Change of Signatory Application Form
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1 Change of Signatory Application Form Guidance Note Please read this guidance note before completing the form so we can process your application as quickly as possible. For new and remaining authorised signatories: Please complete all sections of this form in BLOCK CAPITALS and BLACK INK. Please complete all sections of the form in full, as we cannot process your form without this information. Any missing or incomplete details will result in your application being delayed and we will not be responsible for any action, or delay in action, on the relevant account during such period of delay. We are required by law to check the identity of all new signatories to the account, and we may need to undergo these checks on the remaining authorised signatories. To help us verify your identity and address we may make an electronic search, using information you have supplied on this form. In some instances we may need to ask you to send further information or documents. Please read our information leaflet on proving your identity, this is available to download at If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies to prevent fraud and money laundering. Further details explaining how the information held by fraud prevention agencies may be used can be found at By completing this change of signatory form you do not need to complete a removal of signatory form as well. ou must only complete the removal of signatory form if you wish to remove a signatory or user of other banking related services, such as internet or telephone banking. Signatories being replaced on the account will automatically be removed from all other banking related services, such as internet or telephone banking, unless you advise us otherwise on the Resolution in Section 2 of this form. Section 3 of this form must be completed and signed by ALL new and remaining signatories. By signing this form you will automatically be registered to telephone banking. Signatories being replaced on the account do not need to sign this form. In order that we can process your application as quickly as possible, please complete the Checklist at the end of this form. We will write to you on completion and new signatories can start signing on the account once you hear from us in writing. This change of signatory form and all our other customer forms are available to download at Please send your completed form to: Unity Trust Bank, Nine Brindleyplace, Birmingham B1 2HB For more information, or if you need help to complete this form, please call us on Unity Trust Bank plc is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Unity Trust Bank is entered in the Financial Conduct Authority s register under number Registered Office: Nine Brindleyplace, Birmingham, B1 2HB. Registered in England and Wales no Calls are recorded and may be monitored for security, quality and monitoring purposes. UTB419 / June 2014 UTB419 January 2015 Page 1 of 6
2 Section 1 - our Organisation All organisations must complete this section. Full Name of Organisation Account Number(s) Key Contact Operational of the Organisation Website ate of Birth We will monthly statements to this address Signing Instruction - this is required to process your application Please indicate the number of signatories required for the operation of your account, including writing cheques and making changes to your account in writing. If no box is ticked your existing mandate will continue to apply: Any two signatories must sign Both signatories must sign All signatories must sign Other If Other, please specify Statements We will electronic statements to your Key Contact as detailed above. How frequently would you like your bank statement? Monthly Quarterly Half early Annually Please state your preferred date of the month Please tick if you would prefer to receive paper statements ata Protection and Marketing The information on this form may be used for statistical analysis and/or for marketing purposes such as identifying other products and services which may be of interest to your organisation. These products and services may be offered by mail (including electronic mail) or phone according to your preference, using the correspondence details for your organisation. Personal contact information will not be used for marketing purposes unless it is entered into the main contact section for your account(s). If your organisation is happy to receive marketing information please indicate how you would like to receive this information. Mail Phone UTB419 January 2015 Page 2 of 6
3 Section 2 - Resolution All organisations must complete this section. To Unity Trust Bank plc. The following resolutions have been recorded at a properly convened meeting in accordance with the governing documents of the organisation held on: At the meeting convened by the organisation named in section 1, it was resolved that: 1. The amendments to the Mandate for the operation of the bank account(s), payment instructions and banking services be approved and be provided to the Bank by persons authorised to do so in accordance with the Bank s procedures and the Mandate; 2. The Bank is entitled to rely upon the amended Mandate until it receives a later Mandate amending it, and the Bank is entitled to reply on instructions given by any person named in Section 3 and may disclose any information relating to the account to any such person; 3. The Bank is under no duty to make enquiries before acting on the instruction of any person named in Section 3; 4. The Bank will be notified in writing of any changes to the organisation as per the terms and conditions of the account. We hereby certify that these resolutions have been properly recorded in the minute book and that they are signed by two authorised people on behalf of the organisation: Please be advised that signatories being removed from the account(s) will automatically be removed from all other banking related services, such as internet or telephone banking, unless we are advised otherwise below: UTB419 January 2015 Page 3 of 6
4 Section 3 - Personal etails of All New and Remaining Signatories All new and remaining signatories must complete this section. We are required by law to check the identity of all signatories held with the Bank. To help us verify your identity and address we may make an electronic search, using information you have supplied on this form. In some instances we may need to ask you to send in further information or documents. Please read our information leaflet on proving your identity at In signing this form any signatory acknowledges that we may undertake electronic searches of any such signatory using the information provided on this form. ou will also be automatically registered to telephone banking. Note: All signatories must be UK resident and the minimum age is 18 years. 1. Authorised Signatory etails ate of Birth ou must sign here. Please sign using black ink only. 2. Authorised Signatory etails ate of Birth ou must sign here. Please sign using black ink only. UTB419 January 2015 Page 4 of 6
5 Section 3 - Personal etails of All New and Remaining Signatories (continued) We are required by law to check the identity of all signatories held with the Bank. To help us verify your identity and address we may make an electronic search, using information you have supplied on this form. In some instances we may need to ask you to send in further information or documents. Please read our information leaflet on proving your identity at In signing this form any signatory acknowledges that we may undertake electronic searches of any such signatory using the information provided on this form. ou will also be automatically registered to telephone banking. Note: All signatories must be UK resident and the minimum age is 18 years. 3. Authorised Signatory etails ate of Birth ou must sign here. Please sign using black ink only. 4. Authorised Signatory etails ate of Birth ou must sign here. Please sign using black ink only. UTB419 January 2015 Page 5 of 6
6 Section 3 - Personal etails of All New and Remaining Signatories (continued) We are required by law to check the identity of all signatories held with the Bank. To help us verify your identity and address we may make an electronic search, using information you have supplied on this form. In some instances we may need to ask you to send in further information or documents. Please read our information leaflet on proving your identity at In signing this form any signatory acknowledges that we may undertake electronic searches of any such signatory using the information provided on this form. ou will also be automatically registered to telephone banking. Note: All signatories must be UK resident and the minimum age is 18 years. 5. Authorised Signatory etails ate of Birth ou must sign here. Please sign using black ink only. Before retuning this form please complete the following checklist: Have you filled out all the fields in Section 1 including selecting the Signing Instruction you require? es Has the Resolution in Section 2 been signed by two authorised people on behalf of the organisation? es Have all new and remaining signatories completed and signed Section 3? es Please post your completed application form to: Unity Trust Bank, Nine Brindleyplace, Birmingham B1 2HB. UTB419 January 2015 Page 6 of 6
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