Q bbwouliy d_igsj ol (a bank muscat al mazyona of 4 2s DATE: Qual Note: Kindly fl the form in BLOCK letters and sign in the ‘appropriate space only after reading the terms and conditions. The terms and conditions which apply to operating this account, form an integral part of this application form, PLEASE COMPLETE IN FULL AND TICK WHEREVER APPLICABLE, Details of Customer (Primary Applicant) FOR BANK USE ONLY BRANCH bis Cli Jain el CUSTOMER NUMBER vosiras) US UaaAailELBI yo EssoUlg OjLbnjauSjloiuillosa Mis «Lap Wate Leb UluastIsa asi Qntitng le LUA i) ogy GU BAB ass Soluplosa Yollaky Gv toy AplinallOlolbe! 6b9 60 OjlaluyhOUW) Gio ds) Lop (Soi 00 Gas eadiol) Ug OLY a Tn eave you ave lreney a bank musese Recount Holder plevse provige vs with Tadao ein uu ed LS OL your ACN obtusa) 0415 999) upeate your ontae tals ae proceed othe “DEST of Mina NCHS) SeABH. Name: (ns per30/9P) (HE/HEY/SKH/ MMs /Mis/O2hes) Postal Recess: PO Box °c H.No: Apt.No: Way No: Location: Locality: Witayat: Sultanate of Oman, Permanent Address: GSM: Fax: Gender: [] Male [1 Female Nationality: National 1D No. {for Nationals): Passport No. (For Expatriates) Resident Card No, Date of Birth: Je you Holder of any of the Followings?(please specify) [] Yes C] No CLUS Nationality [] Green Card 1 Address / Telephone No. in USA Ei Make ongoing payments to USA 0 Us Tax Resident (oiBtg ABTS DY AS) yo ou) 03 rads JunIpMOUyCaI9 ou Os LA NY gi) a Sets gunn gant bel sJiollrad; “6éoall Avo esta bis sul as). ayuslros) sal ta suuste Ibe Soha Jue dowhale sanity ou oss) quiet saat Ais (ulios) tno! Quasi aout rab) 4o1ssle) saw i93.03) {asi eotoyAatnia3, mal] Canta iitdeyldlaaventda, spasndaol) Asyottéuuint C) ASvolleasialowed yo ica ele C] QsyoVlosaialloloh das yUosolmociees C] QAyoVlOrralalOlol 6 wha gi Els [) vO Employment Details Jealous Tl Employed E] Unemplayed tbeoneL] boo Name of Employer Jose Employer's Adress PO BOK os sPCi nn b0Caton sJastitse va oust Employee No: Date of Employment. aalugiauylaye Sean Present Position rayleteaiol Expected Monthly Income/Activity [IINo Income [] Up to OMR 250 [7 Above OMR 257 up to OMR 1000 Above OMR 1001 up to 2500 [] Above OMR2S01 up to OMR 3500 Clabove OMR 3501 upto 9000 Above OMR 9001 \Qssiol Ysa ottit/ an ereoi vasasev0 e7¢0> ot esbtgso E1% wl) EsPod soe Esbe oil Esr01 6920] Esto EsF04 020] &94 8080] CALL CENTRE 24795555 www.bankmuscat.com| Delivery Channels lard wigis Details of Minor (Beneficiary) (utile!) pall Oy Name: Gender: []Mate [1 Femate Relationship with customer: Nationality National ID No. (for Nationals): Passport No. (For Expatriates): School / Educational Institution: City / Town: Favourite hobbies: Favourite Sports: “fre you Holder of any of the Followings?(please specify) [] Yes L] No [US Nationality [] Green Card “This account wil aon you to only use the services of Easy Depost Machine and ranches To use the Easy Deposi Machine, you willbe permitted to use the ATM Card. However, you wil ot Be permited to use ths for cash withdrawals and any other services ffom the ATM. Date of Birth: ou oot Tass] uit UVa about = Russ! (ublext) inal Gyeuill ABLE Ira) (Qs) st oe) Quote Auwol sso! s6alpl/disoll ducdoliieall uaa LAL! YO ee) Grailoay) syiwiuo gltlas do wlday svaalldstavi] &dyoitduuit [] uaa! plas) Jako Ett Jaw enpToiaal teas mAh mSiends Yu a ote tees I USI LI OS ls a hdl Saal pildbaldateydels gsloiess ilelyssulawl ss) yllalel! Declaration/ Operating Instructions ‘esa toa / 8 [confirm thatthe information given sue and complete Ihave read the terms and condtions (F3B V1 08/08) governing this application including delivery channels {and agree to be bound by the same and ary amendment thereto 35 may be made by the Bank from time to time IF the account doesnot remain in operation over 3 reasonable period of time, the Bank has the right to clase the accouns without Feference to me. hereby accept that the name of the chicren as winners of al Mazyona craw shal be adversed in al leading newspapers and on the Banks website without price consent fom me. Ihave read carefully the Terms & Conditions Felating to Ue al Mazyona Chldre's Account and the Tetms & Condens of the Accidental Death Benefit Insurance Policy and agree to be bound by the Terms & Conditions which can be changed any time by the Bank without por consent LSS 71 0/00 oauaIChs yuisal las Ainlng dasnes dasditcigsieat Uthat! gla ngullosay IAB WII gle Bi Aas G15 Alla lala aad Alina Slo Ou Joss ka aby eae Ko yoy JAVab9 Jo lasie litQyay 8 I=) lessuluysi usage pa balers poy allen yo a poly ola a a Gols a a oges plate sl ur clss pan pleidledee yondstulanelAiag Aeiay dota Late bye ia Ail lus ata @isah Bylo a0) U aaa ue gah sable aqui oHopt ole slp Osta a 6b aie Gat sol EoswMotaitons cpg Laue ciiegdy ACCOUNT HOLDER. uuetyste | CHILD dueiaN/ Jaa Specimen Signature: gussuesea) | Specimen Signature Esai eSoal Name oust | Name: esi For Bank use only bis Gig Jlastiwy KYC CHECK LIST Vaableatte Confirm having met the customer in person []¥es_ No YO] pe) peauuepiaio rssh *Confrm if the Customer is US Indicia Dyes [No ED msi] snot duuiavtio ast {15 Isla aSb« Original Seen/Copy Made eau gle Upecall/ Le ole EUbYI OS (1 National 10 CPessport tui [) Gbbhetlayet yea antay(] g coe Lidriving License ssuareassE] satay f7] rh Ceti ACCOUNT NUMBER ‘webs sual ostat] Checked by: s@lawlo iain ied Signature Date ui Eisai Approved by: sue wale Signature Date a. soa Photograph to be attached in ease of customers using thum impresion/with ye alr onda of ene! Gil omnia Y Uso WALTON Baad je 60) shaky sgnatres/igring in langvage other than Engh /abic. sites WB / W9 Original forms to be fled completely for US Encca ony) « “iy bank muscat a ‘Juuso oat asters dyoMeuulatélaad WY WR cAjas sa FOIE UALS, FEV Gola Ke LW AFT gaslTho IFES: PO Box 134, PC 112, Sultanante of Oman Te: 26 76EBRE, Fax: 24 767584