Eurobank Cyprus

SHAREHOLDER STRUCTURE

Please let us know about you

Title:

First Name: * as it appears on your National ID:

Last Name: * as it appears on your National ID:

Father's Name: * as it appears on your National ID:

Email Address:

Mobile Phone Number:

Citizenship:

Cyprus National Identification Number:

Issue Date:

Expiry Date:

Tell us more about you

Some additional details about you

Gender:

Date of Birth:

Place of Birth:

Country of Birth:

Education Level:

Preferred Communication Language:

Business and Financial Profile

Tell us what you do for a living

Employment Status:

Profession:

Former Profession:

Annual Gross Salary (€):

Total Other Annual Income (€) :

Country of Tax Residency:

Are you liable to pay Defence Tax in Cyprus?:

Residential Address Details

Please enter details to communicate with you

Address Line 1 (Street & Number):

Address Line 2:

Postal Code:

City:

Country:

Product and Services

Are you an existing eBanking User?:

Connect a Debit Card with the account:

Full Name to be Printed on the Card :

* Please use Latin and Capital - maximum up to 26 characters

View and Manage your account via Digital Banking:

Preferred Banking Centre

Select the Banking Centre most convenient to you

Banking Centre Location:

*Select the Banking Centre location most convenient to you

Eurobank Referral

Have you been referred by a Eurobank Cyprus Employee or an Existing Customer? If yes, please insert their name here:

Marketing Consent

Would you like to give your consent for marketing purposes in order to receive updates or notifications regarding the Bank’s products, services, promotions and offers:

Document Attachments

Please attach the supporting documents

Proof of Identification:

Proof of Identification 2:

Proof of Address :

*Recent Utility Bill (not older than 6 months) - only PDF files are accepted

Proof of Income:

e.g. payslip - only PDF files are accepted

Aknowledgement

I confirm, agree, declare and assume under penalty of perjury or fraud, that I have read, understood and accept the General Terms , the Privacy Notice and the Declaration for my account opening request, and that the information given in this application form to Eurobank Cyprus Ltd (the “Bank”) is true, accurate and complete:

EUROBANK CYPRUS

Our vision is to be the primary bank of choice in the areas we operate offering quality custom made innovative solutions and incomparable high-calibre service.

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The Eurobank Group

Six countries, 13,267 employees, Network of 659 branches and offering a comprehensive range of financial products and services to its retail and corporate customers.

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SHAREHOLDER STRUCTURE

EUROBANK CYPRUS

The Eurobank Group

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