ACCOUNT OPENING FORM Current or Deposit Account - Business

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H e a d O f f i c e : M a r k e t H e a d O f f i c e : M a r k e t H e a d O f f i c e : M a r k e t

H e a d O f f i c e : M a r k e t S t r e e t · J a m e s t o w n · S t .S t r e e t · J a m e s t o w n · S t .S t r e e t · J a m e s t o w n · S t . H e l e n a · S o u t hS t r e e t · J a m e s t o w n · S t . H e l e n a · S o u t hH e l e n a · S o u t h A t l a n t i c · S T H LH e l e n a · S o u t h A t l a n t i c · S T H LA t l a n t i c · S T H LA t l a n t i c · S T H L 1 Z Z1 Z Z1 Z Z 1 Z Z Tel: +290 2390 · Fax: +290 2553 · e-mail:[email protected] · web: www.sainthelenabank.com

Established and regulated in St. Helena under the Financial Services Ordinance, 2008 the Company Ordinance, 2004 and the Company Regulations, 2004

ACCOUNT OPENING FORM

Current or Deposit Account - Business

SECTION 1

SECTION 1 DO YOU HAVE THE RIGH

DO YOU HAVE THE RIGH

DO YOU HAVE THE RIGHT FORM?

T FORM?

This form is only for opening a Current or Deposit Account for a Business that is either a sole trader, Partnership or a Limited Company (Private or Public) registered in St. Helena under the Companies Ordinance. All fields of this form must be completedAll fields of this form must be completedAll fields of this form must be completedAll fields of this form must be completed.

Section 2

Section 2 CURRENT OR DEPOSIT A

CURRENT OR DEPOSIT A

CURRENT OR DEPOSIT ACCOUNT

CCOUNT

(SELECT AS APPROPRIATE)

Current Account Deposit Account

SECTION 3

SECTION 3 ACCOUNT DETAILS

ACCOUNT DETAILS

Title of account:

SECTION 4

SECTION 4 BUSINESS DETAILS

BUSINESS DETAILS

Business Name: Legal Address:

Legal Form(DELETE AS APPROPRIATE):

Sole Trader / Private Limited Company / Public Limited Company / Partnership Company Number(WHERE APPLICABLE):

Place of Register(WHERE APPLICABLE): Normal place of business(ADDRESS):

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ACCOUNT OPENING FORM - BUSINESS

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SECTION 5

SECTION 5 PERSONS

PERSONS

PERSONS CONTROLLING THE ACCO

CONTROLLING THE ACCO

CONTROLLING THE ACCOUNT

CONTROLLING THE ACCO

UNT

5.1

5.1 AUTHORISED SIGNATORY

AUTHORISED SIGNATORY 1

AUTHORISED SIGNATORY

1

Name:

Personal Address:

Role in the business: Specimen Signature:

5.2

5.2 AUTHORISED SIGNATORY

AUTHORISED SIGNATORY 2

AUTHORISED SIGNATORY

2

((((PLEASE CROSS THROUGHPLEASE CROSS THROUGHPLEASE CROSS THROUGHPLEASE CROSS THROUGH IF NOT APPLICABLEIF NOT APPLICABLEIF NOT APPLICABLEIF NOT APPLICABLE))))

Name:

Personal Address:

5.3

5.3 AUTHORISED SIGNATORY

AUTHORISED SIGNATORY 3

AUTHORISED SIGNATORY

3

((((PLEASE CROSS THROUGH IF NOT APPLICABLEPLEASE CROSS THROUGHPLEASE CROSS THROUGHPLEASE CROSS THROUGHIF NOT APPLICABLEIF NOT APPLICABLEIF NOT APPLICABLE))))

Name:

Personal Address:

5.4

5.4 AUTHORISED SIGNATORY

AUTHORISED SIGNATORY 4

AUTHORISED SIGNATORY

4

((((PLEASE CROSS THROUGH IF NOTPLEASE CROSS THROUGHPLEASE CROSS THROUGHPLEASE CROSS THROUGHIF NOTIF NOT APPLICABLEIF NOTAPPLICABLEAPPLICABLEAPPLICABLE))))

Name:

Personal Address:

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SECTION 6

SECTION 6 COMMUNICATIONS

COMMUNICATIONS

6.1

6.1 COMMUNICATION PREFER

COMMUNICATION PREFERENCES

COMMUNICATION PREFER

ENCES

((((PLEASE COMPLETE ALL THAT ARE APPLICABLEPLEASE COMPLETE ALL PLEASE COMPLETE ALL PLEASE COMPLETE ALL THAT ARE APPLICABLETHAT ARE APPLICABLETHAT ARE APPLICABLE))))

Phone(GIVE NUMBERS):

Fax(GIVE NUMBERS):

Email(GIVE ADDRESSES):

Post(GIVE ADDRESSES):

6.2

6.2 REGULAR STATEMENTS

REGULAR STATEMENTS

((((PLEASE SELECT ONEPLEASE SELECT ONEPLEASE SELECT ONEPLEASE SELECT ONE))))

By Post to the

address above

By Fax to the number above

To collect from the bank office at __________________________ Daily

Weekly Monthly Quarterly Annually

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SECTION 7

SECTION 7 AUTHORISATION

AUTHORISATION

7.1

7.1 INSTRUCTIONS

INSTRUCTIONS

(DELETE AS APPROPRIATE)The bank should only accept instructions signed by:

Any single signatory / All signatories / Other, as described below:

SECTION 8

SECTION 8 DECLARATION

DECLARATION

I hereby confirm that:

1. the above details are correct and complete;

2. the business has read and accepted the applicable Terms & Conditions for this account, and will operate the account in accordance with these Terms & Conditions, as set by the Bank of St Helena.

3. the business will promptly notify the bank of any changes in the above details. Signed for and on behalf of the business: Date:

MEASURES TO PREVENT CRIMINAL ACTIVITY: Bank of St. Helena reserves the right to conduct business in a manner which allows it to meet local and international obligations with regard to the prevention of criminal activities, including money laundering. Therefore, please note that: you may be asked to explain, and provide evidence to support that explanation, any transaction you request the bank to conduct on your behalf, or any transaction the bank has conducted on your behalf; the bank may decline to conduct a transaction on your behalf, without giving a reason; and the bank may be required to report any transaction you request it to conduct, whether or not it has agreed to conduct it, to the appropriate authorities, as required in the applicable legislation. The bank will attempt to minimise the impact of these requirements on its conduct of your transactions, and requests your cooperation in the operation of these procedures.

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SECTION 9

SECTION 9 FOR BANK USE ONLY

FOR BANK USE ONLY

Form Ref: current account opening form - personal.doc 2013-09-10 Account number allocated:

Account opened by: Account authorised by: Date processed:

Attach business incorporation/registration documents.

Identity verification for officers (delete as appropriate):

• Existing customer (give account number(s) below) • By documents (attach copies)