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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