PUBLIC/PRIVATE LIMITED LIABILITY COMPANY MASTER MANDATE
BANK PLC
Company Name
Postal Code
Country of
Incorporation
Registered Address
of the Business
Nature of Business
Company Mailing
Address
Company
Registration Number
External Account
Number
Internal Account
Number
Type of Account
Telephone Number Fax
Mobile Income Tax File Number
E-mail
Purpose of operating
the Account
Source of
Anticipated Credits
Anticipated
Credits in to the
Account
(per month)
Expected Mode of
Transactions
Below 500,000
(Approx. US$ 5,000)
500,001 to 1,000,000
(Approx. US$ 5,000 to 10,000)
1,000,001 to 5,000,000
(Approx. US$ 10,000 to 50,000)
5,000,001 to 10,000,000
(Approx. US$ 50,000 to 100,000)
above 25,000,000
(Approx. US$ 2,500,000)
10,000,001 to 25,000,000
(Approx. US$ 100,000 to 2,500,000)
Branch
Currency Date
Current Savings Other -
(Please Specify)
DDMMYYYY
Country of
Incorporation
Internet Banking
Ceft
Cash Cheques
Swift RTGS
Mobile Banking
Individual / Company
Legal Nature
Share
Percentage
List of Major Share Holders with equity interest of more than 10%
Name
NIC / PP / BRNo
Name
NIC / PP / BRNo
Name
NIC / PP / BRNo
Registration No
List of Subsidiaries and affiliates
Country of Incorporation
Name
Registered Office
Name
Registered Office
Name
Registered Office
GRAPHIC SYSTEMS
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September
2019
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Business Transactions
Savings Collection
Sales / Payments
Investment
Purpose
Salary
Payments
Business Turnover Investmet Income
Funds Transfers From Own Accounts
3rd Party Deposits
Loan
Facilities
Others Please Specify
Others Please Specify
Principal Place of Institution’s
Business Operations
(If differs from the above)
Country of the principal Place of
Operations (If differs from the above)
Account Number
1.
Full Name Signature
Resident
NIC / Passport
Customer No.
*
Non-resident
Resident
NIC / Passport
Customer No.
*
Non-resident
Resident
NIC / Passport
Customer No.
*
Non-resident
Resident
NIC / Passport
Customer No.
*
Non-resident
Resident
NIC / Passport
Customer No.
*
Non-resident
2.
3.
4.
5.
LIST OF ALL DIRECTORS
GRAPHIC SYSTEMS
Pg 02 OF 04
3.
4.
5.
Resident
NIC / Passport
Non-resident
2.
Full Name Signature
Resident
NIC / Passport
Non-resident
1.
Resident
NIC / Passport
Non-resident
Resident
NIC / Passport
Non-resident
Resident
NIC / Passport
Non-resident
AUTHORISED SIGNATORIES AS PER RESOLUTION
(CSV 204) 17
th
September
2019
RESOLUTION
To Seylan Bank PLC Branch …………………………………………………………....................................................
SPECIMEN OF BOARD RESOLUTION (OBTAIN ON A COMPANY LETTER HEAD)
We …………………………………………...…………......................................………...………….................................................................……. a company incorporated / registered in Sri Lanka under the companies Act
and having its registered office at ………………………………………………………………………………………………...…………......................................………...…………......................................………...…………..............................................
hereby certify that (at a meeting of the Board of Directors of the company duly convened and held)
on the ………………………………………………………… day of ………………………………………………………… year …………………………………………………… the following resolutions of the company were duly adopted.
It is hereby resolved that the Seylan Bank PLC (the “Bank”) be, and are hereby appointed bankers of the company and that the company
open and / or continue accounts in the name of the company denominated in LKR (or any currency as may be approved by the bank from
time to time) and that the bank be authorized, until any amending resolution to the contrary shall have been communicated to the bank, to
treat and consider the following account operating instructions :-
*Insert the signing powers and operating instructions as per company resolution.
………………………………………………………………………………………………...…………......................................………...…………......................................………...…………...................................................................................................................................
………………………………………………………………………………………………...…………......................................………...…………......................................………...………….................................................................................................................................
………………………………………………………………………………………………...…………......................................………...…………......................................………...………….................................................................................................................................
………………………………………………………………………………………………...…………......................................………...…………......................................………...………….................................................................................................................................
………………………………………………………………………………………………...…………......................................………...…………......................................………...………….................................................................................................................................
………………………………………………………………………………………………...…………......................................………...…………......................................………...………….................................................................................................................................
………………………………………………………………………………………………...…………......................................………...…………......................................………...………….................................................................................................................................
The above as fully empowered to act and sign on behalf of the company in all transactions with the Bank, including opening and / or continuing a current account and / or
savings account or any other account in the name of the company and acknowledge having receipt a copy of the terms and conditions and agree to abide by them
We indemnify the Seylan Bank PLC and hold the Bank harmless against any liability loss, claim, damage, interest and / or any detriment whatsoever attributable due to opening
of any account by the empowered personnel under this resolution whom the names have been mentioned above.
*SHOULD BE SIGNED BY CHAIRMAN / DIRECTOR AND COMPANY SECRETARY
(ON COMPANY / SECRETARY’S RUBBER SEAL)
Date ......................................................................
GRAPHIC SYSTEMS
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th
September
2019
GRAPHIC SYSTEMS
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PEP Status of Account
FATCA Status of Account
.......................................
Account opened by
.......................................
Checked by
.......................................
Scanned by
.......................................
Authorized by
Office Use Only
Yes
Yes
No
No
Account Officer
Account opened
Analysis Code
Customer Type Account Type
Sundry Analysis Code
No of Partners Attached to the account
DDMMYYYY
FCBU/Offshore (in addition to 1-9, should forward the following)
1. Agreement with GCEC/BOI.
2. Certified copy of registration with GCEC/BOI.
3. Certified copy of the certificate of incorporation (outside Sri Lanka) - (certified by a Director/Secretary
of the company) (for offshore Co. only)
DOCUMENTS OBTAINED
1. Mandate form ( Signed by all directors authorized to operate the account)
2. Certified copy of certificate of incorporation (Certified by a Director / Secretary of the company)
3. Certified copy of Articles of Association (Certified by a Director / Secretary of the company)
4. Certified copies of form No.’s 01,18,& 19 (Certified by a Director / Secretary of the company)
5. Certificate from the registrar of companies that the company is entitled to commence business (only for public cos.)
6. Duly certified true copy of the board resolution certifying that it is duly adopted at a duly constituted meeting of the
Company (certified by the Chairman or Secretary of the company in the Attach Format)
7. (i). KYC Profile Form “A” from all directors and major shareholders (Excluded Public Listed Companies)
(ii). KYC Profle Form “B” from business entities - Major share holders with equity interest of more than 10%
8. Certified copy of Form No. 40 (for re-registered companies only)
9. Other (Form No’s 13 & 20 if applicable)
10. CRIB Report (If Applicable)
11. Copy of Form 44 ( Full Address of the Registered or Principle Office of a company incorporated outside
Sri Lanka and it’s principle place of Business Established in Sri Lanka) under the Company Act
12. Copy of Form 45 ( List and particulars of the director’s of a Company Incorporated outside Sri Lanka
with a place of Business Established in Sri Lanka) under the company act.
13. Copy of Export Development Board (EDB) Approved letter if EDB Approved Company
Account Number
Designation :................................................................
Staff ID :..........................................................................
(CSV 204) 17
th
September
2019
