Instructions: Please type or write in BLOCK CAPITALS and check (x) where necessary

FOR INTERNAL USE ONLY (This form is to be used for existing CIBC Caribbean clients only)
BRANCH	TRANSIT	CIF	NEW TERM DEPOSIT ACCOUNT #	RATE

APPLICATION FOR: NEW	CHANGE

SECTION 1: PERSONAL/BUSINESS INFORMATION
NAME(S) OF ACCOUNTHOLDER(S)

SECTION 2: NEW TERM DEPOSIT DETAILS
DEPOSIT TYPE NON-REDEEMABLE CASHABLE FLEXIBLE	TERM (DAYS/MONTHS) OR MATURITY DATE	CURRENCY	AMOUNT 0.00
VALUE DATE	INSTRUCTIONS
SOURCE OF FUNDS/ CIBC ACCOUNT TO BE DEBITED

SECTION 3: AMENDMENT TO MATURING TERM DEPOSIT DETAILS
BRANCH	TERM DEPOSIT ACCOUNT NUMBER
ADD REMOVE	AMOUNT	INSTRUCTIONS
IF ADDING, INDICATE SOURCE OF FUNDS/ CIBC ACCOUNT TO BE DEBITED:
IF REMOVING PROVIDE INSTRUCTIONS ACCOUNT TO BE CREDITED) NAME ACCOUNT# CURRENCY WIRE PAYMENT (FORM 339 REQUIRES COMPLETION) MANAGERS CHEQUE DRAFT (FORM 8862 REQUIRES COMPLETION) ANY ADDITIONAL DETAILS

SECTION 4: AGREEMENT
THIS ACCOUNT IS FOR THE SOLE BENEFIT OF THE ACCOUNTHOLDER(S) AND WILL NOT BE USED FOR THE BENEFIT OF ANY THIRD PARTIES: Yes No CIBC Caribbean Bank Limited will send me/us a confirmation outlining the details of my/our Updated Term Deposit Account (including but not limited to, the currency, principal amount of deposit, interest rate, value date, term and maturity date). This Agreement is supplemental to, and shall be read in conjunction with, as applicable, the Non-Redeemable Term Deposit Agreement, Fixed Deposit Agreement, Personal Account and Services Application, Business Account and Services Application and Change Form and the Terms and Conditions for Business Accounts. The principals, beneficial ownership and signing authorities for the account remain the same. I/We acknowledge having access to and having read the latest version of Non-Redeemable Term Deposit Agreement and the Personal Account Agreement or the CIBC Caribbean Bank Limited terms & conditions (available at www.cibcfcib.com) and agree to be bound by the same and any amendments to or replacements of such agreement made by CIBC Caribbean Bank Limited from time to time, should CIBC Caribbean Bank Limited accept my/our application for an updated Term Deposit Account. I/We also acknowledge that CIBC Caribbean Bank Limited has communicated to me/us the fees applicable to my/our Updated Term Deposit Account and having read and understood the applicable fees, I/we agree to be bound by the applicable fees and any changes to or replacements of it made by CIBC Caribbean Bank Limited from time to time. I confirm that the information provided by me is true and accurate and can be relied on by CIBC Caribbean Bank Limited.
Signed this day of AUTHORIZED SIGNATURES: INSTRUCTIONS SIGNING OFFICERS MUST SIGN WITHIN THE SIGNATURE BOX. THE SIGNATURE MUST NOT TOUCH OR CROSS THE OUTLINE OF THE BOX. TYPE OR PRINT NAME (MUST BE WITHIN OUTLINE OF THE BOX) TYPE OR PRINT FULL TITLE (MUST BE WITHIN OUTLINE OF THE BOX) SIGNATURE BOXES SIGNATURE BOXES SIGNATURE SPECIMEN 1 SIGNATURE SPECIMEN 2 NAME NAME FULL TITLE FULL TITLE SIGNATURE SPECIMEN 3 SIGNATURE SPECIMEN 4 NAME NAME FULL TITLE FULL TITLE