APPLICATION FORM FOR PERSONAL FIXED TERM DEPOSIT ACCOUNT

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1 Bank of China (UK) Limited Tel: / FTD@mail.notes.bank-of-china.com APPLICATION FORM FOR PERSONAL FIXED TERM DEPOSIT ACCOUNT BANK OF CHINA 100 TH ANNIVERSARY SPECIAL SAVINGS ACCOUNT-FIXED FOR 3 MONTHS Please complete this application form in black ink by ticking ( ) in the appropriate box and using BLOCK CAPITALS. All the fields marked with * are mandatory and please ensure the form has been appropriately signed. *Account Type Please tick ( ) the type of account(s) you are applying for and specify the currency you want your account opened in. Account: Deposit: Bank of China 100 th Anniversary Special Savings Account Fixed for 3 Months in GBP I enclose a cheque of with this application The cheque of minimum 50 must be drawn on your own personal current account in a UK bank and made payable to yourself. The pre-printed name on the cheque must match your name. If the cheque is less than minimum opening balance ( 10,000 for Bank of China 100 th Anniversary Special Saving Account Fixed for 3 Months), we will open a nominated account for you, which can be closed as soon as you collect enough funds and transfer them to your fixed term deposit account. *1 st Account Holder Identity Details *Title: Mr Mrs Miss Ms Other (please specify) *Surname in English *Other Names in English *Gender: Male Female *Tax Identification No. /National Insurance No. *Marital status: Married Civil Partner Single Widowed Divorce Separated Living with partner *Nationality *Identity Number *Passport/ID Card issued by *Date of Issue *Date of Birth DD MM YYYY *Place of Birth: Town Country/Region Present Permanent Residential Address *House or Flat No. / House Name *Town/City *Country/Region *Street Name *Post Code *Date moved to this address DD MM YYYY If you have lived at this address for less than three years, please provide your address history for the last three years on the Additional Address Form. Please provide a correspondence address, if it is not the same as your Present Permanent Residential Address, otherwise all correspondence will be sent to your Present Permanent Residential Address. For Bank Use Only Customer Code Bank of China (UK) Limited is authorised and regulated by the Financial Services Authority. Registered in England Number Registered Office:1 Lothbury, London EC4N 6HA

2 Correspondence Address House or Flat No./House Name Town/City Country /Region Street Name Post Code Reason for difference with Present Permanent Residential Address Contact Details *Daytime Tel. No. Mobile No. Home Tel. No. Address Employment Details *Employment Status Employed full-time Employed part-time Self-employed Retired House person Full-time education Other (please specify) Occupation(for employed) /Course(for student) Name of Employer or Education Institution Address of Employer/Education Institution House or Flat No. / House Name Town/City Country/Region Street Name Post Code *Annual Income Salary All other income Source of other income Other Information Is this account eligible for gross interest? Yes No If Yes, please complete the relevant Inland Revenue form to enable us to pay credit interest without tax deducted. *Reason for opening account *Source of opening deposit Declaration and Signature 1. I wish to open an account with Bank of China (UK) Limited (the Bank) in accordance with the Terms and Conditions with which I have been provided. I accept that I should read and understand these Terms and Conditions before signing and ask questions if there is anything I do not understand. 2. I confirm that all the information given on this form and the attached Additional Address Form (if applicable) is true and complete. 3. I will notify the Bank immediately if any details stated on this Application Form or the Additional Address Form (if applicable) change. 4. I confirm that the Bank may seek references or make searches with credit reference agencies about me, including searches of the Electoral Register, to assist in verifying my identity before opening an account in my name. I understand that these credit reference agencies will record details of the Bank s searches on me, whether or not an account is opened, and may include scoring methods. 5. I understand that information held on me by credit reference agencies may be used by the Bank, and other companies, for purposes of identification verification, credit decisions, debt recovery and the prevention of money laundering and fraud. 6. I understand that the Bank accepts no liability for losses that I may suffer as a result of fraud or if I have acted without reasonable care and attention. 7. I understand that if I am dissatisfied with the account I have chosen to apply for, I may close the account or, with the Bank s approval, switch to a different account offered by the Bank within 14 days of opening the account without incurring any additional charge. ~2~

3 * 8. I understand that the Bank may pass my details to other companies within the Bank of China Group, who may contact me and provide me with information on additional products and services that they think may be of interest to me, and that if I do not want the Bank to do this, I can tick this box. Data Protection Under the Data Protection Act 1998, you may request in writing to see any personal records we hold on you, whether held electronically or on paper. Furthermore, you have the right to be told where the personal data about you is being processed, to be given descriptions of the data and its recipient(s), and to have the data supplied to you in an intelligible form. We may charge you for this service. In order to provide you with products and services, we may transfer your personal data to Bank of China Group companies, associated companies, service providers or agents who may be in other countries and, if so, we will ensure that your data receives the same level of protection as required under the U.K. Data Protection Act Signature of Applicant(s) *Print name of account holder *Signature of account holder *Date 028RBF001E ~3~

4 APPLY BY POST Please send the completed application form, together with a photocopy of identity evidence and original address evidence. Please also enclose a cheque for minimum 50 drawn on your personal current account in a UK bank and made payable to yourself. If a passport is copied, please include the name, photo, passport number, dates of issue and expiry, signature, and machine readable numbers along the bottom. If a driving license is copied, please print both sides of the photo-card. The photocopy must be in good quality. The original utility bill or bank statement must be less than 3 months old, and will be returned to you via post. APPLY IN BRANCH Please bring the completed application form, together with your original identity evidence and address evidence to the nearest Bank of China (UK) Limited branch. BRANCH INFORMATION BANKING DEPARTMENT: 90 CANNON STREET, LONDON EC4N 6HA (TEL ) LONDON CHINATOWN BRANCH: 107 SHAFTESBURY AVENUE, LONDON W1D 5DA (TEL ) BIRMINGHAM BRANCH: 33 HORSE FAIR, BIRMINGHAM B1 1DD (TEL ) MANCHESTER BRANCH: MOSLEY STREET, MANCHESTER M2 3JB (TEL ) GLASGOW BRANCH: 450 SAUCHIEHALL STREET, GLASGOW G2 3JD (TEL ) Bank of China (UK) Limited complies with anti-money laundering regulations. To assist us in processing your application, please provide one document as evidence of your identity and a different document to evidence your address. This will enable us to complete our identification verification check. No one single document can be used as evidence of both identity and address. Documentation to evidence your identity and address must be provided for us to process this application. Evidence of Identity Current valid signed passport Valid EEA member state identity card Valid residence permit issued by the UK Home Office to non EU nationals Current UK or EEA photo-card driving license new-issue version, including laser-attached photograph Current full UK driving license old-issue is acceptable providing it is supported by a second document that incorporates the customer s full name and either residential address or date of birth Evidence of Address Recent utility bill dated within the last 3 months (mobile phone bills are not acceptable) Local authority tax bill for current year Current UK or EEA photo-card driving license Valid EEA member state identity card or Northern Ireland voter s card Valid residence permit issued by the UK Home Office to EU nationals A bank, building society or credit card statement dated within the last 3 months, that indicates that an account/investment/insurance relationship exists, and confirms the stated address Solicitor s letter confirming a recent house purchase or land registry in these instances the solicitor s identity must also be verified Local council rent card or local council tenancy agreement Benefit book or original notification letter from the relevant government benefits agency confirming the right to benefits or state pension Inland Revenue tax notifications, e.g., tax assessment form, statement of account, notice of coding must be dated within the last 12 months (P45s and P60s are not official Inland Revenue documents) ~4~

5 ACCOUNT HOLDER ADDITIONAL ADDRESS FORM Previous Residential Address History *1) House or Flat No. /House Name Street Name District 2) House or Flat No. /House Name Street Name District 3) House or Flat No. /House Name Street Name District 4) House or Flat No. /House Name Street Name District ~5~

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