BACS/BACSTEL-IP Services Application Form Indirect Submitter New set up Transfer of sponsorship Service User Number a) Please provide for transfer of sponsorship, if not completed BACS Operations will issue a Service User Number. b) Please provide if you have an existing Service User Number with The Royal Bank of Scotland Checklist Please complete and return all of the relevant documents to your relationship manager If you are a PLC/Limited Company/Limited Liability Partnership: tick when completed BACS/BACSTEL-IP Services Application Form (Completion notes are included on page 2 to assist you in the completion of the form) Appendix A: Excerpt Board Minute (PLC/Limited Company/Limited Liability Partnership) If you are an Unincorporated Body: tick when completed BACS/BACSTEL-IP Services Application Form (Completion notes are included on page 2 to assist you in the completion of the form) Appendix B: Excerpt Minute (Unincorporated Body) If you are a Sole Trader/Partnership: tick when completed BACS/BACSTEL-IP Services Application Form (Completion notes are included on page 2 to assist you in the completion of the form) Please retain the following: BACS/BACSTEL-IP Services Customer Terms and Conditions 1
BACS/BACSTEL-IP Services Application Form Indirect Submitter Completion Notes Section 1 Your Details Full Name/Address of Customer The full registered trading name if a Limited Company, plus the trading name if applicable, and full address. Report Notification E-mail Address BACS will use this as the default address to notify your Primary Security Contact that your reports e.g. Input Report, are available for collection from the BACS website. Section 2 Bureau Details You must obtain this information from the Bureau you have nominated to make the payments on your behalf. Additional contacts may have full or restricted privileges allocated by a Primary Security Contact. Each Primary Security Contact will receive an e-mail with a User ID and Password to enable them to access the reports. The Primary Security Contact will also be asked for security information and a security hint. Should you forget this security information, you can have a hint e-mailed to you from BACS e.g. mother s maiden name. Each Primary Security Contact must supply an out of hours telephone number. This will be used after normal working hours should the Bank require clarification on your BACS file. Section 3 Account Details Sort code and account number account to be used for funding your payments. Suggested credit limit (for direct credit users only) this limit should cover all submissions sent within the frequency period stated. The limit suggested should be sufficient to cover items such as overtime and bonuses. Suggested item limit this limit will highlight any items over this value on your input report. Please note: these items will be processed in the normal way. Section 4 Primary Security Contacts It is a requirement that you nominate a minimum of two Primary Security Contacts per Service User Number, to ensure that you have adequate holiday and illness cover. A Primary Security Contact is the main contact for the Service User Number and will have access privileges to set-up additional contacts. Section 5 Your Authorisation This section provides the authorisation we require from you to use the BACSTEL-IP Service, and your agreement with the enclosed Terms and Conditions. Excerpt Minute This provides authorisation for you to use the BACSTEL-IP Service, and agreement with the enclosed Terms and Conditions, from the authorised signatories in your organisation/company. Please note: it is important that you complete and sign the relevant Excerpt Minute. If you are a PLC/Limited Company/Limited Liability Partnership please complete and sign Appendix A. If you are an Unincorporated Body please complete and sign Appendix B. If you are a Sole Trader/Partnership you do not need to complete and sign an Excerpt Minute. 2
BACS/BACSTEL-IP Services Application Form Indirect Submitter Please refer to the enclosed Completion Notes to help you complete the form. Please complete the form in block capitals using black ink. 1. Your Details Full name of customer (full registered name if limited company plus trading name if applicable): Mr/Mrs/Miss/Ms/Other please specify (delete as appropriate) Contact name (first name and surname) Address County/Region Postcode Report notification e-mail address (the e-mail address to which you wish your BACSTEL-IP report notification to be sent) 2. Bureau Details Bureau name Bureau number B Bureau address County/Region Postcode Fax number (confirmation of set up will be sent to your Bureau) 3. Account Details Account name Account number Sort code - - Suggested credit limit for the period (for direct credit users only) Frequency (e.g. weekly) Item limit: items exceeding limit will be highlighted on the Input Report (optional) 3
4. Primary Security Contacts (a minimum of two Primary Security Contacts must be completed) Primary Security Contact 1 Mr/Mrs/Miss/Ms/Other please specify (delete as appropriate) Contact name (first name and surname) Telephone number: daytime out of hours E-mail address Security password Security hint (e.g. mother s maiden name) Primary Security Contact 2 Mr/Mrs/Miss/Ms/Other please specify (delete as appropriate) Contact name (first name and surname) Telephone number: daytime out of hours E-mail address Security password Security hint (e.g. mother s maiden name) If you have existing Royal Bank of Scotland smartcards and card readers for the BACSTEL-IP service under a separate Service User Number you do not require a separate Contact ID and Password. If you would like to use your existing smartcards and card readers please detail below the Service User Number to which they relate. Service User Number The Primary Security Contacts named in Section 4 are required to read and sign the below Terms and Conditions. I agree and accept that the BACS/BACSTEL-IP Services provided by the Bank to the Customer under the Terms and Conditions extend to the Account(s) on which I am empowered to operate. I also acknowledge that the Bank will need to disclose my identity and other information regarding me to its contractors and agents who are providing goods and/or services to the Bank in connection with the BACS/BACSTEL-IP Services and that identifiers relating to me will appear on various computer systems and records of the Bank, BACS and others in relation to transactions made under the BACS/BACSTEL-IP Services. I authorise the Bank to make disclosures of information regarding me as are reasonably required in connection with the operation of the BACS/BACSTEL-IP Services. Primary Security Contact 1 Primary Security Contact 2 Please sign above and insert name in part 3 of the appropriate Excerpt Minute. Please sign above and insert name in part 3 of the appropriate Excerpt Minute. Date Date 4
5. Your Authorisation This section sets out the Terms and Conditions (the Terms and Conditions ) that will apply to your use of the BACS payment clearing services (the BACS/BACSTEL-IP Services ). These Terms and Conditions will be concluded once The Royal Bank of Scotland plc (the Bank) accepts the completed BACS/BACSTEL-IP Services Application Form from you. You should note that these Terms and Conditions are in addition to any terms that already relate to your dealing and any account(s) held with the Bank and/or other members of The Royal Bank of Scotland Group of Companies and, in the event of any inconsistency between those terms and these Terms and Conditions, the terms of these Terms and Conditions will prevail. I/We have read the Terms and Conditions which set out the contractual terms which are to apply to my/our use of the BACS/BACSTEL-IP Services provided by BACS Limited. I/We confirm my/our request to you to arrange this on my/our behalf. I/We confirm that the details on this BACS/BACSTEL-IP Services Application Form are full and correct and agree to notify the Bank of any change therein. I/We nominate the individuals whose details appear in Section 4 as our Primary Security Contact(s) and to receive a Security ID and password and associated materials and authorise you to permit the Primary Security Contact(s) to operate and to access and use the BACS/BACSTEL-IP Services. Signed for and on behalf of (full registered name of the Customer) Name (please print) Name (please print) Please sign above and insert name in part 2 of the appropriate Excerpt Minute. Date Please sign above and insert name in part 2 of the appropriate Excerpt Minute. Date s must be in accordance with the relevant Excerpt Minute (if applicable). For Bank Use Only Relationship Manager I confirm the account details, signatures and limits quoted within this documentation are correct and that the service(s) being applied for have been sanctioned in accordance with credit standing instructions. KYC checked and approved BACS Operations Service User Number has been allocated Location Relationship Manager name ISV number Telephone number Date BACS Geographic Code BACS Industry Code BACS Credit/Debit E-mail address Once your application form has been fully completed and authorised by your Relationship Manager, it should be returned to: BACS OPERATIONS, 2nd Floor, 34 Fettes Row, Edinburgh EH3 6UY (Depot-045) The Royal Bank of Scotland plc. Registered in Scotland No. 90312. Registered Office: 36 St Andrew Square, Edinburgh EH2 2YB. 086966 08/04 5
Direct Debit Originators Database Contact and Scheme Details Date User Number Sponsor Code Amendment Type (insert) Please Complete in Block Capitals (maximum 26 characters per line) Name Address County/Region Postcode Telephone number Fax number Date Stamp of Authorising Bank The Royal Bank of Scotland plc. Registered in Scotland No. 90312. Registered Office: 36 St Andrew Square, Edinburgh EH2 2YB. 086966 09/04 6
BACS/BACSTEL-IP Services Appendix A Excerpt Board Minute, PLC/Limited Company/Limited Liability Partnership Excerpt from Minute of Meeting of the Directors of held at Name of Company Address (the Company ) on the Day day of Month year Year HAVING READ AND CONSIDERED the printed documents comprising: (a) the BACS/BACSTEL-IP Services Application Form and Appendix; and (b) BACS/BACSTEL-IP Services Customer Terms and Conditions; 1. that the Terms and Conditions be hereby approved and adopted by the Company as the terms on which the Company shall use the BACS/BACSTEL-IP Services; and 2. that Insert names of each of those signing Section 5 of the Application Form (Section 5: Your Authorisation) 1. 2. be and is/are hereby authorised (1) to sign on behalf of the Company the BACS/BACSTEL-IP Services Application Form for the BACS/BACSTEL-IP Services ( the Agreement ), a copy of which was produced to the Meeting; and (2) to deliver the Agreement to the Bank together with this Excerpt Board Minute; and (3) from time to time at their discretion to add to or remove from the arrangements covered by the Agreement such accounts of the Company as they shall determine; and (4) from time to time to appoint such persons as they shall determine as Primary Security Contacts in addition to or in substitution for the persons referred to in resolution 3 below and also at their discretion to terminate any appointment as a Primary Security Contact; and (5) from time to time and in accordance with and subject to such directions as the Company may from time to time stipulate and on behalf of the Company to enter into and to bind the Company to such variations of the Agreement or the terms of the BACS/BACSTEL-IP Services or other contracts or documents relating to the BACS/BACSTEL-IP Services as they shall consider appropriate and in the interests of the Company PROVIDED THAT the Bank shall be entitled to assume that any such act performed by the persons hereby authorised complies with all the requirements of the Board and this paragraph (4); and 3. that the Company permit Insert names of each of those signing Section 4 of the Application Form (Section 4: Primary Security Contacts) 1. 2. (the Primary Security Contact(s) ) to operate on the Company s Account(s) kept with the Bank to access and to use the BACS/BACSTEL-IP Services; and 4. that the persons named as Primary Security Contact(s) under or pursuant to these resolutions are each authorised to receive on behalf of the Company the security devices referred to in the Terms and Conditions, and 5. that these resolutions do not in any way limit or affect the existing authorities to the Bank for operations on the Company s account(s). I certify that the above is a true excerpt from the recorded minutes of the Company. of Secretary Secretary The Royal Bank of Scotland plc. Registered in Scotland No. 90312. Registered Office: 36 St Andrew Square, Edinburgh EH2 2YB. 086966 08/04 7
BACS/BACSTEL-IP Appendix B Excerpt Minute, Unincorporated Body Excerpt from Minute of Meeting of the Members/Committee of held at Name of Company Address (the Organisation ) on the Day day of Month Year year HAVING READ AND CONSIDERED the printed documents comprising: (a) the BACS/BACSTEL-IP Services Application Form and Appendix; and (b) BACS/BACSTEL-IP Services Customer Terms and Conditions; 1. that the Terms and Conditions be hereby approved and adopted by the Organisation as the terms on which the Organisation shall use the BACS/BACSTEL-IP Services; and 2. that Insert names of each of those signing Section 5 of the Application Form (Section 5: Your Authorisation) 1. 2. be and is/are hereby authorised (1) to sign on behalf of the Organisation the BACS/BACSTEL-IP Services Application Form for the BACS/BACSTEL-IP Services ( the Agreement ), a copy of which was produced to the Meeting; and (2) to deliver the Agreement to the Bank together with this Excerpt Board Minute; and (3) from time to time at their discretion to add to or remove from the arrangements covered by the Agreement such accounts of the Organisation as they shall determine; and (4) from time to time to appoint such persons as they shall determine as Primary Security Contacts in addition to or in substitution for the persons referred to in resolution 3 below and also at their discretion to terminate any appointment as a Primary Security Contact; and (5) from time to time and in accordance with and subject to such directions as the Organisation may from time to time stipulate and on behalf of the Organisation to enter into and to bind the Organisation to such variations of the Agreement or the terms of the BACS/BACSTEL-IP Services or other contracts or documents relating to the BACS/BACSTEL-IP Services as they shall consider appropriate and in the interests of the Organisation PROVIDED THAT the Bank shall be entitled to assume that any such act performed by the persons hereby authorised complies with all the requirements of the Board and this paragraph (4); and 3. that the Organisation permit Insert names of each of those signing Section 4 of the Application Form (Section 4: Primary Security Contacts) 1. 2. (the Primary Security Contact(s) ) to operate on the Organisation s Account(s) kept with the Bank to access and to use the BACS/BACSTEL-IP Services; and 4. that the persons named as Primary Security Contacts under or pursuant to these resolutions are each authorised to receive on behalf of the Organisation the security devices referred to in the Terms and Conditions, and 5. that these resolutions do not in any way limit or affect the existing authorities to the Bank for operations on the Organisation s account(s). I certify that the above is a true excerpt from the recorded minutes of the Organisation. of Chairman Chairman The Royal Bank of Scotland plc. Registered in Scotland No. 90312. Registered Office: 36 St Andrew Square, Edinburgh EH2 2YB. 086966 08/04 8