New York account opening form

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Notice

U.S Customer Identification Program Notice

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To aid the United States government in the battle against the funding of terrorism and money laundering, federal law requires all financial institutions to obtain, verify and record information that identifies each individual and/or entity that engage in business with our bank, as a prerequisite to doing such business.
Forms of identification to be provided to DNB Bank, upon request, as a means of identifying, may be, but not limited to, proof of physical address (excluding PO Boxes), U.S. Taxpayer or foreign identification number, government identification documents, Certificate of Good Standing for U.S. corporations or a certified copy of its Articles of Incorporation.

U.S Unlawful Internet Gambling RegGG
Notice to All Customers Regarding the Unlawful Internet Gambling Enforcement Act (UIGEA) of 2006

The Unlawful Internet Gambling Act (UIGEA) of 2006 prohibits DNB Bank ASA, New York Branch from processing restricted transactions through your business account. Restricted transactions are transactions in which a person accepts credit, funds, instruments or other proceeds from another person in connection with unlawful Internet gambling.
The UIGEA, signed into law in 2006, prohibits any person engaged in the business of betting or wagering (as defined in the Act) from knowingly accepting payments in connection with the participation of another person in unlawful Internet gambling. The United States Department of the Treasury and the Federal Reserve Board has issued a joint final rule, Regulation GG, to implement this Act.
As defined in Regulation GG, unlawful Internet gambling means to place, receive or otherwise knowingly transmit a bet or wager by any means which involves the use, at least in part, of the Internet where such bet or wager is unlawful under any applicable Federal or State law in the State or Tribal lands in which the bet or wager is initiated, received or otherwise made.
As a customer of DNB Bank ASA, New York Branch, these restricted transactions are prohibited from being processed through your account or banking relationship with us. If you do engage in an internet gambling business and open a new account with us, we will ask that you provide evidence of your legal capacity to do so.

U.S. Special Measures - Financial institutions
Pursuant to U.S. regulations issued under Section 311 of the USA PATRIOT Act, DNB Bank ASA New York Branch is prohibited from establishing, maintaining, administering, managing or engaging in a correspondent banking relationship, such as an account for or on behalf of all of the following entities (each a Section 311 entity): Lebanese Canadian bank and any of its subsidiaries; Banco Delta Asia SARL, along with its subsidiaries (including Delta Asia Credit Limited and Delta Asia Insurance Limited), Asia Wealth Bank, Commercial Bank of Syria, including Syrian Lebanese Commercial Bank, Myanmar Mayflower Bank, Infobank, The regulations also require us to notify you that you may not provide the above listed entities or their subsidiaries with access to the correspondent account you currently hold with us. In the event that we become aware that a Section 311 entity or any subsidiary is indirectly utilizing such correspondent account, we will be obliged to undertake the appropriate actions to prevent such access, including, where necessary, terminating your account.
 
 
Company

Company information

Choose the option that best describes your company

Business description

 

Business locations

Areas where you currently engage in business or expect to in the near future,
where you expect to send or receive funds through this account:
 
Do you do business with any of the following countries?
 
Contact

Company contact person

Company contact information

Visiting address

Street address (No P.O. box or Care of)
 

Mailing address

Business

Account details

What is the Purpose of the Account?
(clearly state what this account will be used for, please mention both purpose &
product i.e. payroll, pay invoices, receive funds, loan purpose, etc.)
 

Please indicate the services you would like DNB Bank ASA to provide
(Please check all that apply)
 

 
Expected number of transactions
How many transactions per month do you expect to flow in and out of your account with us?
 
Expected volume in USD
What is the expected monthly volume of these transactions?
 
Management

Management

Members of the board (full name and title)

Authorized individuals for signing checks etc

All checks, drafts, bills of exchange, acceptances, undertakings, or other instruments, instructions or orders for the payment, withdrawal or transfer of money shall be made, signed, drawn, accepted, endorsed or communicated on behalf of this Corporation by any of the following signatories on the list of names with signatures.
 

List of individuals who are authorized to legally bind the company

The following persons are duly elected and qualified officers of this Corporation who are authorized to sign on behalf of this Corporation and hold in this Corporation the titles indicated below
 

Users of electronic banking

List the names of all persons that will be using an electronic banking system to access your accounts.
 
Ownership

Shareholders

Please provide details of shareholders owning more than 20%
 

Parent company (>50.1% shares)

Parent company info

Parent company visiting address

Parent company shareholders (>15%)

Details of the shareholder owning more than 15% of shares in the parent company (ultimate owner)
 
If you have problems filling out the form, please contact our New York Branch on phone + 1 212 681 3800 for assistance.
If you have problems filling out the form, please contact our New York Branch on phone + 1 212 681 3800 for assistance.
If you have problems filling out the form, please contact our New York Branch on phone + 1 212 681 3800 for assistance.
If you have problems filling out the form, please contact our New York Branch on phone + 1 212 681 3800 for assistance.
If you have problems filling out the form, please contact our New York Branch on phone + 1 212 681 3800 for assistance.
If you have problems filling out the form, please contact our New York Branch on phone + 1 212 681 3800 for assistance.