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APPLICATION FORM FOR THE OPENING OF CORPORATE BANK ACCOUNT

Important note: All fields of the application form must be filled. In case you do not know how to fill certain field or you do not want to provide information or you consider that the field is not applicable for you, please insert “Non applicable”. Unless all fields are completed, you will not be able to submit the form online.

Company Applicant Information

General information
Company name
Company Registration number
Date of registration
Address of domicile/registered address (as entered in the commercial register)
Telephone
Fax
E-mail
Contact person for this application
Contact person telephone (office)
Contact person telephone (residence)
Contact person mobile
Contact person fax
Contact person email
Company applicant details
Company Applicant products/main activities/services
Geographical area of business operations including approximate breakdown USA   %
EU   %
Asia   %
Africa   %
Intenational   %
Other   %
Please list main buyers
Nunber of employees in the company
Last year's turnover, in GBP/EUR/USD, if applicable
Expected annual turnover for the current year in GBP/EUR/USD
Company affiliation with other companies or organizations, if yes, please specify the names of affiliated/related companies
The company has their own premises in the country of domicile Yes    No
The company has their own staff in the country of domicile Yes    No
The company conducts business in the country of domicile Yes    No
Details on expected business relationship with the bank
Expected account movements at the bank in GBP/EUR/USD
Please advise if the applicant company already has banking relations with other banks Yes    No
Please advise the name and address of the other bank, if any, with whom company applicant already has banking relations.
Type of payments received/sent Bank and postal payments   
Checks   
Documentary credits
Cash transactions
Type of account needed Current   
Notice   
Deposit
Saving
Other  
Currency in which account is needed GBP   
EUR   
USD   
CHF   
Other  
Advise how account will be operated Sole signature of the applicant
Joint signature with other person/s
By one or more signatories separately
Bank services requested Cash card   
Debit card   
Credit card   
Cheque book   
Internet banking   
Deposit box   
Other   
Who is the beneficial owner of incoming assets that are credited to the account? Who, from a business perspective, is the owner of such assets? Account holder   
Third party legal entity/entities or natural person(s)   
Additional company information
Please provide any additional information, like corporate web site, company and products brochure, company organizational chart, business plan, reference items, etc.
If the company is older then six months from the registration date and conducted business activities, please specify the name of the bank from where bank reference for the company applicant will be available.

Information on natural person(s) as third-party beneficial owner(s)

General information
Family name, First name, Nationality, Date of Birth, Place of Residence, Country of domicile ((mention all beneficial owners))
Career of the beneficial owner
Training/(former) occupation
Current gainful employment (employer, function, activity, etc.)
How assets were acquired Business   
Savings   
Real estate sales   
Retirement assets   
Sale of company   
Gift   
Inheritance   
Other
Percentage of the ownership held in the applicant company by the natural person(s) as the beneficial owner(s)?
Specify the name of the bank from where personal bank references for beneficial owner(s) will be available.

Client information on the legal entity as beneficial owner (in case beneficial owner is not physical person/s)

General information
Company name as entered in the commercial register
Registration number
Date of registration
Country of registration/domicile
Industry
Core business activities, geographical area of operations, main products/services
Percentage of the ownership held in the applicant company by corporate beneficial owner(s)?
Company affiliation with other companies or organizations, if yes, please specify the names of affiliated/related companiess
Please provide any additional information, like corporate web site, company and products brochure, company organizational chart, business plan, reference items, etc.
Specify the name of the bank from where bank references for beneficial owner(s) will be available.
Date of the application
Please enter the code shown (for security reasons)

Due diligence information requested for each signatory

Each Applicant must provide the following documents:
- certified or notarised copy of Applicant’s/signatory’s passport;
- original proof of address;*
- banker's reference;**
- in cases where applicant/s is/are corporate bodies, full Apostilled set of corporate documents and certificate of good standing;
- duly completed and signed Terms & Conditions (by fax or submitted on line);

* A proof of address is any recent document (not older then three month from the date of the application), where the name and residential address of the person is indicated. It can be a recent utility bill, telephone bill, credit card or bank statement or other similar document.
** You can obtain an original Bank Reference from Your bank and send it to us or ask your bank to send it to us directly.

All of the above listed documents should be sent to us by fax or e-mail first and thereafter by mail. We will not be able to complete your order before we are in receipt of the above documents.

DeltaQuest Group
P.O. Box 57216, Limassol 3313, Cyprus
Fax : +357-25-761160
E-mail: info@myoffshoreaccounts.com
   
   

Download the Application Form Corporate:

Adobe® Acrobat® PDF (*.pdf)

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