Application form of an individual (bank’s customer)

1. Your sex:

Man
Woman

2. Your age:

minor 20 years old
21-25 years old
26-35 years old
36-45 years old
46-55 years old
56-65 years old
more than 66 years old

3. Area of your activity?

government employee
public sector worker
non-public sector worker
employed pensioner
pensioner in rest
studying person/student
unemployed
engaged in household activity
other

4. Specify the Branch’s department that you apply most often

Specify the Bank’s Branch OfficesCorporate Business Servicing Center, 75 Isanov StreetBishkek Central Branch Office, 104 KievskayaStreet, 1 Panfilov StreetSavings Bank No.018-17-36 – 493 Zhibek Zholu AvenueSavings Bank No.018-17-35 - 160 Moskovskaya StreetSavings Bank No.018-17-34 - 2A Lermontov Street (building of the Bishkek Heat Distribution Network)Savings Bank No.018-09-37 - 92 Chui Avenue (”Chynar” TC CUS)Branch Office No.1 in Bishkek - 105 Abdrakhmanov Street, Bokonbaev StreetSavings Bank No.018-09-05 - bld. 1, Kozhevennaya Street (Zhunghai Market)Savings Bank No.018-09-21 - 74 Hvoinaya Street (Alkanov Market)Savings Bank No.018-09-28 - 9 Erkindik Avenue, Office No.1Savings Bank No.018-09-38 - 150 Abdrakhmanov StreetBranch Office No.2 in Bishkek - 21 Logvinenko Street, 2 Bokonbaev StreetSavings Bank No.018-11-03 - 147/4 Chui Avenue (Children’s World Building)Savings Bank No.018-11-17 - 114 Gorky StreetBranch Office No.3 in Bishkek - 250 KievskayaStreet, Beishenaliev StreetSavings Bank No.018-13-39 - 204 Chui Avenue (”Bereket-Grand” TC)Savings Bank No.018-12-02 - 180 Chui Avenue / 10 Umetaliev StreetBranch Office No.4 in Bishkek - 1/1 Auezov Street (”Chynar” Market);Savings Bank No.018-13-20 - 28/1 Chui Avenue (Vostok 5)Savings Bank No.018-14-30 - 219 Zhibek Zholu Avenue, 272 Kurmanzhan Datka Street (Alamedin market)Savings Bank No.018-14-26 - “Madina” TC, block 4bBranch Office No.5 in Bishkek - 20/20А Baytik Baatyr StreetSavings Bank No.018-14-29 - 3rd microdistrict, bld. 4, office 18 (Orto-Sai Market)Branch Office in Kant Town - 70 Lenin Street, Kyzyladyr villageBranch Office in Tokmok Town - 19 Ibraimov StreetSavings Bank No.018-10-27 in Tokmok Town - 114 Pushkin StreetBranch Office in Kara-Balta Town - 231A Centralnaya StreetSavings Bank No.018-2-12 - Frunze Street crosses Lenin Street (Sokuluk)Branch Office in Osh City - 73 Masaliev StreetSavings Bank No.018-4-04 - 22-37 Zainabetdinov StreetSavings Bank No.018-4-13 - unnumbered Kyzyl-Kyia StreetSavings Bank No.018-4-18 - unnumbered Lenin StreetSavings Bank No.018-4-23 - 44v Masaliev StreetBranch Office No.1 in Osh City - 6 Aitiev StreetBranch Office in Kyzyl-Kiya Town - unnumbered 60 years of Kyrgyzstan StreetSavings Bank No.018-20-22 - unnumbered Asanaliev StreetSavings Bank No.018-20-33 - 14/1 Nurgaziev Street, Batken TownBranch Office in Jalalabad Town - 29 Toktogul StreetSavings Bank No.018-8-08 - 55 Lenin Street, Kyzyladyr villageSavings Bank No.018-8-09 - 20/2 Lenin Street, Shamaldy-Say Urban TownSavings Bank No.018-8-10 - 7/2 Gagarin Street, Kochkor-Ata TownSavings Bank No.018-8-19 - 3 Lenin Street, ap.9, MassySavings Bank No.018-8-20 - unnumbered Vokzalnaya Street, Bazarkorgon villageSavings Bank No.018-8-32 - 69 Sartmambetova Street, Ala-Buka villageBranch Office in Talas Town - 59 Sarygulov StreetSavings Bank No.018-6-25 - 97 Lenin Street, Kyzyladyr villageBranch Office in Balykchy Town - 41 Toktosunov StreetSavings Bank No.018-3-16 - 41 Sagynbai Orozbekov Street, Naryn TownBranch Office in Cholpon-Ata Town - 216A Sovetskaya StreetBranch Office in Karakol Town - 154 Lenin Street, Kyzyladyr villageSavings Bank No.018-7-15 - 120a, Moscowskaya Street, Karakol TownSavings Bank No.018-03-24 - Kyzyl-Suu (”Mukaram” Market)

5. Please, rate how satisfied you are with the quality of banking servicing when you used services (or consulted) as well as with servicing in Optima Bank in whole.

6. Please, rate how you are satisfied with listed parameters of services in Optima Bank?

7. Please, rate to what extent you agree with the following statements?

8. What are the reasons for you to choose the Optima Bank for servicing?

Chosen by recommendations
Favorable servicing conditions
High quality of service
Availability of credit products
Well-known bank
Reliable bank
Servicing promptness
Easy-to-understand service conditions
Branch offices are closely located
The Bank renders a wide range of services

9. What do you think, what bank has a better quality of services than in Optima Bank?

Best servicing is in Optima Bank
KICB
Demir Kyrgyz International Bank
Kyrgyzkommertsbank
Halyk Bank
RSK Bank
BTA
FinanceCreditBank
”Kyrgyzstan” CB
Aiyl Bank
Rosinbank
Other

Please specify what is better in that bank: 

10. Is there anything that you do not like in operation of the Optima Bank? 

I like everything
I do not like…  

11. Do you have any comments, wishes, proposals concerning how the Optima Bank works?