Application Travel Account Concept TAC

Transcription

1 Application Travel Account Concept TAC COMPANY INFORMATION FULL REGISTERED NAME OF THE COMPANY CORPORATE ID. NO. IF COMPANY APPLYING IS A SUBSIDIARY STATE THE PARENT COMPANY S NAME AND CIN PERSON OR DEPARTMENT TO BE INVOICED INVOICE ADDRESS POSTAL ADDRESS (POSTAL CODE AND TOWN/SUBURB) CONTACT ADDRESS TELEPHONE NUMBER (INCLUDING AREA CODE) HOMEPAGE ADDRESS ON INTERNET (IF APPLICABLE) ESTIMATED TRAVEL VOLUME IN SEK/YEAR (MANDATORY INFORMATION) BANKING CONNECTION CONTACT AT BANK TELEPHONE NUMBER (INCL. AREA CODE) SUPPLIER S DETAILS (TRAVEL AGENCY OR OTHER SUPPLIER) SUPPLIER 1 TELEFAX NO. (INCL. AREA CODE) TRAVEL AGENCY S/SUPPLIER S IATA-NR CONTACT TELEPHONE NO. (INCL. AREA CODE) ADDRESS SUPPLIER 2 TELEFAX NO. (INCL. AREA CODE) TRAVEL AGENCY S/SUPPLIER S IATA-NR CONTACT TELEPHONE NO. (INCL. AREA CODE) ADDRESS INVOICING DETAILS SORT ORDER REQUESTED Invoice details are sorted to suit your accounting routines. The most common items are those following below. STATE 1 FOR PRIMARY SORT, 2 FOR A SECONDARY SORT OR TICK OTHER CONTACT US BILL OF SALE TRAVELLER COST CENTER* OTHER CONTAC US WE WOULD LIKE SEPARATE INVOICES AS PER OUR FIRST CHOICE ABOVE * NOTE THAT THIS INFORMATION MUST BE COMMUNICATED TO THE SUPPLIER. REQUESTED INVOICING FREQUENCY WEEKLY FORTNIGHTLY MONTHLY YES NO, WE SHOULD LIKE A SINGLE COLLECTIVE INVOICE. COMPANY S SIGNATURE We hereby apply for Diners Club TAC. We certify that the particulars given in this application are accurate and stated in full. We accept the terms and conditions* applicable to TAC from time to time. We hereby give our PLACE AND DATE consent to Diners Club obtaining additional information from other sources if required, and understand and agree that this application may be rejected without Diners Club being required to provide the reason. AUTHORIZED SIGNATORY S SIGNATURE PERSONAL ID NO. NAME IN PRINT * Note that the terms and conditions on the reverse side may have changed but that the currently valid terms and conditons for TAC are always available at The current terms and conditions will also be sent with confirmation that your TAC application has been approved. FOR DINERS CLUB S USE ONLY MAIN GROUP GROUP NUMBER MEMBER NUMBER DCM 0405 ENG MP-id START DATE INVOICE LAYOUT STATISTICS CUSTOMER NOTIFIED TRAVEL AGENCIES NOTIFIED SALESPERSON RESPONSIBLE Return this application form to Diners Club Nordic AB, FE 177, Östersund, Sweden. Diners Club Nordic AB SE Stockholm Homepage: Telephone: tacsupport@dinersclub.se

2 Declaration of Beneficial Owner COMPANY NAME COMPANY NAME CORPORATE ID NO. COUNTRY OF REGISTERED OFFICE (IF OTHER THAN SWEDEN) CONTACT, PHONE NO. (INCL. AREA CODE) BENEFICIAL OWNER Beneficial owner is a natural person who ultimately controls the Company by direct or indirect ownership or control of more than 25% of the shares (capital, ownership and equivalent) or the voting rights, or who otherwise exercises control over the Company. NAME PERSONAL ID NO. OR DATE OF BIRTH* ADDRESS (INCL. COUNTRY) OWNERSHIP. % NO NATURAL PERSON OWNS OR CONTROLS MORE THAN 25%. * If not a Swedish Personal ID No. always state date of birth. OWNERSHIP OR CONTROL STRUCTURE If the ownership or control is exercised via legal entities, please clarify your group structure and/or control structure with a drawing or attach an organisation chart. State the legal entities company name, Registration No., address (incl. country) and ownership in percent- FOLD HERE SEE ATTACHED ORGANISATION CHART NAME REGISTRATION NO. ADDRESS (INCL. COUNTRY) OWNERSHIP. % DCM 0505eng

3 Politically exposed person COMPANY NAME CORPORATE ID NO. Pursuant to the Act on Measures Against Money Laundering and Terrorist Financing (2009:62), we are required to ask you if any of the company s beneficial owners are a politically exposed person. A politically exposed person is a person who holds, or has held during the past 18 months, a prominent public function in a state or international organisation such as the European Union or NATO. We are also required to ask if any of the beneficial owners are a family member, or are a close associate of, a politically exposed person. Below is a list of positions/functions defined as politically exposed persons as well as a list of which relatives that are defined as family members. Is any of the persons designated as a beneficial owner a politically exposed person or a family member or a close associate of such a person? (needs to be answered only if there are beneficial owners in the company) YES, PROCEED TO THE SECTION BELOW, AND PROVIDE FURTHER INFORMATION ABOUT THESE INDIVIDUALS NO, PROCEED DIRECTLY TO THE SIGNATURE SECTION Please answer the following questions regarding the beneficial owners who are themselves a politically exposed person or a family member or a close associate of such a person. NAME OF BENEFICIAL OWNER: THE BENEFICIAL OWNER IS HIM/HERSELF OR IS A FAMILY MEMBER/CLOSE ASSOCIATE OF A PERSON WHO IS: FOLD HERE HEAD OF STATE OR HEAD OF GOVERNMENT MINISTER DEPUTY OR ASSISTANT MINISTER MEMBER OF PARLIAMENT SUPREME COURT JUDGE JUDGES IN OTHER COURTS OR JUDICIAL BODIES THAT CONSTITUTE A FINAL COURT OF APPEAL SENIOR OFFICER OF AN AUDITING AUTHORITY BOARD MEMBER OF A CENTRAL BANK TITLE OF POLITICALLY EXPOSED PERSON: AMBASSADOR HEAD OF DIPLOMATIC MISSION SENIOR OFFICER IN THE ARMED FORCES (E.G. GENERAL, LIEUTENANT GENERAL, MAJOR GENERAL, ADMIRAL, VICE ADMIRAL, REAR ADMIRAL) MEMBER OF AN ADMINISTRATIVE, MANAGEMENT OR SUPERVISORY BODY OF A STATE-OWNED ENTERPRISE (E.G. CEO, BOARD MEMBER, DEPUTY CEO OR DEPUTY BOARD MEMBER) DIRECTOR, DEPUTY DIRECTOR OR BOARD MEMBER OF AN INTERNATIONAL ORGANISATION (E.G. EU OR NATO) COUNTRY OR ORGANISATION IN WHICH THE POLITICALLY EXPOSED PERSON HAS THIS ROLE: STATE THE BENEFICIAL OWNER S RELATION TO THE POLITICALLY EXPOSED PERSON: THE BENEFICIAL OWNER IS HIM/HERSELF A POLITICALLY EXPOSED PERSON THE BENEFICIAL OWNER S RELATIONSHIP TO A POLITICALLY EXPOSED PERSON: SPOUSE REGISTERED PARTNER COHABITING PARTNER CHILD S SPOUSE, COHABITING PARTNER OR REGISTERED PARTNER PARENT CLOSE ASSOCIATE CHILD Please answer the following questions regarding the beneficial owners who are themselves a politically exposed person or a family member or a close associate of such a person. NAME OF BENEFICIAL OWNER: THE BENEFICIAL OWNER IS HIM/HERSELF OR IS A FAMILY MEMBER/CLOSE ASSOCIATE OF A PERSON WHO IS: HEAD OF STATE OR HEAD OF GOVERNMENT AMBASSADOR DCM 0505eng MINISTER DEPUTY OR ASSISTANT MINISTER MEMBER OF PARLIAMENT SUPREME COURT JUDGE JUDGES IN OTHER COURTS OR JUDICIAL BODIES THAT CONSTITUTE A FINAL COURT OF APPEAL SENIOR OFFICER OF AN AUDITING AUTHORITY BOARD MEMBER OF A CENTRAL BANK HEAD OF DIPLOMATIC MISSION SENIOR OFFICER IN THE ARMED FORCES (E.G. GENERAL, LIEUTENANT GENERAL, MAJOR GENERAL, ADMIRAL, VICE ADMIRAL, REAR ADMIRAL) MEMBER OF AN ADMINISTRATIVE, MANAGEMENT OR SUPERVISORY BODY OF A STATE-OWNED ENTERPRISE (E.G. CEO, BOARD MEMBER, DEPUTY CEO OR DEPUTY BOARD MEMBER) DIRECTOR, DEPUTY DIRECTOR OR BOARD MEMBER OF AN INTERNATIONAL ORGANISATION (E.G. EU OR NATO)

4 Politically exposed person TITLE OF POLITICALLY EXPOSED PERSON: COUNTRY OR ORGANISATION IN WHICH THE POLITICALLY EXPOSED PERSON HAS THIS ROLE: STATE THE BENEFICIAL OWNER S RELATION TO THE POLITICALLY EXPOSED PERSON: THE BENEFICIAL OWNER IS HIM/HERSELF A POLITICALLY EXPOSED PERSON THE BENEFICIAL OWNER S RELATIONSHIP TO A POLITICALLY EXPOSED PERSON: SPOUSE REGISTERED PARTNER COHABITING PARTNER CHILD S SPOUSE, COHABITING PARTNER OR REGISTERED PARTNER PARENT CLOSE ASSOCIATE CHILD Please answer the following questions regarding the beneficial owners who are themselves a politically exposed person or a family member or a close associate of such a person. NAME OF BENEFICIAL OWNER: THE BENEFICIAL OWNER IS HIM/HERSELF OR IS A FAMILY MEMBER/CLOSE ASSOCIATE OF A PERSON WHO IS: FOLD HERE HEAD OF STATE OR HEAD OF GOVERNMENT MINISTER DEPUTY OR ASSISTANT MINISTER MEMBER OF PARLIAMENT SUPREME COURT JUDGE JUDGES IN OTHER COURTS OR JUDICIAL BODIES THAT CONSTITUTE A FINAL COURT OF APPEAL SENIOR OFFICER OF AN AUDITING AUTHORITY BOARD MEMBER OF A CENTRAL BANK AMBASSADOR HEAD OF DIPLOMATIC MISSION SENIOR OFFICER IN THE ARMED FORCES (E.G. GENERAL, LIEUTENANT GENERAL, MAJOR GENERAL, ADMIRAL, VICE ADMIRAL, REAR ADMIRAL) MEMBER OF AN ADMINISTRATIVE, MANAGEMENT OR SUPERVISORY BODY OF A STATE-OWNED ENTERPRISE (E.G. CEO, BOARD MEMBER, DEPUTY CEO OR DEPUTY BOARD MEMBER) DIRECTOR, DEPUTY DIRECTOR OR BOARD MEMBER OF AN INTERNATIONAL ORGANISATION (E.G. EU OR NATO) TITLE OF POLITICALLY EXPOSED PERSON: COUNTRY OR ORGANISATION IN WHICH THE POLITICALLY EXPOSED PERSON HAS THIS ROLE: STATE THE BENEFICIAL OWNER S RELATION TO THE POLITICALLY EXPOSED PERSON: THE BENEFICIAL OWNER IS HIM/HERSELF A POLITICALLY EXPOSED PERSON THE BENEFICIAL OWNER S RELATIONSHIP TO A POLITICALLY EXPOSED PERSON: SPOUSE REGISTERED PARTNER COHABITING PARTNER CHILD S SPOUSE, COHABITING PARTNER OR REGISTERED PARTNER PARENT CLOSE ASSOCIATE CHILD We certify and confirm that the above stated information is true and complete. We undertake to inform Diners Club Nordic AB immediately of any changes whatsoever to information given herein. DATE AUTHORISED SIGNATURE NAME IN PRINT SWEDISH PERSONAL ID-NO. OR DATE OF BIRTH DCM 0505eng For information on how Diners Club Nordic AB processes personal data, we refer to your terms and conditions available on dinersclub.se

5 GENERAL TERMS AND CONDITIONS FOR TRAVEL ACCOUNT CONCEPT TAC 1 September 2014 DCM 0405ENG_V PARTIES, ETC The Parties to this Agreement are the Account Holder and Diners Club Nordic AB ( Diners Club ). The Agreement is deemed to have been concluded and shall come into force on the day that Diners Club approves this application for TAC. Diners Club and the Account Holder undertake to comply with the terms and conditions of this Agreement from that day forward. 2. DEFINITIONS In these general terms and conditions, the following terms have the meanings set forth below: Agreement: Agreement means these general terms and conditions and any written amendments and/or appendices thereto. Account Holder: Account Holder means the corporate entity or physical person for which TAC has been approved subsequent to this application. Account Debt: Travel Supplier: TAC: Account Debt means all unpaid amounts charged to TAC under this Agreement and any accrued interest charges, other fees or charges, costs and rounding to the nearest whole swedish krona. Travel Supplier means such companies as 1) provide travel and/or travel-related services; 2) Diners Club and the Account Holder from time to time have agreed will be covered under this Agreement; and 3) Diners Club has agreements with concerning the acceptance of TAC as an instrument of payment for these services. TAC means Diners Club s travel invoicing system entitled Travel Account Concept (TAC). 3. SCOPE AND USAGE OF TAC A. TAC is approved subsequent to specific consideration of the application. This consideration may include obtaining credit rating information. Diners Club has the right to reject an application to use TAC without giving any reason. Diners Club is at liberty to inform companies that supply travel/travel-related services that an application has been approved or rejected. TAC is not personal, but may be used by those individuals that the Account Holder and Travel Supplier from time to time agree may use the product. In addition, the other routines that apply to the use of TAC, such as detailed rules concerning how the TAC account may be charged, are to be agreed between the Account Holder and the Travel Supplier (see point 4 below). B. TAC may be used for payment for purchases of travel/travel services from a Travel Supplier. Limits and fees/charges as set out by the individual Travel Supplier may apply when making purchases using TAC. C. TAC may not be used to make part payments under hire purchase agreements, nor for payment of any other debt that the Account Holder owes to a Travel Supplier or any other party; and may not either be used to make cash withdrawals from Travel Suppliers. TAC may not either be used at a Travel Supplier if the Account Holder and the Travel Supplier are one and the same, and are operated as either a sole proprietorship, partnership, limited partnership or public limited company that is a so-called close company. For reasons of security, Diners Club applies upper limits on the total amount of any purchase made at one and the same time, and per period of time, and retains the right to refuse to complete a transaction. D. The Account Holder understands and agrees that the services, areas of usage, etcetera linked to TAC may be increased, reduced or in some other manner altered at any time without the prior consent of the Account Holder being obtained. E. Change of name, address, telephone number, company form, or any other material change in the ownership or similar change is to be communicated without delay to Diners Club. In the case of a change of company form, a new application and new registration certificate must be submitted to Diners Club. F. The Account Holder is obliged to provide the Travel Supplier with updated information regarding the Acount Holders travel profile in order to be able to invoice in the proper manner. 4. PAYMENT LIABILITY The Account Holder is liable for payment of the Account Debt and is therefore responsible for 1) those persons who use TAC having the requisite authorisation and power to do so; and 2) the routines in detail agreed with Travel Suppliers concerning how TAC may be charged in order to prevent the unauthorised usage of TAC. 5. INTEREST RATES AND FEES A. The Account Holder shall pay to Diners Club a set-up fee for TAC in accordance with the price list applicable from time to time. This fee shall be paid in advance and may be charged to the TAC account. B. The Account Holder is also obligated to pay to Diners Club additional fees and charges on top of the set-up fee as required. These might be an annual fee and fees for copies of invoices, for example. C. If the invoice is paid after the due date, Diners Club retains the right to charge to TAC reminder fees and debt collection costs, in addition to interest on overdue payments. The interest on overdue payment is calculated from the invoice s due date until payment has been made at an annual rate of currently 24 %. D. Interest will not be paid on any amount in credit on the account holder s TAC account. E. Payment in currencies other than Swedish kronor When making a payment in a currency other than Swedish kronor, the sum must be paid to the IBAN number stated on the invoice. If the company has TAC accounts with invoicing in different currencies, the respective currencies must be allocated separate IBAN numbers. The company bears all additional costs such as transaction fees or similar charges incurred due to payment of the invoice amount in the agreed currency. If the company, in connection with a payment, opts for a means of payment which results in Diners Club being charged a fee in order to receive this payment, such a fee may then be debited to the company. F. Currency exchange All transactions received in a currency which differs from the selected currency for the account will be converted into the selected currency at the reference exchange rate plus a currency exchange surcharge which is stated on the webpage The company shall be liable for any currency risk during the period between the purchase and the transaction reaching Diners Club. G. All fees and charges referred to above may be charged to TAC in the amounts and on the fee basis generally applied by Diners Club at any given time. Diners Club retains the right to make changes to fees and charges and interest rates, and to introduce new fees or charges and claim compensation for costs, coming into effect 30 days after the Account Holder has been notified of the change. Information about current fees and charges may be obtained at any time from Diners Club. 6. TERMS OF PAYMENT Diners Club invoices the Account Holder periodically for the current Account Debt. Invoicing and terms of payment are based on the information provided in the TAC application by the Account Holder, among other things. Invoicing routines and the terms of payment are scrutinized continuously against the background of the information supplied, and should deviations be found, these terms and routines may be changed in accordance with the routines that are applied from time to time by Diners Club. Payment shall be made to Diners Club at the latest by the due date stated on the invoice. Diners Club applies rounding-off to the nearest swedish krona. The Account Debt is reduced only by payment to Diners Club. Any agreements regarding payments that the Account Holder may have made with the Travel Supplier or any other company do not affect the Account Debt. 7. CLAIMS FOR REFUNDS The Travel Agent who has delivered services that have been paid for using the Travel Account shall be liable for any service defects to the Account Holder and complaints must therefore be directed to the Travel Agent if not the defect may be occurred by Diners Club. Diners Club shall not be liable for any financial or other claims arising from the bankruptcy or insolvency of a travel operator or an airline. Should there be an error in the Account Holder s invoice, and the error may be occurred by Diners Club any relevant claims must be addressed to Diners Club within 30 days from the date of the invoice. Otherwise the Account Holder shall lose its right to claim compensation for such an error. The Account Holder shall regardless of a claim pay the invoice in time. 8. CANCELLATION OF THE AGREEMENT This Agreement applies until further notice. A. However, the Account Holder and Diners Club may cancel the agreement at any time, irrespective of the reason. In such a case, written notice of cancellation of the Agreement must be given at least one month in advance. B. Should the Account Holder not meet its obligations under this Agreement, should TAC be misused or if it can be adduced that the Account Holder will not meet its obligations to Diners Club, Diners Club retains the right to cancel the Agreement, effective immediately. The same applies if a record of non-payment is registered against the Account Holder, or if the Account Holder initiates action under the Swedish Debt Restructuring Act, or if Diners Club in any other way has reasonable grounds for believing that the Account Holder will not meet his/her/its obligations under the terms and conditions of this Agreement. C. If the Account Holder is declared bankrupt, the Account Holder s right to use TAC ceases immediately. D. Should the right to use TAC cease during the period of validity of the Agreement as a result of cancellation of this Agreement, or for any other reason, the right to use TAC for new purchases shall also cease and the Account Debt shall fall due for immediate payment. 9. REGISTRATION OF ACCOUNT HOLDER IN A REGISTER OF MISUSE The Account Holder s details may be registered in a register of misuse as a result of negligence of the Account Holder s liability to pay or if the right to use TAC has been granted under false pretences. 10. AMENDMENTS TO TERMS AND CONDITIONS Diners Club retains the right to make amendments/changes to these general terms and conditions without the prior approval of the Account Holder. Such changes come into effect thirty (30) days after the Account Holder has been notified in writing of the change. If the Account Holder does not approve of the change, the Account Holder must submit a written cancellation of this Agreement to Diners Club. If the Account Holder does not cancel the Agreement in writing without delay, the Account Holder shall be deemed to have approved and accepted the amendment/change. 11. GROUNDS FOR DISCHARGE OF LIABILITY Diners Club is not responsible for any losses incurred as a result of an enactment of Swedish or foreign law; or the actions of a Swedish or foreign government agency; or wars, strikes, blockades, boycotts and lockouts, or any similar circumstance. The clause above referring to strikes, blockades and lockouts applies if Diners Club itself is the object of such industrial action, or itself takes such action. Claims arising in other cases shall not be compensated by Diners Club if Diners Club has taken all due care. Neither is Diners Club responsible for claims nor damages arising from a Travel Supplier ceasing to operate or to accept TAC as an instrument of payment. 12. INFORMATION The Account Holder agrees that he/she/it may be sent specific information regarding special offers, etcetera, and gives Diners Club permission to utilise the information about the Account Holder and its purchases made using TAC for this purpose.

6 INFORMATION PURSUANT TO THE SWEDISH PERSONAL DATA ACT(PUL) REGARDING DINERS CLUB S PROCESSING OF PERSONAL DATA Controller of Personal Data: Diners Club Nordic AB Reg. no Stockholm Telephone number: Personal data is provided and obtained before and in conjunction with the commencement of a customer relationship and execution of an agreement and/or the provision of services, or otherwise in conjunction with a customer relationship. Data is processed by Diners Club in respect of the execution, administration and performance of agreements, and to enable Diners Club to perform its statutory obligations. Personal data may also constitute the basis of Diners Club s market and customer analyses, business and method development, statistics and risk management, e.g. in risk measurement models that Diners Club uses in order to comply with capital adequacy rules. Unless a block on direct advertising has been requested, Diners Club may also use the data for marketing purposes. Upon commencement of a customer relationship and in conjunction with certain payments, Diners Club may verify personal data against sanction lists which Diners Club is obliged or entitled to apply, pursuant to law or the decision of a public authority, to ensure that a customer relationship can be commenced or a payment executed. In the case of banking business conducted by telephone, personal data is processed for stated purposes by recording the telephone calls. Personal data is also processed within the scope of Diners Club s Internet and mobile telephone services. In order to keep the personal data up-to-date, Diners Club may supplement the data by obtaining information from private or public records, e.g. updating address information with the aid of the National Person and Address Register, SPAR. Personal data may, for stated purposes, within the scope of what is permitted under the bank secrecy rules, be disclosed to other companies in the SEB Group or to companies co-operating with the SEB Group both within and outside the EU/EEA, e.g. UC (the Swedish credit and information agency), Bankgirocentralen, and SWIFT (Society for Worldwide Interbank Financial Telecommunication). Diners Club is also in certain cases under a statutory obligation to disclose information, e.g. to the Swedish police authorities, the Swedish Financial Supervisory Authority, the Swedish Tax Agency and the Swedish Social Insurance Agency. If you wish to obtain information about the personal data relating to you that is processed by Diners Club, please submit a written request, signed by you, to Diners Club Nordic AB, PuL, Stockholm. You can, at the same address, give notice that you do not wish to receive direct advertising from us or request that we delete or correct personal data that is incorrect or incomplete.