1 Your details
Complete part 1 to give us your details and then the relevant part (2, 3 or 4) to make the necessary amendment(s) to your savings account. Read the data protection statement (part 5) before signing the declaration in part 6 and completing parts 7 and 8 (if applicable).
When you’ve filled in this form please return it to:
Santander UK plc, P O Box 123, 19/21 Prospect Hill, Douglas, Isle of Man IM99 1ZZ, British Isles.
Completing this form What is this form for?
This form lets you:
n Change the way we pay you interest on your savings account. n Change the way you take money out of your account.
n Add an account holder.
If you need to let us know that you’ve moved house or changed your name (whether by marriage, deed poll or common usage), please don’t use this form: ask for a Change of Details form from the Isle of Man branch or call +44 (0) 1624 641 888.
First customer
Santander account number
Title
Mr Mrs Ms Miss
Other (please specify) First name
Middle name(s)
Surname
Date of birth D D M M Y Y Y Y
Permanent residential address
Postcode
Second customer Santander account number
Title
Mr Mrs Ms Miss
Other (please specify) First name
Middle name(s)
Surname
Date of birth D D M M Y Y Y Y
Permanent residential address
Postcode
Santander is able to provide literature in alternative formats. The formats available are: large print, Braille and audio CD. If you would like to register to receive correspondence in an alternative format please visitsantander.co.uk/alternativeformats for more information, ask us in branch or give us a call.
Please fill in the form using BLOCK CAPITALS and black ink. Tick any boxes which apply. Isle of Man Savings
2 Changing how we pay your interest
You can choose to have your interest paid monthly or yearly (provided the conditions of the account allow it). Subject to the account’s conditions, we can pay the interest into the account, into another Santander savings account or into another suitable bank or building society account. Please tick to show the option you’d like and, if you choose option B, please give us details of the account that you would like the interest to go to.
Monthly Yearly
A: Pay interest into the account B: Pay interest into another account
If interest is being paid into a different account: Name of bank or building society
Sort code Account number
Name of account holder(s). (Must be one of the names in part 1)
3 Changing who can take money out
You can ask us to accept any one of the following combinations of signatures when making withdrawals, by ticking one of the boxes. Once set up, we’ll follow this instruction unless we receive written notice to change it again. Any further changes will need to be in writing and signed by the right number of signatories as requested below.
Either signature (for accounts operated by two customers)
Any two signatures (for accounts operated by three or more customers) Any signature (for accounts operated by three or more customers) All signatures (for accounts operated by two or more customers)
4 Adding an account holder
You can ask us to add an account holder for the account given in part 1 of this form. The new account holder will be added to the signing mandate on the account once we have completed our checks. A maximum of 4 people can be associated with an account, please use an additional form if more than 2 people are being added to the account.
First individual Title
Mr Mrs Ms Miss
Other
Are you: Male Female
First name Middle name(s) Surname
Other names you’re known by or commonly use (not nicknames)
(please include title, first name and surname)
Date of birth D D M M Y Y Y Y
Country and place of birth Nationality
Second nationality (if you have dual nationality)
What is your relationship to the other applicant(s), if applicable? Are you: Married Single Widowed Divorced Second individual Title Mr Mrs Ms Miss Other
Are you: Male Female
First name Middle name(s) Surname
Other names you’re known by or commonly use (not nicknames)
(please include title, first name and surname)
Date of birth D D M M Y Y Y Y
Country and place of birth Nationality
Second nationality (if you have dual nationality)
What is your relationship to the other applicant(s), if applicable? Are you:
Married Single
4 Adding an account holder (continued)
First individual Home address
Postcode
How long have you lived at this address? Y Y M M
Where would you like your correspondence sent?
Home address Other (please state below)
Other address
Postcode Do you have a private letterbox or do you share one?
(for example, in a block of flats or a converted house where the letterbox is shared with people you don’t live with)
Private Shared
Country of tax residence
Tax identification number (National Insurance number)
Do you make a tax contribution in any other country due to residence or citizenship?
Yes No
If yes, please specify the countries to which you make tax contributions and provide your corresponding TIN (Tax Identification Number) Country
TIN Country TIN
Account correspondence is sent by post. There may be occasions when we need to contact you urgently, for example to clarify an instruction. If you wish to be contacted by any means other than post, please provide any or all of the following contact information.
Home telephone number(including area code)
Work telephone number(including area code)
Mobile telephone number(including any country or other codes)
Email address
Are you:
Employed Homemaker
Self-employed Student
Retired Unemployed
If you’re unemployed, how long is it since you last worked?
M M Y Y
Second individual Home address
Postcode
How long have you lived at this address? Y Y M M
Where would you like your correspondence sent?
Home address Other (please state below)
Other address
Postcode Do you have a private letterbox or do you share one?
(for example, in a block of flats or a converted house where the letterbox is shared with people you don’t live with)
Private Shared
Country of tax residence
Tax identification number (National Insurance number)
Do you make a tax contribution in any other country due to residence or citizenship?
Yes No
If yes, please specify the countries to which you make tax contributions and provide your corresponding TIN (Tax Identification Number) Country
TIN Country TIN
Account correspondence is sent by post. There may be occasions when we need to contact you urgently, for example to clarify an instruction. If you wish to be contacted by any means other than post, please provide any or all of the following contact information.
Home telephone number(including area code)
Work telephone number(including area code)
Mobile telephone number(including any country or other codes)
Email address
Are you:
Employed Homemaker
Self-employed Student
Retired Unemployed
If you’re unemployed, how long is it since you last worked?
4 Adding an account holder (continued)
First individual
If employed, self-employed or retired: Nature of business, or that prior to retirement
Employer’s name/name of your business, or that prior to retirement Employer’s address/your business address, or that prior to retirement
Postcode Occupation, or that prior to retirement
Please indicate your approximate total annual income for each of the following income types:
Total earned income from employment per annum Pension (combined state and private (if applicable)) Interest received on savings, dividends and/or investments Other type of income (please describe below)
Second individual
If employed, self-employed or retired: Nature of business, or that prior to retirement
Employer’s name/name of your business, or that prior to retirement Employer’s address/your business address, or that prior to retirement
Postcode Occupation, or that prior to retirement
Please indicate your approximate total annual income for each of the following income types:
Total earned income from employment per annum Pension (combined state and private (if applicable)) Interest received on savings, dividends and/or investments Other type of income (please describe below)
If new account holder(s) are being added to an account, please indicate whether online banking facilities should be made available to the new account holder(s). Please note that if you intend that the account with an “all to sign” requirement to operate the account, then it will not be possible to use our online banking service.
First individual Second individual
Yes No Yes No
For security reasons, we may not be able to send details to some countries. If this is the case with your request, we will contact you.
If new account holder(s) are being added to an account, please choose a security password with at least six letters but not more than eight. This may be used to check your identity.
First individual
1 2 3 4 5 6 7 8
Second individual
5 Data protection statement
Using my personal information
Whether or not I become a customer, you may use all the information I give to you Santander UK plc, or you hold on me to provide and manage the account, policy or service I have applied for. This includes information about the conduct (including details of transactions) of any account or policy that I have with you, a group company or an associated company. You may also use my information to help you develop and improve your products and services. You will keep information about me after my account is closed or my policy has ended.
Sharing my personal information
You may share my information for the purposes described in this statement with the group of companies to which you belong (the Santander Group) and your associated companies, and with service providers or agents. These companies may be based in other countries. I understand that you will make sure that my information is only used in line with your instructions and your own strict policies on confidentiality. If you transfer my information to another country, you will also make sure that you give it the same levels of protection as needed under the Isle of Man and UK Data Protection Acts. You may also give essential information about my account and cards (if any) to others if needed to manage my account and/or renew my account or policy and for regulatory purposes. My marketing preferences
You may invite me to take part in market research surveys and identify and let me know by post, telephone or electronic media (including email and SMS) of products or services, which your group of companies and its associated companies think may interest me. (If I am aged over 18, when deciding whether to provide me with details of a credit product you may search the files of credit reference agencies which will not make a record of this search available to other lenders who search my file.)
If I don’t want information on other products and services or to be included in market research, I can tick the following boxes: Please do not contact me:
by telephone by electronic media
by post for market research
Unless I have said otherwise, by continuing with this application, I agree to you contacting me using any of the methods shown above.
Verifying my identity and fraud checks
Before you can open my account or set up my policy, in order to prevent or detect fraud, you will check and share the information provided in this application or at any stage with fraud prevention agencies, and may make searches at credit reference agencies who will supply you with information, including information from the electoral register, for the purposes of verifying my identity. Scoring methods may be used to verify my identity. A record of this process will be kept that may be used to help other companies to verify my identity. If false or inaccurate information is provided and fraud identified, details will be passed to fraud prevention agencies. Law enforcement agencies may access and use this information. You and other organisations may search and use the records held by credit reference and fraud prevention agencies to prevent and investigate crime, fraud and money laundering and for example:
n to check details on applications for credit and credit related or other facilities;
n to verify my identity if I or my financial associate applies for other facilities;
n to undertake statistical analysis and system testing; n to manage credit and credit related accounts or facilities; n to recover debt and trace my whereabouts;
n to check details on proposals and claims for all types of insurance n to check details of job applicants and employees.
You may also search and use your internal records for these purposes. You and other organisations may search and use from other countries the information recorded at fraud prevention agencies. Further information on the credit reference agencies and fraud prevention agencies you use is available by telephoning 0800 328 3280 (if phoning from overseas, please ring +44 (0) 1624 641 888).
Cards on my account
If I have cards on this account, I understand that you may give information on transactions I have made using my cards on my account to any payment system under which you issue my cards (for example Visa or MasterCard), who may transfer the information overseas to deal with transactions, to resolve disputes and for statistical purposes.
Access to my information
7 If using this form to add an account holder, who certified your identification documents?
Please confirm below the details of the person who has certified your identification documents, if this has not been done in branch. Full name of certifier
Certifier’s professional qualifications Certifier’s title or position
Certifer’s employer name
Contact telephone number (including area code) Email address
8 If using this form to add an account holder, this is a checklist of items to return with this form
Please carefully check your answers in this application form, and read through our identification and verification requirements leaflet that accompanies this form. We will be unable to process your form unless it is completed as requested and is accompanied by the supporting documentation indicated in our account opening requirements guide (source of deposit documentation is not requred).
First individual
Certified copy of current passport
Certified or original copy of the confirmation of your residential address
Second individual
Certified copy of current passport
Certified or original copy of the confirmation of your residential address
6 Declaration and signature mandate
1 I/We declare that the information given is true, accurate and up-to-date and I/we authorise Santander UK plc to make any appropriate enquiries to obtain independent verification of any information provided in this form. I/We understand that the Isle of Man branch of Santander UK plc may decline to add a new account holder to my/our account and will not enter into correspondence in such an instance.
2 I/We undertake to advise Santander UK plc within 30 days of any change in circumstances which affects my/our tax residency status or causes the information contained herein to become incorrect.
3 I/We, the person(s) whose signature(s) appears on the form, have read the data protection statement, and affirm that the statement applies to this deposit.
4 I/We confirm that I/we agree to the General Terms and Conditions, Special Terms and Conditions applicable to accounts held with the Isle of Man branch, and the Specific Conditions, where applicable, applying to the account(s).
First account holder’s full name Second account holder’s full name (if applicable)
First account holder’s signature Second account holder’s signature
Date Date
D D M M Y Y Y Y D D M M Y Y Y Y
If adding new account holder(s), then the new account holder(s) should sign below (please note a maximum of 4 individuals can be associated with an account).
First individual’s full name Second individual’s full name
First individual’s signature Second individual’s signature
Date Date
