Cardholder Applcaton Form Place a cross aganst the product for whch you requre a new cardholder. onecard Corporate Card Purchasng Card Gudelnes for completng ths form On screen Use the tab key to move between the relevant felds Do not use the return or enter keys Please refer to the cons as you complete the form for addtonal nformaton. How we wll use your nformaton Before contnung wth ths applcaton, please read the nformaton below whch explans how we and others wll use your personal and fnancal nformaton durng ths applcaton process. For full detals about how we use the personal and fnancal nformaton of our customers, please see our Terms. Please ensure that your cardholder n secton 2 s provded wth a copy of Schedule 1 How we wll use and share cardholder nformaton, provded on page 6 of ths form. Who we are The organsaton responsble for processng your nformaton s The Royal Bank of Scotland plc, a member of The Royal Bank of Scotland Group ( RBS ). Please note your applcaton may be delayed f not fully completed. 1. Bllng Unt detals Busness/ Organsaton name Bllng Unt name Bllng Unt number* please nsert your 16 dgt account number as shown on your Summary Statement: *We are unable to process your applcaton wthout the Bllng Unt number. Reportng Unt name 2. Cardholder detals Please ensure ALL sectons are completed, mssng or partal nformaton wll delay the openng of the card. Ttle Mr Mrs Mss Ms Other If Other, please specfy Frst name Mddle name(s) Surname (please provde the mddle name(s) n full) Name as you wsh t to appear on the card (e.g. ttle, frst name, mddle ntal and surname (max. 19 characters ncl. spaces)) Resdental address Address Lne 2 Page 1 of 6
Address Lne 3 Address Lne 4 Postcode Country of resdence Great Brtan OR Other If Other, please specfy What s the natonalty of the cardholder? Date of brth (DD/MM/YYYY) We are requred to obtan cardholder's telephone number and emal address to verfy suspcous transactons. Preferred telephone/ moble number Alternatve telephone/ moble number Emal address Securty password from the cardholder for dentfcaton (max. 15 characters, no spaces) Correspondence address (optonal) Only requred where cards or statements are beng posted to you drectly. Please provde your correspondence address below, or f ths s the same as your resdental address above, please mark here Address Lne 1 Address Lne 2 Address Lne 3 Address Lne 4 Postcode 3. Cardholder detals to be specfed by the company/organsaton What monthly credt lmt s requred for ths cardholder? Card optons Place a cross n the box for your choce of card Standard Gold (onecard only) Black epcs Branded (epcs customers only) Scottsh epcs Branded (epcs customers only) Is a cash wthdrawal faclty requred? Yes No Is a sngle transacton lmt requred? Yes No If Yes, how much? Cardholder reference number (optonal) (for dentfcaton of your cardholder on reports) Please refer to onecard, Corporate Card or Purchasng Card Charges sheet for nformaton on charges applcable to each card. Page 2 of 6
4. How we wll use and share your nformaton (a) Credt reference and fraud preventon agences We may request nformaton about your busness and the propretors of that busness from credt reference agences to help verfy your dentty. Ths request wll not affect your ablty to obtan credt (for example for a loan or credt card) n the future. In order to prevent and detect fraud and/or money launderng, the nformaton provded n ths applcaton may be checked wth fraud preventon agences. If fraud s dentfed or suspected detals may be recorded wth these agences to prevent fraud and money launderng. (b) Wth other RBS companes We and other RBS companes worldwde wll use the nformaton you supply n ths applcaton (and any nformaton we or other RBS companes may already hold about you) n connecton wth processng your applcaton and to assess your sutablty for our products. If your applcaton s declned we wll keep your nformaton for as long as t s requred by us or other RBS companes n order to comply wth legal and regulatory requrements. We and other RBS companes may use your nformaton n order to mprove the relevance of our products and marketng. (c) Wth other thrd partes The nformaton provded n ths applcaton may be used for complance wth legal and regulatory screenng requrements, ncludng confrmng your elgblty to hold a UK bank account and sanctons screenng. We may be requred to dsclose certan nformaton to regulators, government bodes and smlar organsatons around the world, ncludng the name, address, tax number, account number(s), total gross amount of nterest pad or credted to the account and the balance or value of the account(s) of ts customers to HM Revenue and Customs ( HMRC ). HMRC may exchange ths nformaton wth other countres tax authortes. Gvng your consent By contnung wth ths applcaton, you agree that we may use your nformaton n the ways descrbed above and are happy to proceed. You are also confrmng that: 1. you are holdng authorsaton from the other offcers and benefcal owners to consent to the searches aganst them as ndvduals and use of the nformaton ndcated n ths agreement; 2. and you wll promptly notfy them of any changes we notfy to you about the use of nformaton provded n ths form or obtaned as a result of the credt searches; 3. and you have notfed the other offcers and benefcal owners that f they would lke a copy of the nformaton we hold on them or have any questons about how we use that nformaton they should wrte to the bank at the address shown n the Terms; and 4. you have retaned a copy of ths form and have provded the other offcers and benefcal owners wth a copy of ths form ncludng the Terms under Accessng your nformaton. As part of the applcaton process we may ask you to verfy your complance wth the process set out above. Marketng nformaton RBS would lke to keep you nformed by letter, phone, emal and text message about products, servces and offers that we beleve may be of nterest to you. If you do not wsh us to contact you for these purposes, please place a cross n the box. RBS wll not share your nformaton wth thrd partes for marketng purposes. Communcatons about your account Notwthstandng your marketng choces above, we wll contact you wth nformaton relevant to the operaton and mantenance of your account, ncludng updated nformaton about how we process your personal nformaton, by a varety of means ncludng va onlne bankng, moble bankng, emal, text message, post and/or telephone. If at any pont n the future you change your contact detals you should tell us promptly about those changes. Page 3 of 6
5. Authorsaton by the busness/organsaton Please ssue a RBS card to the person named n secton 2, who s authorsed by the company/organsaton to undertake card transactons as defned n the card Terms and Condtons. The company/organsaton agreed that t wll meet all expendture and other charges and nterest ncurred through the use of the card or n respect of transactons. Sgned n accordance wth the card programme Applcaton Form or as amended by prevously completed Amendment Forms. Authorsed sgnature(s) X Authorsed sgnature(s) X Name (ttle, frst name and surname) Name (ttle, frst name and surname) Date (DD/MM/YYYY) Date(DD/MM/YYYY) 6. Busness/Organsaton Checklst Have all relevant sectons been completed n full, e.g. full name detals? Have the persons authorsed to bnd your organsaton sgned secton 5? 7. What to do next Please check to ensure you have completed all relevant sectons of the Cardholder Applcaton Form, and once prnted make sure the agreement s sgned n secton 5. Then send the form electroncally to Commercal Card Operatons usng the approprate emal address: Applcaton.Forms@rbs.co.uk or f epcs: epcsaccountapplcatons@rbs.co.uk. Alternatvely you can send the form to RBS, Commercal Cards Dvson, Cards Customer Servces, PO Box 5747, Southend-on-Sea SS1 9AJ. Please retan a copy of the completed Cardholder Applcaton Form for your records. The Royal Bank of Scotland plc. Regstered n Scotland No. SC083026. Regstered Offce: 36 St Andrew Square, Ednburgh EH2 2YB. Authorsed by the Prudental Regulaton Authorty and regulated by the Page 4 of 6 Fnancal Conduct Authorty and the Prudental Regulaton Authorty No. 114724.
Addtonal nformaton The followng s ntended for reference as you complete the Cardholder Applcaton Form, f you need any help fllng out the form or have a queston, please ask your Relatonshp Manager. 2. Cardholder detals Ant-money launderng regulatons requre that we obtan certan nformaton, ncludng full name, date of brth, natonalty and resdental address of cardholders. 2. Cardholder's telephone number and emal address Falure to provde these detals may delay transacton authorsaton. 2. Securty Password Ths should be a memorable word that we can use to dentfy the cardholder by phone. 3. Card type Choose whch type of card s approprate for the cardholder. 3. Cash wthdrawal faclty Select whether the cardholder can use ther card to wthdraw cash. Please refer to RBS onecard, Corporate Card or Purchasng Card Charges sheet for cash wthdrawal fees. 3. Sngle transacton lmt Choose whether you requre a sngle transacton lmt for the cardholder. Where you do, please also provde us wth the lmt. Page 5 of 6
CUSTOMER TO RETAIN Important All cards ssued to the busness/organsaton are to be used for busness expendture only. Schedule 1 How we wll use and share cardholder nformaton How we wll use cardholder nformaton Please read the nformaton below whch explans how we and others wll use cardholder personal and fnancal nformaton durng ths applcaton process. Who we are The organsaton responsble for processng your nformaton s The Royal Bank of Scotland plc, a member of The Royal Bank of Scotland Group ( RBS ). How we wll use and share your nformaton (a) Credt reference and fraud preventon agences We may request nformaton about you from credt reference agences to help verfy your dentty. Ths request wll not affect your ablty to obtan credt (for example for a loan or credt card) n the future. In order to prevent and detect fraud and/or money launderng, the nformaton provded n ths applcaton may be checked wth fraud preventon agences. If fraud s dentfed or suspected detals may be recorded wth these agences to prevent fraud and money launderng. (b) Wth other RBS companes We and other RBS companes worldwde wll use the nformaton you supply n ths applcaton (and any nformaton we or other RBS companes may already hold about you) n connecton wth processng your applcaton and to assess your sutablty for our products. (c) Wth other thrd partes The nformaton provded n ths applcaton may be used for complance wth legal and regulatory screenng requrements, ncludng confrmng your elgblty to hold a UK bank account and sanctons screenng. We may be requred to dsclose certan nformaton to regulators, government bodes and smlar organsatons around the world, ncludng the name, address, tax number, account number(s), total gross amount of nterest pad or credted to the account and the balance or value of the account(s) of ts customers to HM Revenue and Customs ( HMRC ). HMRC may exchange ths nformaton wth other countres tax authortes. Communcatons about your account We wll contact you wth nformaton relevant to the operaton and mantenance of your account, ncludng updated nformaton about how we process your personal nformaton, by a varety of means ncludng va onlne bankng, moble bankng, emal, text message, post and/or telephone. If at any pont n the future you change your contact detals you should tell us promptly about those changes. Page 6 of 6