SAS Invoice Application

Transcription

1 SAS Invoice Application We hereby apply for and accept liability for payment of SAS Faktura Company name in full Company Identification No. Address Postal code Postal address Company contact person Telephone Company s area of business Year funded Annual turnover If the applicant company is a subsidiary, state the name and company Please select an invoicing and payment period as well as preferred invoicing model by placing a cross in the appropriate box. VIK HÄR Period 1 invoice/month, 15-day payment period. 2 invoices/month 20-day payment period. 1 invoice/week, 25-day payment period. (Payment period refers to the period from the invoice date to the payment due date). Model 1 Model 2 One invoice for the entire company. One invoice per cost centre (attach list). Estimated travel volume in SEK per year: Please attach a copy of the current annual accounts as well as documentation showing the authorised company signatory. We hereby apply for a SAS Faktura. We assure that the information submitted in this application is complete and accurate. We agree to abide with all current and future standings of the terms and conditions of the SAS Faktura as altered under this agreement. We hereby confirm that we have received and accepted current terms and conditions of the SAS Faktura. We understand that Diners Club Nordic AB may, if necessary, retrieve information from other sources and that this application may be declined without needing to give a reason for this. The applicable terms and conditions are always available on Place, date Authorised company signatory Name in print DCM 1052eng Please send your application to SAS Faktura, Diners Club Nordic AB, Stockholm.

2 Declaration of Beneficial Owner The company Company full name Corporate ID. No. Country of registered office (if other than Sweden) Contact, phone No. (incl. area code) Ownership Corporate entity that controls the company through direct ownership or control of more than 25% of the shares (capital, units etc.) or the voting power. Name/Company name Corporate ID. No. Address (incl. country) Share of ownership in % No corporate entity owns or directly controls more than 25 %. Beneficial owner A beneficial owner is a natural person who has ultimate control of the company through direct or indirect ownership or control of more than 25% of the shares (capital, units etc.) or the voting power, or who otherwise exercises control over the company. Name Personal ID: No. Address (incl. country) Share of ownership in % No natural person owns or controls more than 25 %. Ownership or control structure Use a diagram to illustrate a complex ownership or control structure. See attached organisational diagram DCM0507eng

3 Politically exposed person Company name Corporate id no. Pursuant to the Act on Measures Against Money Laundering and Terrorist Financing (2009:62), we are required to ask you if any of the company s beneficial owners are a politically exposed person. A politically exposed person is a person who holds, or has held during the past 18 months, a prominent public function in a state or international organisation such as the European Union or NATO. We are also required to ask if any of the beneficial owners are a family member, or are a close associate of, a politically exposed person. Below is a list of positions/functions defined as politically exposed persons as well as a list of which relatives that are defined as family members. Is any of the persons designated as a beneficial owner a politically exposed person or a family member or a close associate of such a person? (needs to be answered only if there are beneficial owners in the company) Yes, proceed to the section below, and provide further information about these individuals No, proceed directly to the signature section Please answer the following questions regarding the beneficial owners who are themselves a politically exposed person or a family member or a close associate of such a person. Name of beneficial owner: FOLD HERE The beneficial owner is him/herself or is a family member/close associate of a person who is: Head of state or head of government Ambassador Minister Head of diplomatic mission Deputy or assistant minister Member of Parliament Supreme Court judge Judges in other courts or judicial bodies that constitute a final court of appeal Senior officer of an auditing authority Board member of a central bank Title of politically exposed person: Senior officer in the armed forces (e.g. general, lieutenant general, major general, admiral, vice admiral, rear admiral) Member of an administrative, management or supervisory body of a state-owned enterprise (e.g. CEO, Board member, Deputy CEO or Deputy Board member) Director, deputy director or Board member of an international organisation (e.g. EU or NATO) Country or organisation in which the politically exposed person has this role: State the beneficial owner s relation to the politically exposed person: The beneficial owner is him/herself a politically exposed person The beneficial owner s relationship to a politically exposed person: Spouse Child s spouse, cohabiting partner or registered partner Registered partner Parent Cohabiting partner Close associate Child Please answer the following questions regarding the beneficial owners who are themselves a politically exposed person or a family member or a close associate of such a person. Name of beneficial owner: DCM0507eng The beneficial owner is him/herself or is a family member/close associate of a person who is: Head of state or head of government Ambassador Minister Head of diplomatic mission Deputy or assistant minister Member of Parliament Supreme Court judge Judges in other courts or judicial bodies that constitute a final court of appeal Senior officer of an auditing authority Board member of a central bank Senior officer in the armed forces (e.g. general, lieutenant general, major general, admiral, vice admiral, rear admiral) Member of an administrative, management or supervisory body of a state-owned enterprise (e.g. CEO, Board member, Deputy CEO or Deputy Board member) Director, deputy director or Board member of an international organisation (e.g. EU or NATO)

4 Politically exposed person Title of politically exposed person: Country or organization in which the politically exposed person has this role: State the beneficial owner s relation to the politically exposed person: The beneficial owner is him/herself a politically exposed person The beneficial owner s relationship to a politically exposed person: Spouse Child s spouse, cohabiting partner or registered partner Registered partner Parent Cohabiting partner Close associate Child Please answer the following questions regarding the beneficial owners who are themselves a politically exposed person or a family member or a close associate of such a person. Name of beneficial owner: FOLD HERE The beneficial owner is him/herself or is a family member/close associate of a person who is: Head of state or head of government Ambassador Minister Head of diplomatic mission Deputy or assistant minister Member of Parliament Supreme Court judge Judges in other courts or judicial bodies that constitute a final court of appeal Senior officer of an auditing authority Board member of a central bank Title of politically exposed person: Senior officer in the armed forces (e.g. general, lieutenant general, major general, admiral, vice admiral, rear admiral) Member of an administrative, management or supervisory body of a state-owned enterprise (e.g. CEO, Board member, Deputy CEO or Deputy Board member) Director, deputy director or Board member of an international organisation (e.g. EU or NATO) Country or organization in which the politically exposed person has this role: State the beneficial owner s relation to the politically exposed person: The beneficial owner is him/herself a politically exposed person The beneficial owner s relationship to a politically exposed person: Spouse Child s spouse, cohabiting partner or registered partner Registered partner Parent Cohabiting partner Close associate Child We certify and confirm that the above stated information is true and complete. We undertake to inform Diners Club Nordic immediately of any changes whatsoever to information given herein. Date Authorised signature Name in print Swedish personal Id-no. or date of birth DCM0507eng

5 General Terms and Conditions of the SAS Faktura as of 1st of October 2014 DCM 1052eng Parties etc. The parties according to this agreement are the account holder and Diners Club Nordic AB. 2. Definitions In these terms and conditions the terms stated below shall have the following meanings Agreement: Account holder: Agreement refers to these general terms and conditions. Account holder refers to the customer who has been permitted to open a SAS Faktura. Account balance: Account balance refers to all unpaid amounts charged to the SAS Faktura according to this agreement as well as any applicable interest and rounding off to the nearest krona. 3. Scope and usage of SAS Faktura, etc. A. SAS Faktura is not for personal use; rather, it should only be used by the persons periodically agreed upon by the account holder and SAS. Other routines that apply to the use of SAS Faktura, such as more detailed rules concerning how SAS Faktura may be charged, shall be agreed upon between the account holder and SAS (cf. section 4 below). B. SAS Faktura may only be used for payments in connection with purchases of travel and other services from SAS. When paying with SAS Faktura some other limitations and fees set by Diners Club Nordic AB may apply. C. SAS Faktura may not be used for making instalment plan payments or for payments of other debts that the account holder may have with SAS or any other party and may not be used to withdraw cash from SAS. For security purposes Diners Club Nordic AB applies certain limitations for maximum payment amounts per payment and payment period and reserves the right to decline a transaction. D. Changes of name, address, telephone number, and the like, shall whiteout delay, be reported to Diners Club Sweden. 4. Payment liability The account holder is liable for payment of account balances to Diners Club Nordic AB and is therefore responsible for ensuring that 1) individuals who use SAS Faktura have the necessary authorisation and authority for this purpose, and 2) the more detailed routines, that been agreed with SAS as to how SAS Faktura may be charged, prevent unauthorised use of SAS Faktura. 5. Interest and fees A. If invoices are paid late, Diners Club Nordic AB is entitled to charge fees for SAS Faktura payment reminders and requests, collection costs, and late payment penalties. Late payment penalties are calculated from the invoice s due date until payment is made, based on the current APR of 24 %. B. Interest is not charged on any existing SAS Faktura account balance that is in credit. C. All fees mentioned above may be charged to SAS Faktura and in accordance with the charges applied by Diners Club Nordic AB from time to time. Diners Club Nordic AB has the right to modify fees and interest rates or introduce new fees and expenses that are effective 30 days after the account holder has been notified of such changes. Informationon the currently applicable fees is made available by Diners Club Nordic AB. 6. Payment terms and conditions Diners Club Nordic AB will periodically invoice the account holder for the current account balance. Invoicing and payment terms are based on specific information provided by the account holder, including the information on the SAS Faktura application form. Payment must be received by Diners Club Nordic AB no later than the due date indicated on the invoice. Account balances are reduced only through payments made to Diners Club Nordic AB. The payment agreement that the account holder has made with SAS or other party does not affect the account balance. 7. Claims SAS is responsible towards the account holder for errors in the services provided. Claims shall therefore be directed towards SAS and not Diners Club Nordic AB. Claims regarding errors in invoicing must be received by Diners Club Nordic AB no later than 30 days from the invoice date. Otherwise the account holder will no longer be entitled to contest the error. 8. Termination of SAS Faktura usage rights This agreement applies until further notice. The account holder may, however, regardless of reason, choose to terminate the account agreement. Diners Club Nordic AB may, upon approval from SAS, also terminate the account agreement, regardless of reason. Termination must be made in writing no later than one month in advance. If the account holder fails to meet his obligations according to this agreement, if SAS Faktura is mishandled or if it may otherwise be assumed that the account holder will not fulfil their obligations to Diners Club Nordic AB, Diners Club Nordic AB has the right to terminate the agreement with immediate effect. The same applies if court action for nonpayment of debts is reported on the part of the account holder, if the account holder files for bankruptcy, or if Diners Club Nordic AB otherwise has reasonable grounds to suspect that the account holder will not be able to meet its obligations according to this agreement. If the account holder declares bankruptcy, SAS Faktura usage rights will be terminated. When the right to use SAS Faktura is terminated during the validity period because of termination of the agreement, the right to use the account for new purchases is also terminated, and the account balance becomes due for payment immediately. Account terms and conditions apply in applicable sections for all debts held on the account. This means, among other things, that the account holder is liable for payment of transactions completed before the account was terminated but which were only posted to the account after the time of termination. 9. Reporting to the misuse register Reporting to the misuse register may occur if SAS Faktura is terminated on the basis of outstanding payment of due amounts on the account or because the account was approved under false conditions. 10. Changes to general terms and conditions Diners Club Nordic AB reserves the right to change these terms and conditions without the advance approval of the account holder. Such changes will come into effect thirty days after the account holder has been informed of the changes in writing. If the account holder does not approve of the change, the account holder must submit a written termination of this agreement to Diners Club Nordic AB. Failure to immediately terminate this agreement on the part of the account holder shall be regarded as approval of the change. 11. Exemptions Diners Club Nordic AB is not responsible for damages arising from Swedish or foreign legal statutes, official measures undertaken by Swedish or foreign authorities, war, strike, blockade, boycott, lockout or other similar circumstances. This clause regarding strike, blockade, boycott, and lockout applies even if Diners Club Nordic AB itself is the object of or party to such actions. Damages incurred shall not be compensated by Diners Club Nordic AB if Diners Club Nordic AB has shown general diligence. Nor is Diners Club Sweden responsible for damages incurred because of SAS. 12. Information Diners Club Nordic AB has the right to transfer to SAS all information to which Diners Club Nordic AB has access regarding the SAS Faktura account holder. 13. Transfer Diners Club Nordic AB reserves the right to transfer the Account holder s credit balance to another party. Once the account holder has received notification of transfer of the balance, the account holder shall pay the outstanding balance to the creditor specified on the notification. Information pursuant to the Swedish Personal Data Act (PuL) regarding Diners Club Nordic AB s processing of personal data Controller of Personal Data: Diners Club Nordic AB Reg. no Stockholm Telephone number: (Member Service) Personal data is provided and obtained before and in conjunction with the commencement of a customer relationship and execution of an agreement and/or the provision of services, or otherwise in conjunction with a customer relationship. Data is processed by Diners Club Nordic AB in respect of the execution, administration and performance of agreements, and to enable Diners Club Nordic AB to perform its statutory obligations. Personal data may also constitute the basis of Diners Club Nordic ABs market and customer analyses, business and method development, statistics and risk management, e.g. in risk measurement models that Diners Club Nordic AB uses in order to comply with capital adequacy rules. Unless a block on direct advertising has been requested, Diners Club Nordic AB may also use the data for marketing purposes. Upon commencement of a customer relationship and in conjunction with certain payments, Diners Club Nordic AB may verify personal data against sanction lists which Diners Club Nordic AB is obliged or entitled to apply, pursuant to law or the decision of a public authority, to ensure that a customer relationship can be commenced or a payment executed.

6 General Terms and Conditions of the SAS Faktura as of 1st of October 2014 In the case of banking business conducted by telephone, personal data is processed for stated purposes by recording the telephone calls. Personal data is also processed within the scope of Diners Club Nordic AB s Internet and mobile telephone services. In order to keep the personal data up-to-date, Diners Club Nordic AB may supplement the data by obtaining information from private or public records, e.g. updating address information with the aid of the National Person and Address Register, SPAR. Personal data may, for stated purposes, within the scope of what is permitted under the bank secrecy rules, be disclosed to other companies in the SEB Group or to companies co-operating with the SEB Group both within and outside the EU/EEA, e.g. UC (the Swedish credit and information agency), Bankgirocentralen, MasterCard and CA Technologies. Diners Club Nordic AB is also in certain cases under a statutory obligation to disclose information, e.g. to the Swedish police authorities, the Swedish Financial Supervisory Authority, the Swedish Tax Agency and the Swedish Social Insurance Agency. If you wish to obtain information about the personal data relating to you that is processed by Diners Club Nordic AB, please submit a written request, signed by you, to Diners Club Nordic AB, PuL, Stockholm. You can, at the same address, give notice that you do not wish to receive direct advertising from us or request that we delete or correct personal data that is incorrect or incomplete. DCM 1052eng