Account type:

Euro Account
USD Account

Internet banking
Internet banking limit: select below 250USD/DAY 2500USD/DAY 50000USD/DAY
Bank Card: Visa Classic
ATM limit:
POS limit:
Full limit:
Company name on card:
Personal name on card:

Company Details

Company Name:
Company Short Name (if any):
Company address:
Registration number:
Date of Registration: -- (yyyy-mm-dd)
Country of issue:
Tax no./ESS code/EIN:
Telephone number:
Telefax number:
Core activity:
Web address (if any):
Business type:

Authorised person

Position:
First name, Family name:
Name at birth (if other than now):
Telephone number:
Place of Birth:
Date of Birth: -- (yyyy-mm-dd)
Mother's name:
Citizenship:
Home address:
Type of identification: select below ID Passport Licence
Documents number:
Other document:
Number:

STATEMENT ON THE ADDRESS OF NOTIFICATION

select below Hold your notices in the bank Post the notices to the following address:
Name:
Post code:
City:
Street:
Number:
Floor/door:

Client's declaration on the beneficial owner (section 6 paragraphs (1)-(2))

I am beeing aware of my liability under the Criminal Code, hereby declare that I act on behalf of
my own as a private individual.
the following person(s) as a private individual:
the legal entity, it proceeds in its own name.
the above legal entity, it proceeds in the name of the following person(s):


Name:
Name2:
Home address/Registered office:

Name:
Name2:
Home address/Registered office:

Name:
Name2:
Home address/Registered office:

Name:
Name2:
Home address/Registered office: