Hellenic Bank Public Company Ltd

Application for the Opening of an Account - Issuing of a Debit Card (individuals)

The following application for opening an account / issuing of a debit card applies for potential customers (individuals) above the age of 18 (requests for the opening of joint accounts are not processed through this channel).

After submitting your application, a Hellenic Bank officer will contact you, within one business day, to arrange for a meeting. Please note that during your scheduled meeting at the Bank you will need to present your identity card (for citizens of the Republic of Cyprus/European Union) / passport (for citizens of the EU or outside the EU) and recent proof of address (copy of a utility bill). In case of students, proof of attendance will also have to be presented. You may also be asked to provide further information.

Account Opening Branch
District *
Account Opening Branch *
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Customer Information
First Name
(with latin characters as shown on ID / Passport)
*
Last Name
(with latin characters as shown on ID / Passport)
*
Type of ID *
ID         Passport
Country of Issue of ID / Passport *
ID / Passport Number *
Expiry Date of ID / Passport
Click Here to Pick up the date DD/MM/YYYY
You own second passport / identity? *
Yes        No
Type of 2nd ID
ID         Passport
Country of Issue of 2nd ID / Passport
2nd ID / Passport Number
Date of Birth *
Place of Birth *
Country of Birth *
Country of Residence
(for more than 12 months)
*
Country of Tax Residence *
2nd Country of Tax Residence
3rd Country of Tax Residence
Tax Identification Number
2nd Tax Identification Number
3rd Tax Identification Number
Reason
(specify reason) *
Are you a US Tax Resident? *
Yes        No
US Tax Residents can state their US Tax Residence Social Security Number.

If you are exempt from the deduction of special defence contribution on interest, please complete the relevant declaration and present it to the Bank when a meeting is arranged. Any queries you may have regarding the completion of the declaration should be addressed to your tax advisor.
Gender
Male        Female
Education *
Marital Status *
Customer Permanent Address (with latin characters)
Country *
Street Name *
Street Number *
Municipality / Community *
District *
Postal Code *
Telephones / Email (fill in at least one phone number - Home, Phone or Mobile)
Home (for Cyprus only)
Office (for Cyprus only)
Mobile (for Cyprus only)
Fax
International
(country code) (area code) (phone no)
Other Contact Number
Email Address *
Employment
Employment Type *
Employment Sector *
Profession *
Business (short description)
Annual Income (€) *
Financial Details
Sources of Incoming Transfers
(Physical Person, Legal Person, Organisation who will be sending transfers e.g. the name of employer for payroll transfer)

Destinations of Outgoing Transfers
(Physical Person, Legal Person, Organisation to whom transfers will be sent)

Source and Size of Wealth
Countries Involved in Incoming/Outgoing Transfers
Requested Products (fill in at least one type of account or one type of account and a Debit Card)
Type of Account
Type of Debit Card
Additional Products: PayBand
(available for VISA cards only)

Yes        No Color *
Web Banking Credentials *
Yes        No
Other Information
Would you like to receive by SMS information for services or facilities provided by Hellenic Bank?

*
Yes        No
Would you like to receive informational, promotional or advertising material from Hellenic Bank?

*
Yes        No
Do / Did you or any of your first degree relatives hold / held political office during the last 12 months
(e.g. Head of State, Minister, Member of the Parliament, Member of the Supreme Court, Attorney General, Member of the Audit Service, Ambassador, General Chief of the National Guard, General Deputy Chief of the National Guard, Major General Chief of Staff of the National Guard, Semi Governmental President of the Board, Head of Political Party)?
*
Yes        No
Please explain:
Related Documents
Personal Data

Terms and Conditions
 Before applying, please confirm that you have read the Bank's Declaration - Consent for the processing of personal data and the Basic Terms and Conditions of use of Hellenic Bank services and indicate your acceptance of them by checking this box.

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