Application for Digipass

[1] [ GENERAL INFORMATION ]
Fields with "*" must be completed
* a) Customer's Name
   b) Subscriber Number
* c) Identity Card/Passport Number
   c) Company Name

[2] [ DIGIPASS DEVICES ]

There are two types of devices. Please choose the device suitable to your needs.
1) Digipass 0550* YES This device can be used to access the Direct Banking Service and effect transfers between accounts which you are authorized to access, transfers in favour of Third Parties in Cyprus and abroad and fax instructions. You use a PIN in order to activate this device.. The cost of the device is EUR 40.-
I/We wish to use the
Digipass 0550 for:		    ACCESS (Sign On)
   TRANSFERS
   FAX INSTRUCTIONS FOR ALL ACCOUNTS (to branch only)
2) Digipass Go 3* YES This device can be used to effect transfers between accounts which you are authorized to access through the Direct Banking Service and transfers in favour of Third Parties in Cyprus and abroad. You do not use any PIN in order to activate this device. The cost of the device is EUR8.-

[3] [ DELIVERY OF DEVICE ]

Your Digipass device will be posted to you. If you wish to collect it from any Bank of Cyprus branch, please specify the name or the number of the branch:

[4] [ LIMITS ]
Type of Transfer Maximum Limits (default)
per day		 Limits set by Customer (per day)
  Digipass 0550 Digipass Go 3  
Between Own Accounts and Accounts which you are authorised to access € 70.000,00 € 40.000,00 Amount:
In words:
Transfers in favour of Third Parties (to accounts in Cyprus only) € 20.000,00 € 10.000,00 Amount:
In words:
Payment Orders (to accounts abroad only) (€) Unlimited (€) Unlimited Amount:
In words:

Note: The above limits apply to all the accounts accessed by the Customer at present through the Direct Banking Service and to all accounts accessed by the Customer in the future. They do not apply for fax instructions.

[5] [ OTHER INFORMATION ]
I/We authorize Bank of Cyprus to debit my/our account no. with the relevant amount to cover the cost for the Digipass device.

I/We undertake to comply strictly with the Direct Banking Terms and Conditions as they appear in the Bank of Cyprus website http://www.bankofcyprus.com

1_____________________________


2_____________________________


3_____________________________


4_____________________________


5_____________________________


Signatures/Stamp



Date _____/______/_________

(For company accounts, all Directors must sign the application)






FOR INTERNAL USE (Verification of Signature)
       Applicant CIF
       __________________________________________
       Branch No.
       __________________________________________
       Date
       __________________________________________
       Signature
       __________________________________________