zahtjev za otvaranje nerezidentnog računa

Organizational unit /subsidiary/ agency/ code of organizational unit:
Organizaciona jedinica / filijala/agencija/šifra organizacionog dijela:_______________________
______________________________________________________________________
Inquiry for the opening of a non-resident account
ZAHTJEV ZA OTVARANJE NEREZIDENTNOG RAČUNA
Please open an account (fill-in the name and the address of the company specified in the
Resolution of the registration assigned by the competent authority)
Molimo da otvorite račun (upisati naziv i adresu firme iz Rješenja o registraciji kod nadležnog
organa)
Canton :
City:
Municipality:
Kanton:_____________________ Grad__________________ Opština: __________________
The persons below quoted are authorized to individually / joined / differently access to the
funds:
Dole navedene osobe ovlaštene su da individualno / zajednički / drugačije raspolažu sredstvima:
1. ____________________________ ________________________
____________
2. ____________________________ ________________________
____________
3. ____________________________ ________________________
____________
4. ____________________________ ________________________ ____________
/full name and surname
/ passport or identity card number
/ signature
/puno ime i prezime
/broj LK ili pasoša
/potpis
Organizational structure:
Organizaciona struktura:
_____________________________________________________________________________
(Limited Company, Joint-Stock Company, Sole Proprietorship (Independent Trading Shop,
Independent Crafts Shop, Independent Catering Shop), etc.)
(DOO; DD; STR; SZR; SUR; itd.)
Type of business:
Vrsta djelatnosti:
_____________________________________________________________________________
( trade, tourism and catering, agriculture, public services, civil engineering, energetic, etc.)
(trgovina, turizam i ugostiteljstvo, poljoprivreda, javne službe, građevinarstvo, energetika i sl.)
Description of funds sources:
Opis izvora sredstava:
_____________________________________________________________________________
(selling of securities, consulting services, intermediation services, catering services, etc.)
(prodaja vrijednosnih papira, pružanje konsalting usluga, posredovanjem,ugostiteljstvo, i sl.)
Privredna banka Sarajevo d.d. Sarajevo, Alipašina 6, 71000 Sarajevo, BiH, Tel.:+387 33 27 77 00, Fax:+387 33
1
66 41 75,Račun br.: 101-000-00000016-87; SWIFT: PBSCBA22; IBAN BA 391010000000001687,Mat.reg.br.
1-1079; ID br: 4200499280002; PDV br: 200499280002, www.pbs.ba, e-mail: [email protected]
Expected monthly turnover:
Očekivani mjesečni obim prometa:
Up to BAM 50.000
do 50.000 KM □
Up to BAM 250.000
do 250.000 KM □
Up to BAM 1.000.000
do 1.000.000 KM □
Over BAM 1.000.000
preko 1.000.000 KM □
Number of employees:
Broj uposlenih :__________________________
Work Permit:
Licenca za rad: __________________________
Internet banking appliance:
Upotreba elektronskog bankarstva:
yes
da
□
□
Other bank accounts:
Računi otvoreni kod drugih banaka:
yes
da
□
□
no
ne
no
ne
□
□
□
□
Account No:
Bank:
Type:
br računa : _______________________ banka: ___________________ tip:_______________
br računa : _______________________ banka: ___________________ tip:_______________
br računa : _______________________ banka: ___________________ tip:_______________
br računa : _______________________ banka: ___________________ tip:_______________
Business partners / purchasers:
Poslovni partneri / kupci:
Identification No:
Name:
Mat.br: ______________________________ Naziv:_________________________________
Mat.br: ______________________________ Naziv:_________________________________
Mat.br: ______________________________ Naziv:_________________________________
Mat.br: ______________________________ Naziv:_________________________________
Business partners / suppliers:
Poslovni partneri / dobavljači:
Identification No:
Mat.br: ______________________________
Mat.br: ______________________________
Mat.br: ______________________________
Mat.br: ______________________________
Name:
Naziv:__________________________________
Naziv:__________________________________
Naziv:__________________________________
Naziv:__________________________________
Privredna banka Sarajevo d.d. Sarajevo, Alipašina 6, 71000 Sarajevo, BiH, Tel.:+387 33 27 77 00, Fax:+387 33
66 41 75,Račun br.: 101-000-00000016-87; SWIFT: PBSCBA22; IBAN BA 391010000000001687,Mat.reg.br.
1-1079; ID br: 4200499280002; PDV br: 200499280002, www.pbs.ba, e-mail: [email protected]
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Statements and other documentation that refer to the account:
Izvodi i ostala dokumentacija koja se odnosi na račun:
no □
without statement: yes □
bez izvoda:
da □
ne □
To take the statement in the bank (define the person authorized to take statements or
other documentation and the place of administration):
podizat će se u banci (definisati osobu za podizanje izvoda ili ostale dokumentacije i mjesto
vodjenja):
_____________________________________________________________________________
To send by mail to the following address:
slat će se poštom na sljedeću adresu:
_____________________________________________________________________________
To send by fax to the following fax number:
slat će se na fax broj:
_____________________________________________________________________________
To send by email to the following address:
slat će se na sljedeću e-mail adresu:
_____________________________________________________________________________
Transmission period: 1 day
10 days
15 days
30 days
15 dana □
30 dana □
period slanja:
1 dan □ 10 dana □
We confirm that we are familiar with the business terms regarding the non-resident
account.
Potvrdjujemo da smo upoznati sa uslovima poslovanja po nerezidentnom računu.
Beside the Inquiry for the opening of a non-resident account we also enclose the
Resolution of the registration assigned by the competent authority and other mandatory
documentation as well, and we confirm that the person who signed the Inquiry is the
authorised representative of the company.
Uz zahtjev za otvaranje nerezidentnog računa, prilažemo vam Rješenje o registraciji kod
nadležnog organa i ostalu obaveznu dokumentaciju, te da je dole potpisani ovlašten za
zastupanje firme.
_______________________
/Date and time
/mjesto i datum
______________________
/ Stamp and signature
/pečat i potpis
Privredna banka Sarajevo d.d. Sarajevo, Alipašina 6, 71000 Sarajevo, BiH, Tel.:+387 33 27 77 00, Fax:+387 33
66 41 75,Račun br.: 101-000-00000016-87; SWIFT: PBSCBA22; IBAN BA 391010000000001687,Mat.reg.br.
1-1079; ID br: 4200499280002; PDV br: 200499280002, www.pbs.ba, e-mail: [email protected]
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