Customer due diligence

Personal customer account information form

Your Information

We collect and process various categories of personal and financial information throughout your relationship with us, to allow us to provide our products and services and to run our business. For more information about how we use your personal information, the types of information we collect and process and the purposes for which we process personal information, please read our Privacy Notice.

We may update this from time to time and we encourage you to visit our website regularly to stay informed of the purposes for which we process your information and your rights to control how we process it.

* Indicates a required field

Identifying you

Customer Reference Number * You will find the Customer Reference Number (CRN) on the letter or email we sent you. Should your CRN be less than 7 digits, please add zero(s) in front of your CRN to total the number of digits to 7. E.g. a CRN of 12345 would become 0012345.

First name * Please enter your First name excluding any special characters, such as hyphens, as it appears on your ID documentation.

Middle name Please enter any Middle name(s) excluding any special characters, such as hyphens, as it appears on your ID documentation.

Surname * Please enter your Surname excluding any special characters, such as hyphens, as it appears on your ID documentation.

Do you have any former names? * Please include any former names e.g. maiden name

Former Name(s) * Please include any former names e.g. maiden name

Are you known by another name (such as in a professional capacity) that is different to your identity document(s)? *

Other Name(s) *

What is your gender?

Date of birth *

What is your country of birth? *

What is your place of birth? * This must match the place of birth on your passport or identity document

Your contact details

Telephone

Mobile phone number * Please use numerical values only (don’t use + for any international numbers) E.g. For the UK country code is 0044, please enter 0044123456789.

Phone number Please use numerical values only (don’t use + for any international numbers) E.g. For the UK country code is 0044, please enter 0044123456789.

Email

Email address *

Address

Address Line 1 *

Address Line 2

Address Line 3 (City) *

Address Line 4 (Country) *

Postcode / Zip code *

Source of funds

Where does the money in your account come from? * Please tell us where the money in your account comes from by choosing from the list of options. This should be your main source of income for this account.

Main source of income – please explain *

Please tell us which Primary country the money in your account comes from * e.g. For example, if you’re employed by a UK based company and your Source of Funds is your salary; then the ‘Source of Funds - Primary Country’ will be the UK. Alternatively, if your Source of Funds is from the sale or rental of a property located in Spain for example, then your ‘Source of Funds – Primary Country’ will be Spain.

Please provide an explanation of the types of money being paid into your account *

For example

My main income is my salary from my job as a [Job Title] at [Company Name], where I earn [Amount] monthly, deposited directly into my account every [Payment Frequency]

Additional Sources:

Part-time Employment: I also work part-time as a [Job Title] at [Company Name], earning approximately [Additional Amount] every [Payment Frequency]
Investments: I receive [Amount] on my investment in [Asset Type] every [Frequency] (e.g rental properties / shares)

Anticipated Future Sources of Income:

I expect to receive [Amount] from [Source] by [When], as a result of [e.g. work bonus / house sale]

Offshore Banking Rationale / Rationale for Relationship * Where applicable, please provide the rationale for the existing offshore banking relationship. This should include a detailed explanation for the rationale of holding an account with us.

For example

I am in the process of moving to the jurisdiction where the account is required
Foreign National Inpatriate / Expatriate (Inpat / Expat)
Own or has inherited a property in the jurisdiction where the account is required and needs an account to pay for maintenance, collect rental income, rates, and other fees
Resident of the jurisdiction but studying abroad as a Student

Please respond with N/A if you live in the same jurisdiction as your banking facilities with us.

Your tax residency

Where do you primarily pay taxes? *

Do you have a Tax Identification Number? * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Tax Identification Number (Tax Residency Details 1) * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Please ensure that this number is correctly formatted for the country you are paying taxes in - Tax identification numbers (TINs) [oecd.org]

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 1) * Tax number will be required once available.

Do you need to add details of a second country where you pay taxes? If no, please proceed with completing the remaining questions.

Yes

Tax Residency Details 2

Country of Tax Residency 2 *

Do you have a Tax Identification Number for this second tax residence? * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Tax Identification Number (Tax Residency Details 2) * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 2) * Tax number will be required once available.

Do you need to add details of a third country where you pay taxes?

Yes

Tax Residency Details 3

Country of Tax Residency 3 *

Do you have a Tax Identification Number for this third tax residence? * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Tax Identification Number (Tax Residency Details 3) * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 3) * Tax number will be required once available.

Do you need to add details of a fourth country where you pay taxes?

Yes

Tax Residency Details 4

Country of Tax Residency 4 *

Do you have a Tax Identification Number for this fourth tax residence? * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Tax Identification Number (Tax Residency Details 4) * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 4) * Tax number will be required once available.

Do you need to add details of a fifth country where you pay taxes?

Yes

Tax Residency Details 5

Country of Tax Residency 5 *

Do you have a Tax Identification Number for this fifth tax residence? * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Tax Identification Number (Tax Residency Details 5) * This is known as a Taxpayer Identification Number (TIN), Social Security Number (SSN), Unique Taxpayer Reference Number (UTR) or Individual National Insurance Number (NINO).

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 5) * Tax number will be required once available.

Other

Occupation * Current Occupation; i.e. Nurse or Pensioner/Retired

Employer * Name of your employer; i.e. NHS or Unemployed/Retired

Do you serve in a Public Position? * This field is applicable if you hold a prominent public position such as a Member of Parliament or a Mayor. Public position does not however refer to all roles within the Public sector such as a Police Officer or Civil Servant.

Please Explain *

Final Declaration

I declare that I have examined the information on this form and to the best of my knowledge and belief, it is true, correct and complete. I undertake to inform the Bank promptly of any change in circumstances which causes the information contained herein to be incorrect and to provide the Bank with a suitable updated declaration within 30 days of such changes. I declare that I have and shall continue to comply with and meet all of my tax obligations in each jurisdiction in which I have and/or may have tax responsibilities

If the 'Submit form' remains inactive, please scroll back up and ensure you have completed all of the mandatory fields in the form.

Next steps

Thank you providing this information.

We may need to contact you again if any of the details we have requested are missing or unclear or if any further questions arise from what you have provided.

If everything has been provided and we require no further information, we won't be back in touch.