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The form requests account location details, company incorporation and registration data, trading and business particulars, corporate addresses, and contact information. 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If you need help to complete this form, please call us on 0800 289 936 (Freephone UK only) or +44 (0)1624 645000.\u003Cbr>1. ACCOUNT LOCATION\u003Cbr> ISLE OF MAN  JERSEY  LONDON\u003Cbr>London accounts only-a signed UK Financial Services Compensation Scheme Information Form is required.\u003Cbr>2. ABOUT THE COMPANY (‘‘ THE ACCOUNT HOLDER ’’) |  |  |  |\n| --- | --- | --- | --- |\n|  | FULL NAME OF ENTITY |  |  |\n|  | DETAILS OF ANY TRADING NAMES |  |  |\n|  | NATURE OF COMPANY’S BUSINESS |  |  |\n|  | PRINCIPAL PLACE OF BUSINESS/ OPERATIONS (if different from registered office) |  |  |\n|  | GEOGRAPHICAL AREA OF BUSINESS |  |  |\n| If the company is tax resident in the US, you will need to complete a US Form W-9 . The US Form W-9 can be obtained from us on request, or a copy can be downloaded from the IRS website ([www.irs.gov](www.irs.gov)) under the Forms and Instructions section. |  |  |  |\n|  | DATE OF INCORPORATION (DD/MM/YYYY) |  |  |\n|  | COUNTRY OF INCORPORATION |  |  |\n|  | COMPANY REGISTRATION NUMBER |  |  |\n|  | VAT REGISTERED NUMBER |  |  |\n|  | NAME OF REGULATOR (if applicable) |  |  |\n|  | REGISTERED OFFICE ADDRESS |  |  |\n|  | POSTCODE |  |  |\n|  | BUSINESS ADDRESS (if different) |  |  |\n|  | POSTCODE |  |  |\n|  | CORRESPONDENCE ADDRESS (if different) |  |  |\n|  | POSTCODE |  |  |\n|  | CONTACT NAME |  |  |\n|  | TITLE (e. g. Mr/Mrs/Miss/Ms/Other) |  |  |\n|  | CAPACITY |  |  |\n|  | BUSINESS TELEPHONE NUMBER | + |  |\n|  | FAX NUMBER | + |  |\n|  | EMAIL ADDRESS |  |  |\n|  | WEBSITE |  |  |\n|  | DETAILS OF ANY EXISTING\u003Cbr>RELATIONSHIPS WITH NEDBANK\u003Cbr>PRIVATE WEALTH |  |  |\n|  |  |  |  |\n\nCONTINUED OVER PAGE 1  \nFOCUS ACCOUNT COMPANY APPLICATION FORM  \n3. DETAILS OF CORPORATE DIRECTORS AND CORPORATE SHAREHOLDERS INCLUDING ANY NOMINEE COMPANIES (IF APPLICABLE)  \n CORPORATE DIRECTOR  \n CORPORATE SHAREHOLDER  \n NOMINEE COMPANY  \n\n| COMPANY NAME |  |\n| --- | --- |\n| DATE OF INCORPORATION (DD/MM/YYYY) |  |\n| COUNTRY OF INCORPORATION |  |\n| COMPANY REGISTRATION NUMBER |  |\n| REGISTERED OFFICE ADDRESS |  |\n| POSTCODE |  |\n\n4. ABOUT THE PERSONS CONNECTED TO THE COMPANY  \n\n|  | PERSON 1 |  | PERSON 2 |  |\n| --- | --- | --- | --- | --- |\n| ROLE |  BENEFICIAL OWNER  DIRECTOR\u003Cbr> AUTHORISED SIGNATORY  COMPANY SECRETARY  OTHER (please specify)\u003Cbr>|  |  BENEFICIAL OWNER  DIRECTOR\u003Cbr> AUTHORISED SIGNATORY  COMPANY SECRETARY  OTHER (please specify)\u003Cbr>|  |\n| TITLE (e. g. Mr/Mrs/Miss/Ms/Other) |  |  |  |  |\n| GENDER |  |  |  |  |\n| FORENAME(S) |  |  |  |  |\n| KNOWN AS/ALIAS |  |  |  |  |\n| SURNAME |  |  |  |  |\n| PREVIOUS NAME(S)\u003Cbr>(i.e. maiden name, former married name(s) or if you have changed your name by deed poll) |  NOT APPLICABLE |  |  NOT APPLICABLE |  |\n| OCCUPATION (if retired, previous occupation) |  |  |  |  |\n| NATIONALITY |  |  |  |  |\n| DATE OF BIRTH (DD/MM/YYYY) |  |  |  |  |\n| PLACE OF BIRTH |  |  |  |  |\n| COUNTRY OF BIRTH |  |  |  |  |\n| PERSONAL IDENTIFICATION NUMBER (e. g. Passport or Driving Licence Number or Government issued ID number.\u003Cbr>Refer to Section 13 “Documentation Required” for guidance.) |  |  |  |  |\n| DETAILS OF ANY PUBLIC\u003Cbr>OR HIGH PROFILE POSITIONS HELD |  |  |  |  |\n| PERMANENT RESIDENTIAL ADDRESS Proof of address is required. Please refer to section 13 “Documentation Required”for guidance. |  |  |  |  |\n| POSTCODE |  |  |  |  |\n| TELEPHONE NUMBER | + |  | + |  |\n| MOBILE NUMBER for SMS text communication and Professional Online Banking Services | + |  | + |  |\n| EMAIL ADDRESS required for Professional Online Banking Services |  |  |  |  |\n| PERIOD AT PRESENT ADDRESS | YEARS MONTHS |  | YEARS MONTHS |  |\n\nPAGE 2  \n\n| FOCUS ACCOUNT COMPANY APPLICATION FORM\u003Cbr>|  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  | PERSON 1 |  |  | PERSON 2 |  |\n|  | IF LESS THAN THREE YEARS, PLEASE STATE PREVIOUS ADDRESS(ES) |  |  |  |  |  |  |\n|  | POSTCODE |  |  |  |  | ","cbCaimflAunBjY8F","https://ap.wps.com/l/cbCaimflAunBjY8F","pdf",756461,"English","# Account location\n# About the company (account holder)\n# Details of corporate directors and corporate shareholders\n# About the persons connected to the company","[{\"question\":\"How should the form be completed and returned?\",\"answer\":\"Complete the form in full using BLOCK CAPITALS and black ink, and return it by post (not email).\"},{\"question\":\"What company information is required in the section about the account holder?\",\"answer\":\"Provide full name of entity, trading names, nature of business, place of business/operations, geographical area, incorporation date and country, registration and VAT numbers, regulator (if applicable), registered office address, business/correspondence addresses, and contact details.\"},{\"question\":\"When is a US Form W-9 required and who must complete it?\",\"answer\":\"US tax residents and US citizens are required to complete a Form W-9. The form can be provided on request or downloaded from the IRS website.\"}]","FOCUS ACCOUNT COMPANY APPLICATION FORM - Please complete in full | PDF",1789839593]