Sole Trader Account Mandate (for transacting with Bank of Ireland Global Markets in the Republic of Ireland) Global Markets
Completion Instructions CUSTOMER CHECKLIST Proof of PPS* provided (interest earning accounts only) All details on Application to open an account completed and signed Declaration & Agreement signed Account details section to be completed Pre-LEI (Legal Entity Identifier) Governor and Company of the Bank of Ireland Terms of Business Treasury Terms and Conditions Fixed Term Deposit Product Overview Deposit Guarantee Scheme Depositor Information Sheet (Annex 1) signed Global Markets Accounts Fees and Charges Schedule EMIR Data (Annex 2) NON-BANK OF IRELAND CUSTOMER IDENTIFICATION AND VERIFICATION REQUIREMENTS Name/Date of Birth Address Current passport or Irish/UK driving licence EEA ID card Recent utility bill e.g. ESB/Gas/Phone (< 6 months) Recent Bank Statement (< 6 months) Current certificate of Tax Credit Current Social Insurance document Current household/car insurance documents Certified copies of original documents are acceptable. The documents can be certified by Bank of Ireland staff, staff of other financial institutions, police, solicitors and embassy staff. The bank reserves the right to request further details if required. We have obligations under the Criminal Justice (Money Laundering and Terrorist Financing) Act 2010 as amended, The Central Bank of Ireland s Money Laundering Guidance Notes for Credit Institutions, the European Union Savings Taxing of Savings Income Directive, the Financial Account Reporting Regulations 2014 and the Taxes Consolidation Act 1997. Your account may not be opened until we have received all relevant documentation. BRANCH CHECKLIST (For internal use only) All applicants Ensure all customer sections are completed in full and signed Ensure Certificate of Registration of Business Name (if applicable) is attached. Original or wet-ink certified copy Existing Bank of Ireland customers Anti Money Laundering Know Your Customer and Tax Reporting Certificate completed and signed by staff member with staff number and branch brand for each Account Holder and each Authorised Individual. NON BANK OF IRELAND CUSTOMERS Full customer identification and verification requirements have been met Please note: For certain product types a Customer Suitability Statement may be required. The minimum cleared balance required on a Fixed Term Account is 20,000, US$30,000 or the equivalent of e25,000 in any other currency. The minimum cleared balance required on a Call Account is e2,500 or the equivalent in any other currency. Please return to: Documentation Unit, Group Operations and Payments, Operations Centre, Dublin 18 * Proof of PPS required include: P60, P45, P21 Balancing Statement, Payslip (where employer is identified by name or tax number), Drug Payment Scheme Card, European Health Insurance Card, Tax Assessment, Tax Return Form, PAYE Notice of Tax Credits, Child Benefit Award Letter/Book, Pension Book, Social Services Card, any printed documentation from the Revenue Commissioners or Department of Social and Family Affairs that contain name, address and PPS number. Page 1 of 8
Application to Open and Operate a Foreign Currency Account SOLE TRADER ACCOUNT MANDATE To: The Governor and Company of the Bank of Ireland ( the Bank ) I the undersigned, hereby authorise you to open and/or continue to operate one or more Accounts in *my Name/Business Name of (Account Holder), Certificate of Registration of Business Name Number: Principal Business Activity: of which I am the sole proprietor and to charge to the appropriate Account all cheques, bills and withdrawal forms and other orders and to act on Instructions relating to the Accounts, signed accepted and endorsed by myself or (Authorised Signatory) who will act as indicated below, notwithstanding that such action may lead to borrowing or cause any Current Account to be overdrawn or any overdraft increased. Furthermore, I hereby agree to hold myself liable for all monies due and liabilities, demands, claims, losses, costs and expenses incurred under the above authorisation in any manner whatsoever and howsoever. * Delete as applicable AUTHORISED INDIVIDUALS The following individuals are authorised to carry out transactions and give instructions on behalf of this Account. PERSONAL DETAILS - ACCOUNT HOLDER (BLOCK CAPITALS) Title: Mr Mrs Ms Other First Name (in full): Surname: Date of Birth: D D M M Y Y Y Y PPS No.: Address: Home Tel.: E-mail address: Occupation: Nationality: Mobile/Other: Are you a US citizen? Yes No Are you resident in any country or territory other than R.O.I for tax purposes? Yes No If Yes, please list below all countries/territories in which you are tax resident, and provide a Tax Identification Number (TIN) for each country/territory. Country/Territory Country/Territory Bol account details BIC 1 IBAN 1 Tax Identification Number (or Equivalent) Tax Identification Number (or Equivalent) Can authorise Transactions in writing and/or by means of: Fax Telephone 2 (Please tick all that apply). PERSONAL DETAILS - AUTHORISED INDIVIDUAL (BLOCK CAPITALS) Title: Mr Mrs Ms Other First Name (in full): Surname: Date of Birth: D D M M Y Y Y Y PPS No.: Address: Home Tel.: E-mail address: Occupation: Nationality: Bol account details BIC 1 IBAN 1 Mobile/Other: Can authorise Transactions in writing and/or by means of: Fax Telephone 2 (Please tick all that apply). If you need to add further signatories please photocopy this page and specify signing arrangements considering the use of Power of Attorney where appropriate. 1 If you already have an active account with Bank of Ireland please provide Bank Identifier Code and International Bank Account Number in these boxes. 2 In accordance with clause 5 of the Treasury Terms and Conditions, where Instructions are provided by or purported by an Authorised Individual/Signatory by telephone, such telephone instructions will override any provisions in the Account Mandate in relation to the number of signatures which are required to operate your account. Page 2 of 8
Foreign Currency Account Details FOR COMPLETION BY ALL APPLICANTS. Please indicate in the box below type(s) of Account to be opened. Account Type Currency Account Type Currency Account Type Currency A Current B Current C Current Call Call Call Fixed Fixed Fixed If you wish to open an account please sign the Depositor Information Sheet (Annex 1) Term (Fixed Deposit only)*: 1 Month 3 Months 6 Months 9 Months 12 Months Maturity Options: Automatic reinvestment of Principal and Interest or Automatic reinvestment of Principal and Payment of Interest Standing Orders are only available on Current Accounts. Initial Lodgement: By: Cash Cheque Draft SWIFT/Electronic Other Please specify: Special Instructions (if applicable) * You will have received a Fixed Term Deposit Product Overview and the Governor and Company of the Bank of Ireland Terms of Business with this Account Mandate. You can also access a copy of these on our website https://corporate.bankofireland.com/products-and-services/treasury-solutions or you can request another copy to be sent to you by post. Foreign Exchange Transactions - Authorised Individuals/Signatories I authorise the individual(s) specified below to carry out Foreign Exchange Transactions limited to dealings in spot and forward rate exchange contracts and give instructions in writing on my behalf. Where indicated, individuals will also be authorised to provide the Bank with Instructions for these Foreign Exchange Transactions by fax and/or telephone. Name of Authorised Individual (block capitals): Title: Mr Mrs Ms Other Signature: Telephone: Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable) Foreign Exchange Transactions Telephone* Fax Confirmations Telephone* Fax Name of Authorised Individual (block capitals): Title: Mr Mrs Ms Other Signature: Telephone: Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable) Foreign Exchange Transactions Telephone* Fax Confirmations Telephone* Fax Where there are more than two authorised individuals/signatories, please complete additional copies of this page for third and subsequent parties. * In accordance with clause 5 of the Treasury Terms and Conditions, where instructions are provided by an Authorised Individual/Signatory by telephone, such telephone instructions will override any provisions in the Account Mandate in relation to the number of signatures which are required to operate your account. Page 3 of 8
Declarations and Agreements I agree that the Bank may: 1. Enter into those Transactions with me as have been specified in the Account Mandate and in accordance with the Treasury Terms and Conditions and/or the Governor and Company of the Bank of Ireland Terms of Business as appropriate, which have been provided to me. 2. Act on the Instructions from the Authorised Signatories as set out in the Account Mandate which contains the specimen signatures of all of the Authorised Signatories. 3. Report an eligible OTC derivative trade to a trade repository on my behalf, if so elected, in accordance with the EMIR Reporting Service Special Terms and Conditions ( Special T&C s ) and on receipt of a completed Annex 1 and pre-lei. I hereby approve the Special T&C s, in particular the covenants and provisions imposing liabilities. I hereby certify that: 1. All information in this Account Mandate has been completed to the best of my knowledge and belief; 2. An accurate list of Authorised Individual(s) has been provided to the Bank as of the date of this Account Mandate and the Bank will be promptly notified of any changes to that list or any changes in my circumstances affecting any information provided in this form; 3. I agree to be bound by the terms of this Account Mandate, EMIR Reporting Service Special Terms and Conditions, if applicable, the Treasury Terms and Conditions and the Governor and Company of the Bank of Ireland Terms of Business, as applicable, for the operation of my Account(s)*; 4. I have read and understood the terms relating to the use and disclosure of data and personal information set out in Clauses 23 & 24 of the Treasury Terms and Conditions. I warrant that I have the consent of the owners of any personal data given to the Bank under this Agreement to disclose these data. 5. I understand that you may, for my security, record telephone conversations for the purposes of recording transactions that I wish to complete. ADDITIONAL DECLARATION AND AGREEMENT IN RELATION TO FOREIGN EXCHANGE TRANSACTIONS ONLY 6. I hereby request the Bank to enter into foreign exchange transactions limited to dealings in spot and forward rate exchange contracts (the FX Transactions ) with me/us. In the event I/we fail to deliver any currency to the Bank pursuant to these FX Transactions, I/we will be liable to pay the Bank the amount of any loss that may arise. The Bank is authorised to debit one or more of my accounts with the Bank in respect of any amount due and not paid under these FX Transactions. For this purpose, the Bank may convert any obligation under these FX transactions into the currency in which the other is denominated at the Bank s spot rate of exchange for the relevant currencies. 7. I agree to notify the Bank in writing of any changes to the list of Authorised Individuals/Signatories. DATA PROTECTION AUTHORISATION The information you have provided will be treated as confidential and retained by Bank of Ireland Global Markets for the purpose of financial services or as required by law. The Bank may use the information you have provided for the separate purpose of providing you with additional information relating to goods and services of Bank of Ireland, its associated companies and/or third parties ( marketing purposes ). If you agree to Bank of Ireland s use of the information for such marketing purposes please tick this box. PPS Number not provided. PPS Number provided but no proof attached. I do not have official details or an official document with my name, address and PPS number but I will submit this documentation as soon as possible. I declare the foregoing to be true and accurate. I do not currently have an official document with my name, address and PPS number but I confirm that the PPS number outlined above is my PPS number. I will submit the appropriate documentation as soon as possible. I declare the foregoing to be true and accurate. * This account is subject to Treasury Terms and Conditions and the Governor and Company of the Bank of Ireland Terms of Business and terms not otherwise defined in this Account Mandate shall have the meaning given to them under these Treasury Terms and Conditions and/or the Governor and Company of the Bank of Ireland Terms of Business. You will have received a copy of these with this Account Mandate. You can also access a copy of these on our website https://corporate.bankofireland.com/products-and-services/treasury-solutions or you can request another copy to be sent to you by post. ACCOUNT HOLDER (PLEASE ENSURE TO SIGN THIS SECTION) Signatory Name: (BLOCK CAPITALS) Signature: Date: D D M M Y Y Y Y Page 4 of 8
For internal use only SOURCE OF FUNDS/CREDIT RISK Source of Wealth: please specify Source of Funds: Inheritance Sale of Assets Savings please specify please specify Other please specify Will branch take credit risk on cheque/draft? Yes No * If credit risk is not accepted by branch, cheque/draft will be sent on collection and credited to the customer s account in due course less charges. * ANTI MONEY LAUNDERING KNOW YOUR CUSTOMER AND TAX REPORTING CERTIFICATE One copy of this Anti Money Laundering Know Your Customer and FATCA Due Diligence Certificate is required for each Applicant on the Account. I certify that a copy of the relevant documentation is held at this branch/unit/group company and will be held here to your benefit until you advise otherwise. I confirm that the customer s self certification in relation to FATCA reporting information is reasonable given the AML documentation held at this Branch/Unit/Group company. I confirm that all details are complete and it is in order to open this account. The person is considered suitable for operating an account at Global Markets. Authorised Signatory: Date: D D M M Y Y Y Y Auth. Sig. Number: Branch Brand: BIPs: RDC: Credit Grade: Date Primary Account opened: D D M M Y Y Y Y Relationship Manager Signature: Authorised Signature Number: Page 5 of 8
Deposit Guarantee Scheme Depositor Information Sheet Annex 1 If you wish to open an account, please sign this Depositor Information Sheet. Basic information about the protection of your eligible deposits Eligible deposits in the Bank of Ireland Group are protected by: Limit of protection: The deposit Guarantee Scheme ( DGS ) 100,000 per depositor per credit institution If you have more eligible deposits All your eligible deposits at the same credit institution are at the same credit institution: aggregated the total is subject to the limit of 100,000. If you have a joint account with other person(s): Reimbursement date in case of credit institutions failure: Currency of reimbursement: To contact Bank of Ireland Group for enquiries relating to your account: To contact the DGS for further information in compensation: The limit of 100,000 applies to each depositor separately. 20 working days* Euro or, for branches of Irish banks operating in another member state of the EEA, the currency of that member state. Bank of Ireland Customer Service 4th Floor, Arena Building Whitestown Way Tallaght Dublin 24 Tel: 1890 365 365 Mob: 0818 365 365 Intl:+353 1404 4000 Deposit Guarantee Scheme Central Bank of Ireland PO BOX 11517 Spencer Dock North Wall Quay Dublin 1 Tel: 1890 777 777 Email: info@depositguarantee.ie More Information Acknowledgement of receipt by the depositor www.depositguarantee.ie Depositor Signature Page 6 of 8
ADDITIONAL INFORMATION Scheme responsible for the protection of your deposit. Your scheme is covered by a statutory Deposit Guarantee Scheme. If insolvency of your credit institution should occur your eligible deposits would be repaid up to 100,000. General limit of protection If a covered deposit is unavailable because a credit institution is unable to meet its financial obligations, depositors are repaid by a Deposit Guarantee Scheme. This repayment covers at a maximum of 100,000 per credit institution. This means that all eligible deposits at the same credit institution are added up in order to determine a coverage level. If for instance a depositor holds a savings account with 90,000 and a current account with 20,000 he or she will only be repaid 100,000. This method will also be applied if a credit institution operates under different trademarks. This means that all eligible deposits with one or more of these trademarks are in total covered up to 100,000. Limit of protection for joint accounts In the case of joint accounts the limit of 100,000 applies to each depositor. However, deposits in an account to which two or more persons are entitled as members of a business partnership, association or grouping of a similar nature, without legal personality are aggregated and treated as if made by a single depositor for the purposes of calculating the limit of 100,000. In some cases eligible deposits which are categorised as temporary high balances are protected above 100,000 for six months after the amount has been credited or from the moment when such eligible deposits become legally transferable. These are eligible deposits relating to certain events which include: a) Certain transactions relating to the purpose, sale or equity release by the depositor in relation to private residential property b) Sums paid to the depositor in respect of insurance benefits personal injuries disability and incapacity benefits wrongful conviction, unfair dismissal, redundancy and retirement benefits. c) the depositors marriage, judicial separation, dissoulution of civil partnership and divorce d) sums paid to the depositor in respect of benefits payable on death,claims for compensation in respect of a persons death, or a legacy or distribution from the estate of a deceased person. More information can be obtained at www.depositguarantee.ie Reimbursement The reimbursement deposit guarantee scheme is: Deposit Guarantee Scheme, Central Bank of Ireland, PO BOX 11517, Spencer Dock, North Wall Quay, Dublin 1. Tel: 1890 777 777 Email: info@depositguarantee.ie Website: www.depositguarantee.ie It will repay your deposits (up to 100.000) within 20 working days until 31 December 2018, within 15 working days from 1 January 2019 until 31 December 2020, within 10 working days from 1 January 2021 to 31 December 2023 and within 7 days from January 2024 onwards, save where specific exceptions apply. Where the repayable amount cannot be made available within seven working days depositors will be given access to an appropriate amount of the covered deposits to cover the cost of living within five working days of a request. Access to the appropriate amount will only be made on the basis of data provided by the credit institution. If you have not been repaid within these deadlines you should contact the deposit guarantee scheme. Other important information In general all retail businesses and depositors are covered by the Deposit Guarantee Scheme. Exceptions for certain deposits are stated on the website of the deposit guarantee scheme. Your credit institution will also inform you on request if certain products are covered or not. If deposits are eligible the credit institution shall also confirm this on the statement of account. Page 7 of 8
EMIR Data Annex 2 Do you intend to enter into OTC Derivatives trades (including FX Forwards) with the Bank? Yes No Pre-Legal Entity Identifier*: Counterparty Classification: Private Individual Non--commercial acitivity (not affected by EMIR) Commercial activity Financial Counterparty ( FC ) A = Assurance Undertaking authorised in accordance with Directive 2002/83/EC; C = Credit Institution authorised in accordance with Directive 2006/48/EC; F = Investment Firm in accordance with Directive 2004/39/EC; I = Insurance Undertaking authorised in accordance with Directive 73/239/EC; L = Alternative Investment Fund managed by AIFMs authorised or registered in accordance with Directive 2011/61/EU; O = Institution for occupational retirement provision within the meaning of Article 6(a) of Directive 2003/41/EC; R = Reinsurance undertaking authorised in accordance with Directive 2005/68/EC; U = UCITS and its management company, authorised in accordance with Directive 2009/65/EC OR Non-Financial Counterparty ( NFC ) OR Non-EEA entity Do you wish the Bank to report your trade information to a trade repository in order to comply with your requirements under EMIR? Yes No By signing below, you agree that you have fully read, understood and are bound by the EMIR Reporting Service Special Terms and Conditions. Authorised Signatory** Name: Authorised Signatory Name: Date: D D M M Y Y Y Y Date: D D M M Y Y Y Y *In order to obtain a pre-lei, visit www.londonstockexchangegroup.com/register-for-lei, where you need to complete the registration screen and request an iei (international entity identifier. A user guide can be found here. You can access a user guide for LSE at http://www2.londonstockexchangegroup.com/iei-user-guide. You will be required to provide certain information, which may include, legal name, address, country of incorporation, company registration number, VAT number and also, to pay a small fee. Your pre-lei will become your LEI once the Central Operating Unit becomes operational. Any references to pre-lei can be construed as references to LEI once this occurs. ** Authorised signature(s) should be in accordance with the mandate instructions. Page 8 of 8
Visit the treasury specialists on www.treasuryspecialists.com Stay on top of the markets with our iphone Markets App Please return to: Documentation Unit Group Operations and Payments Operations Centre Dublin 18 DUBLIN LONDON BELFAST STAMFORD 2 Burlington Plaza, Burlington Road, Dublin 4, Ireland Bow Bells House, 1 Bread Street, London EC4M 9BE, UK 1 Donegall Square South, Belfast BT1 5LR, UK 300 First Stamford Place, Stamford CT 06902, USA +353 (0)7662 44330 +44 (0)207 429 9120 +44 (0)289 043 3291 +1 203 391 5555 Bank of Ireland is regulated by the Central Bank of Ireland. 23-673.R8 (12/15)