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Branch:
Account No.:
Customer Name:
Gender:
Date of Birth:
Social Status:
ID Card:
Residence Address (according to ID Card):
Address for Correspondence According to Customer request :(On Condition of presenting electric or telephone receipt as a reference):
Source of Basic Income:
Other Sources of Income / or Wealth:
Additional Date for Minor:
data of person to be contact in emergency case:
Issuance Date:
Valid till:
Issuance Date
Street Name:
District:
Tel. No.:
Street Name:
Data of Job: Employer's Name
Work Address:
Tel. No.:
Free Business
Place of Birth:
Minor Nationality:
Job: Name:
Date of Birth:
Majority Date:
Tel:Tel. No.:
Mobile:
Date:
Name:
Signature:
Investments Inheritance salary
Tel:
Job details:
Governorate:
Governorate:
Building No.:
Building No.:
Military cards:Military Forces Police
National Card No.:
Issuance Date: Passport No.:
Divorced Widow
Female
Single
MaleNationality:
Married
Fax:
E-Mail:
District:
Home
Mobile
E-Mail:
Updating Customer KYC “ Personal ”
Declaration
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Ö]Ü{{{{{{{{ŒcI / we confirm that any amount currently deposited or to bedeposited in the future in forms of cash or checks or demand draftsor travelers checks in my / our accounts held with Ahli United Bank (Egypt) S.A.E. or any of its branches whether deposited by myself / ourselves or any of my / our agents belong to me / us and it is not collected or gained directly or indirectly from any illegal or criminal or unauthorized sources.I / we further undertake that I / we are the actual owner of theaccount maintained with Ahli United Bank (Egypt) S.A.E. and any ofits branches and I / we shall provide with any information ordocumentation required for the maintenance of the account as and when there are any changes in the account particulars or if required/ demanded by the Bank or at least once in three years according tothe Arab Republic oF Egypt Law No. 80 /2002 and its executiveregulations No. 951 / 2003 concerning Anti Money laundering.
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