Change of account signatories - The Co-operative Bank

Change of account signatories
Voluntary Organisations, Charities, Societies,
Credit Unions, Trusts, Schools, Clubs and
any other Unincorporated Association
Please be aware of the following when completing the
change of signatories mandate:
• If you are registered with any regulatory body (i.e. the Charity
Commission or FCA) please ensure they are updated to reflect
any changes.
• Please ensure you include a recent copy of any relevant governing
document (i.e. constitution, rule book or byelaws). If you do not have a
governing document, please confirm this in writing.
• All sections can be photocopied where necessary. Please note that for
any section of the mandate where a signature is required, the signature
does need to be an original even though the form itself can be copied.
• We may need to undertake full background searches of new
signatories, Trustees, Members or Officials. If we do, we will use the
information provided to verify your identity electronically wherever
possible. We will only ask for paper proofs of identity and address
when necessary. In some circumstances, we may need existing parties
to undergo these checks.
• Please ensure you write clearly in black ballpoint pen, using
CAPITAL LETTERS.
When complete, please return to the following address:
Change of signatories
The Co-operative Bank
P.O. Box 250
Skelmersdale
Lancs
WN8 6WT
If you have any questions, please contact us on 08457 558 000 (option 2,
then option 1). Our opening hours are 8am until 4pm, Monday to Friday.

Important information
Important – Your Personal Information
Credit decisions and also the prevention of fraud and money laundering
We may use credit reference and fraud prevention agencies to help us make decisions. A short guide to what we do and how both
we and credit reference and fraud prevention agencies will use your information is detailed in the section called: A condensed guide
to the use of your personal information by ourselves and at credit reference and fraud prevention agencies.
For details of how your data may be used also read carefully the notice headed ‘Using Your Personal Information’ provided with
the terms and conditions of your account and the ‘Keeping You Informed’ section in this application form.
By confirming your agreement to proceed you are accepting that we may each use your information in this way.
A condensed guide to the use of your personal and business information by ourselves and at credit reference and fraud
prevention agencies
1) When you apply to us to open or update an account, this organisation will check the following records about you and, where applicable, your
business partners and anyone to whom you are linked financially.
a) Our own.
b) Personal and, where applicable, business records at credit reference agencies (CRAs). When CRAs receive a search from us they will place a
search footprint on your personal credit file and where applicable your business credit file that may be seen by other lenders. They supply to
us both public (including the electoral register) and shared credit and fraud prevention information.
c) Those at fraud prevention agencies (FPAs).
d) If you are a Director, we will seek confirmation, from CRAs, that the residential address that you provide is the same as that shown on the
restricted register of Directors’ usual addresses at Companies House.
We will make checks such as assessing this application for credit and verifying identities to prevent and detect crime and money laundering.
We may also make periodic searches at CRAs and FPAs to manage your account with us.
2) If you are making a joint application or tell us that you have a spouse or financial associate, we will link your records together so you must be
sure that you have their agreement to disclose information about them. CRAs also link your records together and these links will remain on your
and their files until such time as you or your partner successfully files for a disassociation with the CRAs to break that link.
3) Information on applications will be sent to CRAs and will be recorded by them, including, where applicable, information on your business and its
proprietors. The CRAs may create a record of the name and address of your business and its proprietors if there is not one already.
4) Where you borrow from us, we will give details of your accounts and how you manage it/them to CRAs.
5) If you borrow and do not repay in full and on time, CRAs will record the outstanding debt. This information may be supplied to other organisations
by CRAs and FPAs to perform similar checks and to trace your whereabouts and recover debts that you owe. Records remain on file for six years
after they are closed, whether settled by you or defaulted.
6) If false or inaccurate information is provided and fraud is identifed, details including the names of the company Directors at the time of the fraud
will be passed to fraud prevention agencies. You undertake to inform all Directors of this notice.
7) Law enforcement agencies may access and use this information.
8) We and other organisations may also access and use this information to prevent fraud and money laundering, for example, when:
a) Checking details on applications for credit and credit-related or other facilities.
b) Managing credit and credit-related accounts or facilities.
c) Recovering debt.
d) Checking details on proposals and claims for all types of insurance.
e) Checking details of job applicants and employees.
9) If you have borrowed from us and do not make payments that you owe us, we will trace your whereabouts and recover debts.
10) We and other organisations may access and use from other countries the information recorded by fraud prevention agencies.
11) Your data may also be used for other purposes for which you give your specifc permission or, in very limited circumstances, when required by law
or where permitted under the terms of the Data Protection Act 1998.
How to find out more
You can contact the credit reference agencies currently operating in the UK; the information they hold may not be the same so it is worth contacting
them all. They will charge you a small statutory fee.
• CallCredit, Consumer Services Team, PO Box 491, Leeds LS3 1WZ or call 0870 060 1414.
• Equifax PLC, Credit File Advice Centre, PO Box 3001, Bradford BD1 5US or call 0844 335 0550 or log on to myequifax.co.uk
• Experian, Consumer Help Service, PO Box 8000, Nottingham NG80 7WF or call 0844 4818000 or log on to experian.co.uk
• If you want to receive details of the relevant fraud prevention agencies please contact us at Fraud Management, Pennylands House, 1 Westgate,
Skelmersdale WN8 8LP.
2

Section 1
General information
If there is more than one account that requires the signatories to be amended and if the signatories and the
signing authorities on all the accounts are the same, complete one copy of this mandate for all the accounts.
If there is more than one account that requires the signatories to be amended and if the signatories or the signing
authorities on any of the accounts are different, a separate mandate should be completed for each account with
different signatories or signing authorities.
Organisation name
Full name of organisation
Organisation trading name (if different from organisation name)
Full trading name of organisation
Account details
List all account numbers to which the amendments are to apply:
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
Branch sort code
Account number
3

Section 1
General information
Business type
Voluntary Organisation Charity Club Trust
Co-operative Parish Council Credit Union School
CIU affiliated CIO SCIO Social Enterprise
Other
What does your organisation do?
Organisation web address
Do you undertake any of the following activities; money transmission/money service business, cheque cashing, money lending or payday lending?
If so, please provide details.
Do you currently hold any Co-operative Bank accounts? Yes No
If yes, please indicate type of account(s) held: Co-operative Bank Britannia Platform mortgage
Account reference number(s)
Organisation trading address (premises)
House number or
name and street
Town
City
Postcode
Organisation registered address if this differs from your trading address
House number or
name and street
Town
City
Postcode
Key contact This is the name of the person in your organisation to which all communications and statements
for the account(s) will be sent.
Title Forename (in full) Middle name(s)
Surname
Position
Daytime telephone number (including STD code)
Telephone number of business/organisation (including STD code) if different
Mobile number
Fax number
Email address
4

Section 1
General information
Correspondence address
This is the address to which all communications and statements for the account(s) will be sent.
House number or name and street
Town
City
Postcode
Are you registered with/regulated by a professional industry body? Yes No
If yes, please record the following: name of registered/regulated body, address of registered/regulated body, registered/regulated number
Financial details (must be completed in ALL cases)
Date business
established
Current
year end date
Annual turnover
/expected
turnover £
day month year
Number of
working officials/
employees
day month year
Expected
financial
growth %
Where does your income/turnover come from, e.g sale of existing business/assets, general trading, etc.?
By what method do you expect to receive and make payments? (tick all appropriate)
Cheque Electronic payments, e.g. Faster Payments Foreign payments Cash Debit/credit cards
If you have indicated above that you will be receiving and/or making foreign payments please detail all countries applicable.
Telephone security pass number
Remember:
It is vital that you
keep the pass number
totally confidential.
A telephone security pass number will be used to identify you or your representative(s) to Bank staff. It will enable you or
your representative(s) to give instructions or obtain answers to queries on your account(s) over the telephone.
Please choose an appropriate four-digit number if you have not already registered one with Customer Services or you
wish to update your existing one:
We would recommend changing the security pass number if any of the outgoing signatories are
aware of the existing number.
You can use any combination of numbers providing they are not consecutive or there are not more
than two of the same numbers together (for example, not 1234 or 7778).
For security reasons we do not recommend that you use a pass number that you have already
set up for other accounts.
Please note, if you do not have a pass number registered, this could result in us only being able
to communicate with you in writing.
Pass number
We would like to send you information about products and services supplied by ourselves or other carefully selected organisations that we believe would be of
interest to you. You can inform us at any time if you do not want to receive marketing information.
Please tick the relevant box(es) only if you do not want to be contacted using the following methods: by post by phone by email by SMS
Please tick if you would not like other companies, carefully selected by us, to contact you with details of goods and services offered by them:
5

Section 2
Declaration
Voluntary Organisations, Charities, Societies, Credit Unions, Trusts, Schools, Clubs and any other
Unincorporated Association.
Certified Copy of Resolutions Made by the organisation named in Section 1.
Note:
Registered Charities
Two current Trustees
must sign this section.
Note:
Voluntary
Organisations,
Societies, Trusts,
Schools, Clubs
and any other
Unincorporated
Association
Two officials must sign
this section (i.e. chair,
treasurer or secretary),
and must hold this
position at the time of
signing. Any individual
that signs who is not a
signatory will need to
complete Section 3b.
Note:
Credit Unions
Two currently FCA
registered officials must
sign this section.
Note:
Parish, Town and
Community Councils
The Clerk and one
Councillor must sign
this section.
The following resolutions were passed at a meeting of the committee held on:
Date
It was resolved that:
• The Co-operative Bank p.l.c. (“the Bank”) shall continue as our bankers in accordance with our original application
• the Bank shall be authorised to accept instructions (including written instructions sent by facsimile and electronic instructions through the
use of digital signatures and/or identification numbers or passwords) from us in connection with the account(s) and the service, provided
that the instructions are given and/or signed in accordance with the signing authority listed in the account signatories Section 4b.
Instructions shall mean: cheques, bills of exchange, promissory notes or other orders for payment drawn, made or accepted on our
behalf (even if the payments cause the account(s) to be overdrawn) and requests or instructions in writing concerning the account(s),
our affairs or property (including the opening of the new account(s), the arranging of facilities and creation of security)
• the Bank shall be authorised to honour all cheques and all other documents made or accepted on our behalf even if such payment
causes any accounts to be overdrawn or increase any existing overdraft, provided that such documents are signed in accordance with
the specimen signatures shown in the account signatories Section 4b
• the Bank shall act on all specimen signatures in accordance with instruction, notice, request or other document in writing concerning our
account (including the opening of new accounts), affairs or property, as shown in the account signatories Section 4b
• the Bank shall be sent a copy of any future resolutions which affect the terms of these resolutions
• the Bank shall be sent a copy of any changes in our Memorandum and Articles of Association/Regulations, constitution, rule book or byelaws
• the Bank shall be notified in writing of any change of Directors, Trustees, Members or Officials, where applicable some charities are also
registered as Ltd, so will need to include full list
• the Bank shall be notified in writing of any change of official authorised to sign on our behalf
• the Bank shall otherwise continue to operate our account(s) in accordance with the business account mandate
• the Bank shall be notified in writing of any overall change of control in the organisation
• all signatories to the account are aged 18 or over
• in the case of joint account holders, we agree that on application by one of us for an overdraft on the account the Bank may provide oral
pre-contractual information to one of us only prior to the overdraft being agreed. In this case any overdraft terms will be sent to multiple
account holders after the overdraft is agreed and available to use.
Authority for additional signatories to draw on account
N.B. Each additional signatory must complete Section 3b.
I/We † authorise and request that until you receive written notice from me/us † to the contrary to treat and consider additional signatories
listed in Section 3b as fully empowered by me/us and on my/our † behalf:
• to draw, sign and endorse cheques and other orders for payment on my/our account(s) with you
• to draw, sign, accept and endorse bills of exchange and promissory notices on my/our account(s) with you
• to receive cheques, statements and other vouchers relating to my/our account(s) with you
• to withdraw all or any of my/our securities, documents, or other property or anything else held by you by way of security or for safe
custody collection or any other purpose whatsoever on my/our account(s)
• to arrange terms with you for the negotiation or discount of any documents
• to negotiate with you for and take advances whether by way of loan, overdraft discount or otherwise with or without security
• to charge, pledge and deposit with you any of my/our property upon such terms as you may require to secure the payment or discharge
to you on demand of all monies and liabilities which shall for the time being (and whether on or at time after such demand) be due owing
or incurred to you by me/us whether actually or contingently and whether solely or jointly with any other person and whether as principal
or surety including interest discount commission and other banking charges
• generally to act on my/our behalf in all transactions and matters of business with you and to comply fully with any account terms
and conditions and security requirements you may operate in connection with my/our account(s) with you now or in the future
• to act on the above instructions and in particular to pay and honour all such cheques, orders, bills, notes or requests as above mentioned
notwithstanding that any such payment may cause my/our said account(s) to be overdrawn or may increase any existing overdraft.
It is certified that these resolutions have been recorded in the minute book and that the specimen signatures shown in
the account signatories Section 4b are correct.
Name
Position in
company
Date
Signature
Name
Position in
company
Signature
Date
† Please delete as appropriate throughout
6

Section 3a
Personal details
All Trustees, Members, Officials and signatories
that are remaining on the account(s)
Please note, we are required to check the information we currently hold is accurate and
up to date to comply with the Data Protection Act and Money Laundering Regulations.
1 Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Home address
Postcode
Time at this address
years
months
2 Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Home address
Postcode
Time at this address
years
months
7

Section 3a
Personal details
All Trustees, Members, Officials and signatories
that are remaining on the account(s)
Please note, we are required to check the information we currently hold is accurate and
up to date to comply with the Data Protection Act and Money Laundering Regulations.
3 Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Home address
Postcode
Time at this address
years
months
4 Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Home address
Postcode
Time at this address
years
months
8

Section 3a
Personal details
All Trustees, Members, Officials and signatories
that are remaining on the account(s)
Please note, we are required to check the information we currently hold is accurate and
up to date to comply with the Data Protection Act and Money Laundering Regulations.
5 Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Home address
Postcode
Time at this address
years
months
6 Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Home address
Postcode
Time at this address
years
months
9

Section 3b
Personal details
New Trustees, Members, Officials
and signatories
IMPORTANT: this section must be completed by new Trustees, Members, Officials
and signatories.
Please provide three full years’ address history for each person.
1
Title Forename (in full) Middle name(s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Who do you bank with?
Please quote
your branch
sort code and
account number
Branch sort code
Account number
Do you already hold a Co-operative Bank
account (personal and/or business)? If so,
please complete your sort code and account
number to ensure our records are up to
date.
Branch sort code
Account number
Home address
Postcode
Time at this address
years
months
Previous home address (if moved within the last three years)
Postcode
Time at this address
years
months
Previous home address (if moved within the last three years)
Postcode
Time at this address
years
months
Home telephone number (including STD code)
Mobile telephone number
10

Section 3b Personal details
New Trustees, Members, Officials
and signatories
Note:
If you have completed
this section and wish
to be an account
signatory, please sign
Section 4b.
Note:
Please note, any user
of Business Online
Banking must be an
authorised signatory
to the account. If the
account is not setup
for online access,
please complete
a Business
Online Banking
registration form.
Your consent
I authorise the Bank to search the files of one or more CRAs, who will keep a record of that search, and make other enquiries the Bank
believes necessary to confirm the details on this application form and for credit assessment.
If false or inaccurate information is provided and fraud is identified, details including the names of the company Directors at the time of the
fraud will be passed to fraud prevention agencies to prevent fraud and money laundering. You undertake to inform all Directors of this notice.
It is important that you read and understand the section entitled ‘Important – Your Personal Information’ at the beginning of this
application form, the ‘Keeping You Informed’ section in the application form and the ‘Using Your Personal Information’ notice provided with
your terms and conditions.
By signing this application you agree that we can use your information in this way.
Signature
Please indicate below if the individual above is to have:
a debit card?
access to Business Online Banking?
It is important that you have read and considered the terms and conditions relating to the above facilities before using them.
In the interests of conserving resources, please only request the above facilities if they are needed and will definitely be used.
Date
11

Section 3b
Personal details
New Trustees, Members, Officials
and signatories
IMPORTANT: this section must be completed by new Trustees, Members, Officials
and signatories.
Please provide three full years’ address history for each person.
1
Title Forename (in full) Middle name (s)
Surname
Any other name(s) you have been known as during
the last six years
Date of birth
Nationality/nationalities
day month year
Position within business
Individual’s shareholding/
stakeholding/voting right percentage
%
Are these shares being held by a nominee? Yes No
If yes, please provide full details of actual (beneficial) shareholder (name, address, date of birth, nationality/ies)
Who do you bank with?
Please quote
your branch
sort code and
account number
Branch sort code
Account number
Do you already hold a Co-operative Bank
account (personal and/or business)? If so,
please complete your sort code and account
number to ensure our records are up to
date.
Branch sort code
Account number
Home address
Postcode
Time at this address
years
months
Previous home address (if moved within the last three years)
Postcode
Time at this address
years
months
Previous home address (if moved within the last three years)
Postcode
Time at this address
years
months
Home telephone number (including STD code)
Mobile telephone number
12

Section 3b Personal details
New Trustees, Members, Officials
and signatories
Note:
If you have completed
this section and wish
to be an account
signatory, please sign
Section 4b.
Note:
Please note, any user
of Business Online
Banking must be an
authorised signatory
to the account. If the
account is not setup
for online access,
please complete
a Business
Online Banking
registration form.
Your consent
I authorise the Bank to search the files of one or more CRAs, who will keep a record of that search, and make other enquiries the Bank
believes necessary to confirm the details on this application form and for credit assessment.
If false or inaccurate information is provided and fraud is identified, details including the names of the company Directors at the time of the
fraud will be passed to fraud prevention agencies to prevent fraud and money laundering. You undertake to inform all Directors of this notice.
It is important that you read and understand the section entitled ‘Important – Your Personal Information’ at the beginning of this
application form, the ‘Keeping You Informed’ section in the application form and the ‘Using Your Personal Information’ notice provided with
your terms and conditions.
By signing this application you agree that we can use your information in this way.
Signature
Please indicate below if the individual above is to have:
a debit card?
access to Business Online Banking?
It is important that you have read and considered the terms and conditions relating to the above facilities before using them.
In the interests of conserving resources, please only request the above facilities if they are needed and will definitely be used.
Date
13

Section 4a
Account signatories Removal of signatories
IMPORTANT: to be completed by ALL signatories to be REMOVED from the account.
Title
Forename(s)
Signature
Note:
Any debit cards or online
access will be removed for
outgoing signatories.
Surname
Position
Title
Forename(s)
Signature
Surname
Note:
If signatures are unobtainable,
please provide a letter of
resignation or a signed copy
of the minutes of the meeting
where the individual’s removal
was specifically confirmed and
clearly list them here.
Position
Title
Surname
Forename(s)
Signature
Position
Note:
If you are a registered
charity and signatures are
unobtainable, please provide a
covering letter signed by two
current trustees confirming
the removals.
Title
Surname
Position
Forename(s)
Signature
Title
Forename(s)
Signature
Surname
Note:
If a signatory is deceased,
please provide an independently
certified copy of the death
certificate or signed copy of the
minutes of the meeting where
this is documented.
Position
Title
Surname
Forename(s)
Signature
Position
Certified copies are copies
of original documents which
should be signed “original
seen” and dated. We may need
to contact the person who has
certified the documents.
Please ensure they include
their full name, position,
address and landline telephone
number on the certified
documents. Copies can be
certified by a person in a
position of responsibility, such
as a bank official, doctor,
solicitor, ministers of religion,
teachers, police officers or
civil servants.
14

Section 4b
Account signatories
IMPORTANT: ALL remaining and NEW signatories must sign this section.
It is important that you have read and understand page 2 of this mandate and the section ‘Keeping you Informed’
on page 5 along with the terms and conditions of the account.
By signing this application you agree that we can use your information in these ways.
Title
Forename(s)
Signature
Surname
Position
Title
Forename(s)
Signature
Surname
Position
Title
Forename(s)
Signature
Surname
Position
Title
Forename(s)
Signature
Surname
Position
Title
Forename(s)
Signature
Surname
Position
Title
Forename(s)
Signature
Surname
Position
Signing authority
Please quote your branch sort code and
account number
Branch sort code
Account number
Please tick the level of signing authority required when making a request or giving an instruction to the Bank, etc.:
Any one of the signatories to sign
Any two of the signatories to sign
All of the signatories to sign
Other combination
(please give details opposite)
15

Please call 03457 213 213* if you would like to receive this information in an alternative
format such as large print, audio or Braille.
The Co-operative Bank p.l.c., P.O. Box 101, 1 Balloon Street, Manchester M60 4EP. Registered in England and Wales No. 990937.
The Co-operative Bank p.l.c. is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation
Authority (No.121885) and holds an Interim Permission in respect of consumer credit activities and subscribes to the Lending Code and the
Financial Ombudsman Service.
*Lines open 8am – 8pm Monday to Friday and 9am – 12 noon Saturday. Calls cost no more than calls to geographic numbers (01 or 02) and must be included in inclusive minutes and
discount schemes in the same way. Calls from landlines are typically charged up to 9p per minute; calls from mobiles typically cost between 8p and 40p per minute. Calls from landlines and
mobiles are included in free call packages.
Calls may be monitored or recorded for security and training purposes.
Credit facilities are subject to status and not available to anyone under 18 years of age. The Co-operative Bank reserves the right to decline any application. Information correct as at 02/2015.
MKT10736 V7_EDIT 02/2015