Standard Account Opening Form For Non ROI EU Residents Postal Applications only Help for what matters Call us on +44 2890 538267 Log on to www.ulsterbank.ie
Opening your account by post When completing your application via post it is important that all documentation provided is correct and properly certified, signed and dated to ensure that we can provide an efficient service for you. When opening an account with us, we want to make sure that you receive outstanding customer service. Therefore, as part of our aim to protect existing and potential customers from the risks of fraud and to ensure that we comply with our Regulatory obligations, there is a requirement to verify applicants for ALL new accounts that are opened. This applies to both new and existing customers. *Documents required: Correct and properly certified documentation must be provided in accordance with the guidance notes below. Confirmation of identity we can accept a certified copy of one of the following documents. Ensure (where applicable) the customer identification copy contains your name, signature (passport and Driving Licence), DOB, expiry date, photograph, document identification number (MRZ Code) and be valid as at date of presentation: Current, valid full passport Internal or domestic Russian passports are not acceptable as proof of identity. EU Driving Licence. National identity card (this excludes cards issued by the United Kingdom). Confirmation of address we can accept any one of the following certified documents which must include your full name or initials and surname. Current Utility bill less than 6 months old and must not be first or final bill (electricity, water, gas, landline telephone, council tax or rates) Mobile phone bills are not acceptable. Bank, Building Society or Credit Card statement, must be less than 6 months old. Mortgage statements must be no more than twelve months old. (Statements and bills from Ulster Bank are not accepted e.g. credit card or mortgage statements). EU Driving Licence valid at time of presentation and confirming EU residential address (NB must not have been used for confirmation of identity). If you can t provide the preferred documents as outlined, please contact us on +44 2890 538267 to discuss what sort of documents you can provide that may be acceptable to us. Certification Requirements all documents provided confirming identity and address must be certified. The following are acceptable certifiers: A lawyer or notary public who is a member of a professional body, evidence of which can be obtained from a law society or bar association site; or An accountant who is member of a recognised professional body. Please ensure that the authentication on your copied identification clearly states I certify that this is a true copy of the original document. Details may be on more than 1 page of the identity document, please ensure all relevant pages are copied and certified. Where certification is provided on separate paperwork to the copy, then suitable reference must be recorded on the paperwork to link the two together. For example, on a letter confirming authenticity of an attached copy of a Passport/National Identity Card/Driving Licence, the number of the document must be quoted. Please ensure certification provided is in English. The certifier must complete the below table: Certifier s name: Certifier s position: Certifier s Registration No. and Regulatory Body: Certifier s signature: Date: Affix Company Stamp (including Company address): * These documents must be the most recent that you have received and not more than six months old (not more than twelve months old if a Mortgage statement).
Standard Account Opening Form Important Information Please read this disclosure. Before opening an account for you it is important for us to find out more about you and your needs and goals. Any information provided by us to you to help support solutions for those needs and goals will be provided on a non-advice basis. Please review our website to view our range of accounts and information such as features, benefits, restrictions and fees on these accounts. This information is also outlined in our brochures which are available to view online on our website. Please confirm that you have printed and/or saved a copy of the following documents: Terms of Business A Guide to Credit Scoring A Guide to Our Personal Accounts A Guide to Personal Accounts Fees and Interest Current Account and Switching (where relevant) Personal Banking Terms and Conditions How we will use your information Before continuing with this application, please read the information below which explains how we and others will use your personal and financial information during this application process. For full details about how we use the personal and financial information of our customers, please see our Terms. Who we are The organisation responsible for processing your personal and financial information is Ulster Bank Ireland DAC, a member of The Royal Bank of Scotland Group ( RBS ). I/We would like to open a: Sole account Joint account I/We would like to apply for a: Standard MAIN APPLICANT DETAILS Fields marked with * are mandatory and must be completed in full to enable swift completion of the account opening process. Personal details main applicant complete in full using information as it appears on the documents provided. Initials in place of full name are not acceptable. Are you an existing Ulster Bank customer? Yes No *If Yes, please provide IBAN BIC Title* Mr Mrs Miss Ms Other (please state) First name* Middle name(s)* Surname* Are you known by any other name? Yes No Please state any other Name you are known by (e.g. alias name). (Mandatory if answered Yes ) Other known First name Other known Middle name(s) Page 1 of 12 16450531
Other known Second name(s) Date of birth* (eg 21062005) Gender* Male Female Relationship Status* Single Divorced/dissolved Widowed/surviving civil partner Married/living with partner/in civil partnership Number of dependants* House Number/Name* Flat Number* Street* Town/City* County* Country where you live* When did you start living at this address?* *If less than 3 years, please provide previous address House Number/Name* Flat Number* Street* Town/City* County* Country* If you are not a permanent resident of the Republic of Ireland, but are living here, please provide your address House Number/Name* Flat Number* Street* Town/City* County* Country* Country of Birth* Town of Birth* Residential status* Home owner Renting Living with parents Other Page 2 of 12
Country of Nationality* Are you a National/Citizen of any other country?* Yes No If Yes please state Country Country Country Country Do you hold more than 5 Citizenships/Nationalities?* Yes No PPS No. PPS No. Personal Public Service Number used for Irish tax identification purposes. Memorable Word Please choose a memorable word of no more than 15 characters. This may be used to confirm certain transactions. Tax details In which country are you tax resident?* What is your tax number/social security number?* Are you tax resident in other countries?* Yes No If Yes list here and provide your tax identification number (TIN)/social security number.* If your country of tax residency does not issue a TIN please initial to indicate* TIN Country Tax Number/TIN not Issued Are you tax resident in more than 10 Countries?* Yes No Page 3 of 12
Contact details Email address * Mobile phone number * Home phone number Work phone number If we hold any contact details for you, we may use this to communicate service-related information to you and in particular, we may alert you to any concerns we may have about activity on your account. Your Occupation/Income details* What is your Occupation?* What is your main source of income? (Please select the option that best describes how your income is generated.) Basic salary (Employed) Other income (Employed) Pension (Employed) Basic salary (Self Employed) Other Income (Self Employed) Pension (Self Employed) Benefits Rental Income No Income Source of Wealth* Please select the option that best describes how you have acquired your wealth: Sale of shares Property sales Investments/Maturing investments Policy claims Compensation payments Lottery/Betting/Casino win Inheritance Company sale Loan Gift High value goods/jewellery/ specialist car/boat Sale of land Self Employed/Drawings/Salary Dividends/Stocks and shares Other If Other please specify Nature and Purpose* Please select the option that best describes the nature and purpose of the account: General Living Expenses Additional Account Savings Regular Savings Holiday Savings and Expenses Property/Rental Income Financial details Net monthly income after tax and PRSI (i.e. your take-home pay, as well as all other income),. a month How often are you paid? Monthly Fortnightly Weekly Other Not applicable How are you paid? Into Ulster Bank account Into other bank account Cheque Cash Other Not applicable How many credit cards do you have? Have you declared bankruptcy in the last 6 years? Yes No Page 4 of 12
*If Yes. Are you a discharged bankrupt? Yes No Have you shown us proof? Yes No If this is a sole account please progress to page 8 of the application form. JOINT APPLICANT DETAILS Fields marked with * are mandatory and must be completed in full to enable swift completion of the account opening process. Personal details joint applicant complete in full using information as it appears on the documents provided. Initials in place of full name are not acceptable. Title* Mr Mrs Miss Ms Other First name* (please state) Middle name(s)* Surname* Are you known by any other name? Yes No Please state any other Name you are known by (e.g. alias name). (Mandatory if answered Yes ) Other known First name Other known Middle name(s) Other known Second name(s) Date of birth* (eg 21062005) Gender* Male Female Relationship Status* Single Divorced/dissolved Widowed/surviving civil partner Married/living with partner/in civil partnership Number of dependants* House Number/Name* Flat Number* Street* Town/City* County* Country where you live* When did you start living at this address?* *If less than 3 years, please provide previous address House Number/Name* Flat Number* Street* Page 5 of 12
Town/City* County* Country* If you are not a permanent resident of the Republic of Ireland, but are living here, please provide your permanent address House Number/Name* Flat Number* Street* Town/City* County* Country* Country of Birth* Town of Birth* Residential status* Home owner Renting Living with parents Other Country of Nationality* Are you a National/Citizen of any other country* Yes No If Yes please state Country Country Country Country Do you hold more than 5 Citizenships/Nationalities?* Yes No PPS No. PPS No. Personal Public Service Number used for Irish tax identification purposes. Memorable Word Please choose a memorable word of no more than 15 characters. This may be used to confirm certain transactions. Tax details In which country are you tax resident?* What is your tax number/social security number?* Are you tax resident in other countries?* Yes No If Yes list here and provide your tax identification number (TIN)/social security number.* If your country of tax residency does not issue a TIN please initial to indicate* Page 6 of 12
TIN Country Tax Number/TIN not Issued Are you tax resident in more than 10 Countries?* Yes No Contact details Email address * Mobile phone Number * Home phone Number Work phone Number If we hold any contact details for you, we may use this to communicate service-related information to you and in particular, we may alert you to any concerns we may have about activity on your account. Your Occupation/Income details* What is your Occupation?* What is your main source of income? (Please select the option that best describes how your income is generated.) Basic salary (Employed) Other income (Employed) Pension (Employed) Basic salary (Self Employed) Other Income (Self Employed) Pension (Self Employed) Benefits Rental Income No Income Source of Wealth* Please select the option that best describes how you have acquired your wealth Sale of shares Property sales Investments/Maturing investments Policy claims Compensation payments Lottery/Betting/Casino win Inheritance Company sale Loan Gift High value goods/jewellery/ specialist car/boat Sale of land Self Employed/Drawings/Salary Dividends/Stocks and shares Other If Other please specify Page 7 of 12
Nature and Purpose* Please select the option that best describes the nature and purpose of the account: General Living Expenses Additional Account Savings Regular Savings Holiday Savings and Expenses Property/Rental Income Financial details Net monthly income after tax and PRSI (i.e. your take-home pay, as well as all other income),. a month How often are you paid? Monthly Fortnightly Weekly Other Not applicable How are you paid? Into Ulster Bank account Into other bank account Cheque Cash Other Not applicable How many credit cards do you have? Have you declared bankruptcy in the last 6 years? Yes No *If Yes. Are you a discharged bankrupt? Yes No Have you shown us proof? Yes No Banking Choices I want to open an account at (Insert Account Holding branch name) Branch sort code (Insert Account Holding Sort Code) Card details Main Applicant Name to appear on card Card narrative Joint Applicant Name to appear on card Card narrative Other financial details (Both if joint account) Savings and assets Total savings balance,, Total balance of investments (for example, shares, bonds),, Other assets (for example, value of car),, Other monthly income (for example, child benefits, bonus payments, share dividends.),, Page 8 of 12
Borrowing (Not including mortgages) Do you have any borrowing? Yes No Total loans you owe,, Total monthly loan repayments with us (if applicable),, Total monthly loan repayments with other lenders (if applicable),, Balance of all credit cards (if applicable),, Property Are you a home owner? Yes No *If Yes Present property value (if applicable),, Mortgage outstanding (if applicable),, Monthly mortgage or rent (if applicable),, Monthly rates,, Do you own any other properties? Yes No *If Yes Present value of additional properties,, Mortgage outstanding on additional properties (if applicable),, Your Account Preferences How would you like to receive your bank statements? Online Post Activity Alerts Let me know when activity has taken place on my account by text Yes No Balance alerts Let me know. My balance every week on (Mon/Tues/Wed/Thurs/Fri/Sat/Sun) between (8am 12pm / 2pm 6pm) (Please circle preferred options) by text When my morning balance drops below,, (please insert value) by text When my morning balance rises above,, My balance and mini statement when I text 60627 for it (please insert value) by text Do you have a disability you wish to tell us about? Yes No If you have answered Yes and you have special needs you would like us to know about, please complete the Equal Status Act Customer Consent Form included in this application form. How we will use and share your information (a) Credit reference and fraud prevention agencies We may request information about you from credit reference agencies to help verify your identity, and to check your credit status to help assess what product you are most suitable for and/or your ability to repay any credit. Those agencies may keep a record of our request(s) and this may affect your ability to obtain credit elsewhere. Further information about the credit reference agencies can be obtained from the Irish Credit Bureau (www.icb.ie). Application decisions may be taken based on solely automated checks of information from credit reference agencies and internal RBS records. Page 9 of 12
In order to prevent and detect fraud and/or money laundering, the information provided in this application may be checked with fraud prevention agencies. If fraud is identified or suspected details may be recorded with these agencies to prevent fraud and money laundering. (b) With other RBS companies We and other RBS companies worldwide will use the information you supply in this application (and any information we or other RBS companies may already hold about you) in connection with processing your application and assess your suitability for our products. If your application is declined we will keep your information for as long as it is required by us or other RBS companies in order to comply with legal regulatory requirements. We and other RBS companies may use your information in order to improve the relevance of our products and marketing. (c) With other third parties The information provided in this application may be used for compliance with legal and regulatory screening requirements, including confirming your eligibility to hold a bank account and sanctions screening. We may be required to disclose certain information to regulators, government bodies and similar organisations, including the name, address, tax number, account number(s), total gross amount of interest paid or credited to the account and the balance or value of the account(s) of our customers to the Office of the Revenue Commissioners. The Office of the Revenue Commissioners may exchange this information with other countries tax authorities. Giving your consent By continuing with this application, you agree that we may use your information in the ways described above and are happy to proceed. Marketing information RBS would like to keep you informed about products, services and offers that we believe may be of interest to you. If you would prefer not to receive this information by any or all of the methods below, please place a cross in the relevant boxes (if you leave these boxes blank we will assume that you are happy to be contacted by these methods): Letter Email Phone Text RBS will not share your information with third parties for their own marketing purposes. Communications about your account Notwithstanding your marketing choices above, we will contact you with information relevant to the operation and maintenance of your account by a variety of means including online banking, mobile banking, email, text message, post and/or telephone. Your right to cancel If you are not happy with your choice of account, you may cancel it within 14 days of receipt of your account number by confirming your decision in writing addressed to your branch. If you do so we will give you all your money back with any interest it has earned. We will ignore any notice period and any extra charges. Your Confirmation Declaration and signature(s) 1. I /We have read, accept and hold a copy of the Terms and Conditions of the account for which I/we have applied and confirm that the information given above is true and accurate. 2. I/We confirm that I/we have read and understood the leaflet Terms of Business. 3. I/We confirm that we have received a copy of the relevant account opening brochures Current Accounts, A Guide to Personal Accounts, A Guide to Personal Accounts Fees and Interest, A Guide to Credit Scoring, Current Accounts and Switching (where relevant). 4. I/We authorise you to use any documentation in respect of my/our application for money laundering prevention purposes. 5. I/We confirm that I/we am/are resident in Ireland for tax purposes (if applicable). 6. I/We understand that you may decline this application without giving any reason. 7. I/We will inform you if any of my/our circumstances change. 8. I/We have received the Deposit Guarantee Scheme Depositor Information Sheet. Applicant 1 (sole applicant) Applicant 2 (joint applicant) Page 10 of 12
For accounts in joint names only We request and authorise you: To withdraw funds from the account in our names with cheques or other withdrawals signed by either or the survivor of us. To release items held in security or safe custody on the written instructions of either or the survivor of us. Subject to any right, mortgage, charge, lien or claim you may have on the death of any one of us, to hold the balance of the account(s) to order of the survivor or survivors of us, or to the order of the Personal Representative(s) of the last survivor. Your Product Choice I/We am/are aware of the range of accounts that are available to me/us including fee and non-fee paying accounts (where appropriate). I/We am/are happy to open the account as it meets my/our needs. I/We confirm that I/we have considered the facts provided and have taken into account the product information. I/We confirm that the features and benefits of the account have been explained to me and I/we have made an informed decision that the product(s) selected meets my/our needs. Consent to Contact (Please complete this section if you are applying for an overdraft) I/ We hereby consent to the Bank and its authorised Agents visiting or telephoning me at my place of work or at any other place at any time for the purpose of this Agreement. Main Applicant Consent YES/NO (delete as appropriate) Joint Applicant Consent YES/NO (delete as appropriate) Customer signature(s) Sole applicant Joint applicant Name Date Name Date Centre to complete Current IBAN BIC Is this a resubmitted customer specimen signature? Yes No Sole customer CIN Joint customer CIN Is the R or V marker present? Yes No If No, undertake KYC process For joint applications, if both are required to sign, Joint Account Mandate attached Industrial code Institutional code Overseas resident NOR Lead SRN R85 Seller SRN Portfolio code Ulster Bank Ireland DAC. A private company limited by shares, trading as Ulster Bank, Ulster Bank Group, Banc Uladh and Lombard. Registered in Republic of Ireland. Registered No. 25766. Registered Office: Ulster Bank Group Centre, George s Quay, Dublin 2, D02 VR98. Ulster Bank Ireland DAC is regulated by the Central Bank of Ireland. Calls may be recorded. Page 11 of 12
Equal Status Act Customer Consent Form Please complete this form in BLOCK CAPITALS and in black ink We would like to offer you access to the products and services provided by the Bank. If there are any special needs you would like the Bank to know about, please complete this form. This information will be used to help us provide you with a banking service and will not be used for marketing purposes. 1. Account details Account name Customer account number Sort code 01 Visually Impaired 07 Dexterity Impaired 02 Hearing Impaired 08 Learning Impaired 03 Wheelchair User 09 Dyslexia 04 Mobility Impaired 10 Multiple Sclerosis 05 Speech Impaired 11 Miscellaneous (Please specify below) 06 Mentally Impaired 12 More than 1 Impairment I am a Typetalk user I am happy to be contacted using Typetalk please contact me on the following telephone number Additional comments (up to 78 characters) 2. Customer confirmation I agree that the Bank and any other RBS Group company from whom I obtain products and services may record this information against my customer records to assist them in providing their products and services to me. I also agree that they may share the information with any other Group company if they are or become aware that I am applying for or obtaining any products and services from any other Group company. Customer signature Name Date Ulster Bank Ireland DAC. A private company limited by shares, trading as Ulster Bank, Ulster Bank Group, Banc Uladh and Lombard. Registered in Republic of Ireland. Registered No. 25766. Registered Office: Ulster Bank Group Centre, George s Quay, Dublin 2, D02 VR98. Ulster Bank Ireland DAC is regulated by the Central Bank of Ireland. Calls may be recorded. Page 12 of 12 16960371
Your checklist Please fill in this form and post it along with your proof of identity and address to: Ulster Bank Account Opening RCO, Danesfort Stranmillis Road Belfast BT9 5UB Northern Ireland As part of our aim to protect existing and potential customers from the risks of fraud and to reduce, as far as possible the instances of money laundering, we must check the identity of ALL new accounts that are opened. The proof of identity and address you need to open an account with Ulster Bank (New Customers) has been provided to you on the inside cover of this form. If you can t provide the preferred documents as outlined, please contact us on +44 2890 538267 to discuss what sort of documents you can provide that may be acceptable to us. If you have a current account with another bank or building society, we may need to see additional documents. For a full listing of documents which we accept, please visit our website www.ulsterbank.ie. What happens when we accept your application? If we agree your application, we will open your account and send you the following (separately) within 10 working days: A debitcard/servicecard Your Personal Identification Number (PIN) (if this applies) Registration details for Anytime, Internet and Telephone Banking Help for what matters Can we help you with your application? Call us on +44 2890 538267 Log on to www.ulsterbank.ie Ulster Bank Ireland DAC. A private company limited by shares, trading as Ulster Bank, Ulster Bank Group, Banc Uladh and Lombard. Registered in Republic of Ireland. Registered No. 25766. Registered Office: Ulster Bank Group Centre, George s Quay, Dublin 2, D02 VR98. Ulster Bank Ireland DAC is regulated by the Central Bank of Ireland. Calls may be recorded. ULS96417RI September 2016