Mandate for Society/Club/Association

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1 Society/Club/Association Mandate for Society/Club/Association Guidelines for completing this mandate Please read these notes carefully before completing this mandate and ensure all pages of the mandate are completed. Introduction The purpose of this mandate is for you to tell us who in your Society/Club/Association is authorised to sign cheques and any other instructions relating to payments from your accounts, sign safe keeping receipts and give us any other instructions relating to the operation of your account(s). The mandate will cover all accounts held with us now and in the future, unless stated otherwise by completing the information in the Customer Use Only Section on the top of the mandate. The mandate should be completed in black ink. ALL CORRECTIONS must be initialled by the sole signatory or if more than one signatory, by any two signatories. THE USE OF CORRECTION FLUID IS NOT PERMITTED. Customer Use Only Section You only need to complete this section if it is intended to limit this Mandate to Specific Accounts. PLEASE NOTE if this section is left blank we will assume your mandate covers all accounts held now and in the future. Section 2 If you are opening a new account and your Society/Club/ Association has rules or a constitution, we will require sight of them. In this instance please tick ( ) box 2b). If they do not exist please tick ( ) box 2a). We require either the sole signatory or, if more than one signatory, any two signatories to the account to initial this section. Section 3 Insert the name of the governing body of the Society/Club/ Association, eg, Committee. Section 5 This section details the signing instructions for your account. It tells us who is authorised to sign your cheques and any other instruction for payments, deal with items held in safe keeping and give any other instructions. Your signing instructions should be appropriate to your needs and easy to understand. Insert the title of the governing body of the Society/Club/ Association, the name of Society/Club/Association and the date of the meeting at which these matters were resolved. For example: 5. we certify that the following resolutions were passed at a meeting of the Committee of Name of Society/Club/Association Section 5(i)a) Please advise us of the signing instructions for cheques and any other payment instruction from your account(s). Please ensure this section is COMPLETED: ) first box, if any one signatory can sign alone; ) second box, if any two signatories are to sign together; for any other instruction the four signatories. Specimen Signatures This section requires you to provide a list of person(s) authorised to sign, providing their full name, residential address, official position and date of birth as well as their specimen signature. ALL CORRECTIONS must be initialled by the sole signatory or if more than one signatory, by any two signatories. If this mandate is for a New Account Each person signing on the account(s) must: If this mandate is for an Existing Account(s) Each person signing on the account(s) must: within the signatory box. The Secretary must rule through all unused signatories boxes. Declaration Signature of Chairperson of the meeting at which the resolution was passed and Signature of Secretary MUST BE COMPLETED. The mandate will not be valid and will be returned to you, if not signed. PLEASE NOTE: mandate was taken, then a copy of the resolution appointing the new Secretary should be provided; or bank statements and other correspondence, please ask us for a change of address authority. held on 25/05/09 and have been entered in the minute book.

2 This page can be detached and offered to the customer. Identification and address verification of authorised individuals To comply with current regulations, the Bank must identify and verify the residential address(es) of all signatories to new accounts and new signatories to existing accounts. If the Society/Club/Association has only one person signing on the account, it will be necessary to identify and verify the residential address of one other principal contact, ie, Treasurer or Chairperson. We will require separate original documents from each individual to confirm their identity and verify their residential address(es). Examples of documents include the following: or residential address verification, but not both. for address verification (we do not accept online bills). Upon request, we will provide guidance on other suitable documents. After completing the mandate please return to your HSBC Bank branch.

3 Mandate for Society/Club/Association THE USE OF CORRECTION FLUID IS NOT PERMITTED Customer Use Only Yes No If Yes, do not complete the account number boxes below If No Insert the relevant sort code and account number(s) that this mandate covers Sort Code Account No. Sort Code Account No. PLEASE NOTE If this section is left blank, we will assume your mandate covers all accounts held with us now and the future To HSBC Bank plc D D M M Y Y Y Y Name of Society/Club/Association Section 1 The Society/Club/Association* requests you to open/continue* an account or accounts in its name. *Delete as appropriate Section 2 a) We attach a copy of its rules/constitution; or b) We confirm that there are no rules/constitution. Section 3 We set out below a certified copy of a resolution of the and, overleaf, a list of persons authorised to sign, with specimen signatures. Section 4 In order that you may credit any interest earned without deduction of tax, we confirm that the Society/Club/Association* has a separate identity from its members and that no individual member has the right to be paid, or will directly benefit from, any interest earned. Section 5 We certify that the following resolutions were passed at a meeting of the held on D D M M Y Y Y Y and have been entered in the minute book. (i) That a bank account or accounts be opened/continued* with HSBC Bank plc (the Bank ) and the Bank is authorised to: a) pay all cheques and other instructions for payment or accept instructions to stop such payments signed on behalf of the Society/Club/Association* by: (please tick the appropriate box) Any one of those listed Any two of those listed Other (please specify) (the Signatory ) whether any account of the Society/Club/Association* is in debit or credit; b) deliver any item held on behalf of the Society/Club/Association* by the Bank in safe keeping against the written receipt of the ; and c) accept the as fully empowered to act on behalf of the Society/Club/Association* in any other transaction with the Bank (including closing the account(s)); and (ii) That any debt incurred to the Bank under this mandate shall, in the absence of written agreement by the Bank to the contrary, be repayable on demand. (iii) That the Secretary from time to time is authorised to supply the Bank as and when necessary with lists of persons who are authorised to sign, give receipts and act on behalf of the Society/Club/Association*, and that the Bank may rely upon such lists. (iv) That these resolutions remain in force until cancelled by notice in writing to the Bank, signed by the Chair Person or Secretary from time to time acting or claiming to act on behalf of the Society/Club/Association*, and the Bank shall be entitled to act on such notice whether the resolutions have been validly cancelled or not. (v) That the Society/Club/Association* accepts the account(s) and banking relationship with the Bank will be governed by and subject to the Business Banking Terms and Conditions (a copy of which has been provided) as amended from time to time together with any terms and conditions in respect of specific products and services requested by the Society/Club/Association* from time to time. Signature of Chairperson of the meeting at which the resolution was passed. Signature of Secretary The Secretary must rule through all unused signatory boxes and sign the declaration on the last page. If there has been a change in Secretary since the original mandate was taken then a copy of the Resolution appointing the new Secretary should be provided. 1

4 Specimen signatures The following persons are authorised to sign. All signatories must supply their full name, residential address, date of birth and official position. Signatures are only required for new signatories. If you have moved in the past 3 months, please also give your previous address. Please rule through all unused boxes. The Secretary must rule through all unused signatory boxes and sign the declaration at the bottom of page 3. 2

5 Specimen signatures (continued from page 2 overleaf) The following persons are authorised to sign. All signatories must supply their full name, residential address, date of birth and official position. Signatures are only required for new signatories. If you have moved in the past 3 months, please also give your previous address. Please rule through all unused boxes. The Secretary must rule through all unused signatory boxes and sign the declaration below. Declaration I confirm that the above are the names, residential addresses, dates of birth and specimen signatures (where applicable) of the signatories authorised by the resolution in Section 5/resolution dated* D D M M Y Y Y Y I have ruled through all of the unused signatory boxes (please tick). Signature of Secretary. D D M M Y Y Y Y 3

6 For Bank use only New Account Yes No Insert Customer Identification Number Branch contact for queries Name Internal Tel. No. Staff number Mandate reviewed by an authorised signatory in accordance with procedures and identification summary form completed Signature D D M M Y Y Y Y Code Stamp hsbc.co.uk Issued by HSBC Bank plc. We are a principal member of the HSBC Group, one of the world s largest banking and financial services organisations with around 8,500 offices in 86 countries and territories. HSBC Bank plc, Customer Information: PO Box 757, Hemel Hempstead, Hertfordshire HP2 4SS MCP /09 HSBC Bank plc All Rights Reserved. 4

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