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CENTRAL DE ATENDIMENTO
ABERTURA DE CONTA
Investimentos
Banking FormsEnglish Version
Name
Filiation (Father)
Filiation (Mother)
Birth date
Birth place
Nationality
Marital status
Matrimonial Regime
Depend. Nº
Identity Card Nº
Iss. Agency
State
CPF (Individual Taxpayer Number)
Job
Current residence (Street, Avenue, Floor number, block, apartment)
ZIPE CODE
City
District
Phone
Residence Own Relative Rented
For how long?
Company where you work (as an employee/ partner or shareholder)
Title
Branch line
Address
Permanence time / Admission date
Individual Taxpayer Number
Issuing agency
Admission date (Entry)
Bank
Branch
Telephone
Contact
Company
I declare that the information provided is an expression of the truth. I authorize the Banco Rendimento S/A, headquartered at Av. Brigadeiro Faria Lima, nº 2092 - 19th floor, registered under the CNPJ/IMF (taxpayers Identification Number) number 68.900.810/0001-38, to provide or consult data or information consolidated in the Central Bank of Brazil, as well as the Credit Risk Central (in terms of responsabilities according to the provisions of the Resolution Nº2.724 of 05.31.2000), to the Brazilian Credit Protection Central Service (SCPC) and the Credit Reporting Agency - SERASA or other bodies of registration information, in order to address the law in force and allow an adequate and consistent analysis of the credits conceived or to be conceived.
Through this instrument, we inform that the representatives listed below are our current representatives. However, they do not represent regarding any document or any obligation with Banco Rendimento S/A. We also inform that the persons listed below (natural and legal) declare as true their identifying information and their condition as a non politically exposed person, in accordance with the concept established by Circular Letter issued by the Central Bank of Brazil (Circular Letter 3,461/09 Article 4, Paragraph 1 Politically exposed persons are government agents that perform, or have performed in the last five years, positions, employment or relevant functions in the government, in Brazil or in other countries, territories or foreign dependencies, as well as their family members and other persons of close relationship). We also declare that they are aware of their obligation when updating their registration to declare to Banco Rendimento any changes in their condition, especially if they come to be a politically exposed person (for the purposes of this registration, a politically exposed person is anyone who holds a public office or position).
DECLARATION OF THE PURPOSE OF THE CLIENT'S RELATIONSHIP WITH THE INSTITUTION In accordance with Circular Letter 3461 of the Central Bank of Brazil, the client declares and the financial institution accepts the purposes of the relationship described below, indicating: In Column 1, only one option for the main relationship, and in Column 2, as many options as required for potential/temporary relationships.
Main
Opening of checking account for natural person Opening of checking account for non-resident natural person Opening of checking account for legal person Opening of checking account for non-resident legal person Opening of investment account for natural person Opening of investment account for legal person Exchange for purchase of foreign currency Exchange for sale of foreign currency Incentive card Corporate card with checking account Corporate card without checking account Mais Que Presente Card Mi Plata Card Consumer finance Contracting of loan operation Correspondent bank Remittances Other, specify
Potential / Temporary
Opening of checking account for natural person
Opening of checking account for non-resident natural person
Opening of checking account for legal person
Opening of checking account for non-resident legal person
Opening of investment account for natural person
Opening of investment account for legal person
Exchange for purchase of foreign currency
Exchange for sale of foreign currency
Incentive card
Corporate card with checking account
Corporate card without checking account
Mais Que Presente Card
Mi Plata Card
Consumer finance
Contracting of loan operation
Correspondent bank
Remittances
Other, specify
Place
Date
_______________________________________ Signature
__________________________________________________________ Bonus __________________________________________________________
We assume any responsibility for the accuracy of the provided information, on demand of the originals of the Identification card, CPF (Individual Taxpayer Number) / CNPJ (Taxpayers Identification Number) documents and other evidences of additional elements presented, under the penalty application of the provision in the Article sixty Four of the Law nº8.383, from 12.30.91
____/____/_____ ____________________________________ Date Signature of the Account Manager
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