Branch Name

Company name and department/ Flat no. and bldg. name

E-mail

Introducer's signature

Amount

Occupation Non-executive Housewife Retired Student Other Unemployed

Job Title

I/We confirm having read and understood the account rules of The Banking Corporation Limited ('the Bank'), and hereby agree to be bound by the terms and conditions and amendments governing the account(s) issued by the Bank from time-to-time.