client application form - av.sc.com · before you sign this application form, ... purpose for...

Client Application Form

sc.com/ae

Before you sign this application form, please read our Client Terms and Conditions indicated in the Declaration Section of this form and is also

available on our website at sc.com/ae.

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1A Contact Details

Telephone Numbers

Home - -

Office - -

Mobile - -

Home Country - -

(for expats only) Country code Area code

Email Addresses

Personal ___________________________________________________________________

Office ___________________________________________________________________

Preferred Email Addresses Personal Office

Residence Type Self-Owned Company provided Rented

Sharing Others ____________________________________

Residential Address

___________________________________________________________

___________________________________________________________

City ______________________________________________________

State _______________________ Country ______________________

P.O. Box No. _________________ Postal / Zip Code _____________

Permanent Address (Home Country Address for Expats)

___________________________________________________________

___________________________________________________________

City ______________________________________________________

State _______________________ Country ______________________

P.O. Box No. _________________ Postal / Zip Code _____________(Please specify)

1B Source of Funds / Employment / Business Details

Name of Employer / Business ________________________________________________________ Occupation / Designation _________________________________

Nature of Employment

Salaried (controller / owner / director) Salaried (General) Self-employed / Business owner

Home maker Student Unemployed Retired

Type of Business

Banking / Financial Services Trading Government Real Estate Construction FMCG Others _____________________

Please elaborate on business type _____________________________________________________________________________________________________________

Date of joining current employer / Business start date D D M M Y Y Y Y Total work experience (Years) _________________________

Monthly gross income (AED) _____________________ Other income (AED) _____________________ Annual income / Turnover (AED) ____________________

Is your salary transferred to Standard Chartered UAE? Yes No

Salary payment date D D M M Y Y Y Y

Amount of initial deposit _________________________ Currency ___________

Purpose for opening account _________________________________________

Bank correspondence to be sent to

Residential Office Permanent

Office Address

_______________________________________________________________________

_______________________________________________________________________

City _________________________________________________________________

State _____________________________ Country ____________________________

P.O. Box No. ______________________ Postal / Zip Code ___________________

1 About Yourself

Salutation Mr Mrs Ms Dr Other _____________

First Name _____________________________________________________

Middle Name _____________________________________________________

Last Name _____________________________________________________

Alias(s) _____________________________________________________

Previous Name(s) __________________________________________________

Identity Documents

Passport No. ____________________________________________________

Emirates ID No. ____________________________________________________

Nationality ____________________________________________________(In case of multiple nationalities, please list ALL nationalities / citizenships held)

Date of Birth D D M M Y Y Y Y

Country of Birth ____________________________________________________

Are you an existing Standard Chartered UAE client? No Yes Account / Credit card No. _____________________________________________ If your particulars mentioned in Sections 1, 1A, 1B and 1C have not changed please proceed to the Joint Applicant Section.

Resident in the UAE since M M Y Y Y Y

Residing in current residence since M M Y Y Y Y

Marital Status Married Single Widowed Divorced

No. of dependants ______________ No. of cars owned _______________

Gender Male Female

Mother’s Maiden Name _______________________________________________

Education Status High School Diploma

Graduate Post Graduate

Others ______________________________________(Please specify)

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2 Joint / Supplementary Applicant Details

Co-Applicant Joint Account holder Co-Applicant and Joint Account holder Supplementary credit cardholder Guardian (for Loans) (for Accounts)

Salutation Mr Mrs Ms Dr Other _____________

First Name _____________________________________________________

Middle Name _____________________________________________________

Last Name _____________________________________________________

Alias(s) _____________________________________________________

Previous Name(s) __________________________________________________

Identity Documents

Passport No. ____________________________________________________

Emirates ID No. ____________________________________________________

Nationality ____________________________________________________(In case of multiple nationalities, please list ALL nationalities / citizenships held)

Date of Birth D D M M Y Y Y Y

Country of Birth ____________________________________________________

Are you an existing Standard Chartered UAE client? No Yes Account / Credit card No. _____________________________________________ If your particulars mentioned in Sections 2, 2A, 2B and 2C have not changed, please proceed to Select a Product Section.

Relationship with main applicant

Spouse Parent Son / Daughter

Sibling Other ____________________

Mode of Operation for Joint Account

Anyone of us All of us Others _________________________

Gender Male Female

Mother’s Maiden Name _______________________________________________

Marital Status Married Single Widowed Divorced

Education Status High School Diploma

Graduate Post Graduate

Others ______________________________________(Please specify)

1C Bank Borrowing Details

Other bank borrowing details

IBAN

Bank name ___________________________________________________________ Finance type _________________________________________________________

Finance / Credit card number _________________________________________ Finance amount / Card limit ___________________________________________

Monthly instalment ___________________________________________________ Outstanding amount __________________________________________________

Facility start date D D M M Y Y Y Y Facility end date D D M M Y Y Y Y

IBAN





2A Contact Details

Telephone Numbers

Home - -

Office - -

Mobile - -

Home Country - -

(for expats only) Country code Area code

Email Addresses

Personal ___________________________________________________________________

Office ___________________________________________________________________

Preferred Email Addresses Personal Office

Residential Address

Same as Primary Applicant

Different from Primary Applicant

___________________________________________________________

___________________________________________________________

City ______________________________________________________

State _______________________ Country ______________________


Permanent Address (Home Country Address for Expats)

Same as Primary Applicant

Different from Primary Applicant

___________________________________________________________

___________________________________________________________

City ______________________________________________________

State _______________________ Country ______________________


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2B Source Of Funds / Employment / Business Details

Name of Employer / Business _____________________________________________ Occupation / Designation ___________________________________________

Nature of Employment

Salaried (controller / owner / director) Salaried (General) Self-employed / Business owner

Homemaker Student Unemployed Retired

Date of joining current employer / Business start date D D M M Y Y Y Y Total work experience (Years) ____________________________

Monthly gross income (AED) _____________________ Other income (AED) _____________________ Annual income / Turnover (AED) _____________________

Office Address

________________________________________________________________

________________________________________________________________

City ___________________________________________________________

State _______________________ Country ___________________________

P.O. Box No. _________________ Postal / Zip Code _________________

Bank correspondence to be sent to

Residential Office Permanent

2C Bank Borrowing Details

Other bank borrowing details

IBAN





IBAN





3 Which products would you like to apply for?

Conventional

Accounts AED USD GBP Loans Credit cards Savings Account Home Loan Infinite (Visa) Current Account MortgageOne Account (MOA) Manhattan Platinum (Visa) Salary Account Personal Loan Titanium (Mastercard) XtraSaver Account Auto Loan Shukran World (Mastercard) Bonus Saver (only AED) Classic Executive Premium Shukran Titanium (Mastercard) Other currencies ____________

International Banking

Do you wish to open an offshore account? Yes No

Country of interest China Hong Kong India Jersey Pakistan Singapore

Saadiq (Islamic Banking)

Accounts AED USD GBP Finances Credit cards

Savings Account Home Finance Saadiq Platinum (Mastercard)

Current Account SaadiqOne Account (SOA)

Salary Account Personal Finance

XtraSaver Account Auto Finance

Other currencies ____________

I/We hereby delegate Standard Chartered UAE (the “Bank”) to open an Investment Account(s) once my investment instructions are received by the Bank as stated in this clause.

I/We acknowledge and agree that: (i) the Investment Services Terms and Conditions and the Risk Disclosure Document are available at sc.com/ae/important-information.html, as updated from time to time (the “ISTC” and “RDD”) and where applicable the relevant Know Your Investment Risk (KYIR) document.

Please note:1. All solutions come with Mobile and Online Banking. 2. If you are a UAE national, please ensure to notify the Bank prior of receiving any support/grant funds from the UAE government in your account.3. Debit cards are available only in local currency for Current, Salary and Savings Accounts that are operated ‘singly’ or ‘by any one of us’.4. For Joint Accounts, please complete Section 2 of this form.

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3A Cards (debit and/or credit cards as applicable)

Name as it should appear on your debit and/or credit cardName on the card (maximum of 19 characters only, 15 characters for Shukran credit card)

Supplementary / Joint applicantName on the card (maximum of 19 characters only, 15 characters for Shukran credit card)

Debit card

Provide debit card no. (if Existing to Bank) ___________________________________________________

Require a new debit card? Yes No

Link my debit card to all AED accounts Yes No

Primary account type (only applicable to New to Bank clients) ___________________________________________________

Credit card

Monthly Repayment Amount Full Balance Minimum Balance

Repayment Method

Credit card payment from Standard Chartered account Account No. ___________________________________________

Credit card payment from other bank account through UAE Central Bank Direct Debit System (DDS)

Bank Name ____________________________________________________________ Account Title __________________________________________________________

IBAN

Do you need to open a non-transactional account for your credit card, for issuing a security cheque? Yes No

OptionalCredit Shield Insurance (CSI) protects you in the event of any unforeseen circumstances relating to Death, Permanent Total Disability, Critical Illness, Involuntary loss of employment, or Temporary total disability, subject to terms and conditions. The enrolment into CSI is subject to approval by the Insurance Provider. This benefit is NOT compulsory and you do not have to apply for it if you do not want to. Your decision whether or not to take up the CSI cover has no bearing on your credit card application.

I wish to apply for Credit Shield Insurance No Yes (Not available on Saadiq credit card)

Applicant Signature ________________________________________________

3B Personal Loan / Finance

Financing details New Top-up Additional Takeover

Loan / Finance amount (AED) ________________________________ Tenure (Months) ______________ First instalment date D D M M Y Y Y Y

Interest / Profit rate _______________ % p.a. (on reducing balance) Purpose of Loan / Finance __________________________________________________________Processing fee of 1% of loan / finance amount (Min AED 500, Max AED 2500).

In case of Top-up loans / finance, it will be applicable on cash-in-hand amount. Monthly instalment amount (AED) ___________________________________________________

You have requested D D M M Y Y Y Y , as the first instalment date of your Loan / Finance. If for some reason, however, the funds are not disbursed 3 days prior to your requested instalment date, then your first instalment will be due on the D D of the subsequent month. In case of Top-up, your monthly instalment date will remain as per your existing due date.

Where do you intend to use these funds?

Country 1 (please specify) ________________________________________________ Utilization ________________ %



For Top-up finances, the Utilization % is applicable to the finance amount outstanding + Topped-up amountPlease fill in Utilization % in multiples of 5 i.e. 5%, 10%, 15%, 20%...

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3C Home Loan / Finance

Finance amount (AED) _________________________________

For Primary Applicant For Secondary / Joint Applicant

Do you have other Home Loan / Finance? Yes No Do you have other Home Loan / Finance? Yes No

Does the monthly instalment of the Home Loan / Finance allow you Does the monthly instalment of the Home Loan / Finance allow youto continue ensuring your lifestyle expenditure? Yes No to continue ensuring your lifestyle expenditure? Yes No

Type of Loan / Finance

Pre-approval Refinance / Cashout Full Approval Balance transfer + Cashout Top-up Balance transfer

Property value (AED) _________________________________

Source of funds for the down payment _________________________________ You confirm that you will not use any credit card or Personal Loan / Finance for the purpose of paying the down payment.

Term of Financing (No. of years) ________

Purpose of Purchase Self Occupancy Investment

Type of Property Ready Property Under construction Identified Not Identified

Property Type Villa Townhouse Apartment Other _____________________

Purchase Type Direct from Developer Resale Other _____________________

Purpose of Cashout ________________________________________________

Where do you intend to use these funds?




3D Auto Loan / Finance

Vehicle Details Loan / Finance Details

Type of Car New Used Cost Price / Valuation of Vehicle (AED) ______________________________

Valuation from (used car only) ___________________________________ Accessories / Others _______________________________________________

Motor Insurance (AED) _____________________________________________

Payment Method Gap Insurance (AED) _______________________________________________

From your Standard Chartered Current / Savings Account Total Vehicle Value (AED) _________________________________________

Account No. ________________________________________________________ Down Payment (AED) ______________________________________________

Source of Funds for the down payment ______________________________ Finance Amount (AED) ____________________________________________You confirm that you will not use any credit card or Personal Loan / Finance for thepurpose of paying the down payment.

Interest / Profit rate ______ % p.a. (reducing rate) ______ % p.a. (flat rate) Tenure (Months) ____________Processing fee of 1% of loan / finance amount (Min AED 500, Max AED 2500).

Monthly instalment amount (AED) ___________________________________ First instalment date D D M M Y Y Y Y

4 Additional or Extra Services

e-Statements for any of our products will be sent to your preferred email address as indicated in Section 1A / 2A of the form. We will not send any physical statements unless requested below. The default frequency of sending out the e-statements for Current Accounts, Savings Accounts and credit cards will be monthly. Physical statements are charged as per the Service and Price Guide.

For physical paper statement, please select below:

Physical statements (banking accounts) Yes No

Physical statements (credit cards) Yes No

Cheque book (available only for Current Account) Yes No

Email instructions accepted (available only for Priority Banking Clients) Yes NoIf Email instructions is ticked (Yes), please complete the Email Indemnity Form.

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6 Self-Certification

U.S. Status

Primary Applicant Supplementary / Joint Applicant holders

Are you a U.S. Resident? Yes No Yes No

Are you a U.S. Citizen? Yes No Yes No

Do you hold a U.S. Permanent Resident Card (Green Card)? Yes No Yes No

Tax Residence Information

Please complete the following table indicating (i) the country where you are resident for tax purposes and (ii) your Taxpayer Identification Number orfunctional equivalent (hereafter referred to as ‘TIN’) for each country indicated.If you are a resident for tax purposes in more than three countries, please use a separate sheet.

If a TIN is unavailable please provide reason A, B or C where appropriate: • Reason A: The country where you are resident does not issue TINs to its residents • Reason B: You are otherwise unable to obtain a TIN (please explain why Account holder is unable to obtain a TIN in the below table if you have

selected this reason) • Reason C: No TIN is required (note: only select this reason if the authorities of the country of residence for tax purposes entered below do not

require the TIN to be disclosed)

For Primary Applicant

No. Country of residence for tax purposes TIN If no TIN is available, enter Reason A, B or C

1

2

3

If Reason B selected above, explain why you are unable to obtain a TIN in the corresponding row below

1

2

3

For Supplementary / Joint Applicant

No. Country of residence for tax purposes TIN If no TIN is available, enter Reason A, B or C

1

2

3

If Reason B selected above, explain why you are unable to obtain a TIN in the corresponding row below

1

2

3

5 Friend / Relative Details

For Primary Applicant For Supplementary / Joint Applicant

Friend / Relative Details Friend / Relative Details

Name Name

Mobile No. Mobile No.

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7 Declaration and Signature

By signing this application:

1. You acknowledge that we may receive a fee from the insurers if you apply for any of their plans offered in connection with the corresponding products.

2. All fees and charges listed are inclusive of 5% Value Added Tax (where applicable) effective from 01 January 2018. Clients will be required to pay VAT inclusive prices to Standard Chartered Bank. Tax implications on above fees and charges may be subject to change.

3. You represent and warrant that all information (including any documents) you have given to us in connection with the application is correct as well as complete and you agree to inform the Bank and provide adequate documentation in the event of any change in your occupation, employer or the status of your residency in the United Arab Emirates.

4. You acknowledge that we may decline your application without giving you any reason for doing so. If this happens, no contractual relationship arises between us and you. We may also choose to retain the documents that you have submitted to us.

5. You confirm and agree that we may give any information in connection with this application (including your personal information) to any service provider (whether located in or outside of United Arab Emirates) for the purpose of providing any service to you in connection with this application (including data processing).

6. If you are applying for a Saadiq product, you declare that you have received, read and understood our relevant Saadiq Terms and Conditions and the Service and Price Guide forming our banking agreement which are available on our website at sc.com/ae and you agree to be bound by them. For Saadiq Personal Finance, you acknowledge that you will be required to read, understand and sign the Letter of Offer and Agency Agreements. For Saadiq Auto Finance you acknowledge that you will be required to read, understand and sign the terms and conditions of Murabaha agreement. You acknowledge that you are bound by any variation we make to these documents, in accordance with our banking agreement. In particular, you understand that by entering into our banking agreement you give indemnities, authorisations, consents and waivers and agree to limitations on our liability.

7. If you are not applying for a Saadiq product, you declare that you have received, read and understood our Client Terms applicable Product terms, Service and Price Guide and the applicable documents referred to in Part A of our Client Terms forming our banking agreement which are available on our website at sc.com/ae and you agree to be bound by them. You acknowledge that you are bound by any variation we make to these documents, in accordance with our banking agreement. In particular, you understand that by entering into our banking agreement you give indemnities, authorisations, consents and waivers and agree to limitations on our liability.

8. You consent to us contacting you at the address, email address and phone numbers you have provided to us, to give you information on other products and services that we, or our strategic partners, may offer.

9. Where applicable, you agree that we will send an electronic statement for your bank accounts on a monthly basis by email to the email address provided by you; e-statements will only be sent for the following products where applicable – Current Account, Savings Account, and credit card. You also acknowledge that the Bank will register you for a prescribed set of SMS alerts. In order to further tailor them, please login to Online Banking and select the types of alerts you would like to receive.

10. In the event that you have not declared in the application form that you are an existing client and have confirmed that you do not hold any account with the Bank, however the Bank identifies that you have an existing account with the Bank, you authorise us to close the existing account and transfer the balance, if any, to the new account assigned to you. You also agree that all your future transactions, including salary credits, loan / finance, credit card repayments will be routed through the new account. You also authorise us to transfer standing orders / payment instructions, if any, from the existing account to the new account.

11. You authorise us to disclose, obtain, verify and exchange any of the information you have given to us with any one we may consider appropriate such as legal and regulatory authority or credit reference / rating agency or bureaus in line with the regulations or guidelines from the respective agencies or bureaus. This consent also covers sharing details of the Personal Finance facility being extended to you as a consequence of transfer of your Personal Finance facility from the other Bank (in the event of a Take Over Finance).

12. If you have chosen Direct Debit as a mode of payment, the terms and conditions for Direct Debit Authority will apply. Please visit our website at sc.com/ae for applicable terms and conditions.

13. You consent to us and to each of our subsidiaries and affiliates (including each branch or representative office) (“Standard Chartered Group”) its officers, employees, agents and advisers disclosing information relating to you (including details of our banking agreement, the accounts, the products or any arrangement with us) to our head office and any other member of the Standard Chartered Group in any jurisdiction (“permitted parties”); your employer, professional advisers, service providers (whether located in or outside of the United Arab Emirates) for the purposes of providing any service to you in connection with this application (including data processing), or independent contractors to, or agents of, the permitted parties, such as debt collection agencies, data processing firms and correspondents who are under a duty of confidentiality to the permitted parties, any actual or potential participant or sub-participant in relation to any of our obligations under our banking agreement between us, or assignee, novatee or transferee (or any officer, employee, agent or adviser of any of them), any credit reference agency, rating agency, business alliance partner, insurer or insurance broker of, or direct or indirect provider of credit protection to, or any permitted parties; any court, tribunal or authority (including an authority investigating an offence) with jurisdiction over the permitted parties; a merchant or member of VISA International or Mastercard International where the disclosure is in connection with the use of a card; any authorised person or any security provider; anyone we consider necessary in order to provide you with the services in connection with an account.

14. You acknowledge that Online Bill Payment refers to the payment of your Standard Chartered Bank credit card or any of the bill payment facilities offered via Online Banking.

15. For the purposes of your application of a credit card or Personal Loan / Finance application (including personal instalment loan, personal revolving loan and personal line of credit / overdraft) or Home Loan / Home Finance application or Auto Loan / Auto Finance application you confirm that:

- none of your existing credit cards and/or unsecured loan / finance have been cancelled due to payment defaults,- you do not have any payments overdue by more than one month on any loans / finances or credit cards you have with other financial institutions,- you are not and have never been bankrupt and you have no intention to petition or are currently petitioning for bankruptcy.

16. You acknowledge that insurance plans that accompany certain products are underwritten by third parties insurers. Such insurers are not our associates or subsidiaries or related corporations. Such insurers are solely responsible for all coverage and compensation under the plans. We collect your information and send them to such insurers for processing and review. Collection of information does not necessarily mean that your insurance application will be approved.

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17. You agree that if you are applying for a package:

- We may vary or terminate the package (including any features or rewards that may accompany the package products) or change the terms of the package by giving you notice. In particular, if you do not use any of the package products that you have applied for, we may (upon giving you notice) withdraw the features or rewards that accompany the package products.

- If you wish to terminate one of the package products, going forward we may charge you an additional fee / price for the remaining product or services and you might not be entitled to the features and benefits that are given to you in connection with your original Salary Suite package application.

- We may terminate the package and vary your application to a single product.

18. We may close your Current / Savings Account with us if you do not meet the eligibility criteria for respective package products and no funds are received within 60 days.

19. Please note that, at the Bank’s discretion, product benefits you enjoy as being a Standard Chartered Bank employee will no longer be available once your employment status changes with the Bank. These benefits include, but are not limited to, interest rates and processing fees.

20. In case of Home Loan / Home Finance:

All fees and charges, including but not limited to the Application Processing Fee, the Property Valuation Charges will not be refunded once collected. For the Property Valuation Charges, you undertake to make all necessary arrangements to provide the Bank’s appointed valuator complete and unobstructed access to the property to the Bank’s satisfaction and agree to indemnify the Bank and its appointed valuation agent and keep them harmless against all costs, losses, claims and/or expenses (including any legal expenses) resulting from their action on the above request.

If you are applying for Home Suite Pack (the “Pack”), you agree that we may terminate the pack and change the terms of the pack, including varying your application to a single product, by giving you a notice. If you wish to terminate one of the bundled products we may charge you an additional fee for the remaining product or services and any charges which were waived or discounted will not be levied for the previous period. If you wish to remove any of the products or services in the Pack, you understand that you will not be entitled to the rewards and benefits given to you in connection with your original application. You also acknowledge that the credit card or the Personal Loan / Finance are offered under the Pack is to cover the expenses incurred in association with your Home Loan / Finance, excluding the down payment.

You agree that you will not hold us responsible for any delays, defects or nonconformity to specifications relating to the construction of the property that you are asking us to finance.

US Status / CRS

I/We understand that the information supplied by me is subject to the terms and conditions governing my/our relationship with Standard Chartered Group, where my/our financial relationship is maintained.

I/We acknowledge that the information contained in this Form and information regarding me/us and any Reportable Account(s) may be provided, directly or indirectly, to any relevant tax authority, including the tax authorities of the country in which this account(s) is/are maintained and exchanged with tax authorities of another country or countries in which I/we may be resident for tax purposes pursuant to bilateral or multilateral agreements between governments to exchange financial account information.

Where required by domestic or overseas regulators or tax authorities, I/we consent and agree that the Bank may withhold from my/our account(s) such amount as may be required according to applicable laws, regulations, and directives.

I/We certify that I/We the Account Holder (or am authorised to sign for the Account Holder) of all the account(s) to which this form relates.

I/We declare that all statements made in this declaration are, to the best of my/our knowledge and belief, correct and complete.

I/We undertake to submit a suitably updated Form within 30 days of any change in information or change in circumstances which affects my/our tax residency status or where any information contained herein to become incorrect.

Main Applicant Signature _______________________________

Full Name ______________________________________________________________

Date D D M M Y Y Y Y

Supplementary / Joint Applicant Signature _______________________________

Full Name ______________________________________________________________

Date D D M M Y Y Y Y

Note: If you are not the Account Holder, please indicate the capacity in which you are signing the form

Capacity __________________________________

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9 For Bank use

Master No. ____________________ DSR Code _____________________ Sourcing ID ___________________ Closing ID _____________________

Branch Code __________________ Referral ID _____________________ ARM Code _____________________ Segment Code ________________

Acquisition Channel _______________________ Document Submission Date ______________________

Is the client a potential PEP? Yes No Does the client have sanctions links? Yes No Does the client have adverse media? Yes No

Segment Personal Premium Priority Private Client type Personal Staff banking Employee banking

ISIC Codes for Primary Applicant ___________________

Signature of the staff opening account ________________________________

Name and PW of the staff opening account ___________________________

ISIC Codes for Joint Applicant ___________________

Signature of the staff reviewing account _________________________________

Name and PW of the staff reviewing account ____________________________

8 Vehicle Sales Agreement

The seller and buyer agree on the purchase of the vehicle of which specifications are as stated below specifications are as stated below:

First Party (Seller) ____________________________________________________ Seller’s Signature

Address ___________________________________________________________ __ _________________________________________________________________

Second Party (Buyer) _________________________________________________

Address ______________________________________________________________ Buyer’s Signature

Vehicle Description _________________________________________________________________

Registration No. _____________________________________________________

Chassis No. __________________________________________________________ Witness’ Signature

Colour _____________________________________________________________ __ _________________________________________________________________

Engine No. ___________________________________________________________

Vehicle Type __________________________________________________________

Model ______________________________________________________________ __ Date D D M M Y Y Y Y

9 9 E B N D A E