Registration - Commercial Bank of Qatar

Registration - Commercial Bank of Qatar

The Commercial Bank of Qatar (Q.S.C.)
PO Box 3232, Doha, State of Qatar
Tel: +974 4449 0000
Fax: +974 4449 0070
www.cbq.qa
(
)
Corporate Internet Banking Registration Form
‫ﻃﻠﺐ ﺗﺴﺠﻴﻞ ﻓﻲ اﻟﺨﺪﻣﺎت اﻟﻤﺼﺮﻓﻴﺔ ﻟﻠﺸﺮﻛﺎت ﻋﺒﺮ اﻹﻧﺘﺮﻧﺖ‬
(Please complete online and print for signatures )
(‫)ﻳﺮﺟﻰ ﺗﻌﺒﺌﺔ ﺑﻴﺎﻧﺎت اﻟﻄﻠﺐ ﻋﺒﺮ اﻻﻧﺘﺮﻧﺖ وﻃﺒﺎﻋﺘﻪ ﻟﻠﺘﻮﻗﻴﻊ‬
Section 1 - Company Profile
‫اﻟﻘﺴﻢ – ﺑﻴﺎﻧﺎت اﻟﺸﺮﻛﺔ‬
‫إﺳﻢ اﻟﺸﺮﻛﺔ‬
Company name
‫رﻗﻢ اﻟﺴﺠﻞ اﻟﺘﺠﺎري‬
‫ﻋﻨﻮان اﻟﺸﺮﻛﺔ‬
Valid CR no.
‫اﻟﻬﺎﺗﻒ اﻟﺠﻮال‬/‫رﻗﻢ اﻟﻬﺎﺗﻒ‬
Telephone no. / Mobile no.
Company address
9
+
7
‫اﻟﻤﻮﻗﻊ اﻻﻟﻜﺘﺮوﻧﻲ ﻟﻠﺸﺮﻛﺔ‬
4
Company web address
‫ ﺗﻔﺎﺻﻴﻞ اﻻﺗﺼﺎل ﺑﻤﻤﺜﻞ اﻟﺸﺮﻛﺔ‬.
1.2 Representative Contact Details
‫اﻟﺸﺨﺺ اﻟﺮﺋﻴﺴﻲ ﻟﻺﺗﺼﺎل‬
Primary contact person
‫اﻟﺠﻮال‬
‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ اﻟﺸﺨﺼﻴﺔ اﻟﻘﻄﺮﻳﺔ‬
Mobile
Valid QID no.
‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
E-mail address
‫اﻟﻘﺴﻢ –اﻟﺨﺪﻣﺎت اﻟﻤﻄﻠﻮﺑﺔ‬
Section 2 - Services Required
Please click on the service (s) required
.‫ اﻟﺨﺪﻣﺎت اﻟﻤﻄﻠﻮﺑﺔ‬/ ‫ﻋﻠﻰ اﻟﺨﺪﻣﺔ‬
‫ﺗﻘﺎرﻳﺮ اﻹﺳﺘﻔﺴﺎرات‬
‫ﺗﺤﻮﻳﻼت‬
Enquiry
Transfers
Merchant A/C
‫ اﻟﺨﺪﻣﺔ اﻟﻤﺼﺮﻓﻴﺔ اﻻﻟﻜﺘﺮوﻧﻴﺔ ﻟﻠﺸﺮﻛﺎت‬- € ‫اﻟﻘﺴﻢ‬
Section 3 - CIB
(‫ اﻟﺘﺤﻘﻖ ﻣﻦ ﻓﺘﺢ اﻟﺤﺴﺎب )أرﻓﻖ اﻟﻤﺰﻳﺪ ﻣﻦ اﻟﻤﺴﺘﻨﺪات إذا ﻟﺰم اﻷﻣﺮ‬.€
3.1 Accounts to be Linked Online (Attach more sheets if required)
‫اﺳﻢ اﻟﺸﺮﻛﺔ‬
Company Name
‫اﻟﺮﻗﻢ اﻷﺳﺎﺳﻲ ﻟﺤﺴﺎب اﻟﺘﺎﺟﺮ‬
‫ﻧﻮع اﻟﺤﺴﺎب‬
Account number base / Merchant A/C
‫اﻟﺤﺴﺎﺑﺎت‬
Accounts
‫ﺑﻄﺎﻗﺎت اﻹﺋﺘﻤﺎن‬
Credit cards
Currency
(‫) ﻳُﺮﺟﻰ إﺧﺘﻴﺎر اﻟﺪاﺋﺮة اﻟﻤﻨﺎﺳﺒﺔ‬
‫ﻗﺮوض‬
‫أواﻣﺮ اﻟﺪﻓﻊ اﻟﺪاﺋﻤﺔ‬
Loans
Standing orders
‫ اﻟﺨﺪﻣﺔ اﻟﻤﺼﺮﻓﻴﺔ اﻻﻟﻜﺘﺮوﻧﻴﺔ ﻟﻠﺸﺮﻛﺎت‬.€
‫وداﺋﻊ ﻷﺟﻞ‬
Term deposits
‫ﻣﻌﺪﻻت اﻟﺼﺮف اﻷﺟﻨﺒﻲ‬
Exchange rates
‫ﻣﻌﺪﻻت اﻟﻔﺎﺋﺪة‬
Interest rates
‫ اﻟﺘﺎﺟﺮ‬..€
3.2.2 Merchant
‫ﺗﻔﺎﺻﻴﻞ اﻟﺪﻓﻊ‬
Payment details
‫ﻣﻠﺨﺺ‬
Summary
‫ﻛﺸﻒ ﺣﺴﺎب‬
Statement
14.CB.FRM.044
‫ﻣﻠﺨﺺ اﻟﺤﺴﺎب‬
‫اﻟﻌﻤﻠﺔ‬
Account type
3.2 CIB Inquiry modules (Please tick the appropriate circles)
Account summary
‫ﻳﺮﺟﻰ وﺿﻊ ﻋﻼﻣﺔ‬
‫ﺣﺴﺎب اﻟﺘﺎﺟﺮ‬
4 Details of Users (Hotmail IDS not acceptable)
‫إﺳﻢ اﻟﻤﺴﺘﺨﺪم‬
( hotmail‹‫)ﻻ ﺗُﻘﺒﻞ رﻣﻮز اﻟﻤﺴﺘﺨﺪﻣﻴﻦ ﺑﻌﻨﺎوﻳﻦ اﻟ‬
‫ ﺟﻮاز اﻟﺴﻔﺮ‬/ ‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ اﻟﺸﺨﺼﻴﺔ اﻟﻘﻄﺮﻳﺔ‬
Name of user
QID / Passport no.
‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
‫وﻇﻴﻔﺔ اﻟﻤﺴﺘﺨﺪم‬
E-mail address
Role of User
‫اﻟﻬﺎﺗﻒ اﻟﺠﻮال‬
Mobile No.
+
9
7
4
‫إﺳﻢ اﻟﻤﺴﺘﺨﺪم‬
Originator
Pre-releaser
Releaser
Enquiry
Originator
Pre-releaser
Releaser
Enquiry
Originator
Pre-releaser
Releaser
‫اﻟﻤﺤﻘﻖ‬
Checker
QID / Passport no.
‫وﻇﻴﻔﺔ اﻟﻤﺴﺘﺨﺪم‬
‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
Role of User
E-mail address
‫اﻟﻬﺎﺗﻒ اﻟﺠﻮال‬
+
9
7
4
‫إﺳﻢ اﻟﻤﺴﺘﺨﺪم‬
‫اﻟﻤﺤﻘﻖ‬
Checker
‫ ﺟﻮاز اﻟﺴﻔﺮ‬/ ‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ اﻟﺸﺨﺼﻴﺔ اﻟﻘﻄﺮﻳﺔ‬
Name of user
QID / Passport no.
‫وﻇﻴﻔﺔ اﻟﻤﺴﺘﺨﺪم‬
‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬
Role of User
E-mail address
‫اﻟﻬﺎﺗﻒ اﻟﺠﻮال‬
Mobile No.
Enquiry
‫ ﺟﻮاز اﻟﺴﻔﺮ‬/ ‫رﻗﻢ اﻟﺒﻄﺎﻗﺔ اﻟﺸﺨﺼﻴﺔ اﻟﻘﻄﺮﻳﺔ‬
Name of user
Mobile No.
‫Ž ﺑﻴﺎﻧﺎت اﻟﻤﺴﺘﺨﺪﻣﻴﻦ‬
+
9
7
4
I have read terms and conditions and accept
‫اﻟﻤﻔﻮض ﺑﺎﻟﺘﻮﻗﻴﻊ ﻋﻦ اﻟﺸﺮﻛﺔ‬
Authorised signatory(s) for the Corporate
‫اﻹﺳﻢ‬
Name
‫اﻟﺘﻮﻗﻴﻊ‬
Signature
‫اﻹﺳﻢ‬
Name
‫اﻟﺘﻮﻗﻴﻊ‬
Signature
‫ﺧﺘﻢ اﻟﺸﺮﻛﺔ‬
Corporate’s stamp
‫اﻟﻤﺤﻘﻖ‬
Checker