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* Mandatory
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If you have any questions or need help call us
anytime @ 1-888-424-2422 (ICICI CA)
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: : Applicant
Information : : Help Me Choose |
Title* |
First Name* |
Middle name |
Last Name* |
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Date of Birth* |
Day Month Year |
Mother's maiden Name* |
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For your protection, we require
this information for future security verification |
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Are you a PEP or a HIO*
Click here to learn more about PEP and HIO
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Country of Birth*
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Nationality* ?
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Contact Details( +Either Home or Mobile number is mandatory) |
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Home Address (Please fill the address where you presently live. This address cannot include a PO Box, RR, Site, Comp or GD/ General Delivery Address) |
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Employment Information |
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Nature of Profession* |
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: : Declaration of tax residence* : : |
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Tick all the options that apply to you
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I am a tax resident of a jurisdiction other than Canada or the United States.
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If you ticked this box, give your jurisdisctions of tax residence and taxpayer identification numbers.
If you do not have a TIN for a specific jurisdiction, give the reason using one of the choices:
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Jurisdiction of tax residence |
Taxpayer Identification Number |
If you do not have a TIN, choose reason 1,2 or 3 |
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If you need help with your tax residency information please visit Income Tax Folio, S5-F1-C1 - Determining an Individual’s Residence Status , on the CRA website. |
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: : Other Party
Information* : : |
Please answer the following:
Will this Account be used by or on behalf of any party who is not an
account holder in this application :
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: : Account Information* : : |
Select the type of account you
wish to open (This information has to be
filled in) |
Minimum amount of $1,000 is required for opening of all GIC / Term Deposits including RSP GIC and Tax-Free GIC |
You may choose more than one option |
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Currently we don't offer Basic Chequing Account through this medium. Please reach out to any of our branches. |
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Do you wish to have a joint
account? |
(Joint account is not applicable for RSP Savings Account, Tax-Free Savings Account, RSP GIC and Tax-Free GIC. For opening of Spousal RSP Savings Account or Spousal RSP GIC, please call 1-888-ICICI-CA (42424-22). Further information will be
required after you have agreed to the Terms
and Conditions below) |
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ICICI Bank can contact me for product offers by* :
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Promo Code |
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If you are applying for an account in response to a specific promotion, please enter your promo code here.
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By clicking on I accept, I/we hereby confirm that the information provided/to be provided is true and correct. I/we agree that ICICI Bank Canada (the “Bank”) will verify the information provided above and will clear my/our cheque upon receipt. I/we have received read and understood the following terms and conditions
(a) Website Terms of Use
(b) Account Terms and Conditions (including Tax-Free Savings Account Terms and Conditions for Tax-Free Savings Account or Tax-Free GIC, RSP Account Terms and Conditions for RSP Savings Account or RSP GIC)
(c),Disclosure Statement,
(d) Client Privacy Policy,
(e) Filing a Complaint.
(f) Coercive Tied Selling and
(g) Interest Rates. I/we hereby consent to the Bank collecting, using and disclosing my personal information for the purposes identified in the Banks Privacy Policy, which I/we have received, read and understood. I/we understand that the Bank reserves the right to carry out any other additional checks for verification purposes on any information provided by me/us.
I hereby certify that the information in this application form regarding my tax residency status is true and correct. I will inform ICICI Bank Canada within 30 days of any change in circumstances that causes the information provided above to become inaccurate or incomplete.
For Tax-Free Savings Account or Tax-Free GIC, I request that the Bank file an election with the Minister of National Revenue to register the qualifying arrangement as a TFSA under section 46.2 of the Income Tax Act. I will notify the Bank if I change my country of residence. I understand that I may be liable for certain tax consequences in the case of a non-compliant qualifying arrangement.
For RSP Savings Account or RSP GIC, I request that the Bank apply for registration of my plan in accordance with section 146 of the Canadian Income Tax act and if necessary, with any Provincial Tax Act.
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We will never contact you via
email asking you to confirm your personal information. Read more
information on Privacy and Security.
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