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PERSONAL SAVINGS ACCOUNT
Account number
.........................
 
To: Bank of Ceylon ........................................................................................... Branch
 

 
  Full Name ...........................................................................................................................................................
   ................................................................................................................................................ MR/MRS/MIS
Address ................................................................................................................................................................
................................................................................................................................................................................
Date of Birth ........................................ National identity*...............................................................................
 
Occupation ..........................................................................................................................................................
 
Tel.No. (Private) ....................................................................... Tel.No.(Office)................................................
 
  Please open a Savings Account in my name. I agree to comply with and be bound by the Bank's Rules   for Saving Acounts of which I have received a copy.
 
I do hereby nominate Mr/Mrs/Miss ..............................................................................................................
..............................................................................................................................................................................
of .........................................................................................................................................................................
..............................................................................................................................................................................
  As my nominee to receive all monies lying in my Savings Account on my death subject to the   provisions of section 14 of the Bank fo Ceylon Ordinance.
 
  Date ...............................                                                       ........................................ Applicant's Signature

  *In the absence of the National Identity card the Passport may be used for Identification. If neither is   available, the applicant's signature should be witnessed by a customer of the Bank or under seal of   office by a Justice of the Peace, Notary Public or Attorney-at-Law.
WITNESSED BY
  Signature .......................................                                              .................................... Seal of Office
  Full Name .............................................................................................................................................................
  Address ................................................................................................................................................................
 
  Account No ........................................................................................................................................................
 
  Branch .................................................................................................................................................................













  (This introduction should be furnished by account holders who will deposit cheques and other   instruments, drawn in their favour.)
INTRODUCED BY
Full Name: ..........................................................................................................................................................
 
Address: ............................................................................................................................................................
 
National Identity Card No: ..............................................................................................................................
 
Account No: ......................................................................................................................................................
 
Occupation: .......................................................................................................................................................
 
Tel. No. (Private) ......................................................... Tel. No. (Office) ........................................................
 
  I certify that I know and am well acquainted with the person mentioned overleaf and that his/her   signature was affixed in my presence. I confirm and certify that he/she is a suitable person to open   and  maintain an account with the Bank of Ceylon.
 
  Date ...............................
.................................... Signature.  
FOR OFFICE USE ONLY
 
Type of identification Papers: ...........................................................................................................................
 
No: ........................................................................................................................................................................
 
Issued by: ..........................................................................................................................................................
 
    Place of Issue: ..................................................... on ................................................
 
Date ...............................                                                           ........................................... Officer's Signature

Comments / if any: ........................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
 

  Formalities fulfilled and found in order.
  Account opening approved


  ...........................................
  Authorized Officer
Account opened on: .....................................

Account closed on: .......................................