Personal/Joint Account Opening Form

ACCOUNT OPENING FORM 2025

Please indicate your choice by writing either 'Conventional' or 'Islamic' in the space provided:

I/We hereby apply to open an account with your Bank as specified below. I/We confirm that I/We have been advised of the available products /services and have made the appropriate choice.

New Account:

Update Account:

Reactivate Account:

Date:

A.1 APPLICANT’S DETAILS (TO BE COMPLETED IN BLOCK LETTERS)

Title: (Tick Appropriately)

Mrs

Miss

First Name:

Middle Name:

Last Name:

Date of Birth

Gender:

Female

Male

Marital status:

Country of Birth:

Birth City:

Passport/National ID (NIN):

TIN:

Issue Country:

City:

Sub-City:

Issue Date:

Expiry Date:

Nationality:

Alien/refugee ID No. (if applicable):

Country of residence:

City Sub Entity:

Do you have any other residency or are you a citizen of another country other than Uganda?

Yes

If yes country?

Foreign Address(Plot/Building/Road/Street):

Occupation:

Nature of business:

Other source of Income:

CONTACT DETAILS:

Residential address:

Village:

Sub-county:

District:

Country:

Nearest Landmark:

Telephone:

Mobile:

E-mail:

EMPLOYMENT:

Profession:

Name of employer:

Terms of employment (Permanent/Contract):

Expiry of contract

Location of business (Plot/Building/Road/Street):

NEXT OF KIN DETAILS:

Name:

Relationship:

Residential address:

Village:

Sub-county:

District:

E-mail:

Mobile:

FOR NON-RESIDENTS

(Please complete the Self-Certification Form for entities in addtion to the information)

1. Purpose of stay in Uganda

2. Purpose of opening the account

3. Source of funds

4. Foreign address (plot/building/road/street)

FATCA DECLARATION

Do you have any relationship/connection to the United States e.g. address, citizen, resident, power of attorney etc or own any company in US.

Yes

If yes, fill/provide a copy of the completed FATCA form.

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B. PREFERRED ACCOUNT TYPE

ACCOUNT DETAILS

(specify)

ACCOUNT CATEGORY

Individual

Joint

(specify)

Source of Income/ Funds:

ESTIMATED MONTHLY INCOME LEVELS (In ugx or equivalent)

Will you be receiving the money from any foreign country?

Yes

If yes, source of funds:

Purpose:

Country

C. DEPOSIT PROTECTION (Your deposit are insured by deposit protection fund of Uganda)

Please indicate the various modes of payment which can be used to remit your protected deposit

Financial Institution

Mobile Money

Others

(Please Specify)

Name of Institution

Account Number

Account Name

Mobile Number

Registered Name

POLITICALLY EXPOSED PERSONS (PEP) DECLARATION

Do you (or close relative or close associate) hold a political position or senior government position (Uganda/foreign) or government institutions, parastatal, entity?

Yes

Advise position Held

Date Obtained

Date Left in the Political Office

Advise Name (if relative)

Date Obtained

Date Left in the Political Office

D. ACCOUNT OPERATING TOOLS

a) Debit cards-Note: issued to joint accounts ONLY if “ANY TO SIGN”

ssue Debit card: (where applicable)

Yes

b) Cheque book: (where applicable)

Yes

c) Statement: Cycle

Monthly

Quarterly

Semiannually

Annually

d) Register for Tropical Bank Mobile Banking Y N ?

Yes

if yes, primary mobile No: Note: Number should be registered in customer’s name

DECLARATION

I/We have read and understood the terms and conditions overleaf, copy (ies) of which have been given to me/us. I/We understand that by entering into this banking agreement, I/We give indemnities, authorizations, consents and waivers and agree to limitation on the bank's liabilities. I/We do hereby affix my/our signatures (s) as evidenced that I/We fully understood and agreed to be bound by same. I/We have, in addition ,agreed to bound by any variations to the terms and conditions that may be made by the bank from time to time, and updated on its website; www.trobank.com.

(specify)

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