Data update

Based on Law No. 06/L‑082 “On Personal Data Protection,” I declare that I agree to the Bank and its representatives using, processing, and transferring my personal data to affiliated companies in accordance with applicable legislation, for the purpose of delivering quality services.

Customer’s consent for processing their personal data for statistical reporting purposes:

(For more information on the processing of personal data by Banka Ekonomike, please read the Terms and Conditions. You may, at any time during a visit to any branch, request that your personal data not be processed, though this may affect the provision of services and products.)

Consent for Direct Communication/Marketing

I declare that I agree to be contacted and to receive offers and/or notifications regarding products and services offered only by Banka Ekonomike Sh.A.

YesNo

For the purpose of such communication, my preferred contact method is:

PhoneSMSE-mailMail

I declare that I agree to receive offers and/or notifications regarding products and services offered by Banka Ekonomike Sh.A. which are related to the insurance company Siguria Sh.A.:

For the purpose of such communication, my preferred contact method is:

PhoneSMSE-mailMail

FSDK Declaration

fsdk

Banka Ekonomike is a member of the Deposit Insurance Fund of Kosovo (FSDK). The FSDK will compensate insured depositors if the bank is unable to meet its financial obligations, up to €5,000. Insured depositors include natural and legal persons not otherwise excluded from the scheme. For more information about the deposit insurance scheme, please inquire at your local branch or visit the FSDK website: www.fsdk.org.

*The insurance limit has increased as follows: €3,000 (from 01.01.2014), €4,000 (from 01.01.2016), €5,000 (from 01.01.2018).

PEP Identification Form

Politically Exposed Person – individuals who are or have been entrusted with prominent public functions

YesNo

Close family members – spouse/equivalent, children, spouse’s children, parents.

YesNo

Close associate – any natural person who is a beneficial owner of a legal person, or any close business relationship with a PEP.

YesNo

*If you answered “Yes” to any of the above, please complete the PEP form

PEP Form

Declaration on Source of Funds and Determination of the Beneficial Owner

Based on Law No. 05/L‑096 on Prevention of Money Laundering and Financing of Terrorism, Article 19.6 (Customer Due Diligence), and the CBK Regulation, Article 18.5 (Enhanced Due Diligence), the person involved must confirm in writing to the bank or financial institution that:

The person involved declares that:

Acts on their own behalf as owner of the funds involvedActs as an authorized agent (or third party) of one or more persons or entities

FATCA Declaration (Foreign Account Tax Compliance Act) for Individuals

Based on Law No. 05/L‑013 ratifying the Agreement between Kosovo and the United States for FATCA compliance, I declare that I am a U.S. citizen or resident. IRS W‑9 Form

YesNo