Forms Preview — Industra – A Bank That Understands Businesspeople

Customer information

1

Company name *

Resident

Non-resident

Registration number *

Registration country *

Address *

Phone number *

E-mail *

Representative of the Client (name, surname) *

Acting on the basis of *

Authorization

2

Please grant me the right to use the internet banking for banking operations in accordance with the General Business Terms and Conditions, Bank’s Pricelist for services and other terms and conditions of JSC "Industra Bank"(hereinafter – the Bank).

Please grant me the right to use the internet bank system with the following authorization tool

DIGIPASS device

SMS authorization (only residents)

Mob. phone number

To allow access only from certain IP addresses: *

Yes

No

IP

Add new

Receipt

3

For secure performing of banking operations in the Internet Banking, the bank issues and the Clients receives

DIGIPASS device

DIGIPASS device No.

Envelope (with user name and password)

Envelope No.

Confirmation

4

By my signature I confirm that:

- the Bank has provided me with an opportunity to get acquainted with the General Business Terms and Conditions and the Price list of the Bank, which were available to me on the website https://industra.finance and in the Bank’s Customer Service Centres, prior to signing this application; I have read the above-mentioned documents and I undertake to observe the provisions of these documents;
- I am informed of the procedure for the processing of the data of a natural person, including of the transfer and receipt of data from third parties in accordance with the procedure and to the extent specified in legislative acts of the Republic of Latvia;
- I am informed of the right of a natural person to review the personal data of the natural person that are being processed by the Bank, of the right to require rectification, restriction of processing or erasure of these personal data, of the right to suspend the data processing and of the right to data portability; I am informed about the possibility to contact the Bank's Data Protection Officer (dpo(abols)industra.finance) regarding issues related to the processing of personal data and about the right to submit a complaint to the State Data Inspectorate (www.dvi.gov.lv);
- I confirm that all information provided in this Application is complete and accurate, I undertake to immediately notify the Bank of any changes relating to the information provided herein.

Client’s signature, printed name

Person, who is filling out form (name, surname) *

(Signature)

(Name, Surname)

(Date)