Application for Access to Netbank

Client no: _____________________ Account Name: ________________________

Application is made to Trusted Novus Bank for the below mentioned person to be granted Netbank access rights in connection with all accounts open now or at any time in the future under the above-mentioned name/ client number as follows (indicate yes or no as required):

Netbank user details

Full Name _________________________	Passport No: ____________________
Date of Birth: _____________________
Full address: _____________________
E-mail address _____________________
Contact Tel. Numbers: Country Code + __	Work _____________________
Mobile _____________________
Home _____________________

Access rights required	☐Yes ☐ No
Viewing Rights: The ability to view account/safe custody account entries, statements, documents correspondence and in general any other information or data on the account(s) which is/ may be accessible through Netbank from time to time.	☐Yes ☐ No
Preparation Rights: The ability to prepare (but not authorise) in Netbank, funds transfer requests for validation/ authorisation by a person(s) with Netbank authorisation rights.	☐Yes ☐ No
Transaction Rights (n.b only available to named account holders or authorised signatories to the bank account): The ability to authorise fund transfers and send secure messages/ instructions to the Bank via Netbank (n.b. see validation requirements below) For multiple users with transaction rights – Validation n.b. only relevant if you have answered ‘YES’ to the above option ‘Transaction Rights’ Transaction validation by second authorised Netbank user required: n.b. Important explanatory note: Where more than one individual has been granted Netbank transaction rights on the same account, then by default the Bank’s standard Netbank conditions concerning access will apply; the effect of such is that any one Netbank transaction authorised person may operate the account via Netbank, regardless of any instructions to the contrary contained within the Bank Account Mandate unless otherwise requested in writing. If your preference is to require any single user’s authorisation to transact via Netbank to be validated by a second Netbank authorised user before any transaction is processed, then please indicate ‘YES’:	☐Yes ☐ No ☐Yes ☐ No

Letters of confirmation, password, and user ID as well as QR code documents may be mailed under separate cover via email, using secured email or to the correspondent address on file by the Bank. (Please indicate your preferences below – delete as required):

☐ I would prefer that the relevant user ID, and password be forwarded by email, using secured email to the following address: _____________________

☐ I would prefer that the relevant user ID, and password be forwarded by mail to the following address: _____________________

I/ We acknowledge and accept that:

The Bank will not be liable for any acts or omissions on the part of a further authorised user

All Netbank access and use is subject to the terms and conditions published in the General Business Conditions in force from time to time, a copy of which can be found in the Netbank and at www.trustednovusbank.gi. A hard copy can be made available upon request.

This authorisation is valid until otherwise communicated and received by the bank in writing.

Account Holders Signature (s) _________________________

User’s Signature______________________________

n.b. Please ensure that a copy of the users’s passport is attached

Place _____________________ Date _____________________

Privacy Policy

The information in this form is collected by the bank for the following purposes:

To process your request to grant Netbank assess rights

For security, identification and verification purposes

To comply with our legal obligations

The General Privacy Policy from Trusted Novus Bank will give you a comprehensive overview about how we handle data, including information we may collect from our customers. We explain in detail about the information we hold, what we do with this data and when we share it outside of the Bank (and with whom). You can read more about your rights and how you can contact us if you have any queries or concerns around your data. To Assess our General Privacy policy please refer to www.trustednovusbank.gi/privacy