DScotiabank eposit Account Application
PLEASE BRING TWO PIECES OF IDENTIFICATION WHEN YOU VISIT THE BRANCH. ONE MUST BE A GOVERNMENT ID.
Government ID (e.g.: Passport, National ID Card) Secondary Identification (e.g.: Job letter, Birth Certificate)
Utility Bill (for proof of address) Two Reference Letters (For non-residents only)
Account Currency: Local US Dollar Account Type: Savings gniuqehC
Applicant Information
Yes No Are you a Scotiabank Customer?
M .r M .s Mrs. D .r
M .r M .s Mrs. D .r
First Name: Last Name:
Address: City: Country: Postal
Code (if applicable):
Home Phone: Cell Phone: Email:
Mailing address if different from above:
Address: City: Country: Postal Code (if applicable):
Residency Status: Resident
Non-Resident
Gender: Male Female
National Insurance #: City of Birth:
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Employer’s Name: Occupation/Title: Business Phone:
Joint Applicant Information
Are you a Scotiabank Customer?
Yes No
First Name:
Last Name:
Address: City: Country: Postal Code (if applicable):
Home Phone: Cell Phone: Email:
Mailing address if different from above:
Ad
dress: City: Country: Postal Code (if applicable):
Residency Status: Resident Non-Resident
Gender: Male Female
National Insurance #: City of Birth: :pihsnezitiC :htriB fo yrtnuoC
Employment Information
Employment Information
Employer’s Name: Occupation/Title: Business Phone:
Other Party Information
Will this account be used to conduct business on behalf of someone other than the named account holder(s)? Yes No
If yes, please
provide details:
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Marital Status: Single Married Divorced Widowed Date of Birth: DD/MM/YYYY :
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Marital Status: Single Married Divorced Widowed Date of Birth: DD/MM/YYYY :
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Applicant Agreement
By completing and signing this application, I/we acknowledge that I/we have read and understood this application. I/we reques
t
the services listed and confirm that the information recorded on the application is true and c
omplete.
Applicant Signature:
____________________________________________
Date: _______________________
Joint Applicant Signature: ________________________________________
Date : _______________________
Branch Name:
Branch Transit No:
(Inte r n a l use)
* Trademark of The Bank of Nova Scotia, used under licence.
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