ACCOUNT OPENING FORM

ACCOUNT OPENING AND AUTHORITY FOR COMPANIES, PARTNERSHIPS,TRUSTS AND OTHER ENTITIESAustralia and New Zealand Banking Group Limited, Solomon Islands BranchCustomer number  

New customer  

Existing customer

Legal name of Entity
Select Entity type:
Incorporated Association and Unincorporated Association (Club / Society / Lodge)
Partnership
Trust
Government Body and Intergovernmental Organisation (Embassy / Consulate / Diplomatic Organisation)
Non-Government Organisation (Social and Charitable Organisation)
Company   
Multilateral Organisation
Other (please specify)Country of Establishment

Registration/Incorporation Number

Nature of business/activities
Physical address of Entity
StreetSuburb
CityCountry

Postcode

Postal address of Entity (if different)
StreetP.O. BoxSuburb
CityCountry

Postcode

Business contact details
Phone numberMobile number
Email address
Parent or ultimate owner of Entity  

Local  

Foreign

Names of the parent companies or names of the natural persons who ultimately own or control the Entity are required.

Names of parent companies or natural persons

Customer identificationand verification
completed and copies ofID documents retained

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Australia and New Zealand Banking Group Limited, Solomon Islands Branch

Listed in stock exchange

Yes

No

Name of stock exchange

Stock code

Majority stakeholder(s) (For subsidiaries of publicly listed stock exchange companies)
Company name% ownership

ACCOUNT INFORMATION
Branch number

Account number
Account nameAccount type(e.g. Cheque, Savings)

Currency type(e.g. FJD, USD, AUD)

WAYS TO BANKANZ Internet Banking*  

ANZ Pacific App  

Address to appear on cheques as:
Cheque book size

25

Collection details (if applicable)

ANZ Transactive  

Physical address  

50

100

Cheque book

Postal address

200

will be collected from branch  send by mail

STATEMENT BY CUSTOMER(S)I am/we are not commonly known by any name(s) other than shown in this document.
I am/we are carrying on business under the business name(s)I am/we are also commonly known as
The Account is held in trust for the beneficiaries named in the Trust Deed
The Account is not held in trust*ANZ Internet Banking not available in Timor-Leste

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ACCOUNT OPENING FORM

Australia and New Zealand Banking Group Limited, Solomon Islands Branch

PRIVACY ACKNOWLEDGEMENT
Information you provide to Australia and New Zealand Banking Group Limited, Solomon Islands Branch (ANZ) will be kept strictly confidential andwill be securely held by ANZ and/or by any ANZ Group Member which term includes ANZ’s head office and its branches, agents, representativeoffices, regional offices or affiliates, or any related corporation of ANZ anywhere in the world (ANZ Group Member).
ANZ will collect and use some of your information, including details about your transactions, your financial conditions, your account relationshipwith ANZ and /or your accounts(s) (herein collectively referred to as Information).
ANZ may, to the extent permitted by law, collect your Information:• to assist in providing Information about a product or service;• to consider your request for a product or service;• to enable ANZ to provide a product or service;• to tell you about other products or services that may be of interest to you;• to perform other administrative and operational tasks (including risk management, systems development and testing, credit scoring, staff training
and market or customer satisfaction research);• to prevent and investigate any fraud or crime (or a suspected fraud or crime); and• as required by relevant laws, regulations and external payments systems, whether inside or outside the country where you live or where youraccount is held.
If you do not provide some or all of the information requested, ANZ may be unable to provide you with a product or service.
Disclosures by ANZ

To the extent permitted by law, by applying for a product or service, you agree that ANZ may use and disclose your Information to:• you, co-borrowers, your agents, authorised signatories, or customers you are an authorised signatory for;• your parents or guardians — if you’re under 18 years old;
• guarantors of any money you owe us;• brokers, custodians and other parties who introduced you to ANZ, are acting on your behalf, or are otherwise financially advising you;• any ANZ Group Member;• any service provider, agent or contractor which ANZ or any ANZ Group Member engages to carry out or assist its banking functions, activities andservices — for example, mail houses, market research companies, cloud-service providers or data analysis companies;• marketing companies;• supervisors and advisors of our schemes;• any credit reporting company or debt recovery agencies;• regulatory bodies, government agencies, law enforcement bodies, taxation authorities and courts whether inside or outside the country whereyou live or where your account is held;• other parties ANZ is authorised or required to disclose information to by law of the country where you live or where your account is held or by lawof another country;• any reputable companies or organisations we have a continuing relationship with — including those we jointly offer products and services with,or anyone who offers loyalty programmes or services related to our accounts, products, or services;• other banks and financial institutions — if required when you send money from your account or receive money into it, to confirm or investigate
the transaction, and for verification and investigation of such transactions;• your authorised agents or your executor, administrator or legal representative;• any person where in ANZ’s view, disclosures are necessary or desirable for the purpose of allowing ANZ to perform its duties and exercise its
powers and rights under the Terms and Conditions;• any person or entity assisting us to investigate any concerns or complaints or manage any legal action; and• any other person or organisation as allowed by applicable law.
You agree and acknowledge that any ANZ Group Member may, to the extent permitted by law, transfer any Information to any party referred toabove to whom it is authorised to disclose the Information even though that party’s principal place of business is outside the country where youlive or where your account is held or that such information will be collected, held, processed or used by such party in whole or in part outside thecountry where you live or where your account is held.
To the extent permitted by law, you may access your Information by enquiring at any ANZ branch and you may also request that it be corrected.
A fee may be payable if you ask us to do this.

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ACCOUNT OPENING FORM

Australia and New Zealand Banking Group Limited, Solomon Islands Branch

AUTHORITY DECLARATIONS BY ACCOUNT HOLDER(S)
To: Australia and New Zealand Banking Group Limited, Solomon Islands Branch, (Bank)
1. I/we hereby request the Bank to open an Account in the name set out above.
2. In the case of a company or other business:
I/we certify that a resolution was passed in accordance with the Customer’s constitution on
and that it has been recorded in the minute book of the Customer for an Account to be opened with the Bank at its branch situated at:

3. I/we confirm that I/we have authorised:
Any 1 signatory; or
Any 2 signatories, or;Other (please specify)		

to act fully and effectively in all dealings, matters and transactions (including withdrawals) in respect of the Account with the Bank.

4. I/we agree to be bound by this authority and the terms and conditions which govern the Account listed in this document notified by the Bank
from time to time (Terms and Conditions).
5. This authority is to remain in force and the Bank may rely on this authority in all dealings, matters and transactions between me/us and the Bankin respect of the Account, subject to any changes to the authority notified to the Bank in writing by me/us, or until written revocation of theauthority by me/us is given to the Bank.
6. All previous authorities relating to the matters mentioned above are hereby superseded except as regards to any liabilities not yet determined
and instruments drawn or executed thereunder but not yet presented and/or paid.
7. In the case of a partnership or joint trustee Account, I/we declare that we shall be jointly and severally responsible to the Bank for any liability
incurred or to be incurred in respect of or arising from the above mentioned Account or any of the documents, acts, matters herein mentioned
and such liability shall be payable to the Bank on written demand. If any one of us dies, the Bank will treat the balance of the Account asowned by the surviving Account holder(s), unless the Bank is required or permitted to do otherwise by law. Further this authority shall bind ourrespective executors, administrators, legal personal representatives and all persons, claiming from or under all documents, acts, matters done orexecuted under this authority before the Bank receives notice revoking this authority.
8. In the case of a company or other business, I/we declare that:(a) the Customer is currently actively trading, is solvent, and is not in the process of being liquidated or dissolved;(b) until written notice to the contrary is given to the Bank by the Board of Directors or the equivalent governing body of the Customer, the Bank
is authorised to take lawful instructions from the authorised signatories of the Customer to open further accounts in any permitted currency
in the name of the Customer;(c) that the Bank is authorised to honour and comply with any instructions signed by the authorised signatories in accordance with thesignature mandate, and such instructions duly signed by the authorised signatories shall be a sufficient authority and legally bind theCustomer in all dealings, matters and transactions with the Bank, and the Customer is legally liable for all such instructions given by theauthorised signatories; and(d) a copy of this authorisation signed by an authorised representative of the Customer with the official seal of the Customer affixed (ifapplicable), shall as between the Bank and the Customer be conclusive evidence of the instructions and the Customer’s acceptance of theterms and conditions set out in this authority.
9. All information on this form and any identification document provided with this document is true and correct.
10. I/we have read, understood and agree to the matters specified in this declaration.
11. Where this declaration is signed by two or more people, it is given by each individually.

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Australia and New Zealand Banking Group Limited, Solomon Islands Branch

Signatory 1

Signatory 2First nameFirst nameMiddle name(s) (if applicable)

Middle name(s) (if applicable)

Surname

Surname

Date of birth

DDMM

YYY

Date of birthYDDMMYYYY

Place of birth (town and country)

Place of birth (town and country)

Nationality/Citizenship(s)Nationality/Citizenship(s)Tax Identification Number

Tax Identification Number

Full residential address (Do not provide a PO Box or in-care-of address)
StreetFull residential address (Do not provide a PO Box or in-care-of address)
StreetSuburbSuburbCity

City

Country

PostcodeCountry

Phone number

Phone number

Mobile number

Mobile number

Email address

Email address

Employment date

D

DM

M

Y

Y

Y

Y

Employment datePostcode

D

DM

Employer name

Employer name

Employer address

Employer address

Office/Title

Office/Title

SignatureSignature

Bank use only

Bank use only

Signatory Customer Number

Signatory Customer Number

M

YYYY

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Australia and New Zealand Banking Group Limited, Solomon Islands Branch

Signatory 3

Signatory 4First nameFirst nameMiddle name(s) (if applicable)

Middle name(s) (if applicable)

Surname

Surname

Date of birth

DDM

M

Y

Y

Y

Date of birth

Y

DDM

M

Y

Y

Y

Y

Place of birth (town and country)

Place of birth (town and country)

Nationality/Citizenship(s)Nationality/Citizenship(s)Tax Identification Number

Tax Identification Number

Full residential address (Do not provide a PO Box or in-care-of address)
StreetFull residential address (Do not provide a PO Box or in-care-of address)
StreetSuburb

Suburb

City

CityCountry

PostcodeCountry

Phone number

Phone number

Mobile number

Mobile number

Email address

Email address

Employment date

DDMM

Y

Y

Y

Y

Employment datePostcode

D

DM

Employer name

Employer name

Employer address

Employer address

Office/Title

Office/Title

Signature

Signature

Bank use only

Bank use only

Signatory Customer Number

Signatory Customer Number

MYYYYPage 6

ACCOUNT OPENING FORM

Australia and New Zealand Banking Group Limited, Solomon Islands Branch

Signatory 5Signatory 6

First nameFirst nameMiddle name(s) (if applicable)

Middle name(s) (if applicable)

Surname

Surname

Date of birth

DDM

M

YY

Y

Date of birth

Y

DDM

M

YY

Y

Y

Place of birth (town and country)

Place of birth (town and country)

Nationality/Citizenship(s)Nationality/Citizenship(s)Tax Identification Number

Tax Identification Number

Full residential address (Do not provide a PO Box or in-care-of address)
StreetFull residential address (Do not provide a PO Box or in-care-of address)
StreetSuburbSuburb

CityCityCountry

PostcodeCountry

Phone number

Phone number

Mobile number

Mobile number

Email address

Email address

Employment date

DDM

M

YYYY

Employment datePostcode

D

DM

Employer name

Employer name

Employer address

Employer address

Office/Title

Office/Title

Signature

Signature

Bank use only

Bank use only

Signatory Customer Number

Signatory Customer Number

M

YY

Y

Y

BANK USE ONLY
Received byDate received

DDM

M

20Y

Y

Reviewed byDate reviewed

DDMM20Y

YPage 7

ACCOUNT OPENING FORM

Australia and New Zealand Banking Group Limited, Solomon Islands BranchSpecial Instructions:• In the case of a company, two directors or a director plus company secretary must sign.
• In the case of a partnership, all partners must sign.
• In the case of trust, all trustees must sign.
COMPANY WITHOUT SEAL
Dated thisday of20

SIGNED for and on behalf ofby

Signature of Director

Signature of Director/Secretary

Name of Director

Name of Director/Secretary

Australia and New Zealand Banking Group Limited, Solomon Islands Branch 09/2322975

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Australia and New Zealand Banking Group Limited, Solomon Islands Branch

COMPANY WITH SEAL
Dated thisday of20

THE COMMON SEAL of

was affixed in accordance with its Articles of Association in the presence of:*Signature of Director

Signature of Director/Secretary

Name of Director

Name of Director/Secretary*Care should be taken to ensure the seal is affixed and attested in accordance with the company’s Articles of Association.

Australia and New Zealand Banking Group Limited, Solomon Islands Branch 09/2322975

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Australia and New Zealand Banking Group Limited, Solomon Islands Branch

PARTNERSHIP
Dated thisday of20

EXECUTED by the PARTNERS OF
Signature

Signature

Name of Partner

Name of Partner

Signature

Signature

Name of Partner

Name of Partner

Signature

Signature

Name of Partner

Name of Partner

Australia and New Zealand Banking Group Limited, Solomon Islands Branch 09/2322975

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ACCOUNT OPENING FORM

Australia and New Zealand Banking Group Limited, Solomon Islands Branch

TRUST
Dated thisday of20

EXECUTED by the TRUSTEES OF
Signature

Signature

Name of Trustee

Name of Trustee

Signature

Signature

Name of Trustee

Name of Trustee

Australia and New Zealand Banking Group Limited, Solomon Islands Branch 09/2322975

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