Account Opening

Salutation--None--Mr. Ms. Mrs. Miss Dr. Prof. First Name Last Name Title Date of Birth: Mobile Email Gender:--None--Male Female Other Nationality:--None--English American Ghanaian Afghan Albanian Algerian Andorran Angolan Anguillan Argentine Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Belarusian Belgian Belizean Beninese Bermudian Bhutanese Bolivian Botswanan Brazilian British British Virgin Islander Bruneian Bulgarian Burkinan Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Cayman Islander Central African Chadian Chilean Chinese Citizen of Antigua and Barbuda Citizen of Bosnia and Herzegovina Citizen of Guinea-Bissau Citizen of Kiribati Citizen of Seychelles Citizen of the Dominican Republic Citizen of Vanuatu Colombian Comoran Congolese (Congo) Congolese (DRC) Cook Islander Costa Rican Croatian Cuban Cymraes Cymro Cypriot Czech Danish Djiboutian Dominican Dutch East Timorese Ecuadorean Egyptian Emirati Equatorial Guinean Eritrean Estonian Ethiopian Faroese Fijian Filipino Finnish French Gabonese Gambian Georgian German Gibraltarian Greek Greenlandic Grenadian Guamanian Guatemalan Guinean Guyanese Haitian Honduran Hong Konger Hungarian Icelandic Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakh Kenyan Kittitian Kosovan Kuwaiti Kyrgyz Lao Latvian Lebanese Liberian Libyan Liechtenstein citizen Lithuanian Luxembourger Macanese Macedonian Malagasy Malawian Malaysian Maldivian Malian Maltese Marshallese Martiniquais Mauritanian Mauritian Mexican Micronesian Moldovan Monegasque Mongolian Montenegrin Montserratian Moroccan Mosotho Mozambican Namibian Nauruan Nepalese New Zealander Nicaraguan Nigerian Nigerien Niuean North Korean Northern Irish Norwegian Omani Pakistani Palauan Palestinian Panamanian Papua New Guinean Paraguayan Peruvian Pitcairn Islander Polish Portuguese Prydeinig Puerto Rican Qatari Romanian Russian Rwandan Salvadorean Sammarinese Samoan Sao Tomean Saudi Arabian Scottish Senegalese Serbian Sierra Leonean Singaporean Slovak Slovenian Solomon Islander Somali South African South Korean South Sudanese Spanish Sri Lankan St Helenian St Lucian Stateless Sudanese Surinamese Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian Tristanian Tunisian Turkish Turkmen Turks and Caicos Islander Tuvaluan Ugandan Ukrainian Uruguayan Uzbek Vatican citizen Venezuelan Vietnamese Vincentian Wallisian Welsh Yemeni Zambian Zimbabwean Address: Street Address: City Address: County Address: Postal/Zip Code Address: Country Employers Name: Industry--None--Accommodation and Food Service Activities (including beverages) Agencies providing services such as recruitment, real estate, domestic services Administrative and Office Support Service Activities Aeronautics /Civil Aviation Agriculture, Forestry and Fishing Alternative Investment Instruments Arts, Entertainment, Media and Recreation Banking Casinos (Regulated Gambling) Charities/Non - Profit Organisations / NGO Clubs/Societies/Associations Cocoa Beans Manufacturing/marketing/trading Construction (Construction of commercial/non-commercial buildings) Construction (Manufacture of Building Materials) Consultancy (Other than Professional Consultancies) Correspondent Bank Digital Currency Providers Education Electricity, Gas, Steam (Generating Electricity, Gas or Steam) Electricity, Gas, Steam, Water (Supply and Distribution) Electronic & Electrical Equipment Engineering Products Fossil Fuels and Distribution Freight Forwarding General Merchant Government Authorities High Value Dealers Hi-Tech Industry Hospitality Human Health and Social Work Activities Import and Export Industrial Chemicals (Manufacturing) Industrial Chemicals (Supply and Distribution) Information and Communication (including IT Hardware and Services) Intermediaries / Commission Agents Leisure Products Manufacturing (General manufacturing other than military and defence goods and dual use control goods) Manufacturing of Pharmaceuticals goods Medicine and Biotech Research Mining, Metals and Quarrying (including support services/activities) Money Lending, Microfinance Money Service Business National Pension Scheme Oil and Gas/Petroleum (Refinery, Trading, Distribution) Other Industries Pawn Brokers Personal Goods PIV Public Procurement Professional Services Providers (Legal, Accountancy, Notaries, Tax Advisory) Professional, Scientific and Technical Activities (other than Accountancy and Legal Services) Real Estate Activities (other than Estate Agents), including developing and buying properties Real Estate Agents Regulated Financial and Insurance Activities (other than Banks) Religious organisations/churches Retail Betting (Unregulated gambling) / Online gambling Retail Outlet (e.g. convenience stores, pharmacies) Shipping SPV Tobacco Tourism and Leisure Transportation of Goods Trust or Company Services Providers Water Supply, Sewerage, Waste Management and Remediation Activities Wholesale and Retail Trade - Jewellers/Precious metals / Stone Dealers Wholesale and Retail Trade - Military Equipment / Arms Dealers / Manufacturing Wholesale and Retail Trade, Repair of Motor Vehicles and Motorcycles Wholesale Trading - Commodities Desired Account Type:--None--Personal/Corporate Checking Personal/Corporate Savings Fixed Deposit Merchant Services Other (please specify) Purpose of Account:--None--General Business Transactions Investment Wealth Management Other (please specify) Description