Consent Form | H&C Accountants

Client Information

Title

Name*

Date of Birth*

Address*

Phone*

Main Email Address*

Unique Tax Reference (UTR)

National Insurance Number*

Marital Status*

Date of Marriage*

Date of Divorce*

Have you changed your Name?*

Yes
No

Previous Name*

Have you lived at your current address for less than 3 years?*

Yes
No

Date current address effective from:*

Previous Address*

Date previous address effective from:*

Do you have any finance related criminal convictions?*

Yes
No

Please provide details of all criminal convictions, i.e. nature of conviction, date of conviction, etc.*

Client ID & Consent to Perform an Electronic ID Check

Identification Documents*

Drop files here or

Accepted file types: jpeg, jpg, png, pdf, Max. file size: 20 MB.

Please provide one form of identification from Section A & one from Section B

Identification documents accepted;

Section A - Government-issued documents with a photograph include:
- Valid passport
- Valid photocard driving licence (full or provisional)
- National Identity card (non-UK nationals)
- Firearms certificate or shotgun licence
- Identity card issued by the Electoral Office for Northern Ireland

Section B - Utility documents dated within the last 3 months:
- Bank Statements
- Credit Card Statements
- Utility Bills (Excluding Mobile Phone Bills)
- Council tax bills

Consent*

Consent to performing a soft credit check: By completing this consent form, you are providing your consent for Holmes & Co Accountants Ltd to complete an Electronic ID Check using the services of GB Group Plc and other credit reference agencies.*

Consent For Use of Electronic Signatures and Documents

Consent*

Consent to Electronic Signatures and Documents: By completing this consent form, you are providing electronic consent to the use of electronic documents and signatures. Specifically, you are acknowledging and consenting to the use of electronic documents, e-mail delivery of documents, and electronic signatures.*

Declaration

Consent*

I hereby confirm my acknowledgment and acceptance of the Standard Terms of Business available at www.hcaccountants.co.uk/standard-terms-of-business.*

Consent*

I hereby confirm that the information provided in this form is accurate to the best of my knowledge and belief. Additionally, I consent to the collection and storage of my data by Holmes & Co Accountants Ltd, in accordance with their established data privacy policies.*

Name*

Signature*

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