1. finance
2. bank
3. bank account

Sole Trader
Account
Mandate
(for transacting with Bank of Ireland
Global Markets in the Republic of Ireland)
Global Markets
Completion Instructions
CUSTOMER CHECKLIST
✔
Proof of PPS* provided (interest earning accounts only)
✔
Governor and Company of the Bank of Ireland Terms of Business
✔
All details on Application to open an account completed and signed
✔
Treasury Terms and Conditions
✔
Declaration & Agreement signed ✔
Fixed Term Deposit Product Overview
✔
Account details section to be completed ✔
Global Markets Accounts Fees and Charges Schedule
✔
Pre-LEI (Legal Entity Identifier) ✔
EMIR Data (Annex 1)
NON-BANK OF IRELAND CUSTOMER IDENTIFICATION AND VERIFICATION REQUIREMENTS
Name/Date of Birth
 Current passport or
 Irish/UK driving licence
 EEA ID card
Address
 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 documents
Certified copies of original documents are acceptable. The documents can be certified by Bank of Ireland staff, staff of other financial
institutions, 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 as amended, The Central Bank of
Ireland’s Money Laundering Guidance Notes for Credit Institutions, the European Union Savings Taxing of Savings Income Directive, the
Financial Account Reporting Regulations 2014 and the Taxes Consolidation Act 1997. Your account may not be opened until we have
received all relevant documentation.
BRANCH CHECKLIST (For internal use only)
All applicants
Ensure all customer sections are completed in full and signed
Ensure Certificate of Registration of Business Name (if applicable) is attached. Original or ‘wet-ink’ certified copy
Existing Bank of Ireland customers
Anti Money Laundering Know Your Customer and FACTA Due Diligence Certificate completed and signed by staff member with staff
number and branch brand for each Account Holder and each Authorised Individual.
NON BANK OF IRELAND CUSTOMERS
Full customer identification and verification requirements have been met
Please 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 18
* Proof of PPS required include: P60, P45, P21 Balancing Statement, Payslip (where employer is identified by name or tax number), Drug Payment Scheme Card, European
Health Insurance Card, Tax Assessment, Tax Return Form, PAYE Notice of Tax Credits, Child Benefit Award Letter/Book, Pension Book, Social Services Card, any printed
documentation from the Revenue Commissioners or Department of Social and Family Affairs that contain name, address and PPS number.
Page 1 of 6
Application to Open and Operate a Foreign Currency Account
SOLE TRADER ACCOUNT MANDATE
To: The Governor and Company of the Bank of Ireland (“the Bank”)
I the undersigned, hereby authorise you to open and/or continue to operate one or more Accounts in *my Name/Business
Name of
(Account Holder),
Certificate of Registration of Business Name Number:
Principal Business Activity:
of which I am the sole proprietor and to charge to the appropriate Account all cheques, bills and withdrawal forms and other orders and
to act on Instructions relating to the Accounts, signed accepted and endorsed by myself or
(Authorised Signatory)
who will act as indicated below, notwithstanding that such action may lead to borrowing or cause any Current Account to be overdrawn
or any overdraft increased. Furthermore, I hereby agree to hold myself liable for all monies due and liabilities, demands, claims, losses,
costs and expenses incurred under the above authorisation in any manner whatsoever and howsoever.
* Delete as applicable
AUTHORISED INDIVIDUALS
The following individuals are authorised to carry out transactions and give instructions on behalf of this Account.
PERSONAL DETAILS - ACCOUNT HOLDER
(BLOCK CAPITALS)
Title: Ms
Mr
Mrs
Other
First Name (in full):
Surname:
D D M M
Date of Birth:
Y
Y
Y
Y PPS No.:
Address:
Home Tel.:
Mobile/Other:
E-mail address:
Occupation:
Nationality:
No
Are you US resident for tax purposes?
Note: If you have answered Yes to either of these questions, please provide your US Tax Identification Number (TIN)
Are you a US citizen?
Bol account details
Yes
BIC1
Yes
No
IBAN1 Can authorise Transactions in writing and/or by means of:
PERSONAL DETAILS - AUTHORISED INDIVIDUAL
Title: Mr
Mrs
Fax
Telephone2
(Please tick all that apply).
(BLOCK CAPITALS)
Ms
Other
First Name (in full):
Surname:
D D M M
Date of Birth:
Y
Y
Y
Y PPS No.:
Address:
Home Tel.:
Mobile/Other:
E-mail address:
Occupation:
Nationality:
Bol account details
BIC 1
IBAN 1
Can authorise Transactions in writing and/or by means of:
Fax
Telephone2
(Please tick all that apply).
Specimen Signature:
If you need to add further signatories please photocopy this page and specify signing arrangements considering the use of Power of
Attorney where appropriate.
If you already have an active account with Bank of Ireland please provide Bank Identifier Code and International Bank Account Number in these boxes.
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,
such telephone instructions will override any provisions in the Account Mandate in relation to the number of signatures which are required to operate your account.
1
2
Page 2 of 6
Foreign Currency Account Details
FOR COMPLETION BY ALL APPLICANTS.
Please indicate in the box below type(s) of Account to be opened.
Account Type
A
Currency
Account Type
Current
Currency
Account Type
Current
B
C
Current
Call
Call
Call
Fixed
Fixed
Fixed
3 Months
6 Months
Term (Fixed Deposit only)*:
1 Month
Maturity Options:
Automatic reinvestment of Principal and Interest
or
Currency
9 Months
12 Months
Automatic reinvestment of Principal and Payment of Interest
Standing Orders are only available on Current Accounts. Direct Debits are only available on Sterling Current Accounts.
Initial Lodgement:
By:Cash
Cheque
Draft
SWIFT/Electronic
Other
Please specify:
Special Instructions
(if applicable)
* You will have received a Fixed Term Deposit Product Overview and the Governor and Company of the Bank of Ireland Terms of Business with this Account Mandate. You can
also access a copy of these on our website www.treasuryspecialists.com/library or you can request another copy to be sent to you by post.
Foreign Exchange Transactions - Authorised Individuals/Signatories
I authorise the individual(s) specified below to carry out Foreign Exchange Transactions limited to dealings in spot and forward rate exchange
contracts and give instructions in writing on my behalf. Where indicated, individuals will also be authorised to provide the Bank with
Instructions for these Foreign Exchange Transactions by fax and/or telephone.
Name of Authorised Individual (block capitals):
Title:Mr
Mrs
Ms
Other
Signature:
Telephone:
Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable)
Foreign Exchange Transactions
Telephone*
Fax
Confirmations
Telephone*
Fax
Name of Authorised Individual (block capitals):
Title:Mr
Mrs
Ms
Other
Signature:
Telephone:
Authorised to provide the Bank with Instructions for the products and services listed below by the following means (please tick as applicable)
Foreign Exchange Transactions
Telephone*
Fax
Confirmations
Telephone*
Fax
Where there are more than two authorised individuals/signatories, please complete additional copies of this page for third and
subsequent parties.
* In accordance with clause 5 of the Treasury Terms and Conditions, where instructions are provided by an Authorised Individual/Signatory by telephone, such telephone
instructions 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 6
Declarations and Agreements
I agree that the Bank may:
1.Enter into those Transactions with me as have been specified in the Account Mandate and in accordance with the Treasury Terms and
Conditions and/or the Governor and Company of the Bank of Ireland Terms of Business as appropriate, which have been provided to me.
2.Act on the Instructions from the Authorised Signatories as set out in the Account Mandate which contains the specimen signatures of
all of the Authorised Signatories.
3.Report an eligible OTC derivative trade to a trade repository on my behalf, if so elected, in accordance with the EMIR Reporting
Service Special Terms and Conditions (“Special T&C’s”) and on receipt of a completed Annex 1 and pre-LEI. I hereby approve the
Special T&C’s, in particular the covenants and provisions imposing liabilities.
I hereby certify that:
1.All information in this Account Mandate has been completed to the best of my knowledge and belief;
2.An accurate list of Authorised Individual(s) has been provided to the Bank as of the date of this Account Mandate and the Bank will be
promptly notified of any changes to that list;
3.I agree to be bound by the terms of this Account Mandate, EMIR Reporting Service Special Terms and Conditions, if applicable, the
Treasury Terms and Conditions and the Governor and Company of the Bank of Ireland Terms of Business, as applicable, for the operation
of my Account(s)*;
4.I have read and understood the terms relating to the use and disclosure of data and personal information set out in Clauses 23 & 24 of
the Treasury Terms and Conditions. I warrant that I have the consent of the owners of any personal data given to the Bank under this
Agreement to disclose these data.
5. I understand that you may, for my security, record telephone conversations for the purposes of recording transactions that I
wish to complete.
ADDITIONAL DECLARATION AND AGREEMENT IN RELATION TO FOREIGN EXCHANGE TRANSACTIONS ONLY
6.
7.
I hereby request the Bank to enter into foreign exchange transactions limited to dealings in spot and forward rate exchange contracts (the “FX Transactions”) with me/us. In the event I/we fail to deliver any currency to the Bank pursuant to these FX
Transactions, I/we will be liable to pay the Bank the amount of any loss that may arise. The Bank is authorised to debit one or more
of my accounts with the Bank in respect of any amount due and not paid under these FX Transactions. For this purpose, the Bank
may convert any obligation under these FX transactions into the currency in which the other is denominated at the Bank’s spot rate of
exchange for the relevant currencies.
I agree to notify the Bank in writing of any changes to the list of Authorised Individuals/Signatories.
DATA PROTECTION AUTHORISATION
The information you have provided will be treated as confidential and retained by Bank of Ireland Global Markets for the purpose of financial
services or as required by law. The Bank may use the information you have provided for the separate purpose of providing you with
additional information relating to goods and services of Bank of Ireland, its associated companies and/or third parties (“marketing purposes”).
If you agree to Bank of Ireland’s use of the information for such marketing purposes please tick this box.
PPS Number not provided.
I do not have official details or an official document with my name, address
and PPS number but I will submit this documentation as soon as possible.
I declare the foregoing to be true and accurate.
PPS Number provided but no proof attached.
I do not currently have an official document with my name, address and
PPS number but I confirm that the PPS number outlined above is my PPS
number. I will submit the appropriate documentation as soon as possible.
I declare the foregoing to be true and accurate.
* This account is subject to Treasury Terms and Conditions and the Governor and Company of the Bank of Ireland Terms of Business and terms not otherwise defined in this
Account Mandate shall have the meaning given to them under these Treasury Terms and Conditions and/or the Governor and Company of the Bank of Ireland Terms of
Business. You will have received a copy of these with this Account Mandate. You can also access a copy of these on our website www.treasuryspecialists.com/library or you
can request another copy to be sent to you by post.
ACCOUNT HOLDER (PLEASE ENSURE TO SIGN THIS SECTION)
Signatory Name:
(BLOCK CAPITALS)
Signature:
Date:
D
D
M M
Y
Y
Y
Y
Page 4 of 6
For internal use only
SOURCE OF FUNDS/CREDIT RISK
Source of Wealth: please specify
Source of Funds:
Inheritance Sale of Assets please specify
Savings please specify
Other please specify
Will branch take credit risk on cheque/draft?
Yes
*
No
* If credit risk is not accepted by branch, cheque/draft will be sent on collection and credited to the customer’s account in due
course less charges.
ANTI MONEY LAUNDERING KNOW YOUR CUSTOMER CERTIFICATE AND FACTA DUE DILIGENCE CERTIFICATE
One copy of this Anti Money Laundering Know Your Customer and FACTA Due Diligence Certificate is required for each
Applicant on the Account.
I certify that a copy of the relevant documentation is held at this branch/Unit/Group company and will be held here to your benefit until
you advise otherwise.
 I confirm that the customer’s self certification in relation to FACTA reporting information is reasonable given the AML documentation
held at this Branch/Unit/Group company.
 I confirm that all details are complete and it is in order to open this account.
 The person is considered suitable for operating an account at Global Markets.
Authorised Signatory:
Date:
D
D
M M
Y
Y
Y
Y
Auth. Sig. Number:
Branch Brand:
BIPs:
RDC:
Credit Grade:
Cheque Book Required: Yes
Date Primary Account opened:
Relationship Manager Signature:
Authorised Signature Number:
Page 5 of 6
D
D
M M
Y
Y
Y
Y No
Note: Cheque books are only available for GBP Current Account.
EMIR Data
Do you intend to enter into OTC Derivatives trades (including FX Forwards) with the Bank?
Yes
No
Pre-Legal Entity Identifier*:
Counterparty Classification:
Private Individual
Non--commercial acitivity (not affected by EMIR)
Commercial activity
Financial Counterparty (“FC”)
A = Assurance Undertaking authorised in accordance with Directive 2002/83/EC;
C = Credit Institution authorised in accordance with Directive 2006/48/EC;
F = Investment Firm in accordance with Directive 2004/39/EC;
I = Insurance Undertaking authorised in accordance with Directive 73/239/EC;
L = Alternative Investment Fund managed by AIFMs authorised or registered in accordance with Directive 2011/61/EU;
O = Institution for occupational retirement provision within the meaning of Article 6(a) of Directive 2003/41/EC;
R = Reinsurance undertaking authorised in accordance with Directive 2005/68/EC;
U = UCITS and its management company, authorised in accordance with Directive 2009/65/EC
OR
Non-Financial Counterparty (“NFC”)
OR
Non-EEA entity
Do you wish the Bank to report your trade information to a trade repository in order to comply with your requirements under EMIR?
Yes
No
By signing below, you agree that you have fully read, understood and are bound by the EMIR Reporting Service Special Terms and Conditions.
Authorised Signatory**
Authorised Signatory
Name:
Name:
Date:
D
D
M M
Y
Y
Y
Y Date:
D D
M M
Y
Y
Y
Y
*In order to obtain a pre-LEI, visit www.londonstockexchangegroup.com/register-for-lei, where you need to complete the registration screen and request an iei (international
entity identifier. A user guide can be found here. You can access a user guide for LSE at http://www2.londonstockexchangegroup.com/IEI-User-Guide. You will be required
to provide certain information, which may include, legal name, address, country of incorporation, company registration number, VAT number and also, to pay a small fee. Your
pre-LEI will become your LEI once the Central Operating Unit becomes operational. Any references to pre-LEI can be construed as references to LEI once this occurs.
** Authorised signature(s) should be in accordance with the mandate instructions.
Page 6 of 6
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Please return to:
Documentation Unit
Group Operations and Payments
Operations Centre
Dublin 18
DUBLIN
LONDON
BELFAST
STAMFORD
2 Burlington Plaza,
Bow Bells House,
1 Donegall
300 First Stamford Place,
Burlington Road,
1 Bread Street,
Square South,
Stamford CT 06902,
Dublin 4, Ireland
London EC4M 9BE, UK
Belfast BT1 5LR, UK
USA
+353 (0)7662 44330
+44 (0)207 429 9120
+44 (0)289 043 3291
+1 203 391 5555
23-673R.6 (06/14)
Bank of Ireland is regulated by the Central Bank of Ireland.