Business Foreign Exchange Dealing Registration Form

Company Name or your name if Sole Trader
Trading Address Postcode:
Registered Address:
Same as trading address?
Postcode:
Companies House Registration Number: Incorporation Date:
Day:
Month:
Year:
Telephone Number: Fax:
Mobile Number: Website:
Main Bank: A/C Number: Sort Code:
Bank Address: Postcode:
Estimated Yearly Foreign Exchange Requirements: £ Currencies Required:
Authorised Signatories:  
Name: Position:
UK Driving Licence Date of Birth: / /
Number and/or ABCDE012345AB1AB Home Postcode: Door Number or Name
Passport Electronic
Code (44 characters) 0123456789GBR0123456M 0123456 <<<<<<<<<<<<< 01
Email:
Declaration: I/We declare that I/We am/are the authorised person(s) of the above-mentioned company and confirm that I/We have read, understood and electronically agreed to the terms and conditions so that no signature is required. I/We hereby authorise KBR Foreign Exchange Plc. to carry out the appropriate checks and credit reports deemed necessary for authentication and credit limit for trading. All information provided is deemed to be private and confidential and will not be passed on to any other company or individual outside the group.

Tick here to add second signatory