FCY Account Opening Form 1 Basic Information 2 Account Type 3 Applicant Details 4 Services 5 Terms & Conditions Basic Information Country of Residence Select Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Branch Select Branch Addis Ababa, - Alif (Main) Branch Addis Ababa - Abakoran-Imam Ahmed Branch Addis Ababa - Abinet - hira Branch Addis Ababa - Amin Branch Addis Ababa - Anwar Mesjid Branch Addis Ababa - Atlas Branch Addis Ababa - Ayer Tena Ansar Branch Addis Ababa - Beytel Al-Aqsa Branch Addis Ababa - Bole Bulbula Branch Addis Ababa - Gerji- Nejashi Branch Addis Ababa - Girar Branch Addis Ababa - Goffa Iqraa Branch Addis Ababa - Gulele Saba Branch Addis Ababa - Hajerah Branch Addis Ababa - Haji ture Branch Addis Ababa - HAQ Branch Addis Ababa - Hasen Enjamo Branch Addis Ababa - Jemo-Tawfiq Branch Addis Ababa - Kality-Nesir Branch Addis Ababa - Kolfe- Fejir Branch Addis Ababa - Lafto Bilal Branch Addis Ababa - Lebu-Kheyrat Branch Addis Ababa - Megenagna-Muhajir Branch Addis Ababa - Meri-Bedir Branch Addis Ababa - Merkato-Mecca Branch Addis Ababa - Merkato-Medina Branch Addis Ababa - Merwa Branch Addis Ababa - Oumer semeter Branch Addis Ababa - Piassa- Nur Branch Addis Ababa - Remedan Branch Addis Ababa - sabara babur-Furqaan Branch Addis Ababa - Sefa Branch Addis Ababa - Sidamo Tera Branch Addis Ababa - Tewbah Branch Addis Ababa - Torhayloch-Reyan Branch Addis Ababa - Arefa Branch Addis Ababa - Mina Branch Afar - logiya Branch Amhara - B/Dar Branch Amhara - Bati Branch Amhara - desse Arada Branch Amhara - Dessie Branch Amhara - Dessie Arab Genda Branch Amhara - Gonder Branch Amhara - Haik Branch Amhara - Harbu Branch Amhara - kemise Branch Amhara - Kombolcha Branch Amhara - Mekanselam Branch Amhara - Merssa Branch Amhara - Woldia Branch Benishangul - ASSOSA Branch Dire Dawa - D/Dawa Branch Dire Dawa - Dire Dawa- Ashewa Branch Gambella - Metti Branch Harari - AL QASWA Branch Harari - Harar Abadir Branch Harari - Harar Hakim Branch Oromia - Aba Jifar Branch Oromia - Abdi Nonno Branch Oromia - Adama Branch Oromia - Adama-Nur Branch Oromia - Agaro Branch Oromia - Alemgena Branch Oromia - Assela Branch Oromia - Bale Robe Branch Oromia - Chiro Branch Oromia - Hunein Branch Oromia - Malka Rafuu Branch Oromia - Sebeta Branch Oromia - Shanen Gibe Branch Oromia - Shashemene Branch Oromia - Shashemene Abubaker Branch Oromia - Shashemene-Arada Branch Sidama - Hawassa Branch SNNPRS - Butajira Branch SNNPRS - Dilla Branch SNNPRS - Halaba kulito Branch SNNPRS - Wolkite Branch SNNPRS - Wolkite Barakah Branch SNNPRS - Worabe Branch SNNPRS - worabe Duna Branch Somali - JigJiga Branch South West Ethiopia - Mizan Aman Branch South West Ethiopia - Tepi Branch Tigray - JAFER SHIRE Branch Tigray - KALID Mekelle Branch Currency Select Currency US Dollar (USD)Euro (EUR)British Pound (GBP) Account Type You are a Diaspora (Non-resident Foreign National of Ethiopian Origin) Resident Ethiopian Account Type Select Account Type Saving Current Mudarabah Saving Applicant Details A. Personal Details Title Select Title Mr. Mrs. Miss Dr. Prof. First Name Father's Name G.Father's Name Mother's Full Name Email Contact Number Date of Birth Place of Birth Gender Select Gender Male Female Nationality Marital Status Select Marital Status Single Married Divorced Widowed B. Additional Details Are you politically exposed person? Yes No Are you U.S citizen or U.S resident? Yes No C. Address Details Country Select Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Region City Zone Sub City Woreda Kebele House No D. Financial Details Type of Work Private Employed Business Work Sector Select Business Sector Agriculture Manufacturing Retail Services Technology Construction Transportation Other Monthly Income (Birr) Other Income if any (Birr) Sector of Employer Select Employer Sector Government Private Sector NGO/International Organization Education Healthcare Other Job Sector Monthly Income (Birr) E. Verification Details Upload a photo of yourself Passport, Resident ID or Work Permit Services E-Payment Methods ATM Card Mobile Banking Internet Banking Additional Services Passbook Terms and Conditions Terms and Conditions By checking the box below, you agree to: The accuracy of all information provided in this form Comply with the bank's rules and regulations Accept the bank's service charges and fees Notify the bank of any changes to the provided information I have read and agree to the terms and conditions E-Signature Use your finger or stylus to sign in the box below Clear Signature Undo Upload your signature Previous Next Submit
