7/29/2019 Santander Form 2012
10/13
6 Declarations ,
Declaration A - please complete Part 1 In all cases (except for
Clubs, Societies and Unincorporated Associations).
ALL account operators regardless of business type must complete
Part 2.
Charities should also complete Declaration B.
Clubs, Societies and Unincorporated Associations should complete
Declaration C.
Please do not sign this form until you have read the Data
Protection Statement and the terms and conditions of each account
and/or
Investment you have deSignated at Section 4of this form.
You will need to supply suitableidentification for each account
operator. Please see the ID checklist on page 12.
DeclarationA -part 1
Part 1 should be signed as follows:
Sole Trader - the Sole Trader is required to sign.
Partnership - by a minimum of two Partners. LLP - by a minimum
of two DesignatedMembers. Private Limited Company - by two
Directors or by one Di rector
and the Company Secretary. If there is no Company Secretary
and
only a Sole Director, or If the Sole Director IS also the
Company
Secretary then the Sole Director must sign. In this instance
the
Sole Director must sign In the presence of a witness who
attests
the signature.
PLC - by a minimum of two Directors or one Director and the
Company Secretary.
Full name
Signature
Position
Date
By signing this Application Form we agree that:
We have read and understand the Data Protection Statement,
and
agree that you can use our information as stated in the
statement.
We confirm the validity of the Account operators.
The information contained in this application is true and
correct. SantanderIS duly authorised by the legal entity named at
Section
1 b) of this form, to operate the accounns)and/or
mvestrnentts)designated at Section 4 of this form.
By signing this declaration, I confirm that I have read and I
accept,
on behalf of the legal entity names at Section l(b) of the form,
all
the terms and conditions of the account(s) and/or
investment(s)
desiqnated at Section 4 of this form, and that I am duly
authorised
to accept such terms and conditions on behalf of such
entity.
Full name
Signature
Position
Date
To be completed onlyby a Witness who is attesting the signature
of a Sole D irector of a Private Limited Company.
Full name Permanent residentia l address
r - - - - - - - - - - - - - - - - - - - - - - - - - - -
Signature
Date
Postcode
Occupation
We do not require any personal identification documentation for
you
Full name
Declarat ion A - part 2 (to be completed and signedbyALL ac
count opera to rs na m ed in Sectio n 5)
Full name
Signature Signature
L _ _ _ _ _ _ _ _ . ._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- - - - - -
- . JI = -1 - _ - ~ _ _ -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- . _ . ~ _ -_ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- _JITJOJITIIJ Date
[lJ[l]r-I-
r~rl
