Personal Account Application Form
Sole Personal Current Account
PLEASE COMPLETE IN BLOCK CAPITALS
For Bank Use Only
Current Account: NSC
9 0
A/c No.Purpose of A/c (Mandatory: Box must show an understanding of purpose and likely operation of account.)
Existing Bank of Ireland Customer Yes No
If Existing Bank of Ireland Customer - N.S.C Sole A/C number
Will your salary be mandated to this account? Yes No
Are you switching your bank account from another financial institution? Yes No
(If yes please complete ‘Switching your personal bank accounts made easy’ brochure Ref 37-769RU)
SECTION B: YOUR RELATIONSHIP WITH US
Registration for 365
Use Bank of Ireland 365 online to make payments, check your account or view transactions. What’s more, by using 365 online you Card Type ATM/Debit Card Bank of Ireland ATM Card
Customer Name (to appear on Card) (Max 22 characters)
SECTION C: YOUR PERSONAL CHOICES
SECTION A: YOUR PERSONAL DETAILS
Title Mr Mrs Ms Miss Other
First Name Surname Address Date of Birth Email
Tel (Home) Tel (Mobile)
Tel (Work)
Best time to contact Morning Afternoon Evening Employment Details
Employee Employer Self Employed Homemaker Student Retired Other
Occupation Net Monthly Pay €
Employer’s Name Annual Gross Income €
Residential Details
Home Owner With Parents Tenant Other
Year moved to address Monthly Rent/Mortgage €
Previous Address
if tenant
Marital Status
AUTHORISATION, CONSENTS AND APPLICATION FOR ACCOUNT(S)
NOTE: YOU SHOULD ONLY SIGN BELOW WHEN YOU HAVE READ THIS SECTION AND THE CONSENTS AT APPENDIX 1 CAREFULLY AND AGREE TO BE BOUND BY THESE TERMS
To: The Governor and Company of the Bank of Ireland (the “Bank”, which term includes and shall be construed to include Bank branches, its subsidiaries, agents and third parties appointed by the Bank)
I, the undersigned, authorise you to open one or more accounts in the name of .
I authorise you to accept and to honour all withdrawal forms and orders drawn on the account and to act on all instructions relating to the account.
I have received and read the following documents and, in consideration of your providing me from time to time with any of the products and/or services requested under this Mandate Application Form, agree to be bound by their terms:
the Terms and Conditions and Terms of Business that apply to the relevant account; the ‘Schedule of Fees and Charges for Personal Customers’;
the details of debit interest outlined in the table of “Personal Overdraft Interest Rates” sheet at Appendix 2 of this Authorisation and Application Form;
where applicable, the Terms and Conditions relating to ATM / Debit cards.
I confirm that I have read each authorisation required by the Bank as set out in Appendix 1 to this Authorisation and Application Form (a copy of which I have been furnished with and will retain) to hold, use, disclose, copy and process information and I understand that by signing this application form I am giving my consent for the use of information provided by us for the purposes of (1) the Data Protection Acts, 1988 and 2003; and (2) the Criminal Justice (Money Laundering and Terrorist Financing) Act 2010 and/or the Taxes Consolidation Act, 1997, as any such legislation may be amended, varied or substituted from time to time.
Optional Data Marketing Consent
I consent to the details that I am being asked to supply being used to provide me with information about other products and services, either from the Bank of Ireland Group or which the Bank of Ireland Group has arranged for us with a third party. I understand that at any time I can ask you to stop or change the methods by which the bank may send me marketing materials. This can be done free of charge by writing to my branch of the Bank.
Please tick this box if you would not like to receive this information.
By signing below I further agree that this Authorisation will remain in full force and effect until an amending Authorisation shall be communicated to the Bank.
Customer Signature:
DATE:
2 0
BRANCH CHECKLIST
Purpose of Account
Was the account requested on a non face to face basis? Yes No
Is the customer resident in a high/very high risk country? Yes No
Is it evident from purpose of account that the customer intends transacting with a high/very high risk country? Yes No *If ‘Yes’ to any of the above questions, relationship should be of higher risk. All higher risk rated accounts must be referred to Network Governance and Control for sign off prior to account opening.
Overall Risk Rating* Standard High
SECTION D: BANK USE ONLY
Is person to be identified an existing Bank of Ireland Group Customer? Yes No IF YES: Name of Branch/Group Entity
Method used to check (Servicelink, etc.)
EXISTING CUSTOMER AS AT 2/5/95 Yes
NSC
9 0
A/c No.Date Opened
Has AML Documentation Screen been completed for above account? Yes EXISTING CUSTOMER AFTER 2/5/95 Yes
NSC
9 0
A/c No.Date Opened
Is AML ID&V documentation held and in order and has AML Documentation Screen been fully completed? Yes No If Yes and full AML ID&V is in order and AML screen has been fully completed then with the person’s consent, as detailed in
the application form, you can request the Branch/Group entity who has established his/her identity to update the AML Documentation Screen OR provide copies of the ID&V documentation for your records.
If No i.e. full AML ID&V documentation is not in order OR AML Documentation Screen is not fully completed the ID&V documentation for the customer must be perfected in line with procedures and/or the AML Documentation Screen must be created/corrected.
Has AML Documentation Screen been created for new account being opened? Yes
NOTE: Whether customer is existing pre or post ‘95 a new AML Documentation Screen must be created for the new deposit account being opened. If we are relying on AML ID&V documents held for another account that account must be referenced on the AML Documentation Screen.
IF NO: Name and current permanent address of person named overleaf must be verified in line with procedures.
Has there been face to face contact with the person being identified? Yes No If NO, specify method of contact
(Two separate forms of Address Verification must be obtained) Methods used for the two separate forms of address verification
Has AML Documentation Screen been completed for new account? Yes Visa Debit Card Type: Contactless Contact
APPENDIX 1: CUSTOMER CONSENTS. Please give to the Customer to retain
A: DATA PROTECTION CONSENTS
1. Where this application is an application for facilities, I confirm that I am not less than 18 years of age. 2. I certify the accuracy of the information given above together with the continued accuracy of such information in the event of any future applications by me (whether oral or written) for a facility, unless I expressly advise you to the contrary at the time of any such future application. 3. I understand that you reserve the right to decline this or any future application without being required to state any reason and that no correspondence will be entered into it in such circumstances. 4. By signing this form I consent to the Bank of Ireland Group and its contracted agents storing, using and processing my personal details: (a) to manage and administer my accounts, policies or other financial products; (b) to process my applications for credit or financial services and any requests for payment services made by me; (c) to carry out business and market research and compile statistics; (d) to help detect and prevent fraud and dishonesty including through the use of information technology; (e) to form a single view of my entire relationship with the Bank of Ireland Group (whether as a consumer or in connection with my trade, business or profession) to enable it manage and develop the relationship; (f) to enable business units in the Bank of Ireland Group share or access my personal details for the purposes set out in this consent (but not for the purposes of direct marketing where I have indicated to the Bank of Ireland Group I do not want it); (g) to contact me by post, telephone, text message, electronic mail, facsimile or other means but not in a way contrary to my instructions to the Bank of Ireland Group or contrary to law or regulation; (h) (where I apply for or avail of a credit facility) to carry out credit reviews including automated credit decision processes and to obtain details of my credit history from the Irish Credit Bureau (“ICB”) or other credit rating agency; (i) (where I have not indicated otherwise to the Bank of Ireland Group) to directly market the products and services of the Bank of Ireland Group or of suppliers selected by the Bank of Ireland Group using a form of communication permitted by me under paragraph (g) above; and (j) to establish my identity, residence and tax status in order to comply with law and regulation concerning taxation and the prevention of money laundering or terrorist financing. I consent to the Bank of Ireland Group disclosing my personal details: 1) (where I apply for or avail of a credit facility) to the ICB or other credit rating agency and I also consent to the ICB or other credit rating agency disclosing details of my credit history (and using those details for credit scoring purposes) to the Bank of Ireland Group or other institutions to which I apply for credit facilities; 2) to facilitate a potential or actual transfer of any loan or product provided to me or in connection with a securitisation; 3) to its contracted agents and to recipients abroad but only for purposes indicated in this consent and only where the Bank of Ireland Group complies with Irish data protection law in doing so. This consent does not limit any other consent I have given (or may give) to the Bank of Ireland Group to process or disclose my personal details. In this consent: “Bank of Ireland Group” means the Bank of Ireland and its present and future subsidiaries. “contracted agents” means entities which have contracted with the Bank of Ireland Group to assist it in the conduct of its business or in providing services to me. “I”, “me”, “my” is a reference to each of us where more than one of us have signed this form. “personal details” means information concerning me which Bank of Ireland Group has including information given by me or others verbally or in writing, information contained in application forms and records of my transactions with the Bank of Ireland Group. 5. In the event of a facility being approved I authorise you to make the facility available and to put the appropriate repayment schedule into effect. 6. I agree that the facility (and any other facilities as may be granted by you at your discretion) shall be subject to the terms and conditions and specific provisions detailed in your Facility Letter or Credit Agreement, once issued. 7. I understand that in opening the account(s) that I may be automatically registered for Bank of Ireland 365 services as outlined in the terms and conditions attached. 8. In consideration of my application for an account, I agree to the Terms and Conditions and Schedule of Fees and Charges for Personal Customers Brochure (where applicable). B: IDENTIFICATION CONSENTS
I hereby agree that any information and/or original documents and/or any copy documents supplied by me or on my behalf to the Bank are accurate so as to enable the Bank to comply with any and all of the obligations of the Bank under law and regulations concerning the prevention of money laundering and terrorist financing and to comply with taxation requirements. Such information or documentation may at any time be disclosed by the Bank to, transferred to, or copies thereof sent by the Bank to any Bank branch, any other member of the Bank of Ireland Group, or any other ‘designated body’ (as defined in The Criminal Justice (Money Laundering and Terrorist Financing) Act 2010 as may be amended, varied or substituted from time to time (the “2010 Act”)) which may at any time provide or be requested to provide any services to me. I hereby further agree that any information and/or any original documents and/or any copy documents that have been supplied by or for me to any Bank of Ireland Group member to enable such Bank of Ireland Group member and/or Bank of Ireland Group to comply with any and all obligations under or pursuant to the 2010 Act and/ or Part 38, Chapter 3A of the Taxes Consolidation Act, 1997 as amended, varied or substituted from time to time (the “1997 Act”) may at any time, by such Bank of Ireland Group member, be disclosed to any other Bank of Ireland Group member, or be transferred to, or copies thereof sent to any other Bank of Ireland Group member, so as to enable such other Bank of Ireland Group member to comply with the 2010 Act and /or the 1997 Act, and for the benefit of any Bank of Ireland Group member to which I have supplied any such information, documents and/or copy documents aforesaid, I hereby confirm that such Bank of Ireland Group member may act on this authorisation and consent as if it was specifically addressed to such Bank of Ireland Group member .i hereby confirm that each authorisation contained herein to hold, use, disclose, copy and process information constitutes a consent for the purpose of the Data Protection Acts 1988 and 2003 and any amending or extending legislation or any related European Communities regulation or directive. For the purposes of this consent the terms “Bank of Ireland Group” and “Bank of Ireland Group member” each mean and shall be construed to mean any and all of the following: the Bank; ICS Building Society; any branch of the Bank or ICS Building Society; the separate legal entities that constitute the Bank of Ireland Group; any respective successors, assigns and transferees of the Bank, ICS Building Society or entities aforesaid.
TABLE OF PERSONAL OVERDRAFT INTEREST RATES SHEET
Please give this rate sheet to the customer to retain.
CURRENT RATE TABLE
FLAT RATE APR WITHOUT FACILITY FEE APR WITH €30 FACILITY FEE
Standard Overdraft Rate 13.25% 13.9% 16.2%*
The current variable standard overdraft interest rate (including the overdraft facility fee) is 16.2% APR. The Annual Percentage rate quoted above is correct as at 25 August 2011 and is subject to change. The rate quoted is based on a representative example of €1,500 over a 12 month period. Total cost of credit is €208.85.
Graduate Overdraft Rate 9.40% 9.7% N/A
The current variable overdraft interest rate for Graduate Current Account is 9.7% APR. The Annual Percentage Rate quoted above is correct as at 24 February 2010 and is subject to change. The rate quoted is based on a representative example of €1,500 over a 12 month period. Total cost of credit is €146.05.
PENDING RATES
FLAT RATE APR WITHOUT FACILITY FEE APR WITH FACILITY FEE
Standard Overdraft Rate None None None
Graduate Overdraft Rate None None None
Payroll Letter
PLEASE COMPLETE IN BLOCK CAPITALS(your home address)
Company Address: Company name:
To: The Accounts/Payroll Department
Request to credit my salary to my new bank account
My staff/employee number: Dear Sir/Madam,
Please note from (date) I wish to have my salary paid directly into the account detailed below: 0 0 Y Y D D D D M M M M 2 2 Y Y Date: Branch name: Name of account:
(your name printed)
IBAN (International Bank Account No.)
Branch NSC:
Thank you for your help. Yours faithfully
BIC: (Bank Identifier Code)
Account number: Bank:
