Non Personal Account Reclaim Form Not to be used for personal customers
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1 Non Persona Account Recaim Form Not to be used for persona customers The Roya Bank of Scotand Internationa Limited trading as NatWest (the Bank) must obtain a sufficient understanding of the ownership and contro of the company and verify the identities of key individuas before it can process your Non Persona account recaim. The information requested in this form is necessary to undertake those enquiries. You must notify any parties named in this form that their information has been suppied to us for this purpose. Pease ensure that any amendments within the form are initiaed prior to sending to the Bank and pease ensure a pages are returned even if they are not used. To: DSD Recaims, PO Box 87, Dougas, Ise of Man, IM99 3HS Pease compete this form in BLOCK CAPITALS and in back ink. Mark option boxes with an X. 1. Organisation/Company/Entity detais Fu name of your Organisation/Company/Entity Intermediary name (if appicabe) Organisation/Company/Entity activity i.e. property hoding, trading, investment hoding Organisation/Company/Entity type e.g. Limited Company, Trust, LLP Compete where appicabe: Company Registration Number/Reguator Number Date Incorporated/Registered Registered Charity Number Pease confirm the Company/Entity is sti in existence/of good standing Yes No 2. Origina account detais Fu account name Account hoding branch Sort code Currency e.g. GBP Or muti currency Yes No Fu account name Account hoding branch Sort code Currency e.g. GBP Or muti currency Yes No Page 1 of 11
2 2.3 3 Fu account name Account hoding branch Sort code Currency e.g. GBP Or muti currency Yes No Fu account name Account hoding branch Sort code Currency e.g. GBP Or muti currency Yes No Fu account name Account hoding branch Sort code Currency e.g. GBP Or muti currency Yes No CARE: Where you require additiona account number fieds pease use the Additiona Information form provided beow. 3. Foow up (the foow up contact must be a key individua quoted in Section 4) In the event that we need to contact you for further information, pease indicate your preferences: Contact name Contact teephone Contact e-mai Page 2 of 11
3 4. Key Individuas Pease refer to the Guidance Notes on the fina page of this form before competing the Key Individua information beow this wi hep you identify the key individuas in your organisation or company. Detais of a key individuas, incuding their current residentia address must be provided. 4.1 Key Individua 1 Tite Mr Mrs Miss Ms Other First name (Pease specify) Midde name(s) Surname Date of birth Address ine 1 Address ine 2 Address ine 3 Address ine 4 OR overseas country Postcode Nationaity/ies Pease tick a appicabe boxes Ownership: Utimate Beneficia Owner/Sharehoder Beneficiary (Trusts) Settor (Trusts) Percentage of tota ownership hed/controed (as appicabe) % Officer or equivaent (Cubs & Societies) Capacity: Director Partner Trustee Signatory Date appointed Is the Key Individua an existing persona customer of RBS Group? Yes No If yes Sort code Page 3 of 11
4 4.2 Key Individua 2 Tite Mr Mrs Miss Ms Other First name (Pease specify) Midde name(s) Surname Date of Birth Address ine 1 Address ine 2 Address ine 3 Address ine 4 OR overseas country Postcode Nationaity/ies Pease tick a appicabe boxes Ownership: Utimate Beneficia Owner/Sharehoder Beneficiary (Trusts) Settor (Trusts) Percentage of tota ownership hed/controed (as appicabe) % Officer or equivaent (Cubs & Societies) Capacity: Director Partner Trustee Signatory Date appointed Is the Key Individua an existing persona customer of RBS Group? Yes No If yes Sort code Page 4 of 11
5 4.3 Key Individua 3 Tite Mr Mrs Miss Ms Other First name (Pease specify) Midde name(s) Surname Date of Birth Address ine 1 Address ine 2 Address ine 3 Address ine 4 OR overseas country Postcode Nationaity/ies Pease tick a appicabe boxes Ownership: Utimate Beneficia Owner/Sharehoder Beneficiary (Trusts) Settor (Trusts) Percentage of tota ownership hed/controed (as appicabe) % Officer or equivaent (Cubs & Societies) Capacity: Director Partner Trustee Signatory Date appointed Is the Key Individua an existing persona customer of RBS Group? Yes No If yes Sort code Page 5 of 11
6 4.4 Key Individua 4 Tite Mr Mrs Miss Ms Other First name (Pease specify) Midde name(s) Surname Date of Birth Address ine 1 Address ine 2 Address ine 3 Address ine 4 OR overseas country Postcode Nationaity/ies Pease tick a appicabe boxes Ownership: Utimate Beneficia Owner/Sharehoder Beneficiary (Trusts) Settor (Trusts) Percentage of tota ownership hed/controed (as appicabe) % Officer or equivaent (Cubs & Societies) Capacity: Director Partner Trustee Signatory Date appointed Is the Key Individua an existing persona customer of RBS Group? Yes No If yes Sort code Page 6 of 11
7 4.5 Key Individua 5 Tite Mr Mrs Miss Ms Other First name (Pease specify) Midde name(s) Surname Date of Birth Address ine 1 Address ine 2 Address ine 3 Address ine 4 OR overseas country Postcode Nationaity/ies Pease tick a appicabe boxes Ownership: Utimate Beneficia Owner/Sharehoder Beneficiary (Trusts) Settor (Trusts) Percentage of tota ownership hed/controed (as appicabe) % Officer or equivaent (Cubs & Societies) Capacity: Director Partner Trustee Signatory Date appointed Is the Key Individua an existing persona customer of RBS Group? Yes No If yes Sort code Pease note in the event where there are in excess of 5 Key Individuas associated with the Organisation/Company/ Entity, pease print copies of this page as appropriate. Page 7 of 11
8 5. How we use and share your information (a) Credit reference and fraud prevention agencies We may request information about you from credit reference agencies to hep verify your identity to compy with aws that appy to us. This request wi not affect your abiity to obtain credit (for exampe for a oan or credit card) in the future. In order to prevent and detect fraud, the information provided in this appication wi be shared with fraud prevention agencies. If fase or inaccurate information is provided and fraud is identified or suspected, detais wi be recorded with these agencies to prevent fraud and money aundering. If we, or a fraud prevention agency, determine that you pose a fraud or money aundering risk, we may refuse to provide the services and financing to you. When credit reference and fraud prevention agencies process your information, they do so on the basis that they have a egitimate interest in preventing fraud and money aundering, to protect their business and to compy with aws that appy to them. (b) With other RBS companies We and other RBS companies wordwide wi use the information you suppy in this appication (and any information we or other RBS companies may aready hod about you) in connection with processing your appication and assess your suitabiity for our products. If your appication is decined we wi normay keep your information for up to 6 years (or 10 years in Jersey), but we may keep it for onger if required by us or other RBS companies in order to compy with ega and reguatory requirements. We and other RBS companies may use your information in order to improve the reevance of our products and marketing. (c) With other Third Parties The information provided in this appication may be used for compiance with ega and reguatory screening requirements, incuding confirming your eigibiity to hod a UK bank account and sanctions screening. We may be required to discose certain information to reguators, tax authorities, government bodies and simiar organisations around the word, incuding the name, address, tax number, account number(s), tota gross amount of interest paid or credited to the account and the baance or vaue of the account(s) of our customers. Page 8 of 11
9 6. Confirming your agreement To enabe us to compete our due diigence enquiries and reease the funds hed, this form must be signed in accordance with the ast mandate hed by the bank. We wi use the information suppied on this form for the purposes of checking identity and to undertake money aundering checks. We may obtain information about any directors, beneficia owners, and other parties identified in this form from RBS Group records and other third parties. For detais of how we and others wi use your information, pease refer to our Privacy Notice avaiabe at natwestinternationa.com/privacynotice or ask your usua contact at the Bank. When we use and share persona and financia information, we do so on the basis that we have a egitimate interest to prevent fraud and money aundering, to manage our risk and to protect our business and to compy with aws that appy to us (incuding verifying your identity and assessing the suitabiity of our products). By signing beow you confirm that: The detais provided are correct; and You wi notify any third parties named in the form that their information wi be used in the way described at the start of the form. Caimant signature(s) Name (in fu) Date of signature Name (in fu) Date of signature Caimant signature(s) Name (in fu) Date of signature Name (in fu) Date of signature Caimant signature(s) Name (in fu) Date of signature Name (in fu) Date of signature Customer Checkist Organisation/Company/Entity structure chart Signed payment/dispersa instructions The Roya Bank of Scotand Internationa Limited trading as NatWest Internationa (NatWest Internationa). Registered Office: P.O. Box 64, Roya Bank House, 71 Bath Street, St. Heier, Jersey JE4 8PJ. Te Reguated by the Jersey Financia Services Commission. Guernsey business address: PO Box 62, Roya Bank Pace, 1 Gategny Espanade, St. Peter Port, Guernsey, GY1 4BQ. Te Reguated by the Guernsey Financia Services Commission and icensed under the Banking Supervision (Baiiwick of Guernsey) Law, 1994, as amended, the Insurance Managers and Insurance Intermediaries (Baiiwick of Guernsey) Law, 2002, and the Protection of Investors (Baiiwick of Guernsey) Law, 1987, as amended. Ise of Man business address: 2 Atho Street, Dougas, Ise of Man, IM99 1AN. Te Licensed by the Ise of Man Financia Services Authority in respect of Deposit Taking, Investment Business and registered as a Genera Insurance Intermediary. NatWest Internationa is the registered business name of The Roya Bank of Scotand Internationa Limited under the Business Names Registration Act. Gibratar business address: Nationa Westminster House, PO Box 707, 57 Line Wa Road, Gibratar. Te or Reguated and authorised by the Financia Services Commission, Gibratar to undertake Banking and Investment Business from 55 and 57 Line Wa Road and 1 Corra Road, Gibratar. Page 9 of 11
10 Additiona information (For exampe, previous addresses if resided at current address for ess than 3 years) Page 10 of 11
11 Guidance Notes Non Persona Account Recaim Form Pease use the tabe beow to identify the Key Individuas in the Organisation/Company whose information shoud be incuded within the Non Persona Account Recaim form. Organisation Types The foowing individuas detais shoud be entered on the Review of Customer Information Form Limited Companies A directors A utimate beneficia owners Trusts & Foundations A trustees A beneficiaries A officers / controers Settor Genera Partnerships A partners Limited Liabiity Partnerships A utimate beneficia owners Medica and Lega practices Soe Traders A utimate beneficia owners Church bodies and paces of worship A officers Cubs or Societies Pubic bodies (such as oca councis, community groups and government agencies) Pease provide current residentia addresses for a Key Individuas. Gossary Utimate beneficia owner: An individua owning or controing 10% or more of an Organisation/Company/Entity. Beneficiaries: An individua or Entity that is eigibe to benefit from a Trust or Foundation. Officer/Controer: An individua with the authority to exercise contro over the Organisation. Trustee: A person or Organisation appointed under a trust who administers the affairs of the Trust. Settor: An individua or Entity which settes assets into the trust or foundation. Page 11 of 11
Date (Day/Month/Year)
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