Internet Banking - Customer Set-Up Form 2019

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INTERNET BANKING – CUSTOMER SET-UP

FORM
ORGANISATION
DETAILS
Company / Group Name:
.............................................................................................................................................................................................................................................................................................
Company / Group Physical
Address: ........................................................................................................................................................................................................................................................................
Postal Postal
Address: ............................................................................................................................................................................... Code: ..................................................................................................
Telephone Fax
Number: ...................................................................................................................................................................... Number: .................................................................................................

POINT OF CONTACT
DETAILS
First Point of Contact Name:

Telephone Number: Cell - phone:

Email Address:

1) REQUIRED FUNCTIONS:
Please tick required function(s) √

Account Statements Current and Loan Statement Other Local Bank’s Account(s) in Other
Savings Account Account Statements Barclays Africa Countries

Payments Domestic Funds Cross border Direct Debits Bulk Cheque printing
transfers Funds transfers

Cheque Book Request Stop Cheque Unblock Cheque Sweeping Instructions


Other Account
Services
Term/ Fixed Deposit Loan repayment Cash Delivery Request Wage Packet request

Trade Services Letters of Credit Bills and Collections Bank Guarantees

2) REQUIRED
ACCOUNTS
Account Details

Branch Number Account Name Country


3) APPROVED
BY:
The approval should be as per the Mandate
I confirm that the information provided above is true and complete to the best of my knowledge.

Customer Representative 1:

Name Company Title Signature Date

Customer Representative 2:

Name Company Title Signature Date

Customer Representative 3:

Name Company Title Signature Date

4) FOR INTERNAL
USE:

Cash Management/Relationship Manager

Name Signature Date

Operations Official (Validator)

Name Signature Date

Operations Official (Authoriser)

Name Signature Date

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