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Form Center

The forms below are using with ACLEDA Bank's products & services. Please print any form you wish below, then complete the required information in the form and send it to ACLEDA Bank nearest to you to be checked and authorised by ACLEDA Bank.

The forms below can be used unless they are checked and authorised by ACLEDA Bank.

E-Banking

  • ACLEDA Internet Bank
    • ACLEDA Internet Bank Enrollment Application Form (Individual) (Form 50-174_A): Download
    • ACLEDA Internet Bank Enrollment Application Form (Corporate) (Form 50-174_B): Download
    • ACLEDA Internet Bank Enrollment Application Form (Corporate) (Form 50-174_B/1): Download
    • ACLEDA Internet Bank Amendment Form (Form 50-174_C): Download
    • General Terms and Conditions of ACLEDA Internet Bank: Download
  • ACLEDA Unity
    • Personal Customer Registration / ACLEDA Unity Application Form (Form 50-153): Download
    • Corporate Customer Registration / ACLEDA Unity Application Form (Form-B1): Download
    • ACLEDA Unity Service Request Application Form (Form 50-154): Download
    • ACLEDA Unity Transaction Adjustment Application Form (Form 50-155): Download
    • ACLEDA Unity Amendment Application Form (Form 50-152): Download
    • ACLEDA Unity Designation Application Form (Form 50-163): Download
    • Bill Payment / Mobile Phone Top Up on Behalf Application Form (Form 50-172): Download
    • Terms and Conditions of ACLEDA Unity: Download
  • ACLEDA Unity ToanChet
    • ACLEDA Unity ToanChet Service Request Application Form (Form 50-154): Download
    • ACLEDA Unity ToanChet Transaction Adjustment Application Form (Form 50-155): Download
    • Partner of ACLEDA Unity ToanChet Application Form (Form 50-184): Download
    • Partner of ACLEDA Unity ToanChet Amendment Form (Form 50-184_A): Download
  • ACLEDA Card
    • Request Form of ACLEDA Card Service (Form Card_001): Download
    • Change Request Form of ACLEDA Card Service (Form Card_002): Download
    • Acknowledgement of ACLEDA Card and PIN (Form ATM-0006): Download
    • Cardholder Complaint Form (Form ATM-0010): Download
    • Terms and Conditions for Operating ACLEDA Card: Download
  • ACLEDA VISA/MasterCard Card
    • Request Form of ACLEDA Card Service (Form Card_001): Download
    • Change Request Form of ACLEDA Card Service (Form Card_002): Download
    • Supplementary ACLEDA Credit Card Application Form (Form 50-175): Download
    • Credit Card Payment: Download
    • Terms and Conditions for Operating ACLEDA Card: Download
  • Payment Order via E-mail/Fax
    • Payment Order via E-mail/Fax Application Form (Form 50-158): Download
  • Message Alert on Account Information
    • Message Alert Account Information Request Application Form (Form 50-181): Download
    • Change / Cancel Information on Message Alert Application Form (Form 50-182): Download

Deposits

  • Savings Account
    • Account Opening Forms (Personal Customer)
      • Personal Customer Registration / ACLEDA Unity Application Form (Form 50-153): Download
      • Account Opening Application (Form 50-113): Download
      • Specimen Signature or Thumbprint for Personal Account (Form A1.2): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
      • Deposit / Withdrwal / Transfer Form (Form C-M): Download
    • Account Opening Forms (Corporate Customer)
      • Corporate Customer Registration / ACLEDA Unity Application Form (Form B1): Download
      • Account Opening Application (Form 50-113): Download
      • Corporate Specimen Signature (Form B1.2): Download
      • Shareholder Information Form (Form 50-180): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
      • Deposit / Withdrwal / Transfer Form (Form C-M): Download
    • Other Forms
      • Account Cancellation / Blocking / Unblocking Form (Form 50-157): Download
      • Reactivate Dormant Account Application Form (Form 50-168): Download
      • Account Statement Request via E-mail Application Form (Form 50-165): Download
      • Change Information Application Form (Form A1.3): Download
      • Account Statement Request Form (Form 50-177): Download
  • Demand Deposit Account
    • Account Opening Forms (Personal Customer)
      • Personal Customer Registration / ACLEDA Unity Application Form (Form 50-153): Download
      • Account Opening Application (Form 50-113): Download
      • Specimen Signature or Thumbprint for Personal Account (Form A1.2): Download
      • Deposit / Withdrwal / Transfer Form (Form C-M): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
    • Account Opening Forms (Corporate Customer)
      • Corporate Customer Registration / ACLEDA Unity Application Form (Form B1): Download
      • Account Opening Application (Form 50-113): Download
      • Corporate Specimen Signature (Form B1.2): Download
      • Shareholder Information Form (Form 50-180): Download
      • Deposit / Withdrwal / Transfer Form (Form C-M): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
    • Other Forms
      • Account Cancellation / Blocking / Unblocking Form (Form 50-157): Download
      • Reactivate Dormant Account Application Form (Form 50-168): Download
      • Account Statement Request via E-mail Application Form (Form 50-165): Download
      • Change Information Application Form (Form A1.3): Download
      • Account Statement Request Form (Form 50-177): Download
  • Current Account
    • Account Opening Forms (Personal Customer)
      • Personal Customer Registration / ACLEDA Unity Application Form (Form 50-153): Download
      • Account Opening Application (Form 50-113): Download
      • Specimen Signature or Thumbprint for Personal Account (Form A1.2): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
    • Account Opening Forms (Corporate Customer)
      • Corporate Customer Registration / ACLEDA Unity Application Form (Form B1): Download
      • Account Opening Application (Form 50-113): Download
      • Corporate Specimen Signature (Form B1.2): Download
      • Shareholder Information Form (Form 50-180): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
    • Other Forms
      • Cheque Cancellation Form: Download  Sample
      • Account Cancellation / Blocking / Unblocking Form (Form 50-157): Download
      • Stop Cheque Application Form: Download
      • Reactivate Dormant Account Application Form (Form 50-168): Download
      • Account Statement Request via E-mail Application Form (Form 50-165): Download
      • Change Information Application Form (Form A1.3): Download
      • Account Statement Request Form (Form 50-177): Download
  • Fixed Deposit Account
    • Account Opening Forms (Personal Customer)
      • Personal Customer Registration / ACLEDA Unity Application Form (Form 50-153): Download
      • Account Opening Application (Form 50-113): Download
      • Specimen Signature for Personal Account (Form A1.2): Download
      • Terms and Conditions of Fixed Deposits: Download (English) - Download (Khmer)
      • Certificate of Deposit Application (Form 50-101): Download
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
    • Account Opening Forms (Corporate Customer)
      • Corporate Customer Registration / ACLEDA Unity Application Form (Form B1): Download
      • Account Opening Application (Form 50-113): Download
      • Corporate Specimen Signature (Form B1.2): Download
      • Shareholder Information Form (Form 50-180): Download
      • Terms and Conditions of Fixed Deposits: Download
      • Certificate of Deposit Application (Form 50-101): Download
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
    • Other Forms
      • Closing / No Rollover / Rollover Certificate of Deposit Application Form (Form 50-112): Download
      • Account Cancellation / Blocking / Unblocking Form (Form 50-157): Download
      • Account Statement Request Form (Form 50-177): Download
  • Trust Account for Real Estate
    • Application of Trust Account for Real Estate: Download
  • Securities Account
    • Securities Account Balance Enquiry voucher (Form 50-169-CSA): Download
    • Deposit Acknowledgement Voucher (Form 50-170-CSA): Download
    • Withdrawal Acknowledgement Voucher (Form 50-171-CSA): Download

Cash Management


Funds Transfers

Any comment or inquiry?
+855 (0)23 994 444
+855 (0)15 999 233
inquiry@acledabank.com.kh
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