Current Account Opening Form for Individuals 1
UK LTD. United Kingdom Guidance note for completing Current Account Opening Form for Individuals 1. Please read the terms and conditions very carefully before signing your application. They can be found on our website: www.axisbankuk.co.uk. You should contact us if you need any clarification or further information. 2. Complete all relevant sections fully. 3. To open an account, you must visit us at the Branch with the necessary documents. 4. Bank Address: Axis Bank UK Limited, 4th Floor, Kings House, 36-37 King Street, London EC2V 8BB Document Checklist Please tick the document (one each from following categories A and B) which you have provided with the account opening form (MANDATORY) A) For Identity Proof (original): Primary Applicant Joint Applicant 1. Valid Passport 2. Valid Photo Card Full UK Driving License 3. National Identity Card 4. Any other photo identity card issued by any Government department or agency or by a court (only for UK residents) B) For Address Proof (original): 1. UK Full Driving Licence (if not provided as ID proof) 2. Current Council Tax Bill 3. Current Bank Statement / Utility Bill (issued within last three months - but not ones printed off the internet) 4. Recent evidence of entitlement to a state local authority funded benefit (including housing benefit and council tax benefit), tax credit or other grant (but not ones printed off the internet). What happens after we receive your application form? 1. Once we receive your application form, we will carry out identity and address checks on the applicants as we are required to do and will open the account after these have been successfully completed. If there are any discrepancies we will notify you. 2. Once these checks are completed satisfactorily, we will send you a welcome letter by post with your customer ID details including your sort code and account number to the registered communication address given by you on your application form. 3. Please note that funding the account can only be done by cheque, drawn on any UK bank or online bank transfer through another UK bank that you bank with. For more information please visit www.axisbankuk.co.uk or call us on 020 73972522 or 020 73972525 from Monday to Friday between 9.30AM to 5.00PM. 2
UK LTD. CURRENT ACCOUNT OPENING FORM FOR INDIVIDUALS 4 th Floor, Kings House, 36-37 King Street London EC2V 8BB Customer Identification Number:.. Account Number:... A) PERSONAL DETAILS PRIMARY APPLICANT Title: Mr Mrs Miss Dr Other First Name: Middle Name: Last Name: Previous Name (If Applicable): Date of Birth: Place of Birth: Nationality: Country of Residence: Marital status: Gender: M F Contact Details Home Phone: Mobile Phone: Work Phone: Email address: Identification No & Expiry Date of any one of the following Passport No: UK Driving Licence: Any other Document: (Please state which document) Expiry Date: Expiry Date: Expiry Date: Current Address House Number/Name: Period of stay at current address: Years. Months Please Note: If you have stayed for less than 3 years at your current address please complete the section below. (In case previous address is in more than one location during the last three years, please use additional sheet) Previous Address House Number/Name: Period of stay at previous address: Years. Months 3
Communication Address (If different from Current Address) House Number/Name: Reason for the communication address being different from Current address: Source of Income: Employment Pension Business Investment Others Employment Details: Employed full time Employed Part Time Self Employed Unemployed Retired Student Home maker Name of Employer/Business: Period of employment: Years. Months Gross annual Income: upto 25000 > 25000 to 50000 > 50000 to 70000 > 70000 JOINT APPLICANT please complete this section if you wish to add a joint applicant. Otherwise please go to Section B. (In case of more than one joint applicant please use additional sheets to provide required details.) Title: Mr Mrs Miss Dr Other First Name: Middle Name: Last Name: Previous Name (If Applicable): Relationship to Primary Applicant: Date of Birth: Place of Birth: Nationality: Country of Residence: Marital status: Gender: M F Contact Details Home Phone: Mobile Phone: Work Phone: Email address: Identification No & Expiry Date of any one of the following Passport No: UK Driving Licence: Any other Document: Expiry Date: Expiry Date: Expiry Date: 4
Current Address please note if this address is different to the primary account holder, then all correspondence related to the account will be sent to the primary account holder s address. House Number/Name: Period of stay at current address: Years. Months Please Note: If you have stayed for less than 3 years at your current address please complete the section below. (In case previous address is in more than one location during the last three years, please use additional sheet) Previous Address House Number/Name: Period of stay at previous address: Years. Months Source of Income: Employment Pension Business Investment Others Employment Details: Employed full time Employed Part Time Self Employed Unemployed Name of Employer/Business: Retired Student Home maker Period of employment: Years. Months Gross annual Income: upto 25000 > 25000 to 50000 > 50000 to 70000 > 70000 B) ACCOUNT DETAILS ACCOUNT TO BE OPENED: Current Account CURRENCY: GBP Funding Your Account: How would you like to fund your account/s: Inter Bank Transfer Cheque Bankers Chq /DD /Chq No: Date: Drawn On: Amount: Source of initial deposit: C) INFORMATION ON OTHER PRODUCTS AND OFFERINGS : From time to time Axis Bank UK Limited communicates various new products/special features of existing products/promotional offers which are of significant benefit to its customers. If you do not wish to receive communications, please tick here. 5
D) Mandate and Declaration 1. I/We hereby apply for the Banking services detailed in this application form and confirm that the details provided in this form are true, complete and accurate in all respects and that I/We have not wilfully withheld any material fact/s. I/We acknowledge receipt of the Account Terms & Conditions and the Schedule of Charges and confirm that: a. I/We have read and fully understood the Terms & Conditions and Schedule of Charges and their application to any service/facilities granted to me/us by the Bank. b. I/We agree to be bound by the said Terms & Conditions as well as the Schedule of Charges, and c. The Terms & Conditions and Schedule of Charges may be amended from time to time by the Bank as stated therein; 2. I/We hereby confirm that no bankruptcy proceedings have been commenced against me/us; nor, to the best of our knowledge and belief, are we aware of any circumstances that would give rise to such action 3. I/We hereby acknowledge that the Banking Services requested by me/us in this application will be made available to me/us in accordance with the Account Terms and Conditions and at the absolute discretion of the Bank. 4. Under the Data Protection Act 1998, there are restrictions placed on data processors regarding the transfer of data to third parties and outside the EU. I/We confirm that the data provided by me/us or already in the Bank s records may be provided to the Bank Office & Data Centre of Axis Bank UK in India, other members of the Axis Bank Group, its agents or third parties, in the UK or abroad, including outside the EU, for the purpose of processing and storage of my/our application and for the subsequent processing of transactions or in connection with the general conduct of any of my/our account(s) with the bank. E) Foreign Account Tax Compliant Act (FATCA) Please tick Yes or No (Mandatory) Under the Intergovernmental Agreement between the UK and US tax authorities (HMRC and IRS respectively) relating to the implementation of FATCA, the Bank is required to disclose information to HMRC in relation to accounts and/or account holders who may be liable to pay tax in the USA. You are therefore requested to answer the following questions. Primary Applicant Joint Applicant Yes No Yes No 1. To the best of your knowledge, are you liable to pay tax in the USA? (If you answer yes, please ignore all other questions) 2. Are you a US citizen, whether by birth or naturalization or hold a US passport? 3. Do you hold a Green Card? 4. Do you own real estate within the USA? 5. Do you expect to receive into your account any income or proceeds of sale arising from any assets held in the USA and for which you have not paid tax. The Bank is not required to make any deduction in respect of liability to tax in the USA, but HMRC may share any information disclosed with the IRS. You are strongly recommended to take independent tax advice if you are unsure as to whether you may or may not have a tax liability in the USA. The Bank is not authorized or able to provide you with any tax advice. You should advise the Bank immediately should your domicile for tax purposes change. and/or you become liable to pay tax in the USA. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- To the best of my knowledge and belief, I confirm that the information given above is complete and accurate as at the date hereof. MODE OF OPERATION Signing Authority: Self Jointly by all Either of Survivor Any Special Instructions: Signature of Primary Applicant Signature of Joint Applicant (s) Signature of Primary Applicant Signature of Joint Applicant 6
UK LTD. United Kingdom F) Agreement and Authorisation Signing below, you as applicant(s) in this application is/are willing to open account(s) with Axis Bank UK Limited for banking services and agree to comply with the Bank s rules in regard to conduct of the accounts as set out in the Account Terms and Conditions. You also confirm that all details provided by you are true and complete and based on this information provided by you; Axis Bank UK Limited will provide you banking services. Authorising Us a. Considering your application, where appropriate, from time to time, during the length of your relationship with us, we may make necessary credit reference checks through such agencies who will supply us with credit information about you, as well as information from the Electoral Register. The agencies will record details of the search whether or not your application is accepted. Other methods may be used (including credit scoring by electronic or other means) to assess this application and also to verify your identity. Credit searches and other information s provided to us and/or the credit reference agencies, about you and those with whom you are linked financially may be used by us and other organisations if credit decisions are made about you, or other members of your household. This information may be used for identification purposes, debt tracing and for prevention of money laundering as well as the management of your account. b. If you make a joint application for any account or credit, an association link with your financial records with those of your fellow applicant(s) will be created by the credit reference agencies. The credit history of your associates will be taken into consideration for any future application for credit. The association will continue to link your credit histories unless and until you successfully file a notice of disassociation with the credit reference agencies. c. To make any enquiries which may be necessary to confirm details provided in this form and assess your credit situation. You agree to have read the Account Terms and Conditions Governing Accounts, which contain your obligations to us and our obligations to you. You agree to accept any relevant additional Terms and Conditions for any specific products you have applied for. If you are not happy about your choice of account, you may cancel it within 14 days of: a. the day the contract is entered into; or b. the day you receive the contract terms and conditions and other information on paper or electronically c. we will help you switch to another of our accounts or give you your money back with interest if any it has earned. We will ignore any notice period and any extra charges. d. we may record and/or monitor your telephone conversations with us for security and training purposes. Any recordings made will be our sole property. Mandate on Personal Information a. You agree to provide to the Bank in writing details of any changes in your personal details or circumstances from time to time. b. We may exchange, analyse and use relevant information about you and your relationships with companies in our group, (including the nature of your transactions) to give you information (including promotions) about our products and services (including mortgages), available from the companies in our group and those of selected third parties which may be of interest to you over telephone, by post, email, secure e-messaging, text messaging services and other means. You may communicate to us if you do not want to receive such information. You can write to us at Axis Bank UK Limited, 4 th Floor, Kings House, 36-37 King Street London EC2V 8BB c. You can obtain a copy of your personal information held by us (on payment of a nominal fee), or details of the credit agencies used by us, by writing to Data Controller at Axis Bank UK Limited, 4 th Floor, Kings House,36-37 King Street London EC2V 8BB d. You have a right to have any inaccuracies deleted or corrected. e. We may supply information on this form or otherwise provided, to any company formally appointed by us to prepare and dispatch statements or provide services in connection with the operation of your account. f. Signing the application you agree that we can use your information in this way. For joint accounts only: (Unless you have specified that we are only to honour instructions signed by more than one account holder) a. You agree that we may debit your joint account(s) with instruction authorised by any one of you. b. In accordance with the Consumer Credit Act 1974 Section 185 (2) you authorise us to supply joint statements in respect of any overdraft on your accounts. c. You agree that we can update our records using information given by anyone of you about the other(s). d. You agree that you will be individually as well as jointly liable for any money owed to us. e. Where we grant at the request of anyone of you, overdraft, loan or other credit facilities to you and by way of security accept as duly signed or executed on behalf of all of you any document creating or evidencing any charge or pledge over or in respect of any securities, deeds or other articles in your joint names and held by the Bank. 7
f. You agree to pay against the signature of any one of you, any moneys held in credit of any deposit account in your joint names. We here by confirm that this account will be operated by either or survivor. g. Unless you request otherwise we will normally contact only the joint account holder named first in our records at the address given by you, including account statements, subject to any legal requirements. h. The first named account holder is responsible for passing information, including account statements, we send to the other account holders. i. To deliver against the signature of any one of you, any securities, deeds or other articles held in your joint names by way of security or for safe custody or otherwise. You hereby agree that you shall be jointly and severally responsible for any overdraft, loan or other credit facilities or accommodation which shall be granted in your joint names or for your joint account, together with all interest, commission and other banking charges and expenses. j. You agree that in the event of death of any one of you, all money, securities, investments, deeds, documents, and other property whatsoever standing to the credit or held by us for any account in your joint names shall, subject to applicable laws, belong to the survivor (as the case may be) survivors of your accounts and we are to pay or deliver to or to the order of such survivor or survivors all such money, securities, investments, deeds, documents and other property. F) General Agreement and Declaration of Customer s Residential Status (Resident/Non Resident) a. The account holder/s is/are resident in the UK / not ordinarily resident. b. If non-resident please complete the following declaration c. I/We declare that I/We are permanent residents of... (Mention country) for UK Tax Purposes and that my/our permanent address is provided in Section A above. d. I/We declare that we are not permanent residents of The United States of America for tax purposes. e. I/We undertake to inform the Bank immediately in the event of my/our taking up permanent residence in the UK or any change in my/our residence status by my/our acquiring residence of any other country. f. I/We are also aware of the fact that the UK Tax authority namely HM Revenue and Customs has tax treaties with specified countries to exchange information on our accounts details including my/our name and address, amount of deposit, amount of interest paid, date of birth and other reference on the account. I/We am/are also aware that the list of reportable countries may change as and when the HM Revenue and Customs add/delete new countries to the list. g. I/We understand and agree that unless I/we provide the Bank with a duly executed Form R105, the Bank will pay interest where applicable after deduction of basic rate tax. I/We confirm (mandatory) That I/We agree to the conditions stated in Section E of Agreement and Authorisation My/Our residential status is as mentioned in the General Agreement and Declaration of Customer s Residential Status I/We agree to the conditions stated in point j of Joint Accounts in Section E related to death of one of the joint holders. I hereby acknowledge that I have read and understood the contents on the Information Sheet about protection offered by FSCS and Exclusion List of deposits not covered by FSCS as provided in the Annexure Signature of Primary Applicant Signature of Joint Applicant (s) Signature of Primary Applicant Signature of Joint Applicant For Office Use Only: Primary Applicant CIF ID R85 R105 Secondary Applicant CIF ID R85 R105 Processed By Authorising Officer Name : Name : Signature : Signature : 8
ANNEXURE: PROTECTION AVAILABLE UNDER THE FINACIAL SERVICES COMPENSATION SCHEME (FSCS) Basic information about the protection of your deposit INFORMATION SHEET Eligible deposits in Axis Bank UK Limited are protected by the Financial Services Compensation Scheme ( FSCS ) i Limit of protection: If you have more eligible deposits at the same bank, building society or credit union: 85,000 per depositor per bank, building society or credit union All your deposits at the same bank, building society or credit union are aggregated and the total is subject to the limit of 85,000 ii If you have a joint account with other person(s): The limit of 85,000 applies to each depositor separately iii Reimbursement period in case of bank, building society or credit union s failure: 20 working days iv Currency of reimbursement: Pound sterling (GBP, ) To contact Axis Bank UK Ltd for enquiries relating to your account: Branch Head Axis Bank UK Limited To contact the FSCS for further information on compensation: Financial Services Compensation Scheme 10th Floor Beaufort House 15 St Botolph Street London EC3A 7QU Tel: 0800 678 1100 or 020 7741 4100 Email: ICT@fscs.org.uk More information: http://www.fscs.org.uk I Scheme responsible for the protection of your deposit Your eligible deposit is covered by a statutory Deposit Guarantee Scheme. If insolvency of your bank, building society or credit union should occur, your deposits would be repaid up to 85,000 by the Deposit Guarantee Scheme. II General limit of protection If a covered deposit is unavailable because a bank, building society or credit union is unable to meet its financial obligations, depositors are repaid by a Deposit Guarantee Scheme. This repayment covers at maximum 85,000 per bank, building society or credit union. This 9
means that all deposits at the same bank, building society or credit union are added up in order to determine the coverage level. If, for instance a depositor holds a savings account with 80,000 and a current account with 20,000, he or she will only be repaid 85,000. In some cases eligible deposits which are categorised as temporary high balances are protected above 85,000 for six months after the amount has been credited or from the moment when such deposits become legally transferable. These are deposits arising from one of the following events including: (a) certain transactions relating to the depositor s current or prospective only or main residence or dwelling; (b) a death or the depositor s marriage or civil partnership, divorce, retirement, dismissal, redundancy or invalidity; (c) the payment to the depositor of insurance benefits or compensation for criminal injuries or wrongful conviction. More information can be obtained under http://www.fscs.org.uk III Limit of protection for joint accounts In case of joint accounts, the limit of 85,000 applies to each depositor. However, eligible 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 purpose of calculating the limit of 85,000. IV Reimbursement The responsible Deposit Guarantee Scheme is the Financial Services Compensation Scheme, 10 th Floor Beaufort House, 15 St Botolph Street, London, EC3A 7QU, Tel: 0800 678 1100 or 020 7741 4100, Email: ICT@fscs.org.uk. It will repay your deposits (up to 85,000) within 20 working days until 31 December 2018; within 15 working days from 1 January 2018 until 31 December 2020; within 10 working days from 1 January 2021 to 31 December 2023; and within 7 working days from 1 January 2024 onwards, save where specific exceptions apply. Where the FSCS cannot make the repayable amount available within 7 working days, it will, from 1 June 2016 until 31 December 2023, ensure that you have access an appropriate amount of your covered deposits to cover the cost of living (in the case of a depositor which is an individual) or to cover necessary business expenses (in the case of a depositor which is not an individual or a large company) within 5 working days of a request. Again, there are specific exceptions to this obligation. In the case of a depositor which is a large company, where the FSCS cannot make the repayable amount available within 7 working days, it will, from 3 July 2015 until 1 December 2016, ensure that you have access to your covered deposits within fifteen working days of a request containing sufficient information to enable it to make a payment, save where specific exceptions apply. If you have not been repaid within these deadlines, you should contact the Deposit Guarantee Scheme since the time to claim reimbursement may be barred after a certain time limit. Further information can be obtained under http://www.fscs.org.uk. Other important information In general, all retail depositors and businesses are covered by Deposit Guarantee Schemes. Exceptions for certain deposits are stated on the website of the responsible Deposit Guarantee Scheme. Your bank, building society or credit union will also inform you of any exclusions from coverage which may apply. If deposits are eligible, the bank, building society or credit union shall also confirm this on the statement of account. 10
EXCLUSIONS LIST From 3 July 2015 to 2 July 2016 A deposit is excluded from protection if: (1) The holder and any beneficial owner of the deposit have never been identified in accordance with money laundering requirements. For further information, contact your bank, bank building society or credit union. (2) The deposit arises out of transactions in connection with which there has been a criminal conviction for money laundering. (3) It is a deposit made by a depositor which is one of the following: credit institution financial institution investment firm insurance undertaking reinsurance undertaking collective investment undertaking pension or retirement fund public authority, other than a small local authority. The following are deposits, categories of deposits or other instruments which will no longer be protected from 3 July 2015: deposits of a credit union to which the credit union itself is entitled deposits which can only be proven by a financial instrument unless it is a savings product which is evidenced by a certificate of deposit made out to a named person and which exists in a Member State on 2 July 2014) deposits of a collective investment scheme which qualifies as a small company deposits of an overseas financial services institution which qualifies as a small company deposits of certain regulated firms (investment firms, insurance undertakings and reinsurance undertakings) which qualify as a small business or a small company refer to the FSCS for further information on this category For further information about exclusions, refer to the FSCS website at www.fscs.org.uk 11
EXCLUSIONS LIST From 3 July 2016 A deposit is excluded from protection if: (1) The holder and any beneficial owner of the deposit have never been identified in accordance with money laundering requirements. For further information, contact your bank, bank building society or credit union. (2) The deposit arises out of transactions in connection with which there has been a criminal conviction for money laundering. (3) It is a deposit made by a depositor which is one of the following: credit institution financial institution investment firm insurance undertaking reinsurance undertaking collective investment undertaking pension or retirement fund public authority, other than a small local authority. For further information about exclusions, refer to the FSCS website at www.fscs.org.uk 12