Sole /Joint Account. Your application to add a new customer to a. Bank use only D D M M Y Y. Your personal details D D M M Y Y D D M M Y Y

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1 our application to add a new customer to a Sole /Joint Account Please write clearly in the white spaces with capital letters or cross the boxes. Bank use only Please complete all sections of this form. opened Staff file number TNT Code What will you be using the Account for? D D Sort code Account number 1 our personal details Are you an existing Bank of Scotland customer? Are you an existing Bank of Scotland customer? our title Mr Mrs Miss Ms Other (please specify) our title Mr Mrs Miss Ms Other (please specify) our last name our last name our first names our first names Any other name you use/have used (if applicable) Any other name you use/have used (if applicable) our date of birth D D Are you: Male Female our date of birth D D Are you: Male Female Are you: Employed Self employed Part time Unemployed Are you: Employed Self employed Part time Unemployed t working Seeking work Retired Student t working Seeking work Retired Student Other (please explain) If unemployed how long since you last worked? ears Other (please explain) If unemployed ears how long since you last worked? our country of birth our Town/City of birth our nationality our relationship to the first customer our additional nationalities (if applicable): our country of birth our Town/City of birth our nationality our country of residence our additional nationalities (if applicable): Which countries are you tax resident* in? our country of residence *Please note: This is the country where an individual is resident under the tax laws of such jurisdiction Which countries are you tax resident* in? *Please note: This is the country where an individual is resident under the tax laws of such jurisdiction Bank use only Sanctions/NCCT. Sanctions ref. no (if applicable) Sanctions ref. no (if applicable)

2 1 our personal details continued If you have a Taxpayer Identification Number (TIN) for other countries, please provide details below If you have a Taxpayer Identification Number (TIN) for other countries, please provide details below Guidance: By TIN we mean, Taxpayer Identification number, or similar Tax payer reference number you hold for country(ies) you are tax resident in Guidance: By TIN we mean, Taxpayer Identification number, or similar Tax payer reference number you hold for country(ies) you are tax resident in 1.1 our contact details our telephone numbers and area dialling codes Home Mobile Work our telephone numbers and area dialling codes Home Mobile Work 1.2 our residential details our home address (where you live) our home address (where you live) When did you start living at this address? Month ear When did you start living at this address? Month ear our previous address (if less than three years at current address) our previous address (if less than three years at current address) When did you start living at this address? Month ear our correspondence address (if different from your home address) When did you start living at this address? Month ear our correspondence address (if different from your home address) What is your current residential status? Owner no Owner with mortgage mortgage Local authority tenant Private tenant What is your current residential status? Owner no Owner with mortgage mortgage Local authority tenant Private tenant Living with parents Other (please specify) Living with parents Other (please specify) 2 our debit card details I would like to apply for a debit card The type of card we give you depends on our assessment of your personal circumstances. Customer name to appear on card I would like to apply for a debit card The type of card we give you depends on our assessment of your personal circumstances. Customer name to appear on card Mother s previous name(new debit card customers only) our date of birth D D Mother s previous name(new debit card customers only) our date of birth D D

3 3 How we process your personal information Who looks after your personal information our personal information will be held by Bank of Scotland Plc which is part of the Lloyds Banking Group. More information on the Group can be found at How we use your personal information We will use your personal information: to provide products and services, manage your relationship with us and comply with any laws or regulations we are subject to (for example the laws that prevent financial crime or the regulatory requirements governing the products we offer). for other purposes including improving our services, exercising our rights in relation to agreements and contracts and identifying products and services that may be of interest. To support us with the above we analyse information we know about you and how you use our products and services, including some automated decision making. ou can find out more about how we do this, and in what circumstances you can ask us to stop, in our full privacy notice. Who we share your personal information with our personal information will be shared within Lloyds Banking Group and other companies that provide services to you or us, so that we and any other companies in our Group can look after your relationship with us. By sharing this information it enables us to better understand our customers needs, run s and policies, and provide products and services efficiently. This processing may include activities which take place outside of the European Economic Area. If this is the case we will ensure appropriate safeguards are in place to protect your personal information. ou can find out more about how we share your personal information with credit reference agencies below and can access more information about how else we share your information in our full privacy notice. Where we collect your personal information from We will collect personal information about you from a number of sources including: information given to us on application forms, when you talk to us in branch, over the phone or through the device you use and when new services are requested. from analysis of how you operate our products and services, including the frequency, nature, location, origin and recipients of any payments. from or through other organisations (for example card associations, credit reference agencies, insurance companies, retailers, comparison websites, social media and fraud prevention agencies). in certain circumstances we may also use information about health or criminal convictions but we will only do this where allowed by law or if you give us your consent. ou can find out more about where we collect personal information about you from in our full privacy notice. Do you have to give us your personal information We may be required by law, or as a consequence of any contractual relationship we have, to collect certain personal information. Failure to provide this information may prevent or delay us fulfilling these obligations or performing services. What rights you have over your personal information The law gives you a number of rights in relation to your personal information including: the right to access the personal information we have about you. This includes information from application forms, statements, correspondence and call recordings. the right to get us to correct personal information that is wrong or incomplete. in certain circumstances, the right to ask us to stop using or delete your personal information. from 25 May 2018 you will have the right to receive any personal information we have collected from you in an easily re-usable format when it s processed on certain grounds, such as consent or for contractual reasons. ou can also ask us to pass this information on to another organisation. ou can find out more about these rights and how you can exercise them in our full privacy notice. Other Individuals you have financial links with We may also collect personal information about other individuals who you have a financial link with. This may include people who you have joint s or policies with such as your partner/spouse, dependents, beneficiaries or people you have commercial links to, for example other directors or officers of your company. We will collect this information to assess any applications, provide the services requested and to carry out credit reference and fraud prevention checks. ou can find out more about how we process personal information about individuals with whom you have a financial link in our full privacy notice. How we use credit reference agencies In order to process your application we may supply your personal information to credit reference agencies (CRAs) including how you use our products and services and they will give us information about you, such as about your financial history. We do this to assess creditworthiness and product suitability, check your identity, manage your, trace and recover debts and prevent criminal activity. We may also continue to exchange information about you with CRAs on an ongoing basis, including about your settled s and any debts not fully repaid on time, information on funds going into the, the balance on the and, if you borrow, details of your repayments or whether you repay in full and on time. CRAs will share your information with other organisations, for example other organisations you ask to provide you with products and services. our data will also be linked to the data of any joint applicants or other financial associates as explained above. ou can find out more about the identities of the CRAs, and the ways in which they use and share personal information, in our full privacy notice. How we use fraud prevention agencies The personal information we have collected from you and anyone you have a financial link with may be shared with fraud prevention agencies who will use it to prevent fraud and money laundering and to verify your identity. If fraud is detected, you could be refused certain services, finance or employment. Further details of how your information will be used by us and these fraud prevention agencies, and your data protection rights, can be found in our full privacy notice. our marketing choices We would like to keep you up to date on products and offers that may be of interest to you. Please select how you would like to hear from us below. These choices won t affect any necessary information we need to send you such as statements and, don t worry, you can change your mind and update your preferences at any time. Internet Banking ou ll see relevant messages when you log in to Internet Banking and our apps. If you choose no, you may still see messages, but they won t be tailored to you. Post Device messaging ou ll receive relevant notifications to your mobile device Text messages Phone By saying yes you are giving consent for Bank of Scotland to use your personal information to send you relevant offers and products. Bank of Scotland includes the following legal entities: Bank of Scotland plc; Lloyds Bank Insurance Services Ltd; and Halifax Share Dealing Limited. Occasionally we will send you selected offers from other companies within Lloyds Banking Group that may be relevant to you. Our full privacy notice It is important that you understand how the personal information you give us will be used. Therefore, we strongly advise that you read our full privacy notice, which you can find at privacy/ or you can ask us for a copy. How you can contact us If you have any questions or require more information about how we use your personal information please contact us using co.uk/contactus/how-to-complain/complain-online. ou can also call us on If you feel we have not answered your question Lloyds Banking Group has a Group Data Privacy Officer, who you can contact on and tell us you want to speak to our Data Privacy Officer. Version Control This notice was last updated in February 2018

4 4 our agreement with us Current Accounts and Other Services Our agreement with you is made up of general conditions contained in the Bank of Scotland Bank Account Conditions. These include the Banking Charges guide which contains our standard fees. If there is any overlap or conflict between the additional conditions and the Bank of Scotland Bank Account Conditions, the additional conditions apply. Eligibility To have the you must be 18 or over. Joint Accounts All holders can operate their s individually and are individually and jointly liable for all amounts owed to us on those s. It is important that you read the Bank of Scotland Bank Account Conditions leaflet as this explains how we deal with joint s and your responsibilities. Joint Accounts - Preferential Rates On some of our Savings products we offer higher preferential rates to customers based on their relationship with us, if they meet the qualifying criteria. To check for the best rate we can offer on your we will look at the products you hold with us and how you use them. We will look at the products you and any person being added to your hold individually and with each other. We will also look at products that you may each hold with other parties. The rate will be based on which one of you meets the most qualifying criteria rather than the combined products you both hold. In order to proceed the existing parties to the must consent to us looking at all of the products they hold with the Bank. The party being added does not need to consent. Should only the existing parties consent, we will only be able to take their holdings into consideration (in addition to any holdings held jointly with the party being added) when working out the best rate you are collectively entitled to When we confirm the rate for your we will also tell you the relevant qualifying criteria. Do you consent to share, with any other party to the, details of any sole party holdings and any holdings you may have in joint name with any other party in order that we can determine the best rate you are eligible for: Consent given Consent declined Bank statements: We will send statements to both of you unless one of you signs here to say that you do not want us to send statements to you. ou can cancel this arrangement at any time by writing to us and we will then send separate statements to both of you. I do not wish to receive statements our signature I confirm that I have received the following documentation: Bank of Scotland Bank Account Conditions Advised and provided with Interest Rates Applicable to this Account s signature s signature Welcome Pack Banking Charges guide s signature Consent given Consent declined s signature Bank use only Credit reference/bureau search result *Prompt screen print voters roll Bank of Scotland plc, Registered in Scotland. SC Registered Office: The Mound, Edinburgh EH1 1Z. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority under registration number

5 5 Additional personal and employment details Please complete all sections of this form. What is your current Marital/Civil Partnership status? What is your current Marital/Civil Partnership status? Single Married/Civil Partnership Divorced/dissolved Civil Partnership Single Married/Civil Partnership Divorced/dissolved Civil Partnership Separated Widowed Other (please explain) Separated Widowed Other (please explain) Number of children under 18: Number of children under 18: Are you working? Are you working? our occupation our occupation our employer s name our employer s name our employer s address our employer s address (if known) (if known) How long have you worked for your current employer? ears How long have you worked for your current employer? ears How long did you work for your previous employer? ears How long did you work for your previous employer? ears Is your employment pensionable? Is your employment pensionable?

6 6 our monthly household income and expenditure details s income Source: Direct to If yes Frequency e.g. weekly a bank Cheque Cash Into this Salary/wages Benefits Pension Investments Other If other please state type Total net monthly income expected through this per month Staff member: If unknown use customer notes to explain situation. s income Source: Direct to If yes Frequency e.g. weekly a bank Cheque Cash Into this Salary/wages Benefits Pension Investments Other If other please state type Total net monthly income expected through this per month Staff member: If unknown use customer notes to explain situation. 6.1 Monthly commitments The total amount of any borrowing or credit facilities held on a joint basis should be shown in full against both holders. Mortgage/rent Mortgage/rent HP/other loans Bank of Scotland loans HP/other loans Bank of Scotland loans Total each month Total each month 7 Details of your savings What type of savings do you have? What type of savings do you have? savings Bank of Scotland savings only Bank of Scotland and non- Bank of Scotland savings savings Bank of Scotland savings only Bank of Scotland and non- Bank of Scotland savings n-bank of Scotland savings only What is the total amount of your savings n-bank of Scotland savings only What is the total amount of your savings

7 8 our banking details Is this a personal or business? Personal Business Is this a personal or business? Personal Business Do you have any other Bank/Building Society s? Do you have any other Bank/Building Society s? 8.1 Other banking details Details of main with another bank or building society. Bank/Building Society name Bank/Building Society name Bank/Building Society address Bank/Building Society address How many other bank s do you hold with Bank of Scotland or any other banks? How many other bank s do you hold with Bank of Scotland or any other banks? Current ne Current ne Savings Savings Personal loan Personal loan Mortgage Mortgage Which of the following facilities do you use: Cheque card Debit card Which of the following facilities do you use: Cheque card Debit card For how long have you banked there? ears For how long have you banked there? ears Is the to be closed? If no please explain why Is the to be closed? If no please explain why Would you like us to transfer your? Would you like us to transfer your? 8.2 our credit card details Do you hold a credit card? If yes how many? Do you hold a credit card? If yes how many? Are any Bank of Scotland? If yes what is your credit limit? Are any Bank of Scotland? If yes what is your credit limit? What other card type(s) do you hold? Chargecard Storecard Other (please specify) What other card type(s) do you hold? Chargecard Storecard Other (please specify) 8.3 our mortgage details Do you have a mortgage? Do you have a mortgage? If yes is it with the Lloyds Banking Group? (e.g. Halifax, Bank of Scotland) If yes is it with the Lloyds Banking Group? (e.g. Halifax, Bank of Scotland) What is the outstanding balance on your mortgage? What is the value of your house? What is the outstanding balance on your mortgage? What is the value of your house?

8 For bank use only Confirmation of customer s identity Please note that the Retail Procedures on Interchange Identification of Customers should be referred to and copies of ID should be taken, dated and signed as true copies of the original. Does customer meet Single ID requirements? Does customer meet Single ID requirements? Proof of identity (cross one box only) Proof of identity (cross one box only) Standard Third party Standard Third party Secondary PHD Ref. Secondary PHD Ref. What document has been seen? What is the reference number? Expiry date e.g. passport (available) What document has been seen? What is the reference number? Expiry date e.g. passport (available) Correctly certified copy of documents attached Correctly certified copy of documents attached If required Proof of address (cross one box only) If required Proof of address (cross one box only) Standard Third party Standard Third party Secondary PHD Ref. Secondary PHD Ref. What document has been seen? What is the reference number? Expiry date e.g. passport (available) What document has been seen? What is the reference number? Expiry date e.g. passport (available) Correctly certified copy documents attached Correctly certified copy documents attached Account maintenance Please note, no credits can be accepted until all necessary ID requirements have been met. Until ID has been completed an 646 indicator should be inserted. Indicator 646 inserted (if applicable) Follow up to be completed by manager. Tax status amended (if applicable) Disclosure (no marketing) indicator 040 inserted (if applicable) Staff indicator 041 inserted (if applicable) Planned Overdraft limit loaded and facility letter sent (if applicable) Strict flag (LOA) loaded (if applicable) For completion by the initial interview 2 stage interviews only Meeting booked with Time : D D Stage One What Happens Next card given If decline result telephone call made to advise Decline letter sent If accept result note diarised to call 24 hours before the appointment Staff member s details By signing this section, both staff members are confirming that the evidence attached meets the Banks identification requirements. Name of staff member completing this form Checker s name (or Grade C equivalent) Staff member s signature Checker s signature 10424i BoS-0218

9 IMPORTANT INFORMATION PLEASE READ CAREFULL On completion, the Specimen Signature slip below must be detached and sent to the SMD Unit daily in the pre-printed SMD Personal envelope. Please ensure all sections are fully completed using black ink. Please do not mark or write on the front of the specimen signature slip except in the designated boxes. Please remove the Specimen Signature slip and send to SMD before sending the form to AQCU. Specimen signatures Branch sort code completed Account number(s) Signing instructions: Either party to sign Other see attached s name s name s signature s signature BoS-1115

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