Deposit application form

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Identity code (if applicable)

Marital Status

Not married

Married

Domestic partnership

Address (street, building No/name, city, postal code, country)

Tax identification number

Country of Tax residence

Occupation (please provide company name, reg.No, title or detailed information, if you are not a student, retiree or unemployed)

Previous employer (if applicable)

Are you related to any BlueOrange Bank client?

Yes

If you selected “Yes”, please specify the name, surname/company name of the BlueOrange client

Do you have any relation with the USA*?

Yes

Are you a politically exposed person (PEP)**?

Yes

Please fill-in if you selected the “Other” option as the source of Deposit sum

Planned deposit

Deposit Amount

Please specify the full name of the bank and No of your account (IBAN), that your payment (Deposit transfer) will be provided from:

Your `s identification number assigned by the payment service provider (please fill in, if your payment will be made from payment institution)

Contact details

E-mail

Passport or ID card (both sides) copy

Please, read and accept the following provisions:

By completing the Application form and submitting your data to the Bank, you confirm and agree:

To the information provided in the “Confirmation and Consent Document”;

To the processing of the information specified in the Application. Purpose of data processing: communication with you, receipt of Deposit services, carrying out client due diligence, and ensuring compliance with international and national sanction requirements.

Thank you, your message is received.

We will get in touch with you shortly.

Contacts

Phone +371 67 031 333

info@bluorbank.lv

Smilšu iela 6, Rīga, LV-1050, Latvija

Payment card blocking outside working hours and on weekends +371 67092555

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Deposit application form

Application for the residents of Latvia and the EU who only wish to use BlueOrange deposit services.
Please fill-in the following form and we will contact you!

Sorry, something went wrong.
Please try again.

Thank you, your message is received.
We will get in touch with you shortly.

Deposit application form

Application for the residents of Latvia and the EU who only wish to use BlueOrange deposit services.Please fill-in the following form and we will contact you!

Sorry, something went wrong.Please try again.

Thank you, your message is received.We will get in touch with you shortly.

Application for the residents of Latvia and the EU who only wish to use BlueOrange deposit services.
Please fill-in the following form and we will contact you!

Sorry, something went wrong.
Please try again.

Thank you, your message is received.
We will get in touch with you shortly.