Business Banking

Application Form
PRIVATE LIMITED COMPANY BUSINESS BANK ACCOUNT
Case ID 39305277

Santander

Branches
When verifying and validating the customer's identity please record the information using the online Face to Face (branch) Manual Customer Identification Record and attach to this application form.

RMs and Telephone Distribution

When verifying and validating the customer's identity please record the information using the online Non Face to Face (branch) Manual Customer Identification Record and attach to this application form. Adviser name

Branch name

Branch number

Adviser number

Scheme

RM name

Account reference

Santander is able to provide literature in alternative formats. The formats available are: large print (as recommended by RNIB), braille, audio tape and PC disk. If you would like to register to receive correspondence in an alternative format please give us a call and ask for a 'Preferred Communication Request' form.

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4 Extra account users

6 Declarations

Declaration A - please complete Part 1 In all cases (except for Clubs, Societies and Unincorporated Associations). ALL account operators regardless of business type must complete Part 2. Charities should also complete Declaration B. Clubs, Societies and Unincorporated Associations should complete Declaration C. Please do not sign this form until you have read the Data Protection Statement and the terms and conditions of each account and/or Investment you have deSignated at Section 4of this form. You will need to supply suitableidentification for each account operator. Please see the ID checklist on page 12. Declaration A -

part 1
By signing this declaration,our informationIagreeread and I accept, correct. signingSantanderuse I contained in byhavelegalin the named at you can that: The information confirm that as stated entity true and By agree thatthis Application Form wethis application isstatement. Section IS duly authorised the on behalf of1the have read and operate the thel(b) of Protectionall We confirm the names at Section Data the form, mvestrnentts) legal entity to understand accounns) b) of this form,validity of the Account operators. Statement, and and/or the terms and conditions of the account(s) form. investment(s) designated at Section 4 of this and/or desiqnated at Section 4 of this form, and that I am duly authorised to accept such terms and conditions on behalf of such entity. Full name

Part 1 should be by a minimum of two Designated LLP signed by follows: Partnership - as a minimumDirectors or one Director and the of two Partners. Members. Private PLC - Limited Company - by two Directors or by one Director Company Secretary. TraderIfis required to sign. and the CompanySole Sole Trader - the Secretary. there is no Company Secretary and only a Sole Director, or If the Sole Director IS also the Company Secretary then the Sole Director must sign. In this instance the Sole Director must sign In the presence of a witness who attests the signature.

Full name

Signature

Signature

Position

Position

Date

Date

To be completed only a Witness who is attesting the signature of a Sole Director of a Private Limited Company. by
Full name Permanent residential address

r---------------------------Postcode Occupation

Signature

Date We do not require any personal identification documentation for you

D eclaration A - part 2 (to be com pleted andby A LL account operators nam ed in S ection 5) signed
Full name Full name

Signature

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Signature

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Date

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Date
Full name

Full name

Full name

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Full name

Signature

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Signature

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