Open Corporate Bank Account

All information given in this application form is strictly confidential and for the bank's internal use only. If you have any queries regarding the completion of this form please give us a call at +1 767 449 9254.

Please read the General Terms and Conditions of Griffon Bank Limited before completing and signing this form.

FAX ALONG WITH SUPPORTING DOCUMENTS TO: +1 767 449 9257 WHEN COMPLETED AND SIGNED

You will be contacted via e-mail to finalize your account opening.

  1. Fill in all sections of this form
  2. Print the application
  3. Sign where indicated by “x”
  4. Enclose the required supporting documents
  5. Fax all pages to 1 767 449 9257, or scan and send to info@griffonbank.com
  6. Send everything to one of the following addresses:
Via regular mail:
P.O. BOX 1324, Roseau
Commonwealth of Dominica, W.I. 		Via courier mail:
Financial Center, Roseau
Commonwealth of Dominica, W.I.

Required Supporting Documents

  • A notarized copy of the company's Certificate of Registration, Articles & Memorandum of Association, Register of Directors, Register of shareholders and Certificate of Good Standing.
  • A notarised copy of the Registered Share Certificates (if the company issued a Bearer Share Certificate, please contact the bank for exact requirements).
  • A copy of the company's Resolution or Power of Attorney to open account.
  • A certified copy of the passport plus one other personal identification document (e.g. driver's license) of each authorized person, director and shareholder (you must include the certifier's contact information with their signature)
  • An original reference letter from a banker for each authorized person and shareholder (referee's contact information must be on the letter)
  • An original utility bill or other document, which proves current address for authorized persons and shareholders
SECTION 1 APPLICATION
Account holder
Tick to add a 2nd authorized person
Tick to add a 3rd authorized person
Full legal name of the company:
Date of incorporation:   
Jurisdiction of incorporation:
 
Business address:
(P.O. Box not acceptable)
Telephone number(s):
Facsimile number(s):
 
Name of the registered agent:
 
Registered agent's address:
(P.O. Box not acceptable)
Telephone number(s):
Facsimile number(s):
 
Mailing address of the company:
E-mail address:
Internet site of the company (if any):
1st Authorized Person
Full Name:
Date of birth:   
Citizenship
 
Current residential address:
(P.O. Box not acceptable)
Telephone number(s):
Facsimile number(s):
 
Present occupation:
Present employer:
 
Business address:
(P.O. Box not acceptable)
Telephone number(s):
Facsimile number(s):
 
Mailing address:
Mobile phone (if any):
E-mail address:
2nd Authorized Person
Full Name:
Date of birth:   
Citizenship
 
Current residential address:
(P.O. Box not acceptable)
Telephone number(s):
Facsimile number(s):
 
Present occupation:
Present employer:
 
Business address:
(P.O. Box not acceptable)
Telephone number(s):
Facsimile number(s):
 
Mailing address:
Mobile phone (if any):
E-mail address:
When Griffon Bank Limited opens our account we would like to receive our account number by:
E-mail:
Facsimile:
Account management through the Internet Bank
To conduct our business with Griffon Bank Limited we would like to sign up for the management of our account through the Internet Bank. By using the Internet Bank we agree to the General Terms and Conditions of Griffon Bank Limited which are displayed at the Bank?s web site www.griffonbank.com
x _________________________
(Signature)
 
We would like an Internet Bank Login and Password sent by courier mail together with our Digital Signature and Client ID code to:
x _________________________
(Signature)
SECTION 2 SPECIMEN SIGNATURE CARD
Only the person(s) indicated below have signature power on the account:
 
Name of the 1st authorized person:
x _________________________
(Specimen signature)
 
 
SECTION 3 DECLARATION OF SOURCE OF FUNDS
Related Accounts:
(if any other accounts with Griffon Bank Ltd.)		 and
Nature of your occupation or business:
Purpose of the new account:
Initial deposit:
(minimum USD 5 000 or equivalent in another currency)		 in
Source of funds:
 
Please list who is/are the beneficial owners of the funds in this account:


Name of beneficial owner:
Address of beneficial owner:

Name of beneficial owner:
Address of beneficial owner:

Name of beneficial owner:
Address of beneficial owner:

Name of beneficial owner:
Address of beneficial owner:
 
What is the category of shares issued for this company? Registered Shares
  or
Bearer Shares
Expected number of transactions per month:
Estimated average monthly balance: in
 
  We have read and accepted the General Terms and Conditions of Griffon Bank Limited.

We hereby declare that the funds deposited in our account at Griffon Bank Limited are of non-criminal origin.

We hereby declare that the information we have given above is true and correct.
Place:
Date:   
 
x _________________________
(Signature)
 
x _________________________
(Signature)
 
x _________________________
(Signature)
 



_________________________
Company seal (if any)
Please tick if you require a debit card application form
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