For Bank's use only
Customer ID No:
Account No: – –
Existing customer: Yes No
The Hongkong and Shanghai Banking Corporation Limited
.......................................................................... Branch
(Please write “N/A” where any question/field is not applicable for you. Any field left blank may be treated as ‘Not Applicable’ by the bank.)
Wholesale Banking Account Opening Application Form
Date: D D M M Y Y Y Y
The Manager
HSBC
Branch
Dear Sir/Madam
I/we, the undersigned, hereby request and authorize the Bank to open an account in your Branch of HSBC as per following details and
we undertake and confirm that the information is correct and true. My/our detailed information and documents are furnished below:
Company Details
Registered business/legal name (in English
Block Letters)
Registered business/legal name in Bangla
Name of Account (in English Block Letters)
Name of Account in Bangla:
Trading As" Name (if applicable):
NGO/NPO
*Type of Business (put √ mark):
Sole Proprietorship Public Ltd. Company Club/Society Partnership Joint Venture Private Ltd. Company
Trust Religious Institution Others (please specify) Educational Institution
Type of Account (put √ mark):
Savings Current SND
Type of Account operation (put √ mark)
Jointly Singly Others
Foreign Currency Premium Savings ERQ Others
Currency (put √ mark):
Taka (BDT) US Dollar (USD) Euro (EUR) Pound (GBP)
Country/ies where the business is subject to tax residence:
*VAT Registration Number/BIN:
Is the customer/parent of the customer/intermediate or beneficial owner of customer capable of issuing bearer shares: Yes No
*Trade License No:
*Registration No:
*Issuing Authority: *Issuing Date:
*Issuing Country: *Issuing Authority:
*Date of registration/incorporation/establishment: *Tax Identification No. (e-TIN):
(For both local and foreign companies)
D D M M Y Y Y Y
Others
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 1 of 5
Business Related Information
Transaction Details
Trading Manufacturing
*Annual Turnover: *Net Wealth:
*Product or Service/Business Description:
*Nature of Business:
*Other Business Statistic/Data: *Number of employees:
(Permanent & Contractual)
Other: Service
Countries where more than 20% purchase is generated in the last 12 months:
(For New to Business Customers, Countries from where more than 20% purchase is projected in the next 12 months)
(For New to Business Customers, Countries from where more than 20% revenue is projected in the next 12 months)
Countries where more than 20% revenue is generated in the last 12 months:
Correspondence address
To which address would you like us to send your correspondence: Business Address Registered Address Factory Address
*Registered office address (in country of incorporation/registration/project)
Address:
City: Postal Code: Country:
*Business/Office/Branch address (if different from registered address)
Address:
City: Postal Code: Country:
*Factory address (if applicable)
Address:
City: Postal Code: Country:
Country/countries where the customer have physical premises (office, manufacturing plants):
Company Website: Others:
Contact Details
Contact Person Name 1:
Contact Person Name 2:
Contact Number: Email Address:
Contact Number: Email Address:
Business Phone No:
If other address, please fill in the details below:
Address:
City: Postal Code: Country:
Initial Deposit Amount (with currency): In Figure In Words
Source of Wealth:
Source of Fund to be transferred into this Account:
Chequebook Request:
Business Income Transfer from other HSBC Account
Investment by Ultimate Beneficial Owner/Partner
Business Loan Intra-group Financing
Sale of Property Others: External Investment
Yes No
Delivery/Collection: Mail to Correspondence Address Collect from Branch by Authorized Representative
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 2 of 5
Personal Information Form: Wholesale Banking
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 3 of 5
The Hongkong and Shanghai Banking Corporation Limited
Branch
For Bank's use only
Account No: – – Photograph x 1
(Attested by the client)
(Please staple it)
6. Father’s Name
7. Mother’s Name
12. Occupation (details with designation)
13. Electronic-Tax ID (E-TIN) No (If available)
14. Monthly Income (Only for Beneficial Owner)
15. Detail of Source of Fund (Only for Beneficial Owner)
16. Identity No: National ID No Passport No Driving License No Birth Certificate No Others (Please mention Identity No below)
17. Present Residential Address
18. Permanent Address
19. Contact Details a) Telephone No.:
b) E-mail:
** Note: Please print this page and submit with the Appendix for adding additional Connected Parties, as applicable.
1. Name of Account (in English Block Letters)
Name of Individual in Bangla:
2. Name of Individual for whom this form is
applicable (in English Block Letters)
8. Husbands’s/Wife’s Name
9. Nationality
(Foreign nationals must submit a photocopy of their passport and visa)
11. Residence Status (put √ mark) Resident Non-resident
(If necessary, bank staff must follow the guidelines for foreign exchange transactions)
10. Gender (put √ mark): Female Transgender Male
3. Relationship with Account (put √ mark):
4. Date of Birth 5. Country of Birth
Shareholder Beneficial Owner Sole Proprietor Signatory Key Controller Director
Others Attorney Holder Account Holder Guardian Minor Accountholder
For Bank’s Use Only
Account Opening Relationship Manager
Name, Signature with Seal and Date
Approving Manager / RM Line Manager
Name, Signature with Seal and Date
Comment(s):
Customer Declaration
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 4 of 5
I/We confirm that, I/we have read all the account rules/conditions and Notes in the Appendix and hereby agree to be bound by such Terms and Conditions
and any amendments thereif. I/We confirm that I/we have received Bank's Account Rules and Tariff list. I/We hereby confirm that I/we know that the
Terms and Conditions and account and tariff charges are available at www.hsbc.com.bd and I/we are responsible for keeping myself updated on the
latest Account Terms and Conditions, product related terms and conditions and fees and charges of the Bank by referring to the mentioned website time
to time. I/We, consciously, hereby declare that, all information furnished above and during opening this account is true. I/We also declare that I/we will
provide any further information/document as per the Bank's requirement.
Authorized Signatories (Please print this page and submit with the Form for adding more signatories, as required.)
Name:
Designation:
Name:
Designation:
Signature (as per mandate / Board Resolution)
Date:
Signature (as per mandate / Board Resolution)
Date:
Name:
Designation:
Name:
Designation:
Signature (as per mandate / Board Resolution)
Date:
Signature (as per mandate / Board Resolution)
Date:
✓
Issued by The Hongkong and Shanghai Banking Corporation Limited in Bangladesh [November 2020] Page 5 of 5
Appendix
** In reference to note of Page-3, please attach additional Personal Information Form (as applicable) as part of Account Opening Form.
Information on Owners, Directors, Authorized Signatories, Key Controllers and other Connected Parties
1. Please provide Ownership Structure.
The Ownership Structure must include Full Name of all individuals (persons), institutions, government/ministry, trusts, foundations, etc. having 10% or more
ultimate ownership and/or voting rights of your organization and any nominee company within the ownership. The Ownership Structure must specify the
ownership percentages (%) of each of the mentioned persons and institutions.
For institutions that are owners (Intermediate Owners), the ownership structure must mention the country of incorporation / registration /
formation of the Intermediate Owners.
Ownership Structure (complying with the above conditions) provided: Yes No
2. Please submit list of directors of your company or any regulatory document listing all directions.
List of directors submitted: Yes No
3. Please submit Personal Information Form (PIF) for each of the following:
• Individuals (Persons) owning >=20% of your organization
• Authorized Signatories (as per the Board Resolution)
• Key Controllers
Key Definitions
1. Key Controller (KC) - Someone who is elected or appointed to exercise more direct control over the entity, by participating in the governance or senior
executive activities of the business. Key Controllers typically set the strategic direction of the entity. The title given to a Key Controller varies according to the
type of entity, country of operation, and country of incorporation / registration / formation. It is common for a Key Controller to include the Chief Executive
Officer (CEO), Chief Financial Officer (CFO), Managing Partner and Chairman of the Board. Usually, control is exercised jointly with other Directors / senior
executive management.
2. Direct Appointee - A Direct Appointee is a person authorized under an executed instrument of the business to act on its behalf with respect to the banking
relationship and also to delegate authority to others to represent the business in more limited circumstances, e.g. the Company Secretary. The Direct
Appointees may appoint Authorized Signatories. Direct Appointees may not themselves be Key Controllers but are typically appointed by Key Controllers or
the Board of Directors. They may or may not themselves be Authorized Signatories.
3. Power of Attorney - An individual who has authority to act on behalf of the business.
Notes
A. That the Bank be instructed to honor, comply with, act on or accept all cheques, promissory notes, orders, bills, or receipts given or accepted on behalf
of the Company (as shall be applicable), whether the account be in credit or overdrawn and to comply with all directions given for or in respect of any
account or accounts of any kind whatsoever on behalf of the Company to accept and act upon all receipts for monies deposited with or owing by the Bank
on any accounts in the name of the Company, provided that such cheques, promissory notes, orders, bills, receipts or directions are given in such form or
manner or by such means as shall be acceptable to the Bank at any time and from time to time by the authorized signatory(s) as per the legitimate Board
Resolution(s).
B. That the authorized signatory(s) as per the legitimate Board Resolution(s) be authorized to withdraw and deal with any of the Company's securities or
property or documents of title thereto which may be deposited with the Bank for safe custody or in safe deposit from time to time, whether by way of
security or otherwise.
C. That the authorized signatory(s) as per the legitimate Board Resolution(s) be authorized to arrange with the Bank for advances to the Company by way
of discount, loan, overhead, and for the granting of trade finance facilities, foreign exchange facilities, credit and the issue of guarantees by the Bank from
time to time as required, and to sign on behalf of the Company any form of deposit and withdrawal, Memorandum of deposit, Letter of Trust, Mortgage,
Hypothecation and Pledge relating to any securities property or documents of title relating thereto secure the said advances and any obligations, undertak-
ing, instruction, guarantees, indemnities and counter indemnities, agreements and any other documents which may be required by the Bank in connection
with the aforesaid facilities.
D. That the Bank be supplied with a list of names and specimens of signatures of Directors and any other person or persons authorized to sign on behalf of
the Company, and be from time to time informed by a certified resolution of the Board of Directors of the Company of any changes which may take place
therein, and be entitled to act upon until the receipt of a further completed mandate from or certified resolution as aforesaid.