Please be aware of the following when completing the change of signatories mandate:



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Change of account signatories Voluntary Organisations, Charities, Societies, Credit Unions, Trusts, Schools, Clubs and any other Unincorporated Association Please be aware of the following when completing the change of signatories mandate: If you are registered with any regulatory body (i.e. the Charity Commission or FCA) please ensure they are updated to reflect any changes. Please ensure you include a recent copy of any relevant governing document (i.e. constitution, rule book or byelaws). If you do not have a governing document, please confirm this in writing. All sections can be photocopied where necessary. Please note that for any section of the mandate where a signature is required, the signature does need to be an original even though the form itself can be copied. We may need to undertake full background searches of new signatories, Trustees, Members or Officials. If we do, we will use the information provided to verify your identity electronically wherever possible. We will only ask for paper proofs of identity and address when necessary. In some circumstances, we may need existing parties to undergo these checks. Please ensure you write clearly in black ballpoint pen, using CAPITAL LETTERS. When complete, please return to the following address: Change of signatories The Co-operative Bank P.O. Box 250 Skelmersdale Lancs WN8 6WT If you have any questions, please contact us on 08457 558 000 (option 2, then option 1). Our opening hours are 8am until 4pm, Monday to Friday.

Important information Important Your Personal Information Credit decisions and also the prevention of fraud and money laundering We may use credit reference and fraud prevention agencies to help us make decisions. A short guide to what we do and how both we and credit reference and fraud prevention agencies will use your information is detailed in the section called: A condensed guide to the use of your personal information by ourselves and at credit reference and fraud prevention agencies. For details of how your data may be used also read carefully the notice headed Using Your Personal Information provided with the terms and conditions of your account and the Keeping You Informed section in this application form. By confirming your agreement to proceed you are accepting that we may each use your information in this way. A condensed guide to the use of your personal and business information by ourselves and at credit reference and fraud prevention agencies 1) When you apply to us to open or update an account, this organisation will check the following records about you and, where applicable, your business partners and anyone to whom you are linked financially. a) Our own. b) Personal and, where applicable, business records at credit reference agencies (CRAs). When CRAs receive a search from us they will place a search footprint on your personal credit file and where applicable your business credit file that may be seen by other lenders. They supply to us both public (including the electoral register) and shared credit and fraud prevention information. c) Those at fraud prevention agencies (FPAs). d) If you are a Director, we will seek confirmation, from CRAs, that the residential address that you provide is the same as that shown on the restricted register of Directors usual addresses at Companies House. We will make checks such as assessing this application for credit and verifying identities to prevent and detect crime and money laundering. We may also make periodic searches at CRAs and FPAs to manage your account with us. 2) If you are making a joint application or tell us that you have a spouse or financial associate, we will link your records together so you must be sure that you have their agreement to disclose information about them. CRAs also link your records together and these links will remain on your and their files until such time as you or your partner successfully files for a disassociation with the CRAs to break that link. 3) Information on applications will be sent to CRAs and will be recorded by them, including, where applicable, information on your business and its proprietors. The CRAs may create a record of the name and address of your business and its proprietors if there is not one already. 4) Where you borrow from us, we will give details of your accounts and how you manage it/them to CRAs. 5) If you borrow and do not repay in full and on time, CRAs will record the outstanding debt. This information may be supplied to other organisations by CRAs and FPAs to perform similar checks and to trace your whereabouts and recover debts that you owe. Records remain on file for six after they are closed, whether settled by you or defaulted. 6) If false or inaccurate information is provided and fraud is identifed, details including the names of the company Directors at the time of the fraud will be passed to fraud prevention agencies. You undertake to inform all Directors of this notice. 7) Law enforcement agencies may access and use this information. 8) We and other organisations may also access and use this information to prevent fraud and money laundering, for example, when: a) Checking details on applications for credit and credit-related or other facilities. b) Managing credit and credit-related accounts or facilities. c) Recovering debt. d) Checking details on proposals and claims for all types of insurance. e) Checking details of job applicants and employees. 9) If you have borrowed from us and do not make payments that you owe us, we will trace your whereabouts and recover debts. 10) We and other organisations may access and use from other countries the information recorded by fraud prevention agencies. 11) Your data may also be used for other purposes for which you give your specifc permission or, in very limited circumstances, when required by law or where permitted under the terms of the Data Protection Act 1998. How to find out more You can contact the credit reference agencies currently operating in the UK; the information they hold may not be the same so it is worth contacting them all. They will charge you a small statutory fee. CallCredit, Consumer Services Team, PO Box 491, Leeds LS3 1WZ or call 0870 060 1414. Equifax PLC, Credit File Advice Centre, PO Box 3001, Bradford BD1 5US or call 0844 335 0550 or log on to myequifax.co.uk Experian, Consumer Help Service, PO Box 8000, Nottingham NG80 7WF or call 0844 4818000 or log on to experian.co.uk If you want to receive details of the relevant fraud prevention agencies please contact us at Fraud Management, Pennylands House, 1 Westgate, Skelmersdale WN8 8LP. 2

Section 1 General information If there is more than one account that requires the signatories to be amended and if the signatories and the signing authorities on all the accounts are the same, complete one copy of this mandate for all the accounts. If there is more than one account that requires the signatories to be amended and if the signatories or the signing authorities on any of the accounts are different, a separate mandate should be completed for each account with different signatories or signing authorities. Organisation name Full name of organisation Organisation trading name (if different from organisation name) Full trading name of organisation Account details List all account numbers to which the amendments are to apply: 3

Section 1 General information Business type Voluntary Organisation Charity Club Trust Co-operative Parish Council Credit Union School CIU affiliated CIO SCIO Social Enterprise Other What does your organisation do? Organisation web address Do you undertake any of the following activities; money transmission/money service business, cheque cashing, money lending or payday lending? If so, please provide details. Do you currently hold any Co-operative Bank accounts? Yes No If yes, please indicate type of account(s) held: Co-operative Bank Britannia Platform mortgage Account reference number(s) Organisation trading address (premises) House number or name and street Town City Organisation registered address if this differs from your trading address House number or name and street Town City Key contact This is the name of the person in your organisation to which all communications and statements for the account(s) will be sent. Forename (in full) Middle name(s) Daytime telephone number (including STD code) Telephone number of business/organisation (including STD code) if different Mobile number Fax number Email address 4

Section 1 General information Correspondence address This is the address to which all communications and statements for the account(s) will be sent. House number or name and street Town City Are you registered with/regulated by a professional industry body? Yes No If yes, please record the following: name of registered/regulated body, address of registered/regulated body, registered/regulated number Financial details (must be completed in ALL cases) Date business established Current year end date Annual turnover /expected turnover Number of working officials/ employees Expected financial growth % Where does your income/turnover come from, e.g sale of existing business/assets, general trading, etc.? By what method do you expect to receive and make payments? (tick all appropriate) Cheque Electronic payments, e.g. Faster Payments Foreign payments Cash Debit/credit cards If you have indicated above that you will be receiving and/or making foreign payments please detail all countries applicable. Telephone security pass number Remember: It is vital that you keep the pass number totally confidential. A telephone security pass number will be used to identify you or your representative(s) to Bank staff. It will enable you or your representative(s) to give instructions or obtain answers to queries on your account(s) over the telephone. Please choose an appropriate four-digit number if you have not already registered one with Customer Services or you wish to update your existing one: We would recommend changing the security pass number if any of the outgoing signatories are aware of the existing number. You can use any combination of numbers providing they are not consecutive or there are not more than two of the same numbers together (for example, not 1234 or 7778). For security reasons we do not recommend that you use a pass number that you have already set up for other accounts. Please note, if you do not have a pass number registered, this could result in us only being able to communicate with you in writing. Pass number We would like to send you information about products and services supplied by ourselves or other carefully selected organisations that we believe would be of interest to you. You can inform us at any time if you do not want to receive marketing information. Please tick the relevant box(es) only if you do not want to be contacted using the following methods: by post by phone by email by SMS Please tick if you would not like other companies, carefully selected by us, to contact you with details of goods and services offered by them: 5

Section 2 Declaration Voluntary Organisations, Charities, Societies, Credit Unions, Trusts, Schools, Clubs and any other Unincorporated Association. Certified Copy of Resolutions Made by the organisation named in Section 1. Registered Charities Two current Trustees must sign this section. Voluntary Organisations, Societies, Trusts, Schools, Clubs and any other Unincorporated Association Two officials must sign this section (i.e. chair, treasurer or secretary), and must hold this position at the time of signing. Any individual that signs who is not a signatory will need to complete Section 3b. Credit Unions Two currently FCA registered officials must sign this section. Parish, Town and Community Councils The Clerk and one Councillor must sign this section. The following resolutions were passed at a meeting of the committee held on: Date It was resolved that: The Co-operative Bank p.l.c. ( the Bank ) shall continue as our bankers in accordance with our original application the Bank shall be authorised to accept instructions (including written instructions sent by facsimile and electronic instructions through the use of digital signatures and/or identification numbers or passwords) from us in connection with the account(s) and the service, provided that the instructions are given and/or signed in accordance with the signing authority listed in the account signatories Section 4b. Instructions shall mean: cheques, bills of exchange, promissory notes or other orders for payment drawn, made or accepted on our behalf (even if the payments cause the account(s) to be overdrawn) and requests or instructions in writing concerning the account(s), our affairs or property (including the opening of the new account(s), the arranging of facilities and creation of security) the Bank shall be authorised to honour all cheques and all other documents made or accepted on our behalf even if such payment causes any accounts to be overdrawn or increase any existing overdraft, provided that such documents are signed in accordance with the specimen signatures shown in the account signatories Section 4b the Bank shall act on all specimen signatures in accordance with instruction, notice, request or other document in writing concerning our account (including the opening of new accounts), affairs or property, as shown in the account signatories Section 4b the Bank shall be sent a copy of any future resolutions which affect the terms of these resolutions the Bank shall be sent a copy of any changes in our Memorandum and Articles of Association/Regulations, constitution, rule book or byelaws the Bank shall be notified in writing of any change of Directors, Trustees, Members or Officials, where applicable some charities are also registered as Ltd, so will need to include full list the Bank shall be notified in writing of any change of official authorised to sign on our behalf the Bank shall otherwise continue to operate our account(s) in accordance with the business account mandate the Bank shall be notified in writing of any overall change of control in the organisation all signatories to the account are aged 18 or over in the case of joint account holders, we agree that on application by one of us for an overdraft on the account the Bank may provide oral pre-contractual information to one of us only prior to the overdraft being agreed. In this case any overdraft terms will be sent to multiple account holders after the overdraft is agreed and available to use. Authority for additional signatories to draw on account N.B. Each additional signatory must complete Section 3b. I/We authorise and request that until you receive written notice from me/us to the contrary to treat and consider additional signatories listed in Section 3b as fully empowered by me/us and on my/our behalf: to draw, sign and endorse cheques and other orders for payment on my/our account(s) with you to draw, sign, accept and endorse bills of exchange and promissory notices on my/our account(s) with you to receive cheques, statements and other vouchers relating to my/our account(s) with you to withdraw all or any of my/our securities, documents, or other property or anything else held by you by way of security or for safe custody collection or any other purpose whatsoever on my/our account(s) to arrange terms with you for the negotiation or discount of any documents to negotiate with you for and take advances whether by way of loan, overdraft discount or otherwise with or without security to charge, pledge and deposit with you any of my/our property upon such terms as you may require to secure the payment or discharge to you on demand of all monies and liabilities which shall for the time being (and whether on or at time after such demand) be due owing or incurred to you by me/us whether actually or contingently and whether solely or jointly with any other person and whether as principal or surety including interest discount commission and other banking charges generally to act on my/our behalf in all transactions and matters of business with you and to comply fully with any account terms and conditions and security requirements you may operate in connection with my/our account(s) with you now or in the future to act on the above instructions and in particular to pay and honour all such cheques, orders, bills, notes or requests as above mentioned notwithstanding that any such payment may cause my/our said account(s) to be overdrawn or may increase any existing overdraft. It is certified that these resolutions have been recorded in the minute book and that the specimen signatures shown in the account signatories Section 4b are correct. Name in company Date Name in company Date Please delete as appropriate throughout 6

Section 3a Personal details All Trustees, Members, Officials and signatories that are remaining on the account(s) Please note, we are required to check the information we currently hold is accurate and up to date to comply with the Data Protection Act and Money Laundering Regulations. 1 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Home address 2 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Home address 7

Section 3a Personal details All Trustees, Members, Officials and signatories that are remaining on the account(s) Please note, we are required to check the information we currently hold is accurate and up to date to comply with the Data Protection Act and Money Laundering Regulations. 3 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Home address 4 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Home address 8

Section 3a Personal details All Trustees, Members, Officials and signatories that are remaining on the account(s) Please note, we are required to check the information we currently hold is accurate and up to date to comply with the Data Protection Act and Money Laundering Regulations. 5 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Home address 6 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Home address 9

Section 3b Personal details New Trustees, Members, Officials and signatories IMPORTANT: this section must be completed by new Trustees, Members, Officials and signatories. Please provide three full address history for each person. 1 Forename (in full) Middle name(s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Who do you bank with? Please quote your branch sort code and account number Do you already hold a Co-operative Bank account (personal and/or business)? If so, please complete your sort code and account number to ensure our records are up to date. Home address Previous home address (if moved within the last three ) Previous home address (if moved within the last three ) Home telephone number (including STD code) Mobile telephone number 10

Section 3b Personal details New Trustees, Members, Officials and signatories If you have completed this section and wish to be an account signatory, please sign Section 4b. Please note, any user of Business Online Banking must be an authorised signatory to the account. If the account is not setup for online access, please complete a Business Online Banking registration form. Your consent I authorise the Bank to search the files of one or more CRAs, who will keep a record of that search, and make other enquiries the Bank believes necessary to confirm the details on this application form and for credit assessment. If false or inaccurate information is provided and fraud is identified, details including the names of the company Directors at the time of the fraud will be passed to fraud prevention agencies to prevent fraud and money laundering. You undertake to inform all Directors of this notice. It is important that you read and understand the section entitled Important Your Personal Information at the beginning of this application form, the Keeping You Informed section in the application form and the Using Your Personal Information notice provided with your terms and conditions. By signing this application you agree that we can use your information in this way. Please indicate below if the individual above is to have: a debit card? access to Business Online Banking? It is important that you have read and considered the terms and conditions relating to the above facilities before using them. In the interests of conserving resources, please only request the above facilities if they are needed and will definitely be used. Date 11

Section 3b Personal details New Trustees, Members, Officials and signatories IMPORTANT: this section must be completed by new Trustees, Members, Officials and signatories. Please provide three full address history for each person. 1 Forename (in full) Middle name (s) Any other name(s) you have been known as during the last six Date of birth Nationality/nationalities within business Individual s shareholding/ stakeholding/voting right percentage % Are these shares being held by a nominee? Yes No If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies) Who do you bank with? Please quote your branch sort code and account number Do you already hold a Co-operative Bank account (personal and/or business)? If so, please complete your sort code and account number to ensure our records are up to date. Home address Previous home address (if moved within the last three ) Previous home address (if moved within the last three ) Home telephone number (including STD code) Mobile telephone number 12

Section 3b Personal details New Trustees, Members, Officials and signatories If you have completed this section and wish to be an account signatory, please sign Section 4b. Please note, any user of Business Online Banking must be an authorised signatory to the account. If the account is not setup for online access, please complete a Business Online Banking registration form. Your consent I authorise the Bank to search the files of one or more CRAs, who will keep a record of that search, and make other enquiries the Bank believes necessary to confirm the details on this application form and for credit assessment. If false or inaccurate information is provided and fraud is identified, details including the names of the company Directors at the time of the fraud will be passed to fraud prevention agencies to prevent fraud and money laundering. You undertake to inform all Directors of this notice. It is important that you read and understand the section entitled Important Your Personal Information at the beginning of this application form, the Keeping You Informed section in the application form and the Using Your Personal Information notice provided with your terms and conditions. By signing this application you agree that we can use your information in this way. Please indicate below if the individual above is to have: a debit card? access to Business Online Banking? It is important that you have read and considered the terms and conditions relating to the above facilities before using them. In the interests of conserving resources, please only request the above facilities if they are needed and will definitely be used. Date 13

Section 4a Account signatories Removal of signatories IMPORTANT: to be completed by ALL signatories to be REMOVED from the account. Any debit cards or online access will be removed for outgoing signatories. If signatures are unobtainable, please provide a letter of resignation or a signed copy of the minutes of the meeting where the individual s removal was specifically confirmed and clearly list them here. If you are a registered charity and signatures are unobtainable, please provide a covering letter signed by two current trustees confirming the removals. If a signatory is deceased, please provide an independently certified copy of the death certificate or signed copy of the minutes of the meeting where this is documented. Certified copies are copies of original documents which should be signed original seen and dated. We may need to contact the person who has certified the documents. Please ensure they include their full name, position, address and landline telephone number on the certified documents. Copies can be certified by a person in a position of responsibility, such as a bank official, doctor, solicitor, ministers of religion, teachers, police officers or civil servants. 14

Section 4b Account signatories IMPORTANT: ALL remaining and NEW signatories must sign this section. It is important that you have read and understand page 2 of this mandate and the section Keeping you Informed on page 5 along with the terms and conditions of the account. By signing this application you agree that we can use your information in these ways. Signing authority Please quote your branch sort code and account number Please tick the level of signing authority required when making a request or giving an instruction to the Bank, etc.: Any one of the signatories to sign Any two of the signatories to sign All of the signatories to sign Other combination (please give details opposite) 15

Please call 03457 213 213* if you would like to receive this information in an alternative format such as large print, audio or Braille. The Co-operative Bank p.l.c., P.O. Box 101, 1 Balloon Street, Manchester M60 4EP. Registered in England and Wales No. 990937. The Co-operative Bank p.l.c. is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (No.121885) and holds an Interim Permission in respect of consumer credit activities and subscribes to the Lending Code and the Financial Ombudsman Service. *Lines open 8am 8pm Monday to Friday and 9am 12 noon Saturday. Calls cost no more than calls to geographic numbers (01 or 02) and must be included in inclusive minutes and discount schemes in the same way. Calls from landlines are typically charged up to 9p per minute; calls from mobiles typically cost between 8p and 40p per minute. Calls from landlines and mobiles are included in free call packages. Calls may be monitored or recorded for security and training purposes. Credit facilities are subject to status and not available to anyone under 18 of age. The Co-operative Bank reserves the right to decline any application. Information correct as at 02/2015. MKT10736 V7_EDIT 02/2015