AOF Company Account - Latest
AOF Company Account - Latest
AOF Company Account - Latest
Nature of Business
Country(s) of Operation
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)
Surname Surname
Country Country
Passport/DVLANo Passport/DVLANo
Citizenship Citizenship
Mobile No Mobile No
Country Country
Position held in Position held in
the Company the Company
SIGNATORY 1 SIGNATORY 1
Surname Surname
Country Country
Passport/DVLANo Passport/DVLANo
Citizenship Citizenship
Mobile No Mobile No
Country Country
Position held in Position held in
the Company the Company
SIGNATORY 1 SIGNATORY 1
If unable to verify Ultimate Beneficial Owner, prodive details of senior persons (if applicable)
CHAIRMAN SECRETARY
If Yes,
Type of Account Account No.
Account Usage
International Payments 1)
(Inward & Outward) Yes No Countries To/From Which International
Payments will be made/received
2)
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
SIGNATORY 2 SIGNATORY 4
Name in Capitals SIGNATURE Name in Capitals SIGNATURE
CHAIRMAN SECRETARY
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
Rating
Annexure II
SELF CERTIFICATION FORM: ENTITY
To,
The Manager
Punjab National Bank (International) Limited
Branch: ______________
_____________________
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.
2. Tax Residence
Please provide ALL countries of tax residence of the entity and associated tax identification
number (“TIN”) for each country:
*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).
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
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.
Signature:___________________________________________________________________
Capacity:____________________________________________________________________
Date:________________________________________________________________________
Controlling Person 1
Please provide ALL of your countries of tax residence and associated tax identification number
(“TIN”) for each country.
*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.
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.
Controlling Person 2
Controlling Person 2
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.
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.
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.
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.
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
Name......................................................Director/Secretary
Signature................................................Director/Secretary
Name......................................................
Signature................................................
Name......................................................Director/Secretary
Signature.................................................Director/Secretary
Name......................................................Secretary
Signature................................................Secretary
...................................................... Date...........................
Chairman
Name Of Chairman...................................................
PNBIL/AOF/COMPANY/20130830