Nevis International Bank & Trust Ltd. Nevis International ......Jessups Estate, Nevis, St. Kitts...
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BUSINESS ACCOUNT APPLICATION (Applicable to All Types of Legal Entities and Arrangements) Account Name and Account Number (For Bank Use Only): Date Opened (For Bank Use Only): Branch (For Bank Use Only): www.ibanknevis.com Nevis International Bank & Trust Ltd. Nevis International Bank & Trust Center Jessups Estate, Nevis, St. Kitts and Nevis Tel: (869) 469-8889 SWIFT BIC: NIBTKNNE Page 1 of 6
Nevis International Bank & Trust Ltd. Nevis International ......Jessups Estate, Nevis, St. Kitts and Nevis Tel: (869) 469-8889 SWIFT BIC: NIBTKNNE Page 1 of 6. Registered Entity Name
BUSINESS ACCOUNT APPLICATION(Applicable to All Types of Legal Entities and Arrangements)
Account Name and Account Number (For Bank Use Only): Date Opened (For Bank Use Only): Branch (For Bank Use Only):
www.ibanknevis.com
Nevis International Bank & Trust Ltd. Nevis International Bank & Trust Center Jessups Estate, Nevis, St. Kitts and Nevis
Tel: (869) 469-8889SWIFT BIC: NIBTKNNE
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Registered Entity Name in English:
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Registered Entity Name in Other Language(s) (if any):
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Date of Registration:
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Country of Registration:
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Are You Listed on Any Stock Exchange? Yes No If Yes, Name of Stock Exchange:
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Entity Type:
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Entity Structure:
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PARENT ENTITY DETAILS (complete this section ONLY if the Account Holder is a subsidiary of, or controlled by, a Parent Entity)
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Company
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Stand Alone
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Partnership
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Sole Proprietorship
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Other, specify:
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Parent Company
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Subsidiary
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Branch
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Joint Venture
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Is Your Entity a Parent Company?
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Yes
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No
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Website:
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Describe Your Business in Detail:
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Countries Where You Conduct Major Business:
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Name of Registered Agent in the Place of Registration:
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Contact Name:
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Principal Business Address:
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Contact Email:
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Address:
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Title:
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Fax:
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Contact Email:
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Telephone:
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Account Holder Contact Name:
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Is Your Entity Majority Owned or Controlled (greater than 50%) by a Parent Entity that is a Regulated Financial Institution?
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Country of Regulatory Body:
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If Yes, Name of Regulatory Body:
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Parent Entity Name in English:
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Parent Entity Name in Other Language(s) (if any):
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US Tax ID/EIN#, if applicable:
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Yes
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No
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Parent Entity Country of Formation:
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Parent Entity Date of Formation:
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ACCOUNT HOLDER DETAILS
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Is the Registered Entity in Good Standing*?
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Yes
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No
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*Note: The Bank can only service entities in Good Standing.
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Has any Authorized Signer(s) ever: (1) held a position as a public official; (2) acted as an important political figure, or; (3) worked at any publicly traded company within the past 6 months? If Yes, briefly explain. If No, please write "No".
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Has the Account Holder or any Authorized Signer(s) ever been charged with a financial crime, or a crime involving fraud or dishonesty? If Yes, briefly explain:
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Registration Number:
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BUSINESS ACCOUNT APPLICATION The Bank Accepts Deposits in All Major Currencies
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ACCOUNT HOLDER COMMERCIAL DETAILS
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Key Customer Type(s) (check all that apply):
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Individuals
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Businesses
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Public Sector
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Financial Institutions
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Other:
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Financial Performance Over The Most Recent Year in USD (If new business, provide financial projections):
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Annual Revenue
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Total Assets
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Net Assets
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Account Holder's Accounting Firm (if applicable):
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What is Your Entity's Source of Wealth?
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CONTROLLING HOLDERS DETAILS
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Annual Profit
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Name
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Ownership %
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ID #
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Telephone
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Savings Inheritance
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Investments
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Business Profits
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Other:
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Contact Name:
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Contact Address:
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Is the Registered Parent Entity in Good Standing*?
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Yes
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No
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*Note: The Bank can only service entities in Good Standing.
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Is the Parent Entity a Regulated Financial Institution?
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No
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Yes
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Is the Parent Entity Listed on Any Exchange? Yes No If Yes, Name of Stock Exchange:
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Country of Regulatory Body:
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If Yes, Name of Regulatory Body:
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Date Business Commenced (dd/mm/yyyy):
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Country of Headquarter:
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List All Holders with Over 20% Control or Ownership of the Account Holder:
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Citizenship
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Date of Birth or Formation
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PARENT ENTITY DETAILS (complete this section ONLY if the Account Holder is a subsidiary of, or controlled by, a Parent Entity)
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Email
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Telephone:
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Email:
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Which Financial Institutions Has The Account Holder Conducted Business With?
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Source of Funds to be Deposited in the Bank:
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Address
BUSINESS ACCOUNT APPLICATION The Bank Accepts Deposits in All Major Currencies
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ACCOUNT HOLDER'S SIGNING AUTHORITY
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Primary Signer's Name*:
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Title:
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Relationship to Account Holder:
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Telephone:
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Address:
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If No, Secondary Signer's Name*:
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Relationship to Account Holder:
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Address:
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Title:
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Is This the Sole Signer of the Account?
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Yes
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No
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Who Has the Authority to Withdraw Funds?
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Primary and Secondary Signers*
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Authorized External Money Manager or Agent*
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Does the Account Holder Require Both Signatures Concurrently to Conduct Banking Activities?
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Other*:
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*Requires Letters of Authorization from Primary Signer and Corporate Resolutions Adopted by the Account Holder's Board of Directors. All Must Be Certified by a Law Firm, Accounting Firm, or Financial Adviser.
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Primary Signer*
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Name
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Ownership %
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Passport #
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Telephone
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Address
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List All Members of the Account Holder's Board of Directors (if applicable):
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Citizenship
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Date of Birth (dd/mm/yyyy)
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Email
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GOVERNANCE DETAILS
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Position
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Yes
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No
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Email:
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Telephone:
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Email:
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BUSINESS ACCOUNT APPLICATION The Bank Accepts Deposits in All Major Currencies
By my signature(s) here below, I/we the (“Account Holder(s)” and “Authorized Signer(s)”) named in this Business Account Application Form hereby certify and attest that I/we am/are the natural person(s) who is/are applying to open this Account with Nevis International Bank & Trust Ltd. (“NIBT”), and that I/we hereby represent and attest that: (i) I/we will not use the services of NIBT for any unlawful activity or purpose; (ii) I/we have read, understand, and signed the Nevis International Bank & Trust Ltd. Customer Account Agreement, and have agreed to the terms of that agreement; (iii) all information that I/we have provided to NIBT is true, accurate and complete; (iv) I/we will notify NIBT immediately of any material changes to the information contained in this application, and; (v) I/we authorize NIBT to be an information processor and make initial and ongoing credit and other inquiries with third-parties in connection with my/our Account for purposes of compliance with applicable law and the provision of financial services:
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ACCOUNT DETAILS
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ACCOUNT HOLDER DECLARATION
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SIGNATURES:
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Primary Signer (print name)
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Secondary Signer, if applicable (print name)
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As Chairman of the Board of Directors/Controlling Person for the Account Holder, I hereby confirm by my signature here above that the Board has duly authorized the above signatories to conduct banking business on behalf of the Account Holder and that Account Holder agrees and accepts the Customer Agreement.
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Signature
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Signature
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Date
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Approximate Initial Amount to be Deposited into the Account* (in US Dollars or equivalent):
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Anticipated Services (check all that apply):
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Debit Card
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Trust and Escrow
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Investment Banking
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Citizenship by Investment
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Investment Brokerage Account
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New Business Registration
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Loan
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Other Business Services:
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Approximate Number of Annual Wire Transfers (in and out):
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In Which Currencies Do You Hold or Conduct Business? (check all that apply)*:
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Euro
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Japanese Yen
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HongKong$
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British Pound
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Other:
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Swiss Franc
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Canadian$
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Forex/Currency Exchange
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Bank Letter of Credit
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Bank Guarantee
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Asset Based Lending
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Factoring
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Singapore$
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Australian$
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US$
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* The Bank Holds Deposits and Facilitates International Wire Transfers in all Major Currencies via SWIFT.
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Commodities Investment
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*The Bank provides custody, trust and escrow services to clients' major cryptocurrency deposits on a case-by-case basis.
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Do You Intend to Deposit Any Major Cryptocurrencies*?
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Bitcoin
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Ethereum
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Other:
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Purpose of Opening Account:
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Business Operations
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Savings/Fixed Deposit
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Investment
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Other:
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Date
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Date
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Signature:
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Cash Management
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Estimated Annual Account Balance:
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Account Holder Chairman or Controlling Holder (print name)
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BUSINESS ACCOUNT APPLICATION The Bank Accepts Deposits in All Major Currencies
DOCUMENTS REQUIRED FOR A BUSINESS ACCOUNT (Applicable to All Types of Legal Entities and Arrangements)
A. Required Documents. The documents listed in this checklist are required to complete this applicationand shall be submitted in digital format only. Original or additional documentation may be requestedif deemed necessary by Nevis International Bank & Trust Ltd. (NIB&T);
B. Document Quality. All digital documents provided must be legible, in high resolution, and in colorformat;
C. Document Language. Documents must be presented in the English language. Any documentpresented in a language other than English must first be translated by a professional translatoraccredited by a court of law, a government agency, or a recognized international organization;
D. Date of Documentation. All documents must be dated within 6 months of the completion of theaccount application;
E. Required Certifications. The documents identified with an asterisk (*) must be certified as true copiesof the originals by a law firm, accounting firm, notary, regulated financial adviser, or seniorgovernment official prior to submission.
I. BUSINESS ACCOUNT: REQUIRED CORPORATE DOCUMENTS
Document Description Checklist
1*
2*
3*
4*
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A certified copy of the Account Holder’s Certificate of Incorporation (or its equivalent);
A certified copy of a certificate of good standing for the Account Holder (or its equivalent);
A certified copy of the Account Holder’s constitutional documents (e.g., Articles of Incorporation/Organization, Memorandum and Articles of Association, By-Laws, Operating Agreement, Declaration of Trust, or equivalent, including proof of ownership, directorship, or management, as applicable);
A certified copy of a duly authorized Corporate Resolution directing the opening of the account and appointing account signatories with NIB&T (no particular format required). The Corporate Resolution must be signed by a duly authorized agent of the business or legal entity on behalf of the Account Holder;
Complete and sign: (1) Nevis International Bank & Trust Ltd. Customer Account Agreement and; (2) W-8BEN-E Form for non-U.S. entities or W-9 form for U.S. taxpayers
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APPLICATION CHECKLIST
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II. BUSINESS ACCOUNT: REQUIRED DOCUMENTS FOR AUTHORIZED SIGNERS
The Documents in this section must be provided for:
(i) Each authorized signatory;
(ii) Each natural person, if any, who, directly or indirectly, through any contract arrangement,understanding, relationship or otherwise, owns 20% or more of the equity interests of the legal entity;
(iii) The natural person(s) holding ultimate responsibility for managing the legal entity, such as directorsand or senior managers, or any other individual or individuals who regularly perform similar functions;
(iv) If any of the above roles are performed by a corporate person, a trustee, or a natural person operatingthrough a power of attorney, then Documents 1 – 7 must also be submitted with respect to that personor entity.
Document Description Checklist
6*
7*
Certified copies of two (2) different forms of government-issued photo IDs (one must be a valid passport);
Certified copy of proof of physical residential address, such as a copy of a utility bill, a copy of a lease or equivalent arrangement, bank or credit card statements, certificate of title or equivalent.
BUSINESS ACCOUNT APPLICATION The Bank Accepts Deposits in All Major Currencies
BUSINESS ACCOUNT APPLICATION The Bank Accepts Deposits in All Major Currencies
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Submit completed Business Account Application along with the required documents by email to [email protected], or through your bank-issued secure log-in.
