Apliko për Kredi - Banka Ekonomike

Personal data

Documents

Consents

Complete Application

Personal data

XK05

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Documents

Upload Document Attach a valid ID card

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Upload Document Upload address verification document

*Address verification document must be a utility bill not older than 6 months

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Consents

Consent for Personal Data Processing

Based on Law No. 06/L-082 on the Protection of Personal Data, I declare that I agree that the Bank and its representatives may use, process and transfer my personal data to affiliated companies under applicable law, for the purpose of providing quality services.

Client consent for processing of his/her personal data This field is required.

Client consent for the processing of his/her personal data for the purpose of statistical reports: This field is required.

(For more information regarding the processing of personal data by Banka Ekonomike, please read the General Terms and Conditions. You can always, during a visit to any bank branch, request that your personal data not be processed; however, this will affect the provision of services and products.)

Consent Statement for Direct Communication/Marketing

I declare that I agree to be contacted and receive offers/notices regarding products and services provided only by Banka Ekonomike.

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For this communication, my preferred method is:

Phone

SMS

Post

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I agree to receive offers or notices related to products and services provided by Banka Ekonomike linked to Siguria Insurance Company.

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For this communication, my preferred method is:

Phone

SMS

Post

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Deposit Insurance Declaration

Banka Ekonomike is a member of the Kosovo Deposit Insurance Fund (KDIF). KDIF compensates insured depositors if the bank cannot meet its financial obligations, up to €5,000. Insured depositors include individuals and legal entities unless excluded by the scheme. For more information, ask at your local branch or visit the KDIF website: www.fsdk.org.

*The deposit insurance limit will increase as follows: 3,000 € (from 01.01.2014), 4,000 € (from 01.01.2016), 5,000 € (from 01.01.2018).

Identification Form for Politically Exposed Persons (PEP)

Politically Exposed Person – persons who are or have been entrusted with prominent public functions

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Close family members - spouses/spouse-equivalents, children, spouses/spouse-equivalents of children, parents.

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refers to any individual who may be a joint owner of legal entities, or any close business relationship, and any natural person who is a beneficial owner of a legal entity established for de facto benefit of the PEP.

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*If you answered YES to any of the above questions, please complete the PEP form.

PEP Form

Declaration on the Source of Funds and Determination of the Holder of the Right of Ownership

Based on Law No. 05/L-096 on the Prevention of Money Laundering and Combating Terrorist Financing, Article 19.6 (Customer Due Diligence), and the CBK Regulation on the Prevention of Money Laundering and Terrorist Financing, Article 18.5 (Enhanced Customer Due Diligence), the person involved in this activity must provide the bank or financial institution with a written statement that:

The person involved in this activity declares that he/she: Acts on their own behalf as owner and holder of ownership rights over any property subject to the transaction Acts as an authorized agent (or independent third party) of one or more individuals or entities

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FATCA (Foreign Account Tax Compliance Act) Declaration for Natural Persons

Based on Law No. 05/L-013 on the “Ratification of the Agreement between the Government of the Republic of Kosovo and the Government of the United States of America,” to improve compliance with international tax regulations and the implementation of FATCA regulations, I declare that I am a U.S. citizen or a U.S. resident.

W9 IRS Form

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W-9 W-8BEN_E

Complete Application

By submitting this application, I confirm that all the information stated above is true and accurate, and I am aware that any falsified or misleading statement may result in prosecution. I also accept any expense, loss, or damage caused to the bank as a result of providing false information, as well as in cases of failing to inform the bank in due time about potential changes in the personal information provided.

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