This form is for opening a Swiss Account for individuals. It's easy to compile this form: just cancel the entries that don't apply and keep the ones that apply. Once finished send it back to us.
Personal Information
--------------------
Title: Mr Mrs
First Name:
Last Name:
Date of Birth: Day Month Year
Place of Birth:
Nationality:
Residence Address
-----------------
Street/Number:
City:
Postal Code:
Country:
Correspondance Address (if same as above you do not need to complete it)
-----------------
Street/Number:
City:
Postal Code:
Country:
Contact Details
---------------
Day Phone Number:
Mobile Phone Number: If available
E-mail:
Alternative Phone Number: If available
Fax Number: If available
Other Personal Information:
--------------------------
Occupation:
Company:
Language:
-----------------
English
Deutsch
Français
Italiano
Marital Status:
-------------------------
married
single
divorced
widowed
other
Planned Investment:
--------------------------------
0 - 100'000 CHF
100'000 - 500'000 CHF
more than 500'000 CHF
Origin of money to invest:
--------------------------
(Select as many as apply)
Savings
Pension Fund
Trading gains
Income
Annuity
Gift
Inheritance
Lottery gains
Do you exercise any important public function ?
-----------------------------------------------
No
Yes
If yes, which one ?
Declaration of non-US tax liability
-----------------------------------
I declare that I am not a US citizen and that I am not a resident of the US and that I do not have a permanent US residence visa and that I am not liable to taxation in the US for any other reason.
OR
I declare that I am a US citizen or that I am a resident of the US or that I have a permanent US residence visa or that I am liable to taxation in the US for any other reason. In this event, I acknowledge and accept that, for legal and tax reasons, Bank cannot offer me access to stock markets in the United States, to US securities listed on other markets or to investment funds traded via its trading platform.
Identification of the Beneficial Owner
--------------------------------------
I declare that I am the beneficial owner of the assets deposited with the Bank.
(Form Ends here)
OR
I declare that the beneficial owner of the assets deposited with the Bank is:
(Please fill out the form below)
Title: Mr Mrs
First Name:
Last Name:
Date of Birth: Day Month Year
Place of Birth:
Nationality:
Street/Number:
City:
Postal Code:
Country:
--------------------------------------------------------------------------------------------
Note 1 : Please double check information above is accurate.
Note 2 : the bank will send you the account agreements etc for signing to your physical address. You have to sign these documents and return them to the bank together with a certified copy of government issued photo ID (passport recommended for international use) before the account can be fully activated.
Personal Information
--------------------
Title: Mr Mrs
First Name:
Last Name:
Date of Birth: Day Month Year
Place of Birth:
Nationality:
Residence Address
-----------------
Street/Number:
City:
Postal Code:
Country:
Correspondance Address (if same as above you do not need to complete it)
-----------------
Street/Number:
City:
Postal Code:
Country:
Contact Details
---------------
Day Phone Number:
Mobile Phone Number: If available
E-mail:
Alternative Phone Number: If available
Fax Number: If available
Other Personal Information:
--------------------------
Occupation:
Company:
Language:
-----------------
English
Deutsch
Français
Italiano
Marital Status:
-------------------------
married
single
divorced
widowed
other
Planned Investment:
--------------------------------
0 - 100'000 CHF
100'000 - 500'000 CHF
more than 500'000 CHF
Origin of money to invest:
--------------------------
(Select as many as apply)
Savings
Pension Fund
Trading gains
Income
Annuity
Gift
Inheritance
Lottery gains
Do you exercise any important public function ?
-----------------------------------------------
No
Yes
If yes, which one ?
Declaration of non-US tax liability
-----------------------------------
I declare that I am not a US citizen and that I am not a resident of the US and that I do not have a permanent US residence visa and that I am not liable to taxation in the US for any other reason.
OR
I declare that I am a US citizen or that I am a resident of the US or that I have a permanent US residence visa or that I am liable to taxation in the US for any other reason. In this event, I acknowledge and accept that, for legal and tax reasons, Bank cannot offer me access to stock markets in the United States, to US securities listed on other markets or to investment funds traded via its trading platform.
Identification of the Beneficial Owner
--------------------------------------
I declare that I am the beneficial owner of the assets deposited with the Bank.
(Form Ends here)
OR
I declare that the beneficial owner of the assets deposited with the Bank is:
(Please fill out the form below)
Title: Mr Mrs
First Name:
Last Name:
Date of Birth: Day Month Year
Place of Birth:
Nationality:
Street/Number:
City:
Postal Code:
Country:
--------------------------------------------------------------------------------------------
Note 1 : Please double check information above is accurate.
Note 2 : the bank will send you the account agreements etc for signing to your physical address. You have to sign these documents and return them to the bank together with a certified copy of government issued photo ID (passport recommended for international use) before the account can be fully activated.
