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ភាសាខ្មែរ

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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.

The forms below can't 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 Corporate Internet Bank Application Form (Form 50-191): Download
    • ACLEDA Internet Bank Amendment Form (Form 50-174_C): Download
    • General Terms and Conditions of ACLEDA Internet Bank: Download
    • General Terms and Conditions of ACLEDA Corporate Internet Bank: 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
    • Supplementary ACLEDA Credit Card Application Form (Form 50-175): Download
    • Acknowledgement of ACLEDA Card and PIN (Form ATM-0006): Download
    • Credit Card Payment (Form C-4): Download
    • Cardholder's Issue Form (Form ATM-0010): Download
    • Terms and Conditions for Operating ACLEDA Card: Download
  • Banking Service Order via E-mail/Fax
    • Baning Service Order via E-mail/Fax Application Form (Form 50-158): Download
    • Cancellation Form of Baning Service Order via E-mail/Fax (Form 50-190): Download
  • Message Alert on Account Information
    • Message Alert Account Information Request Application Form (Form 50-181): Download
    • Account Modification Application Form (Form 50-157): Download
  • ACLEDA E-Commerce Payment Gateway
    • ACLEDA E-Commerce Payment Gateway via Xpay Application Form (Form 50-189): Download

Deposits

  • Savings Account
    • ទម្រង់​បើក​គណនី / ប័ណ្ណ​អេស៊ីលីដា (មន្ត្រីរាជការ / ប.ស.ស / ប.ជ.ស / ប.ជ.អ / ម.ជ.ព / ស្ថាប័នស្វយ័ត...) (Form 50-178): Download
    • Account Opening Forms (Personal Customer)
      • Personal Account Opening Application (Form 50-153): 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)
      • លក្ខខណ្ឌ​ក្នុង​ការ​ប្រតិបត្តិ​គណនី និង​ប័ណ្ណអេស៊ីលីដា​សម្រាប់​មន្ត្រីរាជការ​ដែល​ប្រើប្រាស់​សេវា​បើក​ប្រាក់បៀវត្សរ៍: Download (Khmer)
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
      • Deposit / Withdrwal / Transfer / Bill Payment / Top Up / Loan Repayment Form (Form C-M): Download
    • Account Opening Forms (Corporate Customer)
      • Corporate Account Opening Application Form (Form B1): 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 / Bill Payment / Top Up / Loan Repayment Form (Form C-M): Download
    • Other Forms
      • Account Modification Application Form (Form 50-157): 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 Account Opening Application Form (Form 50-153): Download
      • Specimen Signature or Thumbprint for Personal Account (Form A1.2): Download
      • Deposit / Withdrwal / Transfer / Bill Payment / Top Up / Loan Repayment Form (Form C-M): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
    • Account Opening Forms (Corporate Customer)
      • Corporate Account Opening Application Form (Form B1): Download
      • Corporate Specimen Signature (Form B1.2): Download
      • Shareholder Information Form (Form 50-180): Download
      • Deposit / Withdrwal / Transfer / Bill Payment / Top Up / Loan Repayment Form (Form C-M): Download
      • General Terms and Conditions Governing the Operation of Account: Download (English) - Download (Khmer)
    • Other Forms
      • Account Modification Application Form (Form 50-157): 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 Account Opening Application Form (Form 50-153): 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 Account Opening Application Form (Form B1): 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 Modification Application Form (Form 50-157): Download
      • Stop Cheque Application Form: 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 Account Opening Application Form (Form 50-153): Download
      • Specimen Signature for Personal Account (Form A1.2): Download
      • Terms and Conditions of Fixed Deposits: Download (English) - Download (Khmer)
      • Certificate of Deposit Form (Form 50-101): Download
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
    • Account Opening Forms (Corporate Customer)
      • Corporate Account Opening Application Form (Form B1): 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 Form (Form 50-101): Download
      • Request New Passbook / Certificate of Deposit / Cheque Book Application Form (Form 50-161): Download
    • Other Forms
      • Account Modification Application 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

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ACLEDA Unity ToanChet

A FinTech Application running on Smart Phone, enabling customers to do banking transactions from anywhere, anytime.

1,026,399 People use this.
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Products & Services
Call Center (24/7)

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

Complaint Management Centre

For complaint purpose
(every working day from 7:30 to 16:30)
Tel: +855 (0)15 888 654
E-mail: cmc@acledabank.com.kh

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