Main / Order Services

Order of product / service
Current accounts

Dear client,
we kindly ask you to fill in the application – order in Ukrainian to avoid mistakes when entering agreement in Bank outlet.

Service
Order details
Personal data
Surname *
Name *
Patronymic *
Type of document
Series
Number
Date of issue
Issued by
Identification number
Citizenship, country
Permit for permanent residence valid until
Date of birth
Country of birth
Place of birth
Registered address
Region
District
Postal code
Locality
Street
House number
Building number
Apartment number
Address of actual residence
Region
District
Postal code
Locality
Street
House number
Building number
Apartment number
Contact phone number most convenient for you *
Home phone number
Office phone number
Mobile phone number
E-mail
Are you a pensioner?
Do you receive pension in PJSC "Kreditprombank"?
Other information
If the customer/ person who opens an account in the name of the customer/ authorized person acting on behalf of the customer/ person who can decisively influence on the customer’s transactions is a person who performs or performed a public function in foreign countries or is a person associated with public figures?
Planned turnover on account (UAH/month or equivalent in other currency)
Description of sources of money and other values receipts to the client’s accounts
Date / time of contact when Information Center employee can call you *
Convenient date of product purchase at sell point *
Branch of product / service purchase *



Comments
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