Issued by HSBC Bank Egypt. CRN 19324.© Copyright. HSBC Bank Egypt S.A.E. (2019). ALL RIGHTS RESERVED. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, on any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of HSBC Bank Egypt S.A.E.

CRN 19324 ©

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Personal BankingAccount Opening Request

Your Personal Details

Others Ms. Mrs. Mr. Title

Name (As in ID/Passport)

Female MaleGender

/ / / /Date of Birth

Place of Birth

Nationality

(1

No YesDo you have Multiple Nationalities? If yes, please provide multiple nationalities.

If no, please provide only nationality (1)

Country of Residence

Passport National ID Military IDID Type

Passport/ID Number

Passport/ID expiry date

Purpose of the account Opening

Clerical Housewife

Self Employed Professional/Senior Administrative

Student Unemployed

Skilled Manual Retired

Others

Occupation

Nationality 3 ٣ Nationality 2 ٢ Nationality 1 ١

Your Contact Details

Home Address (Home Country)

Landmark

Address

Landmark

Residing at this address since

Permanent current Residential Address (Residency)

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If Residing at the stated address for less than 3 years please provide your previous residence address details Landmark

Employer Address

Landmark

Work Home

Mobile

Telephone Numbers

Personal E-mail Address

Work E-mail Address

Home Address Employer Address

Permanent Current Residential Address

Others

Mailing Address

Customer Authorised Signature

املهنة

اجلنسية

موظف

عمل حر

طالب

حريف

أخرى

ربة منزل

مهنة حرة/مدير إداري

بدون عمل

متقاعد

Date:Branch:

Personal Account Opening Request

HSBC Bank Egypt S.A.E

Current Account Savings Account

EGP

USD

GBP

EUR

Others

Your Account Type

Relationship With Other Banks

Financial Institution Account Type Balance/Value Monthly Investment Maturity Date

1 ١ 1 ١ 1 ١ 1 ١ 1 ١

2 ٢ 2 ٢ 2 ٢ 2 ٢ 2 ٢

3 ٣ 3 ٣ 3 ٣ 3 ٣ 3 ٣

Your Employment DetailsPresent employer name

Profession/Job

Job title role

FrequencySalary (EGP)

FrequencyOther income (EGP)

FrequencyHousehold income (EGP)

With this employer since

Previous employment

Length of employment

If Self Employed

Annual Business Turnover

Credit Turnover in EGP

Average balance in EGP

About You

(Thank you for taking the time to provide us with further details about yourself. We shall use this information to help us serve you better)

Single Married Divorced WidowedMarital status

Primary Preparatory Secondary Graduate Post Graduate

Educational level

Hobbies / Interest

Owned Living with parents RentedHome ownershipstatus

Yes No Car ownership

Spouse name

Spouse Profession

Number of children

-١ 1-

D.O.B / /

Names of children and date of birth

-٢ 2-

D.O.B / /

-٣ 3-

D.O.B / /

Please Provide Me/Us With The Following Service(s)1- Account statement is sent quarterly by default on your email. Please specify the email:

Personal Work Please tick the below box, if you wish to receive it in printed statement*

Printed Statement

Please tick the below box if you wish to receive it monthly. Monthly

* To receive free electronic statement you must register immediately for Personal Internet Banking Service upon receiving your account tools. Tariff and charges apply on printed statements.

*

*

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Customer Authorised Signature

Customer Authorised Signature Customer Authorised Signature

2- HSBC Debit Card Yes NoAccount(s) to be accessed through the above card

First Account Second Account Third Account

Collection of Debit Card To be delivered to correspondence address (for Debit Cards only)

Name in (English letters) as it will appear on the card (maximum 19 characters including spaces with no special characters) ١٩

HSBC ٢

3- SMS Alert Service Yes No ٣

Other Information

Level of the activity anticipated on the Account EGP Frequency: Monthly Quarterly Half yearly Yearly Others

Reason for anticipated frequent payments including inward/outward wire transfers

Source of Account opening initial deposit:

Total initial deposit amount and currency:

Connected Parties:

Do you have connected/Associated parties who have control or influence over your account? Yes No

If you fall under any of the following categories, please specify as appropriate:

HSBCYour HSBC Accounts Overseas

Do you hold any HSBC accounts overseas? Yes No HSBC

Country 1 Balance ١

Country 2 Balance ٢

Country 3 Balance ٣

Kindly mention your jurisdiction of tax residency:

Country 1 Country 2 ٢ ١

Your Sources of Fund(SOF) refers to the source of the amount to be transferred to the HSBC account initially and on- going basis

HSBC

Is your source of income/wealth derived from any of the following countries: Syria, Iran, North Korea, Cuba, Zimbabwe, Belarus, Crimea Region? Yes No

Do / Did you hold a high ranking public position in the political/governmental

/judicial or military field?

Yes (Please specify) No

Are you connected to any person who holds or held a high ranking public position in the

political/governmental/judicial or military field?

Yes (Please specify) No

Are you an owner or partner of any other business?

Yes (Please specify) No

To complete your SMS alert setup, logon to HSBC Online Banking service and subscribe using the option “Notification settings”

إلكمال إعداد التنبيه عبر الرسائل النصية القصيرة ، قم بتسجيل الدخول إلى خدمة اإلنترنت البنكى وإشترك “Notification Settings” بإستخدام خيار

Account Holder Verified Signature

www.hsbc.com.eg

Declaration- I declare that all information in this application is true and correct and acknowledge and accept HSBC Bank Egypt General Terms and Conditions for the Operations of Account and Electronic Banking

Services as well as tariff of charges available on HSBC Bank Egypt public website www.hsbc.com.eg which I read, understand, received a copy of it upon my request and expressly agree to be

bound by. I understand that the mentioned Terms and Conditions shall apply to any personal account(s) that I may hold with the Bank from time to time (which the Bank may amend from time to

time according to bank sole discretion), which constitutes an integral and complimentary part of this application which we refer into.

- I declare that my usage for this account will only be only for personal usage without any commercial transaction, the bank has the right to close my account at any time without notification according

to its sole discursion and I agree now for such.

- In case you have an overdraft or any other due outstanding for the bank, the bank has the right to setoff between your debit and credit accounts to settle these due outstanding’s without notifying

you for such and incase there are no debit balances, the bank reserves the right to claim the outstanding by all legal means.

- In case any checks are presented on my current account it could not be cashed from any other account of my accounts bases on the independency of the accounts. Unless, I provided the Bank

with authorization or written instructions stating otherwise.

- I declare to provide the bank latest information / personal data related to me upon any changes or upon bank request.

I/we confirm receiving Account Key Feature Document which I read and understand and accept without any objection made from my side.

For Bank Use Only

ApprovedBank Authorised Signature/StampForm Completed & Signed in my PresenceAccount Number

Black List CheckedDate Account Opened

Change of Account statusRemarks Documentation Check List

Authorised ByStatus Changed ToDateValid Passport/ID Copy

Valid Visa Page (Residence)

* Child’s Birth Certificate

* Child’s Passport Copy

Power of Attorney

BMLCO Signature if initial deposit exceeds thresholdWorkstationInitialStaff Name

no.Fiscal Stamps to be deducted from A/C

Yes No Does the customer belong to SCC category

Fees Exemption

Account Service Charge Exemption Master Level Suffix Level Reason:

International Customer Number:

Branch Manager Signature:

Remarks:

* For Minor Accounts

The Customer irrevocably agrees that the Bank may at its discretion and for any purpose (including for the purpose of fraud prevention, audit, the provision of services by any third party, debt collection, or if required by any competent government or regulatory body) share any information details or data relating to the Customer or the Customer's transactions with any member or associate of the HSBC Group of Companies or other parties for the purpose of providing the above services.

*Tax Declaration:

- The Bank does not give you any tax advise in relation to tax obligations.- By agreeing to the bank's general Terms and Conditions, you acknowledge that you are solely responsible for understanding and complying with your tax obligations.- where a referral is made to an external organization for specific tax advice, the contract for such advice is between the customer and the third party, and any advice provided is the responsibility of such third party, not the bank.

*إقرارات خاصه بالضرائب :

-ال يقوم البنك بتوجهيك أو تقديم النصيحة لك حول التزماتك الضريبية.

-بموافقتك علي األحكام العامة اخلاصة بالبنك فأنك سوف تكون منفردا مسؤول عن استيعابك و تقيدك بالتزماتك الضريبية.

-يف حالة الرجوع ايل طرف أخر للحصول علي اي استشاره ضريبية تقع مسؤولية هذا التعاقد بين العميل و الطرف االخر علي العميل دون ادين مسؤوليه على البنك.

Credit Card(s) Limit

I would like to have the maximum Credit Limit I would like to set a maximum limit for the card(s) of EGP

Card Type Primary Card Supplementary Card

Your Choice Visa Platinum Visa Gold Others

Primary Card Applicant Details

Employment status Salaried Self Employed Professional

Business sector Proprietorship Public sector Private Sector Government Multinational Company Others

Length of Service

Time in current work

Previous employer Time with previous employer

Name of a Friend/Relative in Arab Republic of EgyptName

Tel. Office

Mobile

Relationship

Tel. Res.

٢٠Name in (English Letters) as it will appear on the card (maximum 20 characters including spaces with no special characters)

Limit on supplementary Card

I would like to share my Credit Card limit with my Supplementary Cardholder I would like to assign a credit limit of EGP

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The accounts specified hereunder must be the Card Applicant’s sole accounts or joint accounts holding sole signature authority to “any” or “either” of the account holders.

Monthly settlement percentage (minimum 5%)

Please debit amounts due on my Card Account automatically from my account number

Automatic Settlement Instructions

Supplementary Card Applicant Details

Mr. Mrs. Ms.Full name (as in National ID / Passport)

٢٠Name in (English Letters) as it will appear on the card (maximum 20 characters including spaces with no special characters)

Gender Male Female

Relationship to primary cardholder Father/Mother Son/ Daughter

Brother/Sister Spouse

Place of Birth Date of Birth

Nationality

Multiple Nationalities Yes No

If Yes, please provide multiple nationalities

Nationality (2) (٢) Nationality (1) (١)

ID type National ID Passport

National ID / Passport No.

Place of issue Expiry Date

Residential Address

Building No. & Street Name

City District Name Floor & App No.

Mobile Tel. Res. Governorate

E-mail

Employment Data

Employer Name

Occupation

Building No. & Street Name

City District Name Floor & App No.

Tel. (Ext.) Tel. Office Governorate

Fax No. Mobile

Business Sector Government Private Sector Public Sector Others Multinational Co. Proprietorship

Credit Card Application From HSBC Bank EgyptHSBC

HSBC Bank Egypt S.A.E

HSBC١

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www.hsbc.com.eg ٥

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DeclarationI hereby apply for Credit Card(s) from HSBC Bank Egypt and declare the following:1- I declare that all information provided by me in this application is true and correct. I authorise HSBC Bank Egypt to seek verification of the data given from whatever sources it may so select also to provide the bank latest information / personal data related to me or my supplementary (if

any) upon any changes or upon bank request.2- I accept that HSBC Bank Egypt is entitled in its absolute discretion to accept or reject this application without assigning any reason whatsoever. And I accept that in case of disapproval on issuing the Card to me, the Bank has the full right to keep the documents attached to this

Application.3- In consideration of HSBC Bank Egypt granting credit facilities to me, I do hereby undertake to pay to the Bank on the first demand all sums due on the Card Account.4- I expressly agree that the bank has the authority to fully settle any due amounts on my credit card and have a lien and right of set-off against the funds placed in all my accounts, deposits and property rights and interest, which are in the Bank’s custody.5- I have read and accepted all the Terms and Conditions governing the use of the Card (which may be amended from time to time according to the bank›s sole discretion) which are available on the bank›s general website www.hsbc.com.eg and in the branches, and which constitute an

integral and complementary part of this application which we refer into .In case of the approval on issuing a Card to me, the use of the Card and any supplementary Cards issued on my account shall consider my acceptance to the Terms and Conditions ( The customer has the right to request a printed copy of the terms and conditions).

6- In case of a supplementary card request, the Primary Cardholder hereby acknowledges the Bank›s right to debit his/her account with any transactions operated by the supplementary Cardholder whereby shall have no right to object upon any transactions made thereto. Moreover, confirms and agree to be bound by the Terms and Conditions governing the use of the card (which may be amended from time to time according to the bank›s sole discretion) being available on the bank's general website www.hsbc.com.eg constituting an integral and complementary part of this application which we refer to. The primary cardholder further declare his/her Civil and Criminal responsibility resulting from the transactions operated by the supplementary Cardholder for whom he/she requested issuance of a supplementary Credit Card under his/her full responsibility.

7- I hereby acknowledge that I am and my supplementary (if any) the sole beneficiary of card(s).8- I hereby acknowledge and accept that the bank issues the card active and charges issuance fee upon card issuance. Furthermore, I agree and accept that the card gets automatically renewed, issued active and annual renewal fees to be charged.9- I do hereby undertake to protect the Credit Card and the Credit Card security details (and this includes the PIN).10- I declare that I have read and accepted cards’ fees, charges and tariffs which are available in the Key Features Document, HSBC Bank Egypt’s public web site and bank’s branches. Also, I expressly agree that the bank has the authority to amend any fees, charges and tariffs from time

to time according to its discretion. Thus, the use of the credit card after amendment date shall be considered as my acceptance for this /these amendment(s) without any objection.11- I declare that the card belongs to HSBC Bank Egypt so the bank can cancel the card, amend or cancel my credit limit straightaway without notice. 12- I expressly agree that HSBC bank Egypt has the right to cancel or restrict purchases or cash advances credit limits inside or outside Egypt whether in Egyptian pound or any other currencies according to its discretion without notice.13- I do hereby undertake to report to the bank immediately the loss or theft of the primary card (or supplementary card if any), therefore I will be fully responsible for any transactions effected before reporting to the bank.14- I declare that I am fully responsible for all transactions and amounts posted to Credit card account. And in case of disputing any transactions or amounts, I have the right to inform the bank in writing of any discrepancies within 30 days of the transaction date. Also, I understand that

the investigation through Visa/MasterCard may take up to 180 days or more to resolve and the bank is not responsible to credit/refund any disputed amounts unless the investigation process is over and proved to be genuine. In case, it is not genuine, the bank will not refund any amounts.

15- I do hereby undertake that the purpose of the credit card is to be used in personal transactions without any business purposes and in case of violation or in case of using the credit card in suspicious commercial transactions whether in a local or a foreign currency or depositing huge cash amounts that exceed the existing / current dues on the credit card account , the bank has the right to cancel and/or stop the credit card without prior notification to the customer.

16- I declare that I know that access to statements is available all the time through internet banking, and in case I did not register for internet banking, I will be responsible to notify the bank to send the statements to my correspondence address. And if I did not receive them, I am obliged to visit any of HSBC Bank Egypt branches to read and receive them or inquire about them through phone banking, hence, the contents of the statement will be deemed to be correct and accepted and the bank should consider this a final confirmation from me to its contents.

DateSignature of Primary Card Applicant

ATM Service

The accounts specified hereunder must be the Card Applicant’s sole accounts or joint accounts holding sole signature authority to “any” or “either” of the account holders.Requested Current/Savings Accounts to be accessed through the ATM network

Primary Card First A/C

Second A/C

Supplementary Card First A/C

Second A/C

Confirmation of Other Outstanding BalancesI/We hereby declare that my/our outstanding balances/facilities until the date / / held with other banks, financial leasing companies and mortgage companies that I/we deal with are as follows:

1- Account name at Bank/Company Name of Bank/Company Account balance/portfolio (in words and numbers)

2- Account name at Bank/Company Name of Bank/Company Account balance/portfolio (in words and numbers)

3- Account name at Bank/Company Name of Bank/Company Account balance/portfolio (in words and numbers) I/We hereby confirm and acknowledge the above outstanding balances/accounts, notwithstanding any interests, commissions or expenses thereof. I further confirm my awareness that providence of any misleading or incorrect balances pertaining the data included herein shall void procession of the facility.

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Related Parties DeclarationRelated Parties to the client including relatives till the fourth degree and sole proprietorships that he/she owns and their guarantor.

Name Address Profession Legal Type Documents Nature of Relation

Note: The Bank has the right to request any guarantees or other documents

Correspondence and Card Delivery

Please deliver my card to:

Correspondence Address Bank Branch

Please direct my correspondence to the address of Residence Office

Cards statements Kindly be advised that there is a delivery charge for the hard copy statements. Register for free to Personal Internet Banking Service to enjoy free e-statements.* The correspondence address will be applied to all types of Bank correspondence

*

Bank Branch