𫪩dG äÉfÉ«H åjó–

Customer
Information Update
KYC Form
Customer Segment: :𫪩dG áëjô°T
iôNCG Other OGshôdG Al-Ruwad ¢ùfÉ"OCG Advance Ò«ÁôH Premier

Reason for the update: :åjóëàdG ÖÑ°S

KYC ∂∏«ªY ±ôYG
ID Expiry ájƒ¡dG AÉ¡àfG

*For Credit Card only Customer both (KYC & ID expiry) are required. .kÉ©e ájƒ¡dG h ∂∏«ªY ±ôYG åjó– Öéj á«fɪàFE’G ábÉ£ÑdG 𫪩d*
Branch Sender: :¬æe π°SôŸG ´ôØdG
Code: :õeôdG Number: :ºbôdG

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 𫪩dG äÉfÉ«H åjó–
Date: / / KYC Form / / :ïjQÉJ
Section A – Personal Information á«°üî°ûdG äÉfÉ«ÑdG – CG º°ùb
Account Holders (Current/Saving) (ÒaƒàdG /ájQÉ÷G) äÉHÉ°ù◊G AÓªY
*Customer Number: :𫪩dG ºbQ*
or hCG
*Account Number: :ÜÉ°ù◊G ºbQ*
(If this form for joint account, please fill Customer number and account number) (ÜÉ°ù◊G ºbQh 𫪩dG ºbQ áÄÑ©J AÉLôdG ,∑ΰûe ÜÉ°ù◊G ¿Éc GPG)

Credit Cards - Only Customers §≤a á«fɪàF’G äÉbÉ£ÑdG AÓªY

Credit Card Number (VISA or MasterCard®): X X X X X X X X :( OQÉc ΰSÉe hCG Gõ«a) ¿ÉªàF’G ábÉ£H ºbQ
®

Name as written on ID/Iqama: :áeÉbE’G/ ábÉ£ÑdG »`a ôgÉX ƒg ɪc º°S’G

(ójóëàdG ƒLQCG) iôNCG á°ùfB’G Ió«°ùdG ó«°ùdG
Others (Please specify) Miss Mrs Mr

á∏FÉ©dG º°SG ó÷G º°SG ÜC’G º°SG ∫hC’G º°S’G

First Name Father (2nd) Name Grandfather (3rd) Name Family (Last) Name

Place of Birth: :OÓ«ŸG ¿Éµe Date of Birth: :OÓ«ŸG ïjQÉJ Nationality: :á«°ùæ÷G
…OÓ«e …ôég iôNCG …Oƒ©°S
Country of Residence: :áeÉb’G ¿Éµe Gregorian Hijri Other Saudi

Gender: :¢ùæ÷G Identification type: :ájƒ¡dG ´ƒf

ôcP ≈ãfCG (ójóëàdG ƒLQCG) iôNCG ôØ°ùdG RGƒL á∏FÉ©dG ábÉ£H áeÉbEG º«≤e ájƒg á«æWƒdG ájƒ¡dG ábÉ£H
Male Female Others (Please specify) Passport Family Card Iqama Resident Identity National ID

ID Number: :ájƒ¡dG ºbQ Expiry Date: :AÉ¡àfE’G ïjQÉJ

.¬«aGô°TE’G äÉ¡÷G øe IQOÉ°üdG äɪ«∏©àdG Ö°ùM á«°üî°ûdG ºµJÉfÉ«H åjó– ΩóY hCG ºµàjƒg á«MÓ°U ¿Éjô°S AÉ¡àfG óæY ÜÉ°ù◊G ≈∏Y πeÉ©àdG 󫪌 ∂æÑ∏d ≥ëj :á¶MÓe
Note: The bank has the right to freeze your account upon the expiration of your ID or when your personal data has not been updated as per Regulator’s requirements.

’ º©f
Do you have other Nationalities/Passport? (If any)
No Yes
(óLh GPEG) ?ôNBG RGƒL /iôNCG äÉ«°ùæL ∂jód πg
(if YES, please specify) (ójóëàdG ƒLQCG ,º©f GPEG)

Section B1 – Contact Details ∫É°üJ’G äÉfÉ«H – 1Ü º°ùb

…õ«∏‚G »HôY
Preferred Language:
English Arabic
:á∏°SGôŸG á¨d

Contact Telephone Numbers: :∞JÉ¡dG ΩÉbQCG

Work: :πª©dG
Home: :∫õæŸG
Mobile: :∫Gƒ÷G
E-mail address: :ÊhεdE’G ójÈdG
Section B2 – Residential Address øµ°ùdG ¿GƒæY – 2Ü º°ùb
(In case of National Address, please fill out all the below sections √ÉfOG äÉfÉÿG ™«ªL áÄÑ©J AÉLôdG ,»æWƒdG ¿Gƒæ©dG ∫ÉM ‘)
exclusion of P.O. Box In case of regular post box, please fill out the mandatory fields below*) ( *áª∏©ŸG äÉfÉÿG áÄÑ©J AÉLôdG …OÉ©dG ójÈdG ∫ÉM ‘ .Ü.¢U GóY Ée
National Addres ( ): Additional No.: :‘É°VE’G ºbôdG Unit No.: :IóMƒdG ºbQ :( ) »æWƒdG ¿Gƒæ©dG
*Apartment/Bldg No.: :≈æÑŸG ºbQ* *City: :áæjóŸG*
*Postal Code: :…ójÈdG õeôdG* *Area: :»◊G*
*P.O. Box: :.Ü.¢U* *Street: :´QÉ°ûdG*
Is this your mailing address? ?∑ójôH ¿GƒæY Gòg πg
NO ’ YES º©f
(If NO please fill the Mailing Address below) (πØ°SC’ÉH ójÈdG ¿GƒæY áÄÑ©J ≈Lôj ’ áHÉLE’G âfÉc GPEG)

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The mailing address will override other mailing address in your records. ®ÉØàME’G »`a âÑZQ ∫ÉM »`a ,∂JÓé°S »`a √OƒLƒŸG ójÈdG øjhÉæY ™«ªL π ∑ójôH ¿GƒæY πë«°S
If you wish to maintain different mailing address for your accounts, please fill the
Account Services Form. .ÜÉ°ù◊G äÉeóN êPƒ‰ áÄÑ©J ≈Lôj ,∂JÉHÉ°ù◊ áØ∏à ájójôH øjhÉæ©H
Section B3 – Mailing Address ójÈdG ¿GƒæY – 3Ü º°ùb
(In case of National Address, please fill out all the below sections exclusion of P.O.Box. In case of regular post box, ( *áª∏©ŸG äÉfÉÿG áÄÑ©J AÉLôdG …OÉ©dG ójÈdG ∫ÉM ‘ ,Ü.¢U GóY Ée √ÉfOCG äÉfÉÿG ™«ªL áÄÑ©J AÉLôdG :»æWƒdG ¿Gƒæ©dG ∫ÉM ‘)
please fill out the mandatory fields below*)

National Addres ( ): Additional No.: :‘É°VE’G ºbôdG Unit No.: :IóMƒdG ºbQ :( ) »æWƒdG ¿Gƒæ©dG
*Apartment/Bldg No.: :≈æÑŸG ºbQ *City: :áæjóŸG*
*P.O. Box: :Ü.¢U* *Area: :»◊G*
*Postal Code: :…ójÈdG õeôdG* *Street: :´QÉ°ûdG*

Section B4 – Address in Home Country (for Expatriates and Saudis with dual citizenship) (iôNCG á«°ùæL OƒLh ∫ÉM »`a ÚjOƒ©°ù∏dh ÚjOƒ©°ùdG Ò¨d) ΩC’G ó∏ÑdG »`a ¿Gƒæ©dG – 4Ü º°ùb

Building No.: :≈æÑŸG ºbQ Country: :ó∏ÑdG

House No.: :∫õæŸG ºbQ City: :áæjóŸG
P.O. Box: :Ü.¢U Area: :»◊G
Postal Code: :…ójÈdG õeôdG Street: :´QÉ°ûdG

Section C1 – Income Details πNódG äÉfÉ«H – 1ê º°ùb

Employer’s Name: :πª©dG á¡L º°SG
’ º©f
Do you own a business?
No Yes
?¢UÉN πªY / ájQÉŒ ICÉ°ûæe ∂jód πg
if YES, please specify: :ójóëàdG ƒLQCG ,º©f GPEG
Occupation: :áæ¡ŸG
(for non-Saudis as mentioned in Iqama) (áeÉbE’G »`a ¬LQóe »g ɪc ÚjOƒ©°ùdG Ò¨d)

Monthly income/Salary (SAR): :(…Oƒ©°S ∫ÉjQ) ÖJGôdG / …ô¡°ûdG πNódG

’ º©f
Do you have other sources of income?
No Yes
?πNó∏d ôNBG Qó°üe …CG ∂jód πg
Other income (Annually) (SAR): :(…Oƒ©°S ∫ÉjQ) (kÉjƒæ°S) ôNBG πNO
»`aÉ°VEG πNO IôM ∫ɪYCG QÉéjEG óYÉ≤J ájQɪãà°SG äÉéàæe
Sources of other income:
Additional Income Business Rental Pension Investment Products
:(äóLh ¿G) iôNC’G πNódG QOÉ°üe

Source of wealth IhÌdG Qó°üe

iôNCG Qɪãà°SG çQEG QÉNOG
What is the source of wealth?
Others Investment Inheritance Saving
?∂JhôK Qó°üe ƒg Ée
Net Worth (SAR): :(…Oƒ©°S ∫ÉjQ) ᪫≤dG »`aÉ°U
Description of wealth: :IhÌdG ∞°Uh

Annual Anticipated Activities (Account holders) (äÉHÉ°ù◊G AÓªY) á©bƒàŸG ájƒæ°ùdG äÓeÉ©àdG ºéM
Type of activity Expected annual count ™bƒàŸG …ƒæ°ùdG Oó©dG Anticipated total ᪫≤dG ´ƒª› πeÉ©àdG ´ƒf
annual value á©bƒàŸG ájƒæ°ùdG
Anticipated deposits
á©bƒàe äÉYGójEG
(Salary credits, all cash Deposits, inward local
ä’Gƒ◊G ,ó≤ædG äÉYGójEG ™«ªL ,ÖJGôdG äÉYGójEG)
and overseas transfers, Cheque deposits) (äɵ«°ûdG äÉYGójEG ,IOQGƒdG á«LQÉÿGh á«∏NGódG
Anticipated local transfers (LPs) á©bƒàŸG á«∏ëŸG ä’Gƒ◊G
(All outward local transfers by SARIE) (™jô°S Ωɶf ΩGóîà°SÉH IQOÉ°üdG ä’Gƒ◊G ™«ªL )
Anticipated overseas transfers (TTs) á©bƒàŸG á«LQÉÿG ä’Gƒ◊G
(All outward oversees transfers ¢†¨H áµ∏ªŸG êQÉN IQOÉ°üdG ä’Gƒ◊G ™«ªL)
irrespective of currency in SAR) (…Oƒ©°ùdG ∫ÉjôdG á∏ª©H á∏ª©dG øY ô¶ædG
Anticipated withdrawals á©bƒàŸG äÉHƒë°ùdG
(Excluding LPs & TTs) (á«LQÉÿGh á«∏ëŸG ä’Gƒ◊G AÉæãà°SÉH)
(Eg: for Cash withdrawals, Equated monthly ,ájô¡°ûdG äÉYÉ£≤à°S’G ,ó≤ædG äÉHƒë°S :πãe)
installment, Internal transfers to accounts in SABB, ,á°UÉ≤ŸG äɵ«°T ,ÜÉ°S ‘ äÉHÉ°ùM ¤EG ä’Gƒ◊G
Clearing and local cheques, Demand Drafts etc) (á«aô°üŸG äɵ«°ûdG

Annual Anticipated Activities (Credit Card Only Customers) (§≤a á«fɪàF’G äÉbÉ£ÑdG AÓªY) á©bƒàŸG ájƒæ°ùdG äÓeÉ©àdG ºéM
Type of activity Expected annual count ™bƒàŸG …ƒæ°ùdG Oó©dG Anticipated total ᪫≤dG ´ƒª› πeÉ©àdG ´ƒf
annual value á©bƒàŸG ájƒæ°ùdG
Anticipated withdrawals á©bƒàŸG äÉHƒë°ùdG

Anticipated purchasing á©bƒàŸG äÉjΰûŸG

Anticipated deposits á©bƒàe äÉYGójEG

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Section D – Declaration QGô`` ` ` ` `bEG – O º°ùb
I/we, the undersigned, hereby declare that I am/we are not legally prohibited to be dealt É¡àeób »àdG äÉeƒ∏©ŸGh äÉfÉ«ÑdG ™«ªL ¿CGh »©e πeÉ©àdG øe kÉ«Yô°T ´ƒæ‡ ÒZ »æfCÉH ócDhCG Gò¡H √ÉfOG ™bƒŸG ÉfG
with, that all information and data I/we have given above are true and correct.
.á≤«≤Mh áë«ë°U √ÓYCG
I/we would be liable before the competent authorities for the funds deposited to my/our
account by me/us personally or deposited by others with or without my/our knowledge. »ª∏©H »HÉ°ùM »`a Ò¨dG É¡YOƒj hCG kÉ«°üî°T É¡àYOhCG »àdG ∫GƒeC’G øY á°üàîŸG äÉ£∏°ùdG ΩÉeCG ∫hDƒ°ùe »æfÉH ócDhCG
I/we would also be liable whether or not I/we subsequently dispose personally of these
funds. I/we hereby confirm that the funds deposited are from legal sources and that I
â≤ØNCG GPEG øµdh ∫GƒeC’G √òg »`a kÉ≤M’ ±ô°üJCG ⁄ hCG kÉ«°üî°T âaô°üJ AGƒ°S ∫hDƒ°ùe »æfG ɪc.»ª∏Y ¿hóH hCG
am/we are liable for them being free from forgery or contrite notes, I/we will not be »æfCGh áYhô°ûe QOÉ°üe øY áŒÉf áYOƒŸG ∫GƒeC’G ¿CG Gò¡H ócDhCG ɪc ∫GƒeC’G ∂∏J OƒLƒH kÉ«ª°SQ ∂æÑdG ÆÓHEG »`a
refunded or compensated. ‹ ≥ëj ’ ¬fÉa áØjõe ∫GƒeCG ájCG »æe ∂æÑdG º∏à°SG GPEG ¬fCGh ,∞«jõJ hCG ôjhõJ …CG øe É¡àeÓ°S øY ∫hDƒ°ùe
I/we undertake to update my/our personal information at a frequency defined by the
.É¡æY ¢†jƒ©àdG hCG ÉgOGOΰSG
bank/regular for, if I/we fail to do so, the bank has the right to freeze my/our accounts.
I/we authorise the bank to collect from and/or disclose to the Saudi Credit Bureau …CG/h (᪰S) á«fɪàF’G äÉeƒ∏©ª∏d ájOƒ©°ùdG ácô°ûdG ¤EG í°üØj h/hCG øe π°üëj ¿CÉH ∂æÑdG ¢VƒaCG Gò¡Hh
(SIMAH) or any appropriate third parties approved by SAMA, such as the bank may require
√ôjó≤àd kÉ≤ÑW ∂æÑdG É¡Ñ∏£j äÉeƒ∏©e …CG ¿CG …Oƒ©°ùdG »Hô©dG ó≤ædG á°ù°SDƒe øe Ióªà©e áªFÓe iôNCG ±GôWCG
at its discretion, to establish, review and/or administer my/our accounts or facilities with
the bank. .∂æÑdG iód »JÓ«¡°ùJ hCG »JÉHÉ°ùM IQGOEG hCG á©LGôe hCG äÉÑKE’
I/we confirm that I/we have read, understood and accepted the account opening terms
≥aGhCGh ∂æÑdG ᣰSGƒH É¡æe áî°ùf »ª«∏°ùJ ”h äÉHÉ°ù◊G íàa ΩɵMCGh •hô°T â∏Ñbh ⪡ah äCGôb »æfCÉH ócDhCG
and conditions, a copy of which has been provided to me/us by the bank, and I/we agree
to abide to its contents. .É¡«a AÉL Éà ó«≤àdG ≈∏Y
I/we further declare that the terms and conditions will be applicable to all types of
Éà ∂æÑdG πÑb øe áeó≤ŸG äÉeóÿGh äÉHÉ°ù◊G ´GƒfCG ™«ªL ≈∏Y ≥Ñ£æJ ΩɵMC’Gh •hô°ûdG ¿CÉH kÉ°†jCG ìô°UCG ɪc
accounts and products offered by the bank, including this and the subsequent accounts
that will be opened by-me-us in the future. .πÑ≤à°ùŸG »`a »∏Ñb øe É¡ëàa ºà«°S »àdG á≤MÓdG äÉHÉ°ù◊G h ÜÉ°ù◊G ∂dP »`a
I, hereby, agree that SABB can send me/us marketing SMS or Email relating to new
äÉéàæe øY ÊhεdE’G ójÈdG ¤EG hCG á«≤jƒ°ùJ á«°üf πFÉ°SQ ∫É°SQEÉH Ωƒ≤«°S ÜÉ°S ¿CÉH »à≤aGƒe ócDhCG ɪc
features, offers or products and if I wish to deactivate this service at any time, I should
contact the SABB Call Centre. .∂æÑ∏d ÊÉéŸG ∞JÉ¡dÉH ∫É°üJ’ÉH ΩƒbCÉ°S Aɨd’ÉH áÑZôdG ∫ÉM »`ah ôNB’ âbh øe ÜÉ°S ¢VhôYh

Customer Signature 𫪩dG ™«bƒJ

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CRR Signature: :∫hDƒ°ùŸG ∞XƒŸG ™«bƒJ MBO Signature: :äÉ«∏ª©dG ôjóe ™«bƒJ

S.V. S.V.

For Bank Use Only §≤a ∂æÑdG ΩGóîà°S’ ¢ü°ü

’ º©f
Does the customer qualify to be SCC?
No Yes
?AÓª©∏d á°UÉÿG áëjô°ûdG øe 𫪩dG πg
If YES, please specify why: :IOÉaE’G AÉLôdG ,º©æH áHÉLE’G ádÉM »`a

’ º©f
Is the customer included in SABB Employers Authorised Signaturies?
No Yes
?ÜÉ°S â– Ióªà©ŸG äÉcô°ûdG áªFÉb â– êQóæj 𫪩dG πg

If YES, please specify the code from HUB Screen: :Ö¡dG ¬°TÉ°T øe õeôdG ójó– ƒLQG ,º©f GPG

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 Mandate Checklist äGóæà°ùŸG ≥«bóJ áªFÉb

Account Number: _____________________________________________ :ÜÉ°ù◊G ºbQ Customer Name: ____________________________________________________ :𫪩dG º°SG

Ensure the annual anticipated deposit activities doesn’t exceed %30 RhÉéàJ’ 𫪩∏d ¬©bƒàŸG ¬jƒæ°ùdG äÉYGój’G ºéM ¿CG øe ócCÉàdG
the total of annual Income for the customer by 30% …ƒæ°ùdG πNódG ‹ÉªLG øe
S.No Required Documents
܃∏£e ÒZ
N/A
’
No
º©f
Yes
(∂∏«ªY ±ôYG êPƒ‰) áHƒ∏£ŸG äGóæà°ùŸG
𫪩dG øe á©bƒe áeÉbE’G hCG á«æWƒdG ájƒ¡dG øe IQƒ°U
2a Copy of National ID or Iqama ôØ°ùdG RGƒL ™e á∏FÉ©dG ábÉ£H IQƒ°U Ëó≤J ájOƒ©°ùdG ICGôª∏d øµÁ)
(á«æWh ájƒg ábÉ£H OƒLh ΩóY ∫ÉM »`a ±ô©e Qƒ°†M ™e hCG
2b Proof of income πNódG Qó°üe äÉÑKEG
Introduction Letter/Salary certificate. / ÖJGôdÉH QÉ©°TG hCG πªY ó≤Y hCG ÖJGôdÉH ∞jô©J
OR employment contract OR pay slip. .ÖJGhôdG Ò°ùe
OR Account statement from another ´OƒŸG ÖJGôdG í°Vƒj iôNC’G ∑ƒæÑdG iód ÜÉ°ùM ∞°ûc hCG
bank that shows the credited salary to
the account. .∂æÑdG iód
OR Business license/municipality license. .ájó∏ÑdG á°üNQ / ájQÉŒ á°üNQ hCG
OR A letter from the sponsor for ä’Gƒ◊G ºéM í°Vƒj êhõdG hCG ôeC’G ‹h øe ÜÉ£N hCG
unemployed customers such as housewife .(䃫ÑdG äÉHQh ÚØXƒŸG ÒZ AÉæH’Gh ¬Ñ∏£∏d) ÜÉ°ùë∏d ¬©bƒàŸG
or children or house labor.
OR Evidence of salary transfer to SABB øe √óMGh áëØ°U) ÜÉ°S iód ÖJGôdG ´GójEG äÉÑKG áYÉÑW hCG
(copy of HUB screen). .(HSBCnet øe ™aódG äɪ«∏©J hCG ÖJGQ ôNB’ HUB/HFE
2f Proof of residential address in KSA: :áµ∏ªŸG »`a øµ°ùdG / áeÉbE’G äÉÑKEG
Full residential address filled. .πeɵdÉH øµ°ùdG ¿GƒæY áÄÑ©J ”
3a DMN approval/or PBU BH approval
(DMN ´hôØdG áYƒª› ôjóe) ´hôØdG IQGOEG á≤aGƒe
∫ɪY’G IQGOG ¢ù«FQ hCG
3b Compliance approval ΩGõàd’G IQGOEG á≤aGƒe
4a Power of Attorney (POA) Form details
have been completed/signed ádÉcƒdG êPƒ‰ »`a äÉfÉ«ÑdG ™«ªL ≈∏Y ™«bƒàdG áÄÑ©J â“
(Accountholder/Attorney) and duly ÒZ øe ¢UÉî°TCG IOÉ¡°ûH (π«cƒdG/ÜÉ°ù◊G ÖMÉ°U øe)
witnessed by two persons other than the
staff (Accountholder consent is required »ØXƒe øe Oƒ¡°ûdG ¿ƒc ádÉM »`a) ∂æÑdG »`a Ú∏eÉ©dG
if the witness was a staff member). POA ≈∏Y ÜÉ°ù◊G ÖMÉ°U á≤aGƒe ≈∏Y ∫ƒ°ü◊G »¨Ñæ«a ∂æÑdG
is duly authenticated by the authorised
person(s). (In case the witness is a lady .™«bƒàdÉH Ú°VƒØŸG ábOÉ°üe πª– ádÉcƒdG - (∂dP
different rules apply).
4b Indemnity Form for illiterate/blind ¢UÉÿG ¢†jƒ©àdG êPƒ‰ ≈∏Y ábOÉ°üŸG/∫ɪµà°SG ”
customer is completed/authenticated. ÜÉ°ù◊G ÖMÉ°U ≈∏Y Gòg ≥Ñ£æj) ∞«ØµdG /»eC’G 𫪩dÉH
(Applicable to illiterate Accountholders).
(∞«ØµdG /»eC’G
5 Have you obtained compliance approval áÄØdG π«ªY ≈∏Y ΩGõàd’G ∫hDƒ°ùe øe á≤aGƒe òNCG ” πg
for SCC/PEP customer? (please provide (á≤aGƒŸG ¥ÉaQG ƒLQCG) ?á°UÉÿG
confirmation)
6 Is the customer included in SABB πª©j 𫪩dG ¿Éc GPG õeôdG ójó– ” πg
Employers Authorised Signaturies? ?ÜÉ°S iód Ióªà©ŸG äÉcô°ûdG áªFÉb øª°V
7 Ensure the annual anticipated deposit 𫪩∏d á©bƒàŸG ájƒæ°ùdG äÉYGój’G ºéM ¿CG øe ócCÉàdG
activities doesn’t exceed the total of
annual Income for the customer by 30% …ƒæ°ùdG πNódG ‹ÉªLG øe 30% RhÉéàJ ’

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