Due Diligence Form DDF2 - Trust Accounts
1
Account Name
Please complete this section indicating how you wish to have the account registered/recorded for future reference
Trust Name
2
Trust Details
Trustees must complete the following details with the registered address of the Trust. ‘Care Of’ & PO Box addresses are not acceptable
Address
Type of Trust Date of Establishment Post Code
Place of Establishment
Purpose of the Trust - e.g. asset protection, provision for children Any Identification Number - e.g. Tax ID, VAT No, Charity Registration Primary Contact
Contact Number
E-mail Address Name of Regulator (if applicable)
3
Trustee Details
Regulator Ref No. If there are more than the allocated number of Trustees, then please submit on a separate sheet
Where the Settlor, Trustees, and/or Protector are corporate entities, please utilise the personal fields to provide the relevant information
First Trustee Title
Second Trustee Surname
Title
Surname
Forename(s)
Forename(s)
Other/Former Names
Other/Former Names
This section must be completed with the Trustees permanent residential address. ‘Care Of’ & PO Box addresses are not acceptable
Address
Address Post Code
H W M
Contact Number E-mail Address Date of Birth
Post Code
H W M
Contact Number E-mail Address
D D
M M
Y Y Y Y
Date of Birth
Place of Birth
Place of Birth
Nationality
Nationality
Passport No.
Passport No.
D D
M M
Y Y Y Y
If the Trustees have retired then please indicate this along with description of previous occupation
Occupation
Occupation
Employer
Employer
4
Settlor / Protector Details If there are more than the allocated number of Settlors or Protectors, then please submit on a separate sheet
First Settlor Title
Second Settlor or Protector Surname
Title
Delete as appropriate
S P
Surname
Forename(s)
Forename(s)
Other/Former Names
Other/Former Names
This section must be completed with the Settlors/Protectors permanent residential address. ‘Care Of’ & PO Box addresses are not acceptable
Address
Address Post Code
Date of Birth
D D
M M
Y Y Y Y
Post Code Date of Birth
Place of Birth
Place of Birth
Nationality
Nationality
Tax Residence
Tax Residence
Passport No.
Passport No.
D D
M M
Y Y Y Y
If Settlor/Protector has retired then please indicate this along with description of previous occupation
Occupation
Occupation
Employer
Employer
Page 2
Please ensure all fields are completed to avoid delays in processing
© Capital International Limited 2011
5
Known Beneficiary Details
If there are more than allocated number of known beneficiaries, then please submit on separate sheet
First Beneficiary
Second Beneficiary
Title
Title
Surname
Surname
Forename(s)
Forename(s)
Other/Former Names
Other/Former Names
This section must be completed with the Known Beneficiary’s permanent residential address. ‘Care Of’ & PO Box addresses are not acceptable
Address
Address Post Code
Post Code Date of Birth
D D
M M
Y Y Y Y
Date of Birth
Nationality
Nationality
Place of Birth
Place of Birth
Passport No.
Passport No.
D D
M M
Y Y Y Y
If the Known Beneficiaries have retired then please indicate this along with description of previous occupation
Occupation
Occupation
Employer
Employer
6
Correspondence Address
Trusts may require correspondence to be sent to an alternative address. ‘Care Of’ & PO Box addresses are acceptable for this purpose only.
Address
Account Security
7
When contacting Capital International by telephone you may be asked to identify yourself. To assist us in this regard, please provide us with a codeword of your choice. In case you can not remember at the time of the call, we have provided space for a codeword prompt to help remind you: i.e. ‘What is your place of birth?’
Codeword Prompt Post Code
8
Codeword
Bank/Building Society Account Details
Please complete this section with the Trust’s bank account details. Not only will these be used to fulfil our regulatory requirements but distributions and withdrawals can be made directly to the Trust’s bank or building society account.
Account Name Bank/Building Society Name Bank/Building Society Address Post Code Branch Sort Code
Account Currency
GBP/USD/EUR or other_____
Please delete as appropriate
Bank/Building Society Account Number or IBAN SWIFT/BIC Code The sort code and account number, SWIFT/BIC Code or IBAN can be obtained from your Bank or Building Society branch. Please ensure your account will accept direct credit payments through the Banks Automated Clearing System. Capital International Limited does not accept instructions for payments to be made to an account other than the client’s own personal account. Should the quotation of account numbers and sort code, or IBAN made by the applicant prove incorrect, Capital International Limited will not accept responsibility for any loss incurred by the applicant.
Page 3
Please ensure all fields are completed to avoid delays in processing
© Capital International Limited 2011
9
Declaration & Signature
You must sign and date the form below
I/We understand that the information I/we provide on this application form, and any additional information supplied, will be processed in accordance with Capital International Limited’s data protection statement. I/We declare that: I/We am/are 18 years of age or over. I/We understand that we are not obligated or bound by any contractual agreement - this application form is for account set-up and information purposes only. I/We agree that the information contained within this application form is true and accurate. Unless you were introduced by an Intermediary, Capital International Limited may use your personal information to tell you of other products and services, as well as others from within the Capital International Group of Companies, which they believe may be of interest to you. If you do not wish for your personal information to be used in this way, please put an X in this box.
Signatures of ALL Trustees who have supplied details on this application form. (YOU MUST SIGN HERE - Please ensure all relevant sections are completed as per the instructions on this form)
First Authorised Signatory
FIRST AUTHORISED SIGNATORY MUST SIGN HERE Date
D D
Print Name
M M
2 0 Y Y
M M
2 0 Y Y
Second Authorised Signatory
SECOND AUTHORISED SIGNATORY MUST SIGN HERE Date
D D
Print Name
11 Checklist We have fully completed this application form We have signed the application form We have provided a certified copy of the Trust Deed We have provided a certified copy of the Authorised Signatory List We have provided a certified copy of the Trustees minutes authorising the opening of the account with Capital International Limited We have provided a certified copy of a valid piece of photographic ID per Trustee, Settlor, Protector and Authorised Signatory, i.e. current passport or driving licence We have provided a certified copy of a valid piece of residential address verification per Trustee, Settlor, Protector and Authorised Signatory, i.e. bank statement or utility bill. This can not be more than six months old.
Internal Use Only D D
M M
Acknowledged By:
Application Processed:
2 0 Y Y
D D
M M
Acknowledged By:
2 0 Y Y
Client Notification Sent:
D D
M M
2 0 Y Y
Acknowledged By:
CIL - Trust DDF2 - V1.01-09.11
Received Date: