Swiss Bank Account Sample Application Form
Confidential Data
*Please make sure you have got acquainted with requirements. If no, you can read them here.
* The electronic application is 128 bits SSL encrypted
* For successful application, give as many details as possible.
* If the account has more than one beneficial owner, each of them must fill in a separate form.
Please indicate how the beneficial owners are related, if there is more than one: ____________________
1
Personal details of the beneficial owner (give as many details as possible)
Title:
__
Surname:
__
Given name(s):
__
Birth date:
__ __
Place of birth:
__
Address of legal domicile: (update regularly)
________________
Country of origin:
__
Passport information:
# __
Place of issue: __
Date of issue:
__ __
Expiry date: __ __
Phone: __
Fax: __
e-mail: __
Nationality: __
Languages: __
Marital status: __
Hobbies: __
Is beneficial owner a public figure in his/her country of origin or residence:Yes __ No __
References available: (list of bank references, business references etc.)
____________
Important Notice: Be prepared to provide a copy of passport and references indicated in this section of application
2
Spouse/Partner
Surname: __
Given name(s): __
Birth date: __ __
3
Children
Surname: __
Given name(s): __
Birth date: __ __
Surname: __
Given name(s): __
Birth date: __ __
Surname: __
Given name(s): __
Birth date: __ __
Surname: __
Given name(s): __
Birth date: __ __
4
Person to notify in case of death, serious impediment or loss of communication for over 2 years
Surname: __
Given name(s): __
Tel: __
Address:
____________
5
Professional status of the beneficial owner
__ Salaried employee __ Self employed __ Not gainfully employed
Precise description of his/her present or past profession:
____________
Name and address of the company:
____________
Duties in the company:
__
Position held:
__
For self-employed persons, indicate:
annual revenue __ __
number of staff: __
Important Notice: Be prepared to provide available documents related to this section of application (e.g. company reports/financial statements/business card, etc.).
6
Net worth/Origin of the beneficial owner's assets
Estimated net worth: __ __
Of which, estimated liquid assets: __ __
Value of initial deposit: (amount expected) __ __
Form: (cash, cheque, bank transfer, securities, etc.)
__
Previous custodian:
__
Future deposits anticipated:
__
Origin of assets: (indicate in details how the money was acquired)
____________
7
Planning visit to Switzerland
For completing bank account opening procedure you should plan to visit Switzerland for 3-6 hours during business day.
Please choose the day preferable for you (3 variants)
1) __ __
2) __ __
3) __ __
Other information
Special instructions:
____________
I will pay the application fee and the account opening fee by:
__ I can provide the documents confirming the information stated in the application form.
