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Fillable - Signature Specimen Card

This document is a signature specimen card for a Robinsons Bank account. It authorizes the bank to recognize certain signatures for transactions involving the account. It lists the account name and number. The card contains spaces for client names, signatures, and photographs to be affixed. It states that by signing, the clients agree to terms and conditions governing the account and authorize the bank to open it.

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jayson marquez
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617 views1 page

Fillable - Signature Specimen Card

This document is a signature specimen card for a Robinsons Bank account. It authorizes the bank to recognize certain signatures for transactions involving the account. It lists the account name and number. The card contains spaces for client names, signatures, and photographs to be affixed. It states that by signing, the clients agree to terms and conditions governing the account and authorize the bank to open it.

Uploaded by

jayson marquez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SIGNATURE SPECIMEN CARD

DATE

ACCOUNT NAME ACCOUNT NUMBER

SIGNATURE COMBINATION
This is to authorize ROBINSONS BANK to honor/recognize the following signature/s in the payment of funds or transaction of other business involv-
ing the above Account/Investment.

ALL ANY ONE ANY TWO OTHERS _______________________________

AUTHORIZED SIGNATORIES
CLIENT NAME (Last Name, First Name, Middle Name) EMAIL ADDRESS

AFFIX SIGNATURE

1) 2) 3)

CLIENT NAME (Last Name, First Name, Middle Name) EMAIL ADDRESS

AFFIX SIGNATURE

1) 2) 3)

DEPOSITOR’S AGREEMENT

By affixing the above signatures, I/we authorize ROBINSONS BANK to open __________________________________ Account/Investment. I/We
hereby acknowledge that I/we have read and understood the terms and conditions and other agreements governing the establishment and opening
of above Account/Investment and agree to be bound by said terms and conditions and other agreements. Please consider the above signatures
in the disbursement of funds and other related banking transactions of said Account/Investment.

FOR BANK’S USE ONLY

SIGNATURE TAKEN / AUTHENTICATED BY / DATE APPROVED BY / DATE SCANNED BY / DATE

SIGNATURE COMBINATION

Robinsons Bank Director

Shareholder
ATTACH 1”x1” ATTACH 1”x1”
Robinsons Bank Employee
PICTURE HERE PICTURE HERE
Employee Number: _____________________

Relative of Robinsons Bank Employee


Employee Name: _______________________
Relation: ______________________________ CLIENT NAME CLIENT NAME
(Last Name, First Name, Middle Name) (Last Name, First Name, Middle Name)
Relative of Shareholder
Shareholder Name: _____________________
Relation: ______________________________

REMARKS

SSC_Digitized-Version May 2020

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