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Company AccountApplication, Authorityand Mandate(for transacting with Bank of IrelandGlobal Markets in the Republic of Ireland)Global Markets
Completion Instructions for this Company*Account Mandate*For the purpose of this Account Mandate a ‘company’ means a corporate body incorporated in accordance with national laws and includescompanies incorporated under Irish company law (e.g. LTD, DAC, PLC) and other statutory corporations (e.g. ICAV).CUSTOMER CHECKLISTYou provide:We provide: Tax Reference Number provided- Interest earning accounts only Governor and Company of the Bank of Ireland Terms of Business Authorised individuals/signatories completed List of Directors* and Beneficial owners completed Declarations and Agreement completed Deposit Guarantee Scheme – Depositor Information Treasury Terms and ConditionsFixed Term Deposit Product OverviewGlobal Markets Accounts Fees and Charges ScheduleEMIR Reporting Service Special Terms and Conditions (if applicable)Sheet (Annex 1) signed EMIR Data (Annex 2), if applicable*Or equivalentNON-BANK OF IRELAND CUSTOMER IDENTIFICATION AND VERIFICATION REQUIREMENTSName/Date of Birth Current passport or Irish/UK driving licence EEA ID cardAddress 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 documentsCertified copies of original documents are acceptable. The documents can be certified by Bank of Ireland staff, staff of other financialinstitutions, 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, The Central Bank of Ireland’s MoneyLaundering Guidance Notes for Credit Institutions, the European Union Savings Taxing of Savings Income Directive, the Financial AccountReporting Regulations 2014 and the Taxes Consolidation Act 1997. Your account may not be opened until we have received all relevantdocumentation.BRANCH CHECKLIST (For internal use only)All applicantsEnsure all customer sections are completed in full and signedEnsure Certificate of Registration of Business Name (if applicable)Existing Bank of Ireland customersAttach Money Laundering Compliance and Tax Reporting Certificate or attach all constitutional documents and ID andaddress verification for each of 2 directors* and 2 Authorised Signatories***Or equivalent. If a sole director company, the sole director.**Where two or more Authorised Signatories provided.NON BANK OF IRELAND CUSTOMERSAttach constitutional documents and ID and address verification for each of 2 directors and 2 Authorised IndividualsPlease 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 18Page 2 of 12
Your Business DetailsLegal/Company name:Name & Address for Correspondence:(if different from above)Company/Registration Number:Registered Address:Principal Business Activity:Please indicate in the box below type(s) of Account to be opened.Account TypeACurrencyAccount TypeCurrentBCurrencyCurrentAccount Existing Global Markets Accounts Numbers:If you wish to open an Account, please sign the Depositor Information Sheet (Annex 1)Standing Orders are only available on Current Accounts. Information/Documentation provided will be subject to a satisfactoryreview. Additional due diligence documentation may be required prior to account opening.* You will have received a Fixed Term Deposit Product Overview with this Account Mandate. You can also access a copy of this on our s-and-services/treasury-solutions, or you can request another copy to be sent to you by post.Authorised Individuals/SignatoriesThe individuals specified below are authorised to carry out transactions and give Instructions in writing on behalf of your business hereinafter called the ‘Company’ as per the resolution on page 5. Where indicated, individuals will also be authorised to provide the Bank withInstructions for the products and services listed below by fax and/or telephone.Name of Authorised Individual (block ephone:Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable)Current & Deposit AccountsTelephone*FaxSwaps (Interest Rate and Currency)Telephone*FaxForeign Exchange TransactionsTelephone*FaxCurrency e Finance ProductsTelephone*FaxOther Treasury Services (please specify)Name of Authorised Individual (block ephone:Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable)Current & Deposit AccountsTelephone*FaxSwaps (Interest Rate and Currency)Telephone*FaxForeign Exchange TransactionsTelephone*FaxCurrency e Finance ProductsTelephone*FaxOther Treasury Services (please specify)* In accordance with clause 5 of the Treasury Terms and Conditions, where instructions are provided by an Authorised Individual/Signatory by telephone, such telephoneinstructions 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 12
Authorised Individuals/Signatories (continued)The individuals specified below are authorised to carry out transactions and give Instructions in writing on behalf of your business hereinafter called the ‘Company’ as per the resolution on page 5. Where indicated, individuals will also be authorised to provide the Bank withInstructions for the products and services listed below by fax and/or telephone.Name of Authorised Individual (block ephone:Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable)Current & Deposit AccountsTelephone*FaxSwaps (Interest Rate and Currency)Telephone*FaxForeign Exchange TransactionsTelephone*FaxCurrency e Finance ProductsTelephone*FaxOther Treasury Services (please specify)Name of Authorised Individual (block ephone:Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable)Current & Deposit AccountsTelephone*FaxSwaps (Interest Rate and Currency)Telephone*FaxForeign Exchange TransactionsTelephone*FaxCurrency e Finance ProductsTelephone*FaxOther Treasury Services (please specify)IF YOU NEED TO ADD FURTHER AUTHORISED INDIVIDUALS, PLEASE PHOTOCOPY THIS PAGE.Number of signatures required on instructions**:AnyONE of the signaturesAnyTWO of the signaturesALLof the signaturesOtherIf you have ticked “Other” or have any additional instructions or limitations which you wish to apply to your Account Mandate,please give specific instructions below.Specific Instructions:* 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, suchtelephone instructions will override any provisions in the Account Mandate in relation to the number of signatures which are required to operate your account.** If no signing instructions are specified, the Bank may at its sole discretion, accept and act on the instructions of any one of the Signatories.DEPOSIT INTEREST RETENTION TAX DECLARATION(We, the Company, wish to apply for DIRT exemption and will tick the appropriate box below. We understand that if no box is ticked, thenDIRT will be applied to any interest earned.) TheCompany is an Irish Resident Company within the charge to Corporation Tax and the relevant tax referencenumber is. We understand that the Bank is obliged to provide a return to the Irish RevenueCommissioner with this number together with the name of the recipient and the amount of interest paid gross to the recipient. TheCompany is a corporate entity or 100% owned subsidiary of such an entity - quoted on an FATF member country* stockexchange (evidence of such stock exchange quotation to be attached) and a non-resident of Ireland. The beneficial recipient of theinterest earned is a non-resident of Ireland.If the company qualifies for DIRT exemption under any other provisions, please contact your relationship manager for the required forms.* Please refer to website http://www.fatf-gafi.org/countries for details of FATF member countries.Page 4 of 12
List of Directors of the CompanyIf you choose to provide your own list instead of using this form, then such a list must: (i) be addressed to The Governor and Company ofthe Bank of Ireland; (ii) be on Company letterhead; (iii) be certified to be given in connection with the Account Mandate; (iv) state the dateof the Account Mandate; and (v) contain all of the information requested below:Name/TitleResidential AddressBusinessAddressOccupationDate of BirthBeneficial Ownership Details*I confirm that the ultimate individual beneficial owners with greater than 25% of Issued Share Capital are as follows:Note: Where no ultimate individual beneficial owner has been assigned greater than 25% of the Issued Share Capital then detailsof two of the prominent stakeholders of the business (i.e. Managing Director and Financial Controller) should be provided.1. Name:2. Name:Occupation:Date of Birth:Occupation:DD M MYYYYPrincipalAddress:D M MYYYYDD M MYYYY4. :3. Name:Date of Birth:Date of Birth:Occupation:DD M MYYYYDate of Birth:PrincipalAddress:Page 5 of 12
Tax Reporting Information required under FATCA/CRSIn accordance with the Foreign Account Tax Compliance Act (FATCA) and the OECD’s Common Reporting Standard (CRS), we areobliged to establish whether the account holder is a U.S. citizen or U.S. resident for tax purposes or resident in a participating jurisdictionfor tax purposes, or, where the account holder is a passive non-financial entity, whether it is controlled by such persons. In certaincircumstances we may be obliged to report details of accounts held by such persons to the Irish Revenue Commissioners who may,in turn, share this information with tax authorities in the relevant jurisdictions. Further information may be required from you to confirmwhether your account is reportable. Additional information is available at http://www.revenue.ie/en/business/aeoi/If you have any questions about how to complete this form or any other concerns about the impact of sharing of information,you should contact your tax advisor or local tax authority.Please note that the Bank does not provide tax advice and will not be liable for any errors contained in this form.When filling in this form, read the Guidance Notes and Glossary of Terms bus.net/help-centre/common-reporting-standard/) for definitions of specific words and terms.SECTION 1 – TAX RESIDENCY FOR FATCA AND CRS (MANDATORY)Please review the below and complete as appropriatea) Is your Entity/Organisation entity resident for tax purposes in the U.S.?YesNoYesNoYesNoIf “Yes” your Entity/Organisation must complete Section 1 (b)If “No” please proceed to Section 1 (c)b) Is your Entity/Organisation a Specified U.S. Person (Note that a Specified U.S. Person includes organisations)If “Yes” you must provide your Entity/Organisation’s U.S. Tax Identification Number (TIN):c) Is your Entity/Organisation resident for tax purposes in any country other than the U.S. and the Republic of Ireland?If “Yes”, please list below all countries/territories in which your Entity/Organisation is tax resident, and provide the corresponding TaxIdentification Number (TIN), or functional equivalent for each country/territory.If “No” please proceed to Section 2Country/TerritoryTax Identification Number (or Equivalent)SECTION 2 – NON-FINANCIAL ENTITIESNB: If you are a Financial Institution please proceed directly to Section 4. Otherwise, please select your Entity/Organisation’sclassification for both FATCA and CRS.For more details on Non-Financial Entities, please refer to the Glossary :I certify that the Entity/Organisation is an Active NFFEif “Yes” proceed to Declarations and Agreements (p. 8 of 12)I certify that the Entity/Organisation is a Passive NFFEif “Yes” proceed to Declarations and Agreements (p. 8 of 12) andcomplete the Controlling Person Self-Certification Annex 3I certify that the Entity/Organisation is an Excepted NFFEif “Yes” proceed to Declarations and Agreements (p. 8 of 12)CRS:I certify that the Entity/Organisation is an Active NFE,the stock of which is regularly traded on an establishedsecurities marketif “Yes” proceed to Declarations and Agreements (p. 8 of 12)I certify that the Entity/Organisation is an Active NFE,a Government Entity or Central Bankif “Yes” proceed to Declarations and Agreements (p. 8 of 12)I certify that the Entity/Organisation is an Active NFE,an international organisationif “Yes” proceed to Declarations and Agreements (p. 8 of 12)I certify that the Entity/Organisation is an Active NFE,other than the above Active NFE categoriesif “Yes” proceed to Declarations and Agreements (p. 8 of 12)I certify that the Entity/Organisation is a Passive NFEif “Yes” proceed to Declarations and Agreements (p. 8 of 12) andcomplete the Controlling Person Self-Certification (Annex 3)Page 6 of 12
Tax Reporting Information required under FATCA/CRS (continued)SECTION 3: FINANCIAL INSTITUTIONS REQUIRED FOR FATCAThe information provided in this section is for FATCA, please note your classification may differ from your CRS classification in Section 4.If your Entity/Organisation is a Financial Institution under FATCA, please tick one of the options below.If you are not a Financial Institution under FATCA, please proceed to Section 4.For more details on Financial Institutions, please refer to the Glossary gistered Deemed Compliant Foreign Financial Institutionii)Participating Foreign Financial Institutioniii)Partner Jurisdiction Financial Institution (including Irish Financial Institutions)Please provide your Global Intermediary Identification Number (GIIN):If your Entity is a Financial Institution but unable to provide a GIIN, please tick one of the below reasons:a)GIIN not yet obtained but sponsored by another entity which does have a GIINSponsor’s Name:Sponsor’s GIIN:b)Certified Deemed Compliant Foreign Financial Institutionc)Exempt Beneficial Ownerd)Non-Participating Foreign Financial Institutione)Excepted Foreign Financial InstitutionSECTION 4: FINANCIAL INSTITUTIONS REQUIRED FOR CRSThe information provided in this section is for CRS. Please note your CRS classification may differ from its FATCA classificationin Section 3.If your Entity/Organisation is a Financial Institution under CRS, please tick one of the options below.If your Entity/Organisation is not a Financial Institution under CRS, please proceed to Declarations and Agreements (p.8 of 12).For more details on Financial Institutions, please refer to the Glossary )Investment Entity in a Non-Participating JurisdictionPlease complete the controlling person Self-Certification form Annex 3Financial Institution (other than (i) above)Page 7 of 12
Declarations and AgreementsTERMS OF BOARD RESOLUTIONAt a meeting of the Board of directors* of the Company it was resolved that The Governor and Company of the Bank of Ireland (the “Bank”)be requested and authorised as follows:1. to open and/or continue one or more accounts in the name of the Company.2. to enter into those Transactions with the Company as have been specified in the Account Mandate and in accordance with theTreasury Terms and Conditions and/or the Terms of Business as appropriate, which have been provided to the Company.3. to act on the Instructions from the Authorised Individuals as set out in the Account Mandate.4. in respect of any information and/or copy documents supplied to the Bank, to disclose to, transfer to, or send copies to any branch,division or other member of the Bank of Ireland Group, any regulatory authority or any other designated body to enable the Bank tocomply with its obligations to establish identity of the Company in accordance with applicable anti-money laundering legislation (asmay be amended or varied from time to time).5. to make all and any enquiries which the Bank considers appropriate or to disclose any information provided to the Bank to any thirdparty providing a credit reference or anti-fraud service.6. the Bank will be supplied with such documentation as required by the Account Mandate, EMIR Reporting Service Special Terms andConditions, if applicable, the Treasury Terms and Conditions and the Terms of Business as applicable.7. to report an eligible OTC derivative trade to a trade repository on behalf of the Company, if so elected, in accordance with theEMIR Reporting Service Special Terms and Conditions (“Special T&C’s”) and on receipt of a completed Annex 1 and LEI.The Company hereby approves the Special T&C’s, in particular the covenants and provisions imposing liabilities on the Company.8. this resolution will be communicated to the Bank and will in conjunction with the Account Mandate, EMIR Reporting Service SpecialTerms and Conditions, if applicable and the Treasury Terms and Conditions and/or the Terms of Business as appropriate provide theauthority to the Bank to act on behalf of the Company.9. the Company will notify the Bank in writing, signed by the company secretary or a director* and one authorised signatory, of anychanges to the list of Authorised Signatories.10. the Account Mandate will remain in force until an amending resolution is passed by the Company and a copy of such resolution,properly certified, is communicated to the Bank.DECLARATION AND AGREEMENTI hereby certify that:1. All information in this Account Mandate is accurate and has been completed to the best of my knowledge and belief;2. An accurate list of the directors* of the Company and details of beneficial owners/stakeholders has been provided to the Bank as ofthe date of this Account Mandate. The Company will promptly notify the Bank of any change to these Directors or Beneficial Owners/Stakeholders, or where such persons assume or renounce U.S. citizenship or changes residency for tax purposes.3. The Company has received or accessed, has read and agrees to be bound by the terms of this Account Mandate and the documents to beprovided by the Bank listed under ‘Customer Checklist’ on Page 1 of this Account Mandate as applicable for the operation of ourAccount(s)**;4. The Company has read and understood the terms relating to the use and disclosure of data and personal informationset out in Clauses 23 & 24 of the Treasury Terms and Conditions. I warrant that I have the consent of the owners of any personal datagiven to the Bank under this Agreement to disclose these data.5. The Company understands that you may, for our security, r
Ensure Certificate of Registration of Business Name (if applicable) Existing Bank of Ireland customers Attach Money Laundering Compliance and Tax Reporting Certificate or attach all constitutional documents and ID
