Application to open a Private Individual/ Joint Bank Account

Transcription

1 FBN Bank (UK) Limited Application to open a Private Individual/ Joint Bank Account Registered in England and Wales. Company Registration No Registered Address: 28 Finsbury Circus, London EC2M 7DT

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3 Application to open a Private Individual/Joint Bank Account Please read this form carefully and complete all sections, ensuring you sign and date the application. Should you have any questions, a member of staff will be pleased to help you. Personal details (Please complete in BLOCK CAPITALS and tick where necessary) Title: Surname: Forename(s): Nationality: Date of birth: DDMMYYYY Sex: Male Female Account Services Required*: Please tick box if required Current Account Instant Savings Account Internet Banking 30 days Notice 60 days Notice 90 days Notice Cheque Book Subject to approval Debit Card Charges will apply * Terms and conditions AND minimum balances apply. Currency (GBP, US Dollars, Euros): Residential address (PO Box numbers are NOT acceptable): Full address (to be used for correspondence if different from above): Home telephone no: address: Mobile telephone no: Fax no: Marital status (single, married, divorced, etc): Previous address if less than 3 years at current address: Security questions Mother s maiden name: Favourite colour: City of birth: Name of first school attended: Alpha-numeric code: Employment details Employed: Full time Part time Unemployed Student Retired Homemaker Self employed If self employed state nature of business: Occupation and job title: 3

4 Employers name and address (or business address if self employed): Start date: Work telephone no: Salary/pension before tax etc: per annum Bonus/overtime/other income: per annum Total gross income: per annum Details of funds expected to pass over this account: Anticipated annual turnover: (turnover is defined as aggregate value of credits to the account) Anticipated number of transactions per month: Anticipated maximum amount in any one transaction: Name and address of personal bankers (to whom the Bank may apply for a reference): Why did you choose FBN Bank (UK) Ltd., London to open an account with? Other information: 4

5 Second Applicant Joint Bank Account Only Please read this form carefully and complete all sections. Should you have any questions, a member of staff will be pleased to help you. Personal details (Please complete in BLOCK CAPITALS and tick where necessary) Title: Surname: Forename(s): Nationality: Date of birth: DDMMYYYY Sex: Male Female Residential address (if different to first applicant s information): Full address (if different to first applicant s information): Home telephone no: address: Mobile telephone no: Fax no: Marital status (single, married, divorced, etc): Previous address if less than 3 years at current address: Security questions Mother s maiden name: Favourite colour: City of birth: Name of first school attended: Alpha-numeric code: Employment details Employed: Full time Part time Unemployed Student Retired Homemaker Self employed If self employed state nature of business: Occupation and job title: Employers name and address (or business address if self employed): Start date: Work telephone no: 5

6 Salary/pension before tax etc: per annum Bonus/overtime/other income: per annum Total gross income: per annum Name and address of personal bankers (to whom the Bank may apply for a reference): Other information: 6

7 Acceptance (to be completed in all cases) a. If you do not want us to use your personal and financial information (your information ) for the purpose specified in the attached terms and conditions (the Terms and Conditions) and do not wish to receive marketing material from us then please mark the box below with a cross. If you decide at a later stage that you do not want us to use your information for this purpose then please contact us in writing. b. If you do not want us to share your information with the types of companies detailed in the Terms and Conditions for the purpose specified in that paragraph, then please mark the box below with a cross. If you decide at a later stage that you do not want us to use your information with such companies for this purpose then please contact us in writing. c. If you do not want us to share your information with the types of overseas companies detailed in the Terms and Conditions for the purpose specified in that paragraph, then please mark the box below with a cross. If you decide at a later stage that you do not want us to share your information with such overseas companies for this purpose then please contact us in writing. By signing below I/We are applying to FBN Bank (UK) Ltd., 28 Finsbury Circus, London EC2M 7DT for banking services. I/We confirm that all details supplied above are true and correct. Should any of the details change in the future e.g. address, etc. I/We will inform you promptly. I/We request that you open an account for me/us and until I/We inform you otherwise in writing I/We authorise you to: pay any cheques or accept any instructions, to debit the account for cash or payment to a third party, where signed in accordance with the mandate forms completed by us. comply with any instructions which record, amend and/or query personal details (including contact details). accept instructions relating to safe custody items, security instruments etc. I/We agree that we accept liability on the account and under the mandate. I/We confirm that I/We have read, understood and agree to abide by the terms and conditions for the operation of this account. I/We request that you open an account with the details specified above and I/We hereby supply you with identification and address verification documents satisfactory to you and in accordance with UK Money Laundering Regulations. If you are opening a joint account with another person or other persons, we will require a specimen signature from all of you. We will (unless instructed otherwise) accept instructions authorising account withdrawals or other action on the account signed by either one of you (or the survivor of you if one account holder dies). Signature(s): 1st applicant 2nd applicant (if applicable) Date: 7

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9 Signature card Customer name: Signature(s): and/or* * For Joint Accounts delete as necessary 9

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11 Indemnity to FBN Bank (UK) Ltd for fax, electronic or telephone instructions from Personal Customers In consideration of FBN Bank (UK) Ltd., (hereafter referred to as the Bank ) agreeing to accept and act upon instructions delivered orally by telephone or by facsimile or other electronic means (including by way of ) and purporting to be given by the undersigned, the undersigned hereby agrees to enter into a funds transfer instruction (the Funds Transfer Instruction ) in favour of the Bank and expressly discharges the Bank from any liability for having carried out the said instructions pursuant to the Funds Transfer Instruction. The undersigned assumes all the risks implied by such instructions under the Funds Transfer instruction, in particular those due to transmission mistakes, misunderstanding or identification errors, and fully discharges the Bank for the same. The undersigned accepts that the Bank at its sole discretion may from time to time use electronic devices to record any or all telephone instructions. In the event of any dispute as to the content or veracity of any instruction, the undersigned acknowledges and accepts that the contents of any such recording shall be conclusive and that the Bank s understanding of any oral instructions, including any tape recording thereof shall be binding. In case of doubt as to the authenticity of such instruction, the Bank may at its sole discretion postpone the carrying out of any order given by telephone, facsimile or other electronic means until it has received written confirmation or such other confirmation as it will deem appropriate. For the avoidance of doubt the Bank is requested and authorised to accept instructions from any lawfully appointed attorney of the undersigned if such instructions are given orally by telephone or in writing and delivered by facsimile or other electronic means (including by way of ). In such circumstances, the undersigned agrees to be responsible for such instructions and to assume the risks aforesaid under the Funds Transfer Instruction. I do/do not* require FBN Bank (UK) Ltd to verify by telephone authenticity of any instruction received. * delete as applicable, if no deletion is made instructions will not be verified If verification is required I/we agree to pay the charge for this service as shown in the Banks Tariff and Charges. Primary account holder Signed: Print name: Date: If joint account, second account holder to sign Signed: Print name: Date: 11

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