Charity deposit account application form

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Charity deposit account application form For deposits made by or on behalf of UK or national charities only. Please complete the relevant sections using BLACK INK and BLOCK CAPITALS. Maximum authorised signatory is three persons. Account details Name of charity Nature of charity (please give a brief description of the charity s work) What type of charity entity Charitable Incorporated Charitable company Unincorporated association Trust Organisation (CIO) (limited by guarantee) Main countries of operation Other Charity Registration Number (if applicable) What is your charity s Standard Industrial Classification (SIC) Code? If you don t know this, a full list can be found on Companies House website (www.companieshouse.gov.uk) Company Registration Number (if applicable) HMRC charity reference number (if applicable you must provide the letter confirming your HMRC charity reference number) Date the charity was registered/incorporated Correspondence address Registered office address Where do you expect deposits/payments to come from? Donations Fundraising Legacies Campaigns Public bodies Grants Sales Other Annual turnover of the charity Balance sheet total for last financial year Number of persons with significant control (directors/members/trustees) Contact phone number (inc. area code) Email address (if applicable)

Personal details Please provide the personal details of any persons with a significant control within the charity (named as signatory or not). If you have more than three persons with a significant control, please complete the attached continuation form. 1st Trustee Authorised signatory Person with significant control If any trustees answer, please complete the Charity self-certification tax declaration form. 2nd Trustee Account, Authorised signatory Person with significant control

If any trustees answer, please complete the Charity self-certification tax declaration form. Account, 3rd Trustee Authorised signatory Person with significant control If any trustees answer, please complete the Charity self-certification tax declaration form. How will you be opening the account? Account, Please insert the issue you wish to apply for By cheque By transfer from an existing Virgin Money account. Please make cheques payable to Virgin Money plc for the account of (insert account holder name(s)) and crossed A/c Payee only. (Please ensure that the passbook, if applicable, is enclosed). Please confirm the amount account number Please confirm the transfer amount (To transfer full write balance, TO CLOSE ) Any closing interest will normally be added to the transfer amount. Alternatively, place a 3 inside this box to receive your closing interest by cheque. The terms and conditions, any notice period, charge or other withdrawal restrictions relating to your existing account will apply.

How do you want the interest to be paid? Added to the account To another Virgin Money Charity account Please provide details of the Virgin Money Charity account To another bank or building society account Sort code Bank/Building society name Account number Branch Payee s name Reference (where applicable) Please read the declarations on the back page before signing this application (all trustees must sign the form). Please confirm the number of trustee signatures required to withdraw, amend or transfer on each occasion (must be a minimum of two trustees). If you have more than three you will need to fill this out on a continuation form, as mentioned above. 1st Trustee 2nd Trustee 3rd Trustee Date signed Date signed Date signed How we use your personal information Here s a summary of how your information may be used and shared by Virgin Money plc. You can find full details on our website at virginmoney.com/privacy or by visiting any of our Stores. Using your information The personal information you give us, or that we collect or create, will be used in a number of ways throughout the time you re a Virgin Money customer. We ll use it to: Check your identity and eligibility for this account. Manage your account and your relationship with us. Prevent financial crime and the funding of terrorism. Improve our services and computer systems. Identify other products and services that you may find useful. (But we ll only contact you if you re happy to hear from us.) Manage and organise our business. The information we ask for when you apply for this account is used to: Check your identity and eligibility for this account. Manage your account and relationship with us. Prevent financial crime and the funding of terrorism. You don t have to give us any of this information but if you don t provide all of it, we won t be able to deal with your application.

Sharing your information When you apply for this account we will share your information with credit reference agencies to check your identity. We ll also regularly share your information with fraud prevention agencies to prevent and detect fraud and other financial crime. They may link your information to the information of a joint applicant, spouse or other financial associates. Where we need to, we ll share information with UK or overseas tax authorities. We may also share information within the Virgin Money group of companies or with our commercial partners. Some information will be held and used outside the European Economic Area (EEA). For details of the credit reference and fraud prevention agencies we use and the companies in the Virgin Money group, please see our website at virginmoney.com/privacy or visit any of our Stores. Holding your information and your rights We ll hold your information for as long as necessary to manage your relationship with us and to meet our legal and regulatory obligations. You can always ask for a copy of any information we hold about you. And if you spot any errors, we ll correct them. You may also be able to ask us for some or all of your information to be deleted, or to limit the way we use it. Full details of all of your rights can be found on our website at virginmoney.com/privacy or by visiting any of our Stores. If you re unhappy with the way we re using your information, please talk to us so we can try to sort it out. If this doesn t fix it, you can write to our Data Protection Officer at Virgin Money plc, Jubilee House, Gosforth, Newcastle upon Tyne, NE3 4PL or contact the Information Commissioners Office (ICO). The ICO is the UK s independent body set up to make sure organisations handle your information correctly. You ll find further details, including how to contact the ICO at ico.org.uk You declare that you are entitled to disclose information about all joint applicants and/or anyone else referred to by you and authorise us to search, link and/or record information at credit reference agencies about you and anyone else referred to by you Declarations 1. We declare that the information contained within this form is true. If false or inaccurate information is provided and fraud is identified, details will be shared with fraud prevention agencies and this information may be accessed and used by law enforcement to prevent fraud and money laundering. 2. UK Residency. We hereby declare that the applicants and/or trustees are permanent UK residents, subject to UK tax legislation (Channel Islands and Isle of Man excluded) and we undertake to advise Virgin Money of any changes in this status. 3. We certify that the persons named have authority to operate the account in accordance with the signature instructions provided. 4. We have read and agree to be bound by the Charity Terms and Conditions. 5. We declare that the above named investor is exempt from taxation as a charitable company or charitable trust, as defined in paragraph 1, schedule 6 of the Finance Act 2010. We hereby undertake that, if the taxation status of the investor should change, Virgin Money will be notified of the fact without delay. 6. We declare that the above named investor is a UK/national-based charity. Financial Services Compensation Scheme (FSCS) declaration We have received and read the Financial Services Compensation Scheme booklet which contains an Information sheet and Exclusions list and provides details of the protection provided by the FSCS. Please sign below to confirm you have read and agree to the Using your personal information and Declaration sections. Signed Date signed (Only 1 Signatory required. All trustees are bound by the Charity Terms and Conditions.)

Full name and address of person signing declaration Capacity in which signed NB. This form should be signed as follows: i. Where the investor is a charitable trust by a trustee or by a person authorised to sign by the signatory. ii. Where the investor is a body corporate or an unincorporated association by a director, secretary, treasurer or other officer acting in such a capacity by whatever name called, or by a person authorised to sign by the directors or by the managing body. iii. If the person signing the declaration is acting in a professional capacity, they should put their firm s address otherwise the Signatory s principal residential address should be shown. Office use only Nature of business to SIC Code validation SIC Code completed/applied Tax details completed Verified by Date Virgin Money plc Registered in England and Wales (Company No. 6952311). Registered Office Jubilee House, Gosforth, Newcastle upon Tyne NE3 4PL. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority VMP240V14 (Valid from 06.04.18)

Charity deposit account continuation form Please complete the following if you have more than three persons with significant control within your charity. 4th Trustee/Person with significant control If any trustees answer, please complete the Charity self-certification tax declaration form. 5th Trustee/Person with significant control

If any trustees answer, please complete the Charity self-certification tax declaration form. 6th Trustee/Person with significant control If any trustees answer, please complete the Charity self-certification tax declaration form. 7th Trustee/Person with significant control

If any trustees answer, please complete the Charity self-certification tax declaration form. 8th Trustee/Person with significant control If any trustees answer, please complete the Charity self-certification tax declaration form.

9th Trustee/Person with significant control If any trustees answer, please complete the Charity self-certification tax declaration form. Virgin Money plc Registered in England and Wales (Company No. 6952311). Registered Office Jubilee House, Gosforth, Newcastle upon Tyne NE3 4PL. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority VMP240V14 (Valid from 06.04.18)