Online Application

Title: *

Mr, Mrs, Ms. Dr, Prof…

Name *

First

Middle

Last

Gender: *

Race: *

(Bank Requirement. Black, White, Indian, Coloured)

RSA Tax reference number: *

ID / Passport number: *

(If you have an RSA ID number, this is preferred as it is a requirement when utilizing your Single Discretionary Allowance)

Place of Birth: *

Nationality: *

(Where were you born?)

Expiry date of passport?

Passport country of issue: *

Residential address: *

Please include postal code.

Postal Address: *

Please include postal code.

Mobile number: *

(Including international dialing code.)

Email *

Are you a US Person? *

Yes
No

Are you a tax resident in a jurisdiction other than South Africa: *

If Yes, what country and what is your Foreign Tax number?

Occupation: *

(What is your studied / chosen field of work?)

Designation: *

(What is your business title at your work? Manager; call center agent; Engineer)

Employer Name: *

Employer Nature of business: *

(In what industry does your employer operate? E.g. Construction; software development; hospitality etc.)

Average Income per month: *

(Including salary / wages, rental; maintenance, policy proceeds etc.)

Source of funds from sources other than employer: *

(Please list other sources of income to employment income i.e. rental income, investment policies etc.)

Source of funds that will be used to conduct transaction/s with JP Blue: *

(Inheritance; Savings; Sale of assets etc.)

Purpose of the relationship / account: *

(Explain what the account will be used for)

Foreign / offshore banking details (Where funds will be sent): *

*If you do not have offshore banking details and would like assistance in opening a Foreign Currency Account with us, please leave these details blank and ensure you have selected “FCA Account” in the Application Requirements section at the top of this page

With whom is your primary bank account in South Africa held? *

How did you hear about us:

Online Search
Digital marketing campaign
Word of Mouth
Social Media