Know Your Customer Form (Individuals) Know Your Customer Form (Individuals) Current Customer's Personal Information FATCA Customer's contact information and address Political Exposed Persons Identification Declaration and Acknowledgment Complete Full Name in Arabic Full Name in English Gender - Select -MaleFemale Nationality - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSarkSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkmenistanTurks & Caicos IslandsTuvaluTürkiyeU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Residency Indicator - Select -Citizen- ResidentResident Non – CitizenResident Non - Citizen-NonResident – Citizen-Non ID Type ID Type - Select -National IDPassportOther... Enter other… National Number ID / Passport Number Issuance Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSarkSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkmenistanTurks & Caicos IslandsTuvaluTürkiyeU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Issuance Date Expiry Date Place of Birth Date of Birth Occupation - Select -Employee Of Government InstitutionsPrivate Company EmployeeGeneral Physician/SpecialistLawyerEngineerNurseJournalistMediaNews ReporterArtistTeacherProgrammerWriter, WriterPharmaceuticalContractorConstruction WorkerSales WorkerHotel WorkerRestaurant Worker/Waiter/ChefBakery WorkerFactory WorkerSocial Media EmployeeClothing DealerTextile MerchantCarpet DealerFarmsHousewares DealerElectrical Tools DealerFood MerchantFurniture DealerIndustrial Equipment DealerShoe/Shoes DealerPerfumes/Accessories/Cosmetics DealerBuilding Materials And Sanitary Ware DealerVegetable And Fruit MerchantAgricultural Materials And Tools DealerBook And Stationery DealerToys And Gifts DealerJewelerRestaurant OwnerOwner Of A Sweets/Beverage ShopBakery OwnerCafe/Coffee Shop OwnerHotel/Resort OwnerOwner Of An Electronic Games StoreUniversity/College/School ProfessorFitness Coach/AthleteInterior DesignerActorMusicSingerArt Director/FilmsMakeup TechnicianEconomistTranslatorGraphic DesignerVision Examination TechnicianPhotographerReal Estate DealerOwner Of A Driving Education CenterCar Rental Office OwnerOwner Of A Transportation CompanyHousewifeEmployee/RetiredStudentWithout WorkTechnician/Craftsman (Professions)DriverOwner Of An Ironing And Dry Cleaning ShopMobile Phone/Accessories Store OwnerAntiques And Antiquities DealerOwner Of Tourism And Travel AgenciesCar DealerCar Parts DealerPilotNight Club OwnerAtmLegal AdvisorBusiness ConsultantFlight Attendant/StewardessSports Club OwnerNutritionistFiremanButcher Shop OwnerSecurity GuardIndependent Business OwnerAmbassadorConsulFirst Secretary At The EmbassyPolice OfficerMilitary OfficerJudgeSocial Development EmployeeInsurance EmployeeAttacheEmbassy AdvisorMajor GeneralA TeamFirst TeamMarshalMinisterPrime MinisterPresident Or Member Of The National AssemblyRoyal FamilyGovernorSpeaker Or Member Of The ParliamentPresident Or Member Of The Legislative CouncilPresident Or Member Of A Constitutional CourtGovernor Or Deputy Governor Of The Central BankHead Of The Royal CourtAdvisor To The Royal Court Or Advisor To The KingHead Of Government Institutions/Municipal CouncilsPresident Of Public UniversitiesSecretary-General / Members Of The Board Of TrusteesHeads/Members Of Government-Owned CompaniesHead Of A Party/Union/Charity UnionPartner/Owner Of A Commercial/Real Estate/Financial/Service Company Source of Income Source of Income - Select -SalaryInheritanceInvestmentsBusinessOther… Enter other… Monthly Income - Select -Less than 500 JOD501 - 1000 JOD1001 - 2500 JOD2501 - 5000 JODMore than 5000 JOD Do you have any other nationalities? Yes No Other Nationality Other Nationality Full Name Other Nationality Passport Number
