COLOUR Details form COLOUR - Barclays

1 Community account opening Details formPlease complete this form in BLOCK CAPITALS using a BLACK ballpoint penOrganisation detailsIf your organisation is moving to Barclays , please confirmyour existing account number and sort name (Registered charities please state exactly as detailed on the charities register.)Brief description of organisationNew Account Moving to Barclays Does the organisation use a trading name(s)? Yes No If yes, please state trading name(s) (If charitable company, please provide a copy of the BoardResolution/Trust document; if not, please provide evidenceby way of a copy of your printed headed stationery).

2 Organisation type: Club Association Church Society Registered Charity *Parochial Church Council/Parish Council *A specialist Appointment of Bankers form will be requiredDate organisation established Date of registration (Registered Charities only)Registered Charity number Country of registration (Registered Charities only)Company registered number (if applicable) Expected Annual turnover Initial Deposit/Opening Balance Address number 1: mainCorrespondence to be addressed toAddress Postcode Telephone number Address number 2: correspondence (if different from address 1)Correspondence title (eg.)

3 The Secretary, The Treasurer, etc)Correspondence to be addressed toAddress Postcode Telephone number For office useDate Staff detailsName Staff numberIntroducer code Outlet code(01 = Personal 03 = Woolwich) (Sort code)(Outlet code) Business BankingCMYPMS ???PMS ???PMS ???PMS ???COLOURCOLOURKNon-printingColoursJOB LOCATION:PRINERGY 08/05/2018 10:43 Page 1 First contact:TitleSurname For ename(s) Position in or ganisation Use which of overlea f addr esses (eg.

4 Main)?Con tac t telephone number Na tur e of referr als/ queries Second contact:Title Surname For ename(s) Position in or ganisation Use which of overlea f addr esses (eg. main)?Con tac t telephone number Na tur e of referr als/ queries Regula tory inf orma tion1. Does the or ganisation need to regist er with a regula tory body? Yes No If yes pr ovide name of body 2. Is the business/or ganisation licensed under the Consumer Cr edit Act?

5 Yes No If yes pr ovide licence number 3. Will the business/or ganisation be non-EU tax resident? Yes No 4. Does the business/or ganisation including par en t/ subsidiaries ha ve an y acc oun ts/r ela tionships with Bar cla ys gr oup? Yes No If yes pr ovide de tails Acc oun t name Sort code Acc oun t number Accoun t name Sort code Accoun t number 5.

6 Which Bar clays br anch will this account be held at? Additional inf orma tion1. Do you wish to receiv e informa tion about pr odu cts andservices fr om other members of the Bar clays gr ou p? Yes No 2. Do you requir e online banking access? *Y es No 3. Do you requir e telephone banking access?*Y es No 4. Do you requir e a debit car d? *Y es No (up to a maximum of six debit car ds per ac coun t)*Please note: For customers with a complex mandate, an additional application formmay be sta tionery (cheque/cr edit book) will be pr ovidedunless otherwise sta ted.

7 If special sta tionery requir ed, pl easepr ovide de tails belo w Please note: if spe cial st ationery is required, a charge ma y be inc urr per sonal da taBar cla ys is committed to pr otec ting your personal da will use your informa tion for a number of dif fer en tpurposes, for example, to manage your acc oun t(s), topr ovide our pr oduc ts and services to you and others andto mee t our legal and regula tory obliga tions. We ma y alsoshar e your informa tion with our trust ed 3r d parties for thes epurposes.

8 For mor e de tailed informa tion on ho w and wh y weuse your informa tion, including the righ ts in rela tion to yourpersonal da ta, and our legal gr ounds for using it, please goto bar cla .uk/control- your-da taor you can request acop y fr om 08/05/2018 10:43 Page 2Cr edit Ref er ence Agencies In or der to pr ocess your application we will supply yourpersonal informa tion to cr edit refer ence agencies and the ywill giv e us informa tion about you, such as about yourfinancial hist ory.

9 We do this to assess cr editw orthiness andpr oduc t suitability, check your iden tity , manage youracc oun t, tr ace and rec over deb ts and pr even t criminalactivity . These agencies ma y in turn shar e your personalinforma tion with other or Cr edit Refer ence Agency Informa tion No tice (CRAIN)describes ho w the thr ee main cr edit refer ence agencies inthe UK each use and shar e personal da ta. The CRAIN isavailable on the cr edit refer ence agencies websit es:callcr cr ainequif cr cr ainOr you can ask us for a cop y of these.

10 For mor e de tails on ho w informa tion held by cr edit refer ence agencies ma y be used, please go to bar cla .uk/control- your-da taor you can request a cop y fr om Pr ev ention AgenciesIf false or inaccurate informa tion is pr ovided and fr aud isiden tified, de tails will be passed to fr aud pr even tion agenciesto pr even t fr aud and mone y de tails explaining ho w the informa tion held by fr audpr even tion agencies ma y be used can be ob tained by goingto bar cla.