Please fill the following information in CAPITAL letters

Profession: (e.g. Doctor/Engineer/Accountant/Driver)

SavingsCurrent

Individual

OthersUSDAED

QuarterlyMonthly AnnuallyBi Annually

OthersSavings InvestmentsSalary

Account Opening Form (Individual)

Proprietorship LLC Free zone Other

Employment Details (Self Employed )

Business Name:

Licence No. & Type:

Type of Business:

Place of Issue:

d d m m y y y yDate of Establishment: Average Monthly Income:

Joint Applicant (1)

Father’s/Husband’s Name:(as per passport)

Name:(as per passport)

d d m m y y y y

Date of Birth: Gender: Male Female Marital Status: Single Married

Mother’s Maiden Name: Nationality: Residence Country:

Address /Contact Details

Employment Details (Salary Individual )

P.O. Box: Villa /Apartment No.: Building: Street:

Area: Nearest Landmark:

UAE Resident Non Resident Passport No:d d m m y y y y

Passport Expiry:

d d m m y y y y

Visa No: Visa Expiry:

Current Residence Address:

Employer Name: Employee No.: Designation:

City: Country: Tel. No. (Res): Tel. No. (Off):

E-mail: Mobile No.: Fax No. :

Building: Street:

Area: Nearest Landmark:

City: Country: Tel. No. (1): Tel. No. (2):

E-mail: Mobile No.: Fax No. :

Permanent Home Country Address:

Department: Salary: (per month)

Other Income (if any):

Professional Status: Salaried Self EmployedProfession: (e.g. Doctor/Engineer/Accountant/Driver)

d d m m y y y y

Date of Birth: Gender: Male Female Marital Status: Single Married

Professional Status: Salaried Self EmployedProfession: (e.g. Doctor/Engineer/Accountant/Driver)

Joint Applicant (2)

Father’s/Husband’s Name:(as per passport)

Name:(as per passport)

Mother’s Maiden Name: Nationality: Residence Country:

Account Opening Form (Individual)

House /Apartment No.:

Banking Services

ATM/Debit Card Cheque Book Phone Banking Internet Banking HBL Marketing SMS Service

Primary ApplicantSignature

Joint Applicant (1) Signature

Joint Applicant (2) Signature

HBL Marketing SMS Service

We value your privacy. From time to time, HBL communicates various promotional offers on its products and services by way of sending SMS (text messages)to its customer’s mobile phones. These SMS text messages may be sent directly by HBL or through one of its partners.

Would you wish to receive marketing related SMS messages from HBL and/or its Partners? Yes No

Note: It is mandatory to select one of the two options; else it would be understood that you accept receiving these SMS messages from HBL and itspartners.

Terms & Conditions / Declaration

I / We agree that the information given above is true and complete, and that I / We have received the Bank’s General Terms and Conditions for theOperation of Accounts and Electronic Banking Services and those applicable specifically to the type of account chosen by me / us. I / We understand and expressly agree and accept to be bound by them whether set out in English and / or Arabic. I / We confirm that all expected inward remittances to my / our account(s) will comply with the stipulations of the UAE Central Bank.

d d m m y y y yUAE Resident Non Resident Passport No: Passport Expiry:

d d m m y y y yVisa No: Visa Expiry:

Address /Contact Details

Employment Details (Salary Individual )

P.O. Box: Villa /Apartment No.: Building: Street:

Area: Nearest Landmark:

Current Residence Address:

Employer Name: Employee No.: Designation:

City: Country: Tel. No. (Res): Tel. No. (Off):

E-mail: Mobile No.: Fax No. :

House /Apartment No.: Building: Street:

Area: Nearest Landmark:

City: Country: Tel. No. (1): Tel. No. (2):

E-mail: Mobile No.: Fax No. :

Permanent Home Country Address:

Department: Salary: (per month) Other Income (if any):

Account Opening Form (Individual)

Date:

Name Signature

Name Signature

Name Signature

For Bank Use Only

Specimen Signature Card

Account Number

Account Title:

Account Operating Instructions:

Singly Jointly Others (Please Specify)

Card Scanned:

Scanned by:

Date:

Authorised by:

Documents Checklist (For Bank Use Only)

Duly filled out Application Form

Copy of Valid Passports, Visa page & UAE ID card obtained

Original Passport & UAE ID card sighted

All other documents attested & stamped

AOF & SS Card Completed

Customer Signature Admitted on AOF & SS Card

Account opened in the system

Cheque Book request fed in the system

ATM / Debit Card request fed in the system

OF AC & CB List checked

Two photograph obtained (if required)

Form CD - 50 obtained (If required)

Accounts Opened By Accounts Approved By System Input By

Account Opening Form (Individual)

Primary Applicant

Joint Applicant-1

Joint Applicant-2