Date opened. Your title. If unemployed how long since you last worked? If unemployed Years how long since you last worked?
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- Maria Hawkins
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1 our application to add a new customer to a Sole /Joint Account Please write clearly in the white spaces with capital letters or cross the boxes. Bank use only Please complete all sections of this form. opened Staff file number TNT Code What will you be using the Account for? D D Sort code Account number 1 our personal details Are you an existing Bank of Scotland customer? Are you an existing Bank of Scotland customer? our title Mr Mrs Miss Ms Other (please specify) our title Mr Mrs Miss Ms Other (please specify) our last name our last name our first names our first names Any other name you use/have used (if applicable) Any other name you use/have used (if applicable) our date of birth D D Are you: Male Female our date of birth D D Are you: Male Female Are you: Employed Self employed Part time Unemployed Are you: Employed Self employed Part time Unemployed t working Seeking work Retired Student t working Seeking work Retired Student Other (please explain) If unemployed how long since you last worked? ears Other (please explain) If unemployed ears how long since you last worked? our country of birth our nationality our country of birth our nationality our additional nationalities (if applicable): our additional nationalities (if applicable): our country of residence our country of residence Which countries are you tax resident* in or have you been a resident of in the past two years? Which countries are you tax resident* in or have you been a resident of in the past two years? If you have a United States (US) Taxpayer Identification Number (TIN) please provide details below Please note: This may be your US Social Security Number If you have a United States (US) Taxpayer Identification Number (TIN) please provide details below Please note: This may be your US Social Security Number *Please note: tax resident relates to countries where you have the obligation to file a tax return or where you are subject to income tax in the UK or in another country. ou must provide at least one country. our relationship to the first customer Bank use only Sanctions/NCCT. Sanctions ref. no (if applicable) Sanctions ref. no (if applicable)
2 1 our personal details 1.1 our contact details continued our telephone numbers and area dialling codes Home Mobile Work our telephone numbers and area dialling codes Home Mobile Work 1.2 our residential details our home address (where you live) our home address (where you live) When did you start living at this address? Month ear When did you start living at this address? Month ear our previous address (if less than three years at current address) our previous address (if less than three years at current address) When did you start living at this address? Month ear When did you start living at this address? Month ear our correspondence address (if different from your home address) our correspondence address (if different from your home address) What is your current residential status? What is your current residential status? Owner no mortgage Owner with mortgage Local authority tenant Owner no mortgage Owner with mortgage Local authority tenant Private tenant Living with parents Private tenant Living with parents Other (please specify) Other (please specify) 2 our debit card details I would like to apply for a debit card The type of card we give you depends on our assessment of your personal circumstances. Customer name to appear on card I would like to apply for a debit card The type of card we give you depends on our assessment of your personal circumstances. Customer name to appear on card Mother s previous name (new debit card customers only) Mother s previous name (new debit card customers only) our date of birth D D our date of birth D D
3 3 our agreement with us Current Accounts and Other Services Our agreement with you is made up of general conditions contained in the Bank of Scotland Bank Account Conditions. These include the Banking Charges guide which contains our standard fees. If there is any overlap or conflict between the additional conditions and the Bank of Scotland Bank Account Conditions, the additional conditions apply. Eligibility To have the you must be 18 or over. Joint Accounts All holders can operate their s individually and are individually and jointly liable for all amounts owed to us on those s. It is important that you read the Bank of Scotland Bank Account Conditions leaflet as this explains how we deal with joint s and your responsibilities. Bank statements: We will send statements to both of you unless one of you signs here to say that you do not want us to send statements to you. ou can cancel this arrangement at any time by writing to us and we will then send separate statements to both of you. I do not wish to receive statements Bank of Scotland is part of the Lloyds Banking Group. The Lloyds Banking Group includes us and a number of other companies using brands including Lloyds Bank, Halifax and their associated companies. To see how we use your information, please read the privacy statement on our website ( or ask for a printed copy of this. We may search credit reference and fraud prevention agencies to check your identity and help us make decisions. The agency keeps a record of our search, whether or not your application proceeds. Our search is not seen or used by lenders to assess your ability to obtain credit. Marketing permissions our data is safe with us we do not share your data for marketing outside the Lloyds Banking Group. We would like to tell you about offers, products and services that may be of specific interest to you. If you choose no for all of these options, we will not be able to send you this information. Please confirm how we may contact you (if more than one applicant, please use separate sections indicated): First Customer Please write to me Please me our signature Please phone me Second Customer Please text me Please write to me Please me My personal data and Lloyds Banking Group Please phone me Please text me The Lloyds Banking Group includes us and a number of other companies using brands including Lloyds Bank, Halifax and Bank of Scotland, and their associated companies. More information on the Lloyds Banking Group can be found at I confirm that I have received the following documentation: Bank of Scotland Bank Account Conditions Welcome Pack We need to perform searches to decide whether to accept your application, including checks to confirm your identity. We make these checks, including electoral register checks, through European credit reference agencies ( CRAs ) and fraud prevention agencies ( FPAs ). The CRA will record the searches, even if an application does not go ahead or is unsuccessful. This may affect your ability to borrow from other lenders within a short period. Lloyds Banking Group companies may also tell CRAs how you run your relationship with them (such as whether or not you pay anything you owe on time), which may also affect your ability to borrow from other lenders. If the information you provide is false or inaccurate, or we suspect fraud, we may provide details to FPAs and other relevant organisations. Law enforcement agencies may access and use this information. ou will be financially linked by CRAs to any other names you use or have used, and any joint applicants. This means joint applicants financial affairs may be treated as affecting each other, and will be revealed whenever CRAs are searched, until one of you successfully files a disassociation with the CRAs. If you ask, we will tell you which CRAs and FPAs we (and other Lloyds Banking Group companies) have used so you can get a copy of your details from them. ou are legally entitled, on payment of a fee, to see any information held about you by any credit reference agency. Advised and provided with Interest Rates Applicable to this Account s signature s signature Banking Charges guide Bank use only Credit reference/bureau search result *Prompt screen print voters roll Bank of Scotland plc, Registered in Scotland. SC Registered Office: The Mound, Edinburgh EH1 1Z. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority under registration number
4 4 Additional personal and employment details Please complete all sections of this form. What is your current Marital/Civil Partnership status? What is your current Marital/Civil Partnership status? Single Married/ Civil Partnership Divorced/ dissolved Civil Partnership Single Married/ Civil Partnership Divorced/ dissolved Civil Partnership Separated Widowed Other (please explain) Separated Widowed Other (please explain) Number of children under 18: Number of children under 18: Are you working? Are you working? our occupation our occupation our employer s name our employer s name our employer s address our employer s address (if known) (if known) How long have you worked for your current employer? ears How long have you worked for your current employer? ears How long did you work for your previous employer? ears How long did you work for your previous employer? ears Is your employment pensionable? Is your employment pensionable?
5 5 our monthly household income and expenditure details s income Source: Direct to If yes Frequency e.g. weekly a bank Cheque Cash Into this Salary/wages Benefits Pension Investments Other If other please state type Total net monthly income expected through this per month Staff member: If unknown use customer notes to explain situation. s income Source: Direct to If yes Frequency e.g. weekly a bank Cheque Cash Into this Salary/wages Benefits Pension Investments Other If other please state type Total net monthly income expected through this per month Staff member: If unknown use customer notes to explain situation. 5.1 Monthly commitments The total amount of any borrowing or credit facilities held on a joint basis should be shown in full against both holders. Mortgage/rent Mortgage/rent HP/other loans Bank of Scotland loans HP/other loans Bank of Scotland loans Total each month Total each month 6 Details of your savings What type of savings do you have? What type of savings do you have? savings Bank of Scotland savings only Bank of Scotland and non- Bank of Scotland savings savings Bank of Scotland savings only Bank of Scotland and non- Bank of Scotland savings n-bank of Scotland savings only What is the total amount of your savings n-bank of Scotland savings only What is the total amount of your savings
6 7 our banking details Is this a personal or business? Personal Business Is this a personal or business? Personal Business Do you have any other Bank/Building Society s? Do you have any other Bank/Building Society s? 7.1 Other banking details Details of main with another bank or building society. Bank/Building Society name Bank/Building Society name Bank/Building Society address Bank/Building Society address How many other bank s do you hold with Bank of Scotland or any other banks? How many other bank s do you hold with Bank of Scotland or any other banks? Current ne Current ne Savings Savings Personal loan Personal loan Mortgage Mortgage Which of the following facilities do you use: Cheque card Debit card Which of the following facilities do you use: Cheque card Debit card For how long have you banked there? ears For how long have you banked there? ears Is the to be closed? If no please explain why Is the to be closed? If no please explain why Would you like us to transfer your? Would you like us to transfer your? 7.2 our credit card details Do you hold a credit card? If yes how many? Do you hold a credit card? If yes how many? Are any Bank of Scotland? If yes what is your credit limit? Are any Bank of Scotland? If yes what is your credit limit? What other card type(s) do you hold? Chargecard Storecard Other (please specify) What other card type(s) do you hold? Chargecard Storecard Other (please specify) 7.3 our mortgage details Do you have a mortgage? Do you have a mortgage? If yes is it with the Lloyds Banking Group? (e.g. C&G, Halifax, Bank of Scotland) If yes is it with the Lloyds Banking Group? (e.g. C&G, Halifax, Bank of Scotland) What is the outstanding balance on your mortgage? What is the value of your house? What is the outstanding balance on your mortgage? What is the value of your house?
7 For bank use only Confirmation of customer s identity Please note that the Retail Procedures on Interchange Identification of Customers should be referred to and copies of ID should be taken, dated and signed as true copies of the original. Does customer meet Single ID requirements? Does customer meet Single ID requirements? Proof of identity (cross one box only) Proof of identity (cross one box only) Standard Third party Standard Third party Secondary PHD Ref. Secondary PHD Ref. What document has been seen? What is the reference number? Expiry date e.g. passport (available) What document has been seen? What is the reference number? Expiry date e.g. passport (available) Correctly certified copy of documents attached Correctly certified copy of documents attached If required Proof of address (cross one box only) If required Proof of address (cross one box only) Standard Third party Standard Third party Secondary PHD Ref. Secondary PHD Ref. What document has been seen? What is the reference number? Expiry date e.g. passport (available) What document has been seen? What is the reference number? Expiry date e.g. passport (available) Correctly certified copy documents attached Correctly certified copy documents attached Account maintenance Please note, no credits can be accepted until all necessary ID requirements have been met. Until ID has been completed an 646 indicator should be inserted. Indicator 646 inserted (if applicable) Follow up to be completed by manager. Tax status amended (if applicable) Disclosure (no marketing) indicator 040 inserted (if applicable) Staff indicator 041 inserted (if applicable) Planned Overdraft limit loaded and facility letter sent (if applicable) Strict flag (LOA) loaded (if applicable) For completion by the initial interview 2 stage interviews only Meeting booked with Time : D D Stage One What Happens Next card given If decline result telephone call made to advise Decline letter sent If accept result note diarised to call 24 hours before the appointment Staff member s details By signing this section, both staff members are confirming that the evidence attached meets the Banks identification requirements. Name of staff member completing this form Checker s name (or Grade C equivalent) Staff member s signature Checker s signature
8 10424i BoS-0414
9 IMPORTANT INFORMATION PLEASE READ CAREFULL On completion, the Specimen Signature slip below must be detached and sent to the SMD Unit daily in the pre-printed SMD Personal envelope. Please ensure all sections are fully completed using black ink. Please do not mark or write on the front of the specimen signature slip except in the designated boxes. Please remove the Specimen Signature slip and send to SMD before sending the form to AQCU. Specimen signatures Branch sort code completed Account number(s) Signing instructions: Either party to sign Other see attached s name s name s signature s signature BoS-0711
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