Spaiu rezervat bncii

________________________________________

Cerere deschidere cont - modificare date / drepturi cont persoan fizic

Titular:
Nume _____________________________________________________________ Prenume _________________________________________________
CNP |_____________________| se identific cu __________ seria ___________ nr. ________________ avnd cod client: _____________________
n conformitate cu prevederile legale n vigoare, v solicit deschiderea/modificarea urmtoarelor conturi:
CONT ___________________________________________________ denumire _____________________________________________ n valuta ________________________
CONT ___________________________________________________ denumire _____________________________________________ n valuta ________________________
n cazul ncasrii unei sume de bani aferente unei alte valute, Banca este mandatat s deschid un cont n valuta respectiv.
V comunic persoanele autorizate s dispun de contul/rile deschise pe numele meu la Banca Transilvania:
1. Calitatea (Titular):
Nume _____________________________________________________________ Prenume _________________________________________________
CNP |_____________________| se identific cu __________ seria ___________ nr. ________________ avnd cod client: _____________________
Adugare

Modificare

tergere

Avnd drept de:

Semntur unic

Prima semntur

A dou semntur

Excepie*

*Excepia detaliat: _________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________
2. Calitatea (mputernicit):
Nume _____________________________________________________________ Prenume _________________________________________________
CNP |_____________________| se identific cu __________ seria ___________ nr. ________________ avnd cod client: _____________________
Adugare

Modificare

tergere

Avnd drept de:

Semntur unic

Prima semntur

A dou semntur

Excepie*

*Excepia detaliat: _________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________
3. Calitatea (Delegat):
Nume _____________________________________________________________ Prenume _________________________________________________
CNP |_____________________| se identific cu __________ seria ___________ nr. ________________ avnd cod client: _____________________
Adugare

Modificare

tergere

Pentru efectuarea urmtoarelor operaiuni:

Depunere de documente
bancare

Ridicare extrase de cont

Depunere de numerar n
contul curent/contul de card

Excepie*

*Excepia detaliat: _________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________

CONDIIILE CONTULUI:
1. Depunerile de numerar n contul curent/contul de card se pot face i de ctre alte persoane (deponeni externi): DA |__| NU |__|.
2. Pentru tranzaciile efectuate, solicit eliberarea extrasului de cont astfel:
- frecvena: lunar |__|;

zilnic |__|;

Data :___________________________________

Semntura titularului

DATE COMPLETATE DE BANC:

Referin _________________________
Nume i prenume operator __________________________________________ funcia _________________ semntura _____________________
Nume i prenume supervizor ________________________________________ funcia _________________ semntura _____________________

file:///Z|/CLIENTI/BT/Formulare/Editabile/PF/PF%20v6/Cerere%20deschidere%20cont%20-%20modifica