Third Party Authority – Personal Accounts
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Third Party Authority
Personal Accounts
Please print and complete this authority in full, ensuring that you initial any deletions when requested to do so.
To: Standard Bank Jersey Limited
Standard Bank Isle of Man Limited
Standard Bank International Investments Limited
(“you” or the “Bank”) (delete any of the above entities not applicable to this authority)
Accounts:
a) any account(s) (current, deposit, loan, custody, portfolio or otherwise) with the Bank in my / our personal name(s) from time to time
(delete if not applicable);
OR
b)account number
c) account number
d) account number
(the “Account(s)”).
Third Party Authority:
(insert Account Holder name(s) in full) (the “Account Holder”)
I / We, hereby request that you will treat and consider:
(insert Authorised Signatory name in full) (the “Authorised Signatory”)
(whose address and signature is set out below)
as fully empowered for me / us and on my / our behalf to give, vary or revoke any instructions to you and to act generally between me/us and you
as fully and effectually for all interests and purposes, without limit, as I / we could if personally present and in the dealings and transactions set out
below:
(delete any of the numbered clause(s) below that are not applicable to the authority being given. All parties must initial the deletions.)
1. make payment orders by cheque, draft, mail or telegraphic transfer from the Account(s);
2. place on current or deposit Account(s), or withdraw from such Account(s), any funds in my / our name;
3. draw and accept Bills of Exchange and Promissory Notes in my / our name(s);
4. endorse Bills of Exchange and Promissory Notes and to discharge Money Orders and Postal Orders in my / our name(s);
5. withdraw or have access to any securities or other property deposited with you on my / our behalf for any purpose relating to my / our
Account(s);
6. give instructions for or in relation to the purchase or sale of any foreign currencies;
7. charge and deposit on my/our behalf any of my / our securities or other property as security for all such sum or sums of money as may be now
or hereafter from time to time become due or owing by me / us to you in relation to my/our Account(s);
8. furnish indemnities on my / our behalf;
9. receive a debit or ATM card for the Account(s);
10.to manage and administer on a fully discretionary basis all funds which I / we have and may in future place with the Investment Division of
Standard Bank International Investments Limited (“the Broker”) from time to time and to invest them in any way in which the Authorised
Signatory deems appropriate, including, but not limited to investment in fixed interest securities, equities, currency of any country, including
forward currency contracts, and to effect any alternations in such investments from time to time, but always subject to the Terms and Conditions
of such particular services;
11.receive from the Broker from time to time copies of statements and valuations as instructed by me / us.
Furthermore, the Authorised Signatory shall be empowered to request any information regarding any of my / our property, Account(s) or portfolio,
and to do and act as fully and effectually for all intents and purposes as I / we could if personally present and acting in relation to the matters and
transactions described above and to do all such acts or things as may be necessary, proper, incidental or ancillary to such matters or transactions
specified above notwithstanding that I / we may continue personally to exercise any of the powers hereby conferred upon the Authorised Signatory.
In the event of a conflict between any request or instruction received from the Authorised Signatory and the Account Holder, the request or
instruction received from the Account Holder shall prevail.
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The powers under this delegation of authority are subject to the Standard Legal Terms and Conditions applicable to each of the Accounts.
I / We acknowledge and agree that everything done by you in pursuance of this authority shall be binding upon me / us until you receive notice
from me / us in writing countermanding this authority. Furthermore I / we acknowledge and agree that everything done by you in pursuance of this
authority before you receive notice in writing of my/our death or mental incapacity from any cause whatever shall be binding on my / our respective
heirs, personal representatives, including but not limited to my / our executors, administrators and any other persons claiming through or under me /
us.
This authority shall cease to have effect upon:
1. receipt of written notice by the Bank from me (or either of us) in writing countermanding this authority;
2. receipt by the Bank of written notice of my (or either of our) death or mental incapacity;
3. in relation to a particular account in my / our name(s), a new party being added to such account as a joint party or the removal of a party from
such joint account;
4. the appointment of a Curator in respect of me or either of us.
I / We hereby confirm that the Bank will be under no obligation to ascertain or inquire into the purposes for which any of the above powers are to be
exercised by the Authorised Signatory even if such instructions are or appear to be for the benefit of the Authorised Signatory or for any associate
of or person connected to the Authorised Signatory and even if such instructions are not or do not appear to be for my / our benefit directly or
indirectly.
I acknowledge that the Bank may refuse to act on any instruction of the Authorised Signatory should it for any reason whatsoever and in its absolute
discretion, think it is reasonable to do so. The Bank may at any time ask that any further requirement be fulfilled by the Authorised Signatory and /
or the Account Holder(s) before acting on the Authorised Signatory’s instructions.
Neither the Bank nor its employees and / or its officers shall be liable for any loss suffered by me / us or my / our respective heirs, successors,
estate, personal representatives, executors or administrators in connection with any action taken or not taken by the Bank and / or its employees
and / or its officers in reliance on this authority unless such loss arises from gross negligence, wilful default or fraud of the Bank and / or its
employees and / or its officers. The Bank shall not be liable for any loss suffered by me / us or my / our respective heirs, successors, estate,
personal representatives, executors or administrators arising directly or indirectly from any act or default of any other company or person.
I / We (which shall include but not be limited to my / our respective heirs, successors, estate, personal representatives, executors or administrators)
will indemnify in full the Bank and / or its employees and/or its officers against any loss, liability or expense whatsoever which may be suffered or
incurred by the Bank and / or its employees and / or its officers directly or indirectly in connection with any action taken or not taken by the Bank
and / or its employees and / or its officers in reliance on this authority except to the extent that such loss, liability or expense is due to the gross
negligence, wilful default or fraud of the Bank and / or its employees and / or its officers.
This delegation of authority and all matters relative thereto shall be governed by and construed according to the law of the jurisdiction(s) in which the
Account holding office(s) of the Bank is / are located. Any disputes in relation to this authority shall be subject to the non-exclusive jurisdiction of the
courts of the applicable jurisdiction(s) in which the Account holding office(s) of the Bank is / are located, to which the parties submit.
For the avoidance of doubt, this authority DOES NOT permit the Authorised Signatory to do any of the following things:
1. add new parties to the Account(s), either as joint parties or recipients of a Third Party Authority;
2. request a new overdraft facility, or increase an existing overdraft facility;
3. change the address of the Account Holder(s);
4. unless otherwise authorised herein, not directly enter into stock market transactions;
5. open new accounts (including loans), other than placing funds on fixed deposit;
6. close an account (other than moving funds on fixed deposit to a current account in my name upon maturation of the fixed deposit, or if closed
due to nil balance or overdraft);
7. use the account for their own transactions (as noted above, it is not the Bank’s responsibility to ascertain if the Authorised Signatory is breaching
this provision or not);
8. be named on any statements or stationery (apart from within the mailing address).
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Consent and acknowledgement of third party
By signing this document the Authorised Signatory understands and agrees that:
1. The Bank will store and process the Authorised Signatory’s information on its computers and in any other way. By ‘Authorised Signatory’s
information’ is meant personal and financial information obtained from the Authorised Signatory or from third parties, such as the Account
Holder(s), credit reference agencies (who may search the electoral register), fraud prevention agencies or other organisations, or which the
Authorised Signatory or they give to the Bank at any other time.
2. The Bank and other companies in the Standard Bank Group will use the Authorised Signatory’s information to manage the Account(s) of the
Account Holder(s) and provide services, for assessment and analysis (including credit and/or market and product analysis), and to develop and
improve the Bank’s services to clients and protect the Bank’s interests.
3. The Bank and other members of the Standard Bank Group may use the Authorised Signatory’s information to inform the Authorised Signatory by
letter, telephone or computer about products and services (including those of others) which may be of interest to the Authorised Signatory. The
Authorised Signatory may tell the Bank if he / she does not wish to receive marketing material.
4. The Bank may give information about the Authorised Signatory:
a. to people who provide a service to the Bank or are acting as the Bank’s agents, on the understanding that they will keep the information
confidential
b. to anyone to whom the Bank transfers or may transfer its rights and duties under this authority
c. if the Bank has a duty to do so or if the law allows it to do so.
Otherwise, the Bank will keep information about the Authorised Signatory confidential.
5. If the Bank transfers the Authorised Signatory’s information to a service provider or agent in another country, it will make sure that the service
provider, or agent, agrees to apply the same levels of protection to information held in the UK, and to use the Authorised Signatory’s information
only for the purpose of providing the service to the Authorised Signatory and / or the Account Holder(s).
The Authorised Signatory confirms that the information given to the Bank in connection with this Third Party Authority is true and complete and
authorises the Bank to make any credit reference and other enquiries in accordance with its normal procedures.
The Authorised Signatory understands and agrees the parameters of the above authority and accepts that the authority is subject to the Standard
Terms and Conditions applicable to each of the Account(s).
Security details
Please provide the following details in full, memorise them and do not share them with anyone. This is how we will identify you in the event that we need to speak with
you on the phone.
Password
Name of your first school
Mother’s maiden name
Favourite sport or colour
Print name
Signature
Date (dd-mm-yyyy)
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In witness whereof this authority has been executed and delivered as a deed by the Account Holder(s) and Authorised Signatory this
day of 20
Signature(s) of all account holder(s):
Executed as a deed by (Name of account holder)
Signature of account holder
in the presence of:
Witness: (NB: the witness must not be a party to this authority)
(Name of witness)
Signature of the witness:
Occupation:
Address:
Executed as a deed by (Name of account holder)
Signature of account holder
in the presence of:
Witness: (NB: the witness must not be a party to this authority)
(Name of witness)
Signature of the witness:
Occupation:
Address:
Signature of authorised signatory:
Full name of authorised signatory
Executed as a deed by (Name of authorised signatory)
Signature of authorised signatory
Address of authorised signatory
in the presence of:
Witness: (NB: the witness must not be a party to this authority) (Name of witness)
Signature of the witness:
Occupation:
Address:
Verification
For all persons being granted third party authority we will require verification of identity and address as set out on the following page prior to
any authority coming into effect. Anti-money laundering regulations require us to obtain satisfactory verification of identity (identity being name,
permanent residential address, date of birth, place of birth and nationality) for any person who has signing authority on an account.
Please provide the following for each person being granted third party authority to the account:
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Appendix A: Identification verification document template For certifier use only
Photocopy this document with your identification in the space provided for any person to be granted third party authority on the account.
The certifier must complete the details as directed below.
Use this form to submit a certified copy of your identification documentation.
Suitable identifications are:
Step 1: Place your identification document face up within this space, ready to
photocopy
Step 2: Photocopy the whole page so that the identification documentation and
declaration are clearly visible
Step 3: Take your original identification document and the photocopied page to a
suitable certifier, as detailed below
Step 4: The acceptable certifier must complete all sections of the declaration on
the photocopied sheet which displays your identification documentation,
not on this page
Step 5: Remember to include the signed photocopied page displaying your
identification document when you return your application form
Passport
Government issued identification card
Full UK, Channel Island or Isle of Man driving licence
Important:
1) Identifications must be valid, in issue and show the person’s signature
2) If your name has changed (e.g. from marriage) please provide appropriate
documentation (e.g. marriage certificate or name change form)
3) The copy must be of good quality and show the details / photograph clearly
PLACE IDENTIFICATION HERE READY TO PHOTOCOPY
Declaration and signature of certifier. The certifier must be independent of the person for whom third party authority is being granted.
Certified as a true copy of the original and the photograph bears a true likeness of
Name
(Authorised signatory name)
Position
Date (dd/mm/yyyy)
/
/
Certifier signature
Telephone number/email address, if not included in
the Company stamp
Certifier Company stamp
Certifier (please tick)
Lawyer* Accountant* Senior Civil Servant
Notary Public*
Member of Judiciary
Customs Officer
Actuary* Police Officer
Standard Bank approved certifier**
Director, Manager, or Company Secretary of a regulated financial services business
* Must be a member of a recognised professional body
** Must be approved by Standard Bank Isle of Man Limited to certify documents
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Appendix B: Residence verification document instructions
It is essential that any person(s) being granted third party authority provide proof of their residential address, either as an original or certified copy. A
certified copy must state “Certified as a true copy of the original” and include a date, the Certifier’s name, signature, position held and contact details
(telephone number or email address). A certified translation must be submitted where the document is not in English.
Please note we are unable to return original copies to you.
• A utility bill (electricity, gas, water) that is no more than six months old (excluding mobile phone bills)
• A Bank, Building Society or Credit Card statement from a recognised financial institution (excluding store cards) that is no more than six months old
• A valid, full, UK OR Isle of Man driving licence (if not used for confirmation of your identity)
• For Standard Bank customers only - confirmation of address can be provided by your branch
Please return the completed form to:
Account held with Standard Bank Isle of Man Limited
Standard Bank Isle of Man Limited
Standard Bank House, One Circular Road
Douglas, Isle of Man IM1 1SB
Telephone: +44 (0)1624 643643
Email: personalbanking@standardbank.com
Account held with Standard Bank Jersey Limited
Standard Bank House
47-49 La Motte Street
St Helier
Jersey
JE2 4SZ
Telephone: +44 (0)1534 881188
Email: sbj@standardbank.com
Account held with Standard Bank International Investments Limited [trading as Melville Douglas]
Standard Bank House
47-49 La Motte Street
St Helier
Jersey
JE2 4SZ
Telephone: +44 (0)1534 881188
Email: sbsam@standardbank.com
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www.standardbank.com/international
www.standardbank.com/wealthandinvestment
Important information
Standard Bank Isle of Man Limited (“SBIoM”) is licensed by the Isle of Man Financial Supervision Commission. Registered in the Isle of Man No. 4713.
Standard Bank Jersey Limited (“SBJ”) is regulated by the Jersey Financial Services Commission. Registered in Jersey No 12999.
Melville Douglas is a registered business name of Standard Bank International Investments Limited which is regulated by the Jersey Financial Services Commission. Registered in Jersey No 110601.
Standard Bank Offshore Services (RSA), operates under the license of The Standard Bank of South Africa Limited (“SBSA”), an authorised Financial Services Provider (“FSP”) number 11287. We
are authorised to provide financial services for the following products: Long-Term Insurance A, B1, B2 and C; Short-Term Insurance: Personal Lines and Commercial Lines; Retail Pension Benefits;
Securities and Instruments: shares, money market, debentures and securitised debt, warrants, bonds, and derivative instruments; Collective Investment Schemes; Foreign currency denominated
investments; and long and short term deposits. The compliance department can be contacted on (011) 636 1781 or by email at Groupfaiscomplianceofficer@standardbank.co.za. SBSA holds
professional indemnity insurance cover.
SBSA is authorised by Standard Bank Isle of Man Limited to sell its products in South Africa and other African countries. Other local Standard Bank Group entities are similarly authorised within their
own countries.
All transactions to the account must be in line with current Exchange Control legislative requirements applicable to the country in which you are resident or working.
Telephone calls may be recorded.
RMC2014.090
SB18/2015-05/114205
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