Customer Information Form

    CUSTOMER DECLARATION: I, of hereby declare under penalty of perjury, that all information provided in support of this application is true and correct to the best of my knowledge and belief, and confirm that the Bank is entitled to verify same directly or through any third party. I also agree that, if any such declaration made by me is found to be incorrect, the Bank is not bound to pay any interest on the account(s) opened by me, and is entitled to terminate the account relationship.

    I confer authority on the Bank to disclose information and data relating to my account as part of relevant statutory and regulatory mandates on a confidential basis to any agency duly authorized by law, rule or regulation without any further consent or authorization from me.

    Account Information Details

    First Applicant
    CIF #
    Second Applicant
    CIF #
    Third Applicant
    CIF #
    Fourth Applicant
    CIF #
    (Minimum deposit of EC$100 for Savings
    and $500 for Chequing)