Signature Specimen Form PDF Details

Fresh off the press, the Signature Specimen Form is now available for all to use! This form was created with the professional in mind and provides a detailed account of each specimen. Perfect for those who wish to keep a comprehensive record of their specimens, the Signature Specimen Form is definitely a must-have. Click the link below to download your very own copy. Thank you for your interest! The Signature Specimen Form has been designed with professionals in mind. It provides a detailed account of each specimen and is perfect for those who wish to keep a comprehensive record of their specimens.

We have compiled some quick facts about the signature specimen form. It is going to present you with the assumed time it will require you to prepare the form and some further details.

QuestionAnswer
Form NameSignature Specimen Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namessignature specimen template, specimen signature sample format, specimen signature example, how to make specimen signature

Form Preview Example

Customer Specimen Signature Form

We, the undersigned, representing,

Registered Company name (in full)

Address of the registered office

City

 

Country

hereby confirm the list of the authorised signatories to sign any document binding our Company according to the requirements described below (the authorised signatories).

In addition, we confirm that such authority is valid:

for all the accounts opened or to be opened in our name at the above location in the books of Clearstream Banking S.A. (“CBL”)

only for the following account number(s):

Name of the authorised signatory

Specimen signature

Scope of authority: general/restricted

(please print in BLOCK CAPITALS)

 

(see Guidelines)

1

2

3

4

5

6250/02.2018

Page 1/4

Clearstream Banking S.A.

Customer Specimen Signature Form

2

Individual or joint signatories

(please tick the appropriate box(es))

The persons listed

from number: ____ to number: ____ may act as individual signatories.

One person listed

from number: ____ to number: ____ together with one person listed

from number: ____ to number: ____ may act as joint signatories.

Any two of the persons listed as authorised may act as joint signatories.

Supplement or replacement

The submission of this form supersedes

(please tick one box only)

 

The previous specimen

 

Our official signature list dated

 

 

signature form dated

 

 

 

OR

 

 

 

 

 

 

 

 

This specimen signature form supplements

 

 

The previous customer

 

Our official signature list dated

 

 

specimen signature form dated

 

 

We hereby undertake, in accordance with Article 33 of CBL’s General Terms and Conditions, to provide written notification of deletions or modifications to signatures without delay and to submit an up-to-date specimen signature form on a regular basis. It is assured that the authorised signatories notified to CBL will remain authorised until CBL has received written notification that such authority has been revoked.

Authorised signature(s)

Signature

 

Signature

 

 

 

Name

 

Name

 

 

 

Title

 

Title

 

 

 

Place

 

Place

 

 

 

Date

 

Date

6250/02.2018

Page 2/4

Clearstream Banking S.A.

Customer Specimen Signature Form

3

Name of the authorised signatory

Specimen signature

Scope of authority: general/restricted

(please print in BLOCK CAPITALS)

 

(see Guidelines)

6

7

8

9

10

11

12

13

Authorised signature(s)

Signature

 

Signature

 

 

 

Name

 

Name

 

 

 

Title

 

Title

 

 

 

Place

 

Place

 

 

 

Date

 

Date

6250/02.2018

Page 3/4

Clearstream Banking S.A.

Customer Specimen Signature Form

4

Guidelines

Account numbers

First box

Mark the first box only if all of your accounts are managed by the same office.

Second box

Mark the second box only if all the accounts listed are covered by the signatures on this form. Please ensure that you have listed all relevant account numbers. Note: Please use another form or forms for accounts not covered by the signatures on this form.

Name of the authorised signatory

At least one signatory name is mandatory if he/she is authorised to sign alone. At least two signatories are mandatory if they are authorised to sign jointly. If completing by hand, please write names in BLOCK CAPITALS.

Specimen signature

Please sign within the box to facilitate scanning of your signature. Scope of authority

General

Indicates authority to sign documentation binding the Company, including but not limited to deeds, contracts, agreements, power of attorney, requests for opening and closing of accounts, and any instructions or requests regarding day- to-day operational business.

Restricted

Indicates authority to sign any instructions or requests regarding day-to-day operational business. Please ensure that at least one signatory has general authority (if authorised to sign alone) or two have general authority (if authorised to sign jointly). If necessary, additional restrictions may be specified for signatories with restricted authority, for example, password/access reset requests, audit requests etc.

Individual or joint signatories

Please enter any individual signatories first. If no box is marked, we will assume that each signatory is authorised to sign alone.

This form and any continuation page must be numbered, dated and signed by a company director or other officer (two if acting jointly) authorised to appoint signatories. Should the appointers also be considered as authorised signatories, their names must be listed among the appointed persons. Adequate proof of their authority to appoint signatories must be attached to the form and any attachments must be duly certified. Certification must be done by a competent authority, whether under Luxembourg regulation or the national regulation of the customer's jurisdiction (such as a notary, police officer, embassy, or a government administration such as the mayor's office). Proof of the competence of an authority that is not under Luxembourg regulation must be attached.

Please return the completed form and attachments to the following address: Clearstream Banking S.A.

Attention: Account Administration Luxembourg 42, avenue JF Kennedy

L-1855 Luxembourg

6250/02.2018

Page 4/4

Clearstream Banking S.A.

How to Edit Signature Specimen Form Online for Free

It is an easy task to complete the specimen signature format in word gaps. Our tool will make it practically effortless to fill out any kind of PDF file. Listed below are the only four steps you'll want to consider:

Step 1: Select the "Get Form Now" button to get started on.

Step 2: As you access our specimen signature format in word editing page, you will find lots of the functions it is possible to undertake about your document in the upper menu.

The next parts are inside the PDF form you'll be filling in.

signature specimen sample blanks to consider

The program will require you to complete the section.

Entering details in signature specimen sample stage 2

Type in all data you may need within the field Individual or joint signatories, The persons listed, please tick the appropriate boxes, from number to number may act as, One person listed, from number to number together, from number to number may act as, Any two of the persons listed as, Supplement or replacement please, The submission of this form, The previous specimen signature, Our official signature list dated, This specimen signature form, The previous customer specimen, and Our official signature list dated.

signature specimen sample Individual or joint signatories, The persons listed, please tick the appropriate boxes, from number  to number  may act as, One person listed, from number  to number  together, from number  to number  may act as, Any two of the persons listed as, Supplement or replacement please, The submission of this form, The previous specimen signature, Our official signature list dated, This specimen signature form, The previous customer specimen, and Our official signature list dated fields to complete

The Signature, Signature, Name, Title, Place, Date, Name, Title, Place, Date, Page, and Clearstream Banking SA field can be used to identify the rights and obligations of all sides.

part 4 to entering details in signature specimen sample

Review the fields Name of the authorised signatory, and Scope of authority and next fill them in.

signature specimen sample Name of the authorised signatory, and Scope of authority blanks to fill out

Step 3: Hit "Done". It's now possible to transfer the PDF file.

Step 4: Create copies of the form - it may help you stay away from future complications. And don't get worried - we are not meant to share or check your data.

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