Personal Account Application: (Applicable To Natural Persons)

Nevis International Bank & Trust Ltd.
Nevis International Bank & Trust Center

Jessups Estate, Nevis, St. Kitts and Nevis
www.ibanknevis.com Tel: (869) 469-8889
Personal Account Application

(Applicable to Natural Persons)
Account Name and Account Number (For Bank Use Only): Branch (For Bank Use Only): Date Opened (For Bank Use Only):
ACCOUNT HOLDER DETAILS

Mr. or Ms. Surname: _______________________________________ Given Name:
Middle Name: Date of Birth (dd/mm/yyyy):
Marital Status: Single Married Divorced
Country of Residence: Nationalities:
Telephone (mobile) : Telephone (home) :

Home Address:
Number of Years at Address: Are you: A Home Owner A Tenant

Contact Address (The Bank
does not send physical mail):
Email Address:
Have you or any member of your family ever: (1) held a position as a public official; (2) acted as an important political figure, or; (3)
worked at any publicly traded company within the past 6 months? If Yes, briefly explain. If No, please write "No".
Have you ever been charged with a financial crime, or a crime involving fraud or dishonesty? If Yes, explain. If No, please write "No".
IDENTIFICATION DOCUMENTS (two different forms of photo identification required)

1) Type of I.D.: _________________________________________ I.D. No.:__________________________________________________________
2) Type of I.D.: _________________________________________ I.D. No.:__________________________________________________________
3) US Tax ID (if applicable):_____________________________

EMPLOYMENT DETAILS
Employment Status: Employed Self-employed Unemployed Retired
Occupation (describe what you do):
Employer Name: Employer Telephone:

Employer Address
and Website (if any):
ANNUAL INCOME IN US DOLLARS (or equivalent)

Less than $200,000 $200,000-$500,000 $500,001-$800,000 Greater than $800,000, state amount:
Page 1 of 3
PERSONAL ACCOUNT APPLICATION
The Bank Accepts Deposits in All Major Currencies
ACCOUNT DETAILS
Source of Wealth: Savings Inheritance Salary Investments Other:
Declaration of Wealth (describe in detail):
Describe Source of Funds to be Deposited in the Bank:
Initial Deposit Amount: Annual Deposits Less than $200,000 Greater than $200,000, amount:
Do You Wish to Apply for a Private Banking Account?* Yes No *Requires a minimum deposit of US$1 million or equivalent.
APPROXIMATE NET WORTH (in US Dollars or equivalent)
Liquid Net Worth (cash and liquid assets): Illiquid Net Worth (real estate, businesses etc):
Total Net Worth (liquid + illiquid net worth):

REFERENCES (From Two Different Professional Sources)
_____________________________
Name: Name:
Business Name (If Applicable): Business Name (If Applicable):
Address: Address:
Tel: Tel:
E-Mail: E-Mail:
Fax: Fax:
Website: Website:
ANTICIPATED SERVICES (check all that apply)

Debit Card New Business Registration Trust and Escrow Investment Brokerage Account Cash Management
Citizenship by Investment Investment Banking Loan Other Business Services, specify:
WHO HAS SIGNING AUTHORITY FOR THE ACCOUNT? (check all that apply)
Account Holder Authorized External Money Manager* Other Authorized Signer(s)*:
Describe the relationship to the Account Holder
Who has the authority to withdraw funds? Account Holder Authorized External Money Manager Other Authorized Signer(s)*
*(Requires a letter of authorization, certified by a law firm, accounting firm, or financial institution)
CUSTOMER DECLARATION
By my signature(s) here below, I/we the (“Account Holder(s)” and “Authorized Signer(s)”) named in this Personal Account Application Form
hereby certify and attest that I/we am/are the natural person(s) who is/are applying to open this Account with Nevis International Bank &
Trust Ltd. (“NIBT”), and that I/we hereby represent and attest that: (i) I/we will not use the services of NIBT for any unlawful activity or
purpose; (ii) I/we have read, understand and signed the Nevis International Bank & Trust Ltd. Customer Account Agreement, and have
agreed to the terms of that agreement; (iii) all information that I/we have provided to NIBT is true, accurate and complete; (iv) I/we will
notify NIBT immediately of any material changes to the information contained in this application, and; (v) I/we authorize NIBT to be an
information processor and make initial and ongoing credit and other inquiries with third-parties in connection with my/our Account for
purposes of compliance with applicable law and the provision of financial services:
SIGNATURES:
___________________________________________________________ _________________________________________________ _________________________________

Account Holder Name (print name) Signature Date
___________________________________________________________ _________________________________________________ __________________________________

Authorized Signer Name (print name) Signature Date
___________________________________________________________ _________________________________________________ __________________________________

Authorized Signer Name (print name) Signature Date
Page 2 of 3
DOCUMENTS REQUIRED FOR A PERSONAL ACCOUNT
(Applicable to Natural Persons)
A. Required Documents. The documents listed in this checklist are required to complete this application
and shall be in digital format only. Original or additional documentation may be
requested if deemed necessary by Nevis International Bank & Trust Ltd. (NIB&T);
B. Document Quality. All digital documents provided must be legible, in high resolution, and in color
format;
C. Document Language. Documents must be presented in the English language. Any document presented
in a language other than English must first be translated by a professional translator accredited by a
court of law, a government agency, or a recognized international organization;
D. Date of Documentation. All documents must be dated within 6 months of the date of submission of the
account application;
E. Required Certifications. All documents in this list must be certified as a true copy of the original by a law
firm, accounting firm, notary, regulated financial adviser, or senior government official prior to
submission;
F. Authorized Signatories. For each proposed authorized signer to the account, the Account Holder must
also provide Documents 1- 3. If any authorized signer is a legal entity exercising control of the account,
whether through a power-of- attorney or other legal arrangement, the Account Holder must also
complete the BUSINESS ACCOUNT APPLICATION for that legal entity or arrangement:
Document Description Checklist
1 Two (2) different forms of government-issued photo IDs (one must be a

valid passport);
2 Proof of physical residential address, such as a copy of a utility bill, a copy

of a lease or equivalent arrangement, bank or credit card statements,
certificate of title or equivalent;
3 Two (2) professional reference letters printed on their letterheads and

issued by professionals, such as lawyers, accountants, financial advisers,
financial institutions, or government officials;
4 A signed copy of the Nevis International Bank & Trust Ltd. Customer
Account Agreement.
Submit completed Personal Account Application along with the required documents by email to
[email protected], or through your bank-issued secured log-in.

Personal Account Application: (Applicable To Natural Persons)

Uploaded by

Copyright:

Available Formats

Personal Account Application: (Applicable To Natural Persons)

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Personal Account Application: (Applicable To Natural Persons)

Uploaded by

Copyright:

Available Formats

Nevis International Bank & Trust Ltd.

Nevis International Bank & Trust Center

Personal Account Application

ACCOUNT HOLDER DETAILS

Country of Residence: Nationalities:

Telephone (mobile) : Telephone (home) :

Number of Years at Address: Are you: A Home Owner A Tenant

IDENTIFICATION DOCUMENTS (two different forms of photo identification required)

2) Type of I.D.: _________________________________________ I.D. No.:__________________________________________________________

3) US Tax ID (if applicable):_____________________________

Employer Name: Employer Telephone:

ANNUAL INCOME IN US DOLLARS (or equivalent)

Describe Source of Funds to be Deposited in the Bank:

Total Net Worth (liquid + illiquid net worth):

ANTICIPATED SERVICES (check all that apply)

___________________________________________________________ _________________________________________________ _________________________________

___________________________________________________________ _________________________________________________ __________________________________

___________________________________________________________ _________________________________________________ __________________________________

Document Description Checklist

1 Two (2) different forms of government-issued photo IDs (one must be a

2 Proof of physical residential address, such as a copy of a utility bill, a copy

3 Two (2) professional reference letters printed on their letterheads and

You might also like

2) Type of I.D.: _ I.D. No.:__________________

___________________________________ _ _________

___________________________________ _ __________

___________________________________ _ __________