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For Office Use :

(International) Limited CUST ID:

(Authorised by the Prudential Regulation Authority and regulated by the


Financial Conduct Authority and the Prudential Regulation Authority) ACCOUNT NO.:
Account Opening Form
For Company
(Please mark (tick) wherever applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Branch
Type Of Account
Purpose of Opening the Account
Current Real Estate
Day -to-day transactions
Receipts and Payments, Standing Orders & Direct debits Loans Other (pl. specify)
Savings and Investments
Other (give details) Currency of the Account GBP USD EUR
Account Details
Name of the Company (Account name)

Date of Incorporation Country of Incorporation Registration Number

Nature of Business

Is the Entity a charity? YES NO


If so, is the charity registered? YES NO Charity Registration Number
Name of Settlor (if any)
Name of all Trustees (if different from signatories)
Name Date of Birth Country of Residence

Name or classes of beneficiaries


Name Date of Birth Country of Residence

Source of funds for the account

Is the firm listed? YES NO


Is the firm regulated? YES NO
If yes, please provide country of listing and / or country to whose law subject to

Country(s) of Operation

Current Correspondence Address Registered Address (only if different to current)

Post Code Post Code

Telephone Number 1 Telephone Number 2 Fax Number

E-mail Address
Requirements
Cheque book (Only for GBP A/C”s) Internet Banking (View Only)
YES NO YES NO

Statement Frequency
Monthly Yearly Debit Card*
*Please fill the annexure(D)

Personal Details (Authorised Signatory 1) Personal Details (Authorised Signatory 2)

Title Mr. Mrs. Miss Title Mr. Mrs. Miss

Dr. Other Dr. Other

First Name First Name

Middle Name Middle Name

Surname Surname

Current Address Current Address

Residing Since M M Y Y Y Y Residing Since M M Y Y Y Y

Post Code Post Code

Country Country

Passport/DVLANo Passport/DVLANo

Citizenship Citizenship

Date of Birth D D M M Y Y Y Y Date of Birth D D M M Y Y Y Y

Home Tele No Home Tele No

Mobile No Mobile No

E-mail Address E-mail Address

Post Code Post Code

Country Country
Position held in Position held in
the Company the Company

SIGNATORY 1 SIGNATORY 1

Signature Date Signature Date


Personal Details (Authorised Signatory 3) Personal Details (Authorised Signatory 4)

Title Mr. Mrs. Miss Title Mr. Mrs. Miss

Dr. Other Dr. Other

First Name First Name

Middle Name Middle Name

Surname Surname

Current Address Current Address

Residing Since M M Y Y Y Y Residing Since M M Y Y Y Y

Post Code Post Code

Country Country

Passport/DVLANo Passport/DVLANo

Citizenship Citizenship

Date of Birth D D M M Y Y Y Y Date of Birth D D M M Y Y Y Y

Home Tele No Home Tele No

Mobile No Mobile No

E-mail Address E-mail Address

Post Code Post Code

Country Country
Position held in Position held in
the Company the Company

SIGNATORY 1 SIGNATORY 1

Signature Date Signature Date


General Agreement
I/We request the Punjab National Bank (International) Limited (the “Bank”) to open the account in the above names and information.
I/We declare that the above information is true and correct to the best of my/our knowledge.
I/We agree that any new account opened immediately or on a future date will be subject to the PNBIL Account Terms and Conditions (available on our website)
and as amended from time to time.
I/We undertake that I/we will not claim any interest on any of our Term deposit/s made from time to time after the maturity date unless and until we have made a
specific request to renew the deposit.
I/We agree to comply with the Bank’s rules with regard to the conduct of the accounts. I/We resolve to provide to the Bank in writing any changes in personal
details or circumstances that may change from time to time.
I/We acknowledge that the issue and usage of debit/ATM card (the “Card”) is governed by the PNBIL Account Terms and Conditions (available on our website)
and as amended from time to time. In the event that I/we do not agree to any of the modified terms and conditions I/we will surrender the debit/ATM card to the
Bank and shall cut into and through the magnetic strip. I/We authorize the Bank to debit my/our account to the amount drawn under the Card and for the fees
and charges for the use of the Card.
I/We abide by the rules governing the usage of the Bank’s Internet and Telephone banking and also undertake to ratify and confirm all that the user/s do/es or
cause/s to do through these facilities. This undertaking should continue to be valid until and unless I/We revoke it by written notice to you.
I understand that the data provided by us or already in the Punjab National Bank (International) Limited’s (“PNBIL” or “the Bank”) records will be provided to the Back
Office of PNBIL in India for processing and may be communicated to the Bank’s corporate office in India who may, for regulatory or statistical purposes, provide
information to the Indian Regulatory Authorities.
A full explanation of how the Bank uses your personal information and how it is shared is set out in our ‘Privacy Policy’ a copy of which is available on our website
www.pnbint.com.
(1) When you apply to us to open an account, PNB(I)L will check the following records about you:
• Our own;
• Personal and business records at credit reference agencias (CRAs). When CRAs receive a search from us the will place a
search footprint on your credit file that may be seen by other lenders. They supply to us both public (including the electoral
register) and shared credit and fraud prevention information.
• Those at fraud prevention agencies (FPAs).
• If you are a director, we will seek confirmation, from credit reference agencies, that the residential address that you provide is the
same as that shown on the restricted register of directors’ usual addresses at Companies House.
We will make checks to assess your application, verify your identity, to prevent and detect crime and money laundering. We may also make
periodic searches at CRAs and FPAs to manage your account with us.
(2) Information on applications will be sent to CRAs and will be recorded by them. Including information on your business and its proprietors
and CRAs may create a record of the name and address of your business and its proprietors if there is not one already.
(3) If you give us false or inaccurate information and we suspect or identify fraud we will record this and may also pass this information to
FPAs and other organisations involved in crime and fraud prevention.
(4) We and other organisations may access and use from other countris the information recorded by fraud prevention agencies.
(5) Your data may also be used for other purposes for which you give your specific permission or, in very limited circumstances, when
required by law or where premitted under the terms of the data protection legislation.
The CRAs have published an information notice that explains how they use your personal data. This notice (referred to as “CRAIN”) can be found here:
www.equifax.co.uk/crain.
You can contact the CRAs currently operating in the UK; the information they hold may not be the same so it is worth contacting them all.
CallCredit, Consumer Services Team, PO Box 491, Leeds, LS3 1WZ or call 0870 0601414
Equifax PLC, Credit File Advice Centre, PO Box 3001, Bradford, BD1 5US or call 0870 010 0583 or log on to www.mvecuifax.co.uk/
Experian, Consumer Help Service, PO Box 8000, Nottingham NG80 7WF or call 0844 4818000 or log on to www.experian.co.uk/
By signing below, I/we agree that I/we have read and understood this General Agreement.
Marketing Consent
The Bank will send you information by post or email about the Bank’s other products and services that we think might be of interest to you from time to time. If you
would prefer to not receive this marketing information please tick here:
I/We declare that I/We have read and understood the PNBIL Account Terms and Conditions and agree to abide by them.
ACCOUNT HOLDER HEREBY UNDERTAKES TO NOTIFY CHANGE OF ADDRESS TO THE BANK AS SOON AS POSSIBLE

Account will be operated by (strike whichever is applicable)

Either or Survivors Jointly by Two Jointly by All Any one or Survivors

AUTHORISED SIGNATURE 1 AUTHORISED SIGNATURE 2

Signature Date Signature Date

AUTHORISED SIGNATURE 3 AUTHORISED SIGNATURE 4

Signature Date Signature Date


Names and shareholding of all shareholders (In case of Private Companies)

Name Date of Birth Country of Residence Shareholding Percentage

Names of Ultimate Beneficial Owners and Shareholding (if applicable)

Name Date of Birth Country of Residence Shareholding Percentage

If unable to verify Ultimate Beneficial Owner, prodive details of senior persons (if applicable)

Name Date of Birth Country of Residence Shareholding Percentage


Draft Letter of Resolution passed by The Board to Open Account with PNBIL
To Punjab National Bank (International) Ltd
We hereby certify that a resolution of the Board of Directors of ........................................... Company, Limited was passed at a meeting of
the Board duly convened and held on the ............................ and has been duly recorded in the minutes book of the said Company.
It was resolved that:
Punjab National Bank (international) Ltd {the Bank’) be appointed the Bankers of the Company, regarding the Company accounts: the
bank is here by authorized and requested to open Bank Accounts in the name of the Company and:-
To honor and comply with all Cheques, Drafts, Bills of Exchange, Promissory notes, Acceptances, Negotiable instruments and orders
expressed to be drawn accepted made or given on behalf of this Company at any time or times whether the banking account or accounts
of this company are overdrawn or any overdraft is increased by any payment thereof or in relation thereto or are in credit or otherwise
but without prejudice to the Bank’s right to refuse to allow any overdraft or in of overdraft.
To honor and comply with all instructions to deliver or dispose of any securities or documents or property held by the bank on behalf of
the company; to hold the company liable on all agreements and indemnities in connection with the issue of letter of credit, drafts, and
telegraphic/electronic transfers and with all banking transactions. Provided any such Cheques, Drafts. Bills of Exchange, Promissory
notes, Acceptances, Negotiable instruments and orders instructions agreements and indemnities are signed by the persons holding the
under mentioned offices for the time being.
To treat all Cheques, Drafts, Bills of Exchange, Promissory notes, Acceptances, Negotiable instruments and orders as being endorsed on
behalf of the company and to discount or otherwise deal with them provided such endorsements purport to be signed by
..................................................................................................................................................................................................................................
To cancel all existing mandates (if any in force at the date hereof with regard to the Company’s said Account(s) which mandates are
hereby terminated.
Provided that all authorities. instructions, instruments and transactions authenticated in accordance with any existing mandate and
purporting to have been given, made issued or entered into prier to receipt by Punjab National Bank (International) Ltd of notice of this
resolution shall have effect as between the company and Punjab National Bank (International) Ltd as though this resolution had never been
passed.
A list of the names and specimen signatures of the persons at present authorised to sign under this resolution be furnished to the Bank.
The foregoing mandate and list of names remain in force until receipt by the Bank of a duly certified copy of resolution rescinding or
amending the same.
The Bank be and is by this resolution authorised to provide the Company’s auditors from the time being and from time to time with such
information as the Company’s auditors may request from time to time until notice in writing to the contrary is received by the Bank.
The Company agrees to provide to the Bank in writing any changes in details or circumstances that may change from time to time.
The Company Secretary shall, as and when necessary, supply to the Bank a list of the current directors and, if applicable, other officials
authorised to in with specimen signatures and the Bank may on such lists signed by the Secretary.
The Company agrees that it will not claim any interest on any of its Term deposit/s made from time to time after the maturity date unless
and until the Company made specific request to renew the deposit.
The Company hereby confirms that none of the directors are or have been disqualified under the Company Directors Disqualification Act
1986 or any similar overseas legislation covering the disqualification of directors or other officers of a company.
These resolutions be communicated to the Bank and shall constitute the Company’s Mandate to the Bank and remain in force until an
amended resolution can be passed by the Board of Directors and a copy thereof, certified by the Chairman and the Secretary or by any
Director or the Secretary acting or purporting to act on behalf of the Company shall have been received by the Bank.
In this resolution the expressions ‘Directors’ and ‘Secretary.’ shall be construed as Director(s) and Secretary for the time being of the
Company and shall, in the case of Director(s) include alternate Director(s) and in the case of Secretary shall include any Joint Secretary,
Assistant Secretary or Temporary Secretary.
We certify that the signatures set down within Section t I and IV of this account opening form are those of all the Directors. the Secretary
and of any other Officers of the Company authorised to sign, that such signatures are the genuine signatures of such persons and that
such signatures operate as the specimen signatures of each of such persons.
Yours faithfully,

CHAIRMAN SECRETARY

Signature Date Signature Date


Name in Capitals Name in Capitals
Additional Information Regarding Accounts with Other Banks (Optional)

Do you have an Account with PNB in India YES NO

If Yes,
Type of Account Account No.

Account in the Name of

Name of the Bank and Branch

Account Usage

International Payments 1)
(Inward & Outward) Yes No Countries To/From Which International
Payments will be made/received
2)

Cash Deposits Yes No 3)

4)
Expected Credits per month Expected Debits per month
5)

SPECIMENT SIGNATURE

(The position occupied by each signatory i.e. Secretary, Trustee, Commitee Member etc., should be stated with each name)

SIGNATORY 1 SIGNATORY 3
SIGNATURE SIGNATURE

Signature Date Signature Date


Name And Position Name And Position

SIGNATORY 2 SIGNATORY 4
Name in Capitals SIGNATURE Name in Capitals SIGNATURE

Signature Date Signature Date


Name And Position Name And Position

CHAIRMAN SECRETARY

Signature Date Signature Date


The Bank to be supplied with:

Original Certificate of Incorporation


The following original documents will be required for proof of identity of all ultimate beneficial owners and authorised signatories
-Original current signed passport or photo-card full UK driving license
- Recent (not older than 3 months) original Bank statement or utility invoice (telephone, gas, electricity, water, council rate)
with full name and address
-Separate documents required for each director/authorized signatory
Original Company’s Memorandum & Articles of Association certified as being true, complete and up to date;
Original Certificate to commence business (if applicable)
Original Certificate of Entitlement to Commence Business issued by registrar (for public limited companies only)
Resolution of Board of Directors on company letterhead authorising opening of banking account with Punjab National Bank
(International) Limited providing names and signatures of the persons authorised to operate account and mode of operation
Provide details of your current Banker on the Bank Reference Form. This form will be sent by us directly to your current
Banker to seek reference about your company
Copies of certified audited accounts for the last three years
Full information of general/specific charge on company’s assets in favour of third party. No objection certificate regarding
opening account with us will be required from third party
Copies of any resolutions concerning the foregoing, which may be passed from time to time.
A document that sets out the complete ownership structure of the company, including all entities and individuals in the
ownership structure and their countries of incorporation, and the ultimate beneficial owners

For Internal Use Only

Validation Identity Address Credit Agency Telephone Employment Signature Bank reference Mode of account Follow Company
check details operation taken
1st Signatory YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO
2nd Signatory YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO
3rd Signatory YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO
4th Signatory YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO

Additional Information

CUST TYPE Country Code Account Opening Method

Medium Large Charity Non-Charity Face to Face


SME FLAG: Small
Non Face to Face
Risk Transfer Country code (RTCC)

Security Analysis Code(SC)

Security Extent Code Secured Unsecured Partially Secured

Name Of Rating Agency FTCH MOOD SAP DBRS ECDG UNRATED

Rating

Type Of Rating Short Long

ACCOUNT OPENED BY ACCOUNT VERIFIED BY

Signature Date Signature Date

NAME OF THE SIGNATORY NAME OF THE SIGNATORY


DESIGNATION DESIGNATION
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

Annexure II
SELF CERTIFICATION FORM: ENTITY
To,
The Manager
Punjab National Bank (International) Limited
Branch: ______________
_____________________

RE: International Tax Compliance Regulations under


Automatic Exchange of Information (AEOI)

Regulations in the UK based on the United States’ Foreign Account Tax Compliance Act
(“FATCA”), the OECD’s Common Reporting Standard (“CRS”), EU’s Directive on Administrative
Co-operation (DAC) and UK’s Crown Dependencies and Overseas Territories (“CDOT”) all
commonly known as Automatic Exchange of Information (AEOI) require Punjab National Bank
(International) Limited to collect and report certain information about an account holder’s tax
residence. Each jurisdiction has its own rules for defining tax residence, and jurisdictions have
provided information on how to determine if you are resident in the jurisdiction.

In general, you will find that tax residence is the country/jurisdiction in which you operate. Special
circumstances may cause you to be resident elsewhere or resident in more than one
country/jurisdiction at the same time (dual residency). If you are a U.S. corporate or tax resident
under U.S. law, you should indicate that you are a U.S. tax corporate on this form and you also
need to fill in an IRS Form W-9.

Please fully complete this form.

1. Legal Entity Details

Legal Name of Entity __________________________________________________________


___________________________________________________________

Residence Address (including country): ____________________________________________


___________________________________________________________

Mailing Address (including country): _______________________________________________


___________________________________________________________

Country of incorporation/organization: _____________________________________________

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

2. Tax Residence

Please provide ALL countries of tax residence of the entity and associated tax identification
number (“TIN”) for each country:

Countries of tax Tax Identification Number


Reason for no TIN*
residence (TIN)

*If you do not have a tax identification number, please provide one for following reasons in the
above table:

Reason A - The country/jurisdiction where the entity is resident does not issue TINs to its
residents.
Reason B – The entity is otherwise unable to obtain a TIN or equivalent number. (Please explain
why the entity is unable to obtain a TIN in the below table if you have selected this reason) .
Reason C - No TIN is required. (Note: Only select this reason if the domestic law of the relevant
jurisdiction does not require the collection of the TIN issued by such jurisdiction).

3. CRS Classification {Please tick (√) whichever is applicable:


S.N. Question Yes No Instructions

i) Is the entity a Depository Institution, If yes, go to section 5. If


Custodial Institution or a Specified no, go to question ii).
Insurance Company?
ii) Is the entity an Investment Entity? If yes, go to question iii).
If no, go to section 5.
iii) Is the entity an Investment Entity because: If yes, go to question iv).
• its gross income is primarily attributable If no, go to section 5.
to investing, reinvesting or trading in Financial
Assets; and
• it is managed by another Financial
Institution?

iv) Is the Investment Entity resident in a CRS If yes, go to section 5. If


Participating Jurisdiction? no, go to section 4.

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

v) Is the entity’s stock regularly traded on an If yes, go to section 5. If


established securities market? no, go to question vi).
vi) Is the entity related to another entity the stock If yes, go to section 5. If
of which is regularly traded on an established no, go to question vii).
securities market?
vii) Is the entity a Governmental Entity, If yes, go to section 5. If
International Organisation or a Central no, go to question viii).
Bank, or wholly owned by any of the
foregoing?
viii) Does 50% or more of entity’s gross income for If yes, go to section 4. If
preceding calendar year or other appropriate no, go to question viii).
reporting period come from passive income and
50% or more of the assets held during the
preceding calendar year or other appropriate
reporting period produce passive income?
ix) Substantially, does all activities of the entity If yes, go to section 5. If
consist of holding (in whole or part) the no, go to question ix).
outstanding stock of, or providing financial
services to, a subsidiary that is not a Financial
Institution and not operating as a private equity
fund, venture capital fund, leveraged buyout
fund, or any investment vehicle whose purpose
is to acquire or fund companies and then hold
interests in those companies as capital assets
for investment purposes?

x) Is the entity not yet operating a business and has If yes, go to section 5. If
no prior operating history but is investing capital no, go to question xi).
into assets with the intent to operate a business
that is not Financial Institution and was
organized less than 2 years ago?
xi) Has the entity not been a Financial Institution in If yes, go to section 5. If
the last five years but is in the process of no, go to question xii).
liquidating its assets or reorganizing to continue
or recommence operations as a entity that is not
a Financial Institution?
xii) Does the entity primarily engage in financing and If yes, go to section 5. If
hedging transactions with, or for, related entities no, go to question xiii).
that are not Financial Institutions and does the
entity not provide financing or hedging services
to unrelated entities, provided that the group of
any such related entities is primarily engaged in

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

a business other than that of a Financial


Institution?
xiii) Is the entity a non-profit organization, exempt If yes, go to section 5. If
from tax, one that has no shareholders that have no, go to section 4.
proprietary or beneficial interests in its income or
assets, not permitted to distribute income or
assets to persons outside of the entity’s
charitable activities, and obligated by local law
required to distribute assets to a government or
other non-profit organisation upon liquidation?

4. Passive Non-Financial Entity

The entity is a Passive Non-Financial Entity under the Common Reporting Standard. Please go
to Section 5 and also provide the required details of any controlling persons in Annex 1 (use
additional sheets, if there are more controlling persons) with respect to the entity named in Section
1 of this form.

5. Declaration

I declare that all statements made in this declaration are, to the best of my knowledge and belief,
correct and complete. I undertake to advise Punjab National Bank (International) Limited within
30 days of any change in circumstances which affects the tax residency status or causes the
information contained herein to become incorrect or incomplete, and to provide Punjab National
Bank (International) Limited with a suitably updated self-certification and Declaration within 30
days of such change in circumstances.

Full name of Account Holder:___________________________________________________

Signature:___________________________________________________________________

Capacity:____________________________________________________________________

Date:________________________________________________________________________

Appendix 1 - Controlling Persons

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

Controlling Person 1

First Name and Surname: ______________________________________________________

Residence Address (including town/city and country): ________________________________


__________________________________________________________

Date of Birth: ___________________________________

Place of Birth (town/city and country): _____________________________________________

Countries of Tax Residence

Please provide ALL of your countries of tax residence and associated tax identification number
(“TIN”) for each country.

Countries of tax Tax Identification Number


Reason for no TIN**
residence (TIN)*

*For UK residents, the Tax Identification Number shall be National Insurance Number (NINO).
**If you do not have a tax identification number, please provide one for following reasons in the
above table:

Reason A—The country where you are tax resident does not issue TINs.

Reason B—You have not been able to obtain a TIN. Please provide the reasonable
explanation in the table above.

Reason C— No TIN is required. This reason should only be given if the authorities of the
country of tax residence do not require a TIN to be disclosed.

Type of Controlling Person

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
Reason A—The country where you are tax resident does not issue TINs.

Reason B—You have not been able to obtain a TIN. Please provide the reasonable
explanation in (Authorised
the table above.
by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Reason C— No TINCustomer
is required. This 08008499229
support: reason should only FAX:
be given if the1015
020 7796 authorities of the
Email:customersupport@pnbint.com
country of tax residence Website: www.pnbint.com
do not require a TIN to be disclosed.

Type of Entity Type of Controlling Person Please tick correct box


Type of Controlling
(Authorised Person
by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Legal Person Control
Corporate by Ownership
Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Control by Other Means
Email:customersupport@pnbint.com Website: www.pnbint.com
Corporate Office: 1, Moorgate, City Of London, EC2R 6JH
Senior Manager Official
We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Trust Settlor Email: customersupport@pnbint.com
Type of Entity Type of Controlling Person
Trustee Please tick correct box

Legal Person Protector


Control by Ownership
Beneficiary
Control by Other Means
Other
Senior Manager Official
Legal
Trust Arrangement Equivalent
Settlor of settlor
that is not a trust
Trustee
Equivalent of trustee
Protector
Equivalent of protector
Beneficiary
Equivalent of beneficiary
Other
Equivalent of other
Legal Arrangement Equivalent of settlor
that is not a trust
Equivalent of trustee
Equivalent of protector
Equivalent of beneficiary
Equivalent of other

Controlling Person 2

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com

Controlling Person 2

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:
(Authorised customersupport@pnbint.com
by the Website:
Prudential Regulation Authority (PRA) and regulated www.pnbint.com
by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Controlling PersonCustomer
2 support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com
First Name and Surname: ______________________________________________________

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


Residence Address (including town/city and country): ________________________________
We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
First Name and Surname: ______________________________________________________
__________________________________________________________
Email: customersupport@pnbint.com

Residence Address (including town/city and country): ________________________________


Date of Birth: ___________________________________
__________________________________________________________
Place of Birth (town/city and country): _____________________________________________
Date of Birth: ___________________________________

Place of Birth
Countries (town/city
of Tax and country): _____________________________________________
Residence

Please provide ALL of your countries of tax residence and associated tax identification number
Countries of Tax Residence
(“TIN”) for each country.

Please
*For UKprovide ALLthe
residents, of your countries of tax
Tax Identification residence
Number shall and associated
be National tax identification
Insurance number
Number (NINO).
(“TIN”) for each country.
Countries of tax Tax Identification Number
Reason for no TIN**
residence
*For UK (TIN)* Number shall be National Insurance Number (NINO).
residents, the Tax Identification
Countries of tax Tax Identification Number
Reason for no TIN**
residence (TIN)*

**If you do not have a tax identification number, please provide one for following reasons in the
above table:

**If you do not have a tax identification number, please provide one for following reasons in the
Reason A—The country where you are tax resident does not issue TINs.
above table:
Reason B—You have not been able to obtain a TIN. Please provide the reasonable
Reason A—The
explanation in thecountry where you are tax resident does not issue TINs.
table above.

Reason C—
Reason B—You haveis not
No TIN been able
required. Thisto obtainshould
reason a TIN.only
Please provide
be given theauthorities
if the reasonable of the
explanation in the table above.
country of tax residence do not require a TIN to be disclosed.

Reason C— No TIN is required. This reason should only be given if the authorities of the
country of tax residence do not require a TIN to be disclosed.

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
Corporate Office: 1, Moorgate, City Of London, EC2R 6JH
We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

Type of Controlling Person

Type of Entity Type of Controlling Person Please tick correct box

Legal Person Control by Ownership

Control by Other Means


Senior Manager Official
Trust Settlor
Trustee
Protector
Beneficiary
Other
Legal Arrangement Equivalent of settlor
that is not a trust
Equivalent of trustee
Equivalent of protector
Equivalent of beneficiary
Equivalent of other

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
(Authorised by the Prudential Regulation Authority (PRA) and regulated by the Financial Conduct Authority and PRA)
Corporate Office: 1 Moorgate, London EC2R 6JH
Customer support: 08008499229 FAX: 020 7796 1015
Email:customersupport@pnbint.com Website: www.pnbint.com

GLOSSARY OF TERMS

Under CRS over 100 countries have committed to exchange information of financial account.
These countries are known as Participating Jurisdictions.

Participating countries then further agree to exchange information through agreement in place.
Countries that have done this are reportable Jurisdictions.

“Reportable Person” A Reportable Person is an individual (or entity) that is tax resident in a
Reportable Jurisdiction under the laws of that jurisdiction. The Account Holder will normally be
the “Reportable Person”; however, in the case of an Account Holder that is a Passive NFE, a
Reportable Person also includes any Controlling Persons who are tax resident in a Reportable
Jurisdiction.

A financial account held by a reportable person is a reportable account.

Tax Residency: Tax residency is the country where a person is resident for tax purposes.

Entity: The term “Entity” means a legal person or a legal arrangement, such as a corporation,
organisation, partnership, trust or foundation. Sole Proprietor shall be treated as Individuals
under CRS

“Passive NFE” (Non-Financial entity): Under the CRS a “Passive NFE” means any NFE that is
not an Active NFE. An Investment Entity located in a Non-Participating Jurisdiction and managed
by another Financial Institution is also treated as a Passive NFE for purposes of the CRS.

Controlling person: This is a natural person who exercises control over an entity. It will depend
on the legal structure of the entity.

“TIN” (including “functional equivalent”): The term “TIN” means Taxpayer Identification
Number or a functional equivalent in the absence of a TIN. A TIN is a unique combination of letters
or numbers assigned by a jurisdiction to an individual or an Entity and used to identify the
individual or Entity for the purposes of administering the tax laws of such jurisdiction.

For further information please visit: http://www.oecd.org/tax/automatic-exchange/about-


automatic-exchange

Corporate Office: 1, Moorgate, City Of London, EC2R 6JH


We are a call away, please call Customer Support Number: 0800 849 9229, (Monday to Friday, 0900AM to 0500 PM)
Email: customersupport@pnbint.com
ANNEXURE D
(International) Limited

To: Punjab National Bank (International) Limited

Branch Office

In consideration of Bank granting a Debit Card (in the name of company or any of its authorised persons to the
Company/ its authorized signatory(ies) / director(s), we irrevocably and unconditionally agree and undertake to
indemnify the Bank, and to keep the Bank, indemnified against all losses, claim, liabilities, actions, proceedings,
demands, damages, costs and expense whatsoever and howsoever arising (the “liabilities”) which may be suffered
incurred of sutained by the Bank, as a result of or in connection with the operation of the Debit Card.
We irrevocably and unconditionally authorize the Bank to debit any of our account(s) with the Bank at any of its
branches and in whatever currency will all amounts chargeable to us as a result of the bank receiving or acting
upon the use of the Debit Card.

This indemnity shall be governed by any constructed in all respects in accordance with English law. We hereby
submint to the non-jurisdiction of English courts.

Executed for and on behalf of.....................................................Limited/Ltd (“The Company”)

By a Director and Secretary or sole Director..................................................

Dated:
Extract from the Minute Meeting of the Borad Of Directors of the above company duly convened, held and
constituted on the.......................................................day of...........................................................................
At.....................................................................................................................................................................
.........................................................................................................................................................................

Present: (1)........................................................................(Chairman)
(2)..........................................................(Director/Secretary)

In Attendance (3)........................................................................................
(4)........................................................................................

The Chairman reminded the Board of the previous meeting of the Board and of the fact that arrangements had
been concluded with the Punjab national Bank (International) Limited (“The Bank”) to operate a Debit Card in
the names(s) of Mr......................................................& Mr........................................................................
The meeting noted that it was a condition of the bank issuing a Debit Card that the company grants to the Bank
an indemnity in the form attached.
The Secretary reported the under the Articles of Association of the Company, the Directors were empowered to
implement the arrangements with the Bank.
There was a produced to the meeting a copy of the indemnity

The meeting unanimously resolved that:

a ) Debit Card be obtained in the name(s) of Mr.............................................& Mr.........................................


b ) The indemnity produced to the meeting be safe and hereby approved.
c) Mr...............................................& Mr.............................................be and is hereby authorised on behalf
of the Company to operate the Debit Card.

Name......................................................Director/Secretary

Signature................................................Director/Secretary

Name......................................................

Signature................................................

d) Mr..............................................& Mr.............................................be and is hereby authorised on behalf


of the company to sigh the Indemnity in the form produced to the meeting.

Name......................................................Director/Secretary

Signature.................................................Director/Secretary

Name......................................................Secretary

Signature................................................Secretary

The meting then concluded.

...................................................... Date...........................
Chairman
Name Of Chairman...................................................
PNBIL/AOF/COMPANY/20130830

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