Open Account | VaultaBank

Account Application Form

First Name *

Middle Name

Last Name *

Email Address *

Phone Number *

Date of Birth *

Password *

Min 8 characters, include letter & number

Confirm Password *

ID Type *

Passport Number / ID Number / SSN *

Issue Date *

Expiry Date *

Country *

State / Province *

City *

Postal / ZIP Code *

Full Residential Address *

Preferred Currency *

Account Type *

Initial Deposit Amount (Optional)

Source of Funds *

4-Digit Security PIN *For ATM & phone banking

Mother's Maiden Name *

Upload ID Document *

Choose ID File (Max 5MB)

Upload Passport Photo *

Choose Photo (Max 2MB)

Proof of Address (Optional)

Upload Utility Bill / Bank Statement

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