OffshoreSimple.com

"Nordic One" Account Application


Fill the form as you know. Don't worry. We will ask you the missing info, if any...
If you need a PERSONAL account, don't pay attention to "Corporate account details" part. 

Receipt of this form plus full payment will constitute a confirmed and irrevocable order. Proceeding beyond this point and submitting this form is on this strict understanding. Forms received without matching payment will be held for a maximum period of 1 month then destroyed.
Please note that a notarization with Apostille on the Signature Sample Card is required.


Select your account type:

Personal account (€350)
Corporate account (€450) 
 
Internet Banking log-on details:
(You'll be provided with a password that you will have to change at first log on)
Username
*

 

Personal information
(Should be spelled exactly as in the ID)
Title
 
First name
*
Middle name
 
Last Name
*
Date of birth
In the format dd/mm/yyyy
*
Street, office/apartment number
*
City
*
State/province
 
Country
*
Zip/postal code
*
Your E-mail address   
*

 

Nominee Bank Signatory service 1000 / year
 If we provide nominee services for your company, we could assist you further in facilitating the opening of a bank account for the Company.
 The service is provided by our Layers from Panama, or by the nominees in the jurisdiction of incorporation where this service is available.

 

Identification document details
(valid passport, DL or ID card)
ID number
*
ID was issued on
In the format dd/mm/yyyy
*
ID expires on
In the format dd/mm/yyyy
*
City and country where ID was issued
*
Please note that Apostille on the Signature Sample Card and Passport copy will be required.
 


 For Corporate Accounts (ONLY)

Corporate details
Company name
*
Street, office/appartment number
*
City
*
State/province
Country
*
Zip/postal code
Registration number
*
Registration date
Date in format dd/mm/yyyy
*
Country of registration
*

(the bank does not accept US companies!)
Position of company's representative
*
Company's official representative details
Title
First name
*
Middle name
Last name
*
Date of birth
Date in format dd/mm/yyyy
*


Actual user personal information (passport, DL or ID card) details
Title
First name
Middle name
Last name
Date of birth
Date in format dd/mm/yyyy


Actual user identification document (valid passport, DL or ID card) details
ID number
ID was issued on
Date in format dd/mm/yyyy
ID expires on
Date in format dd/mm/yyyy
City and country where ID was issued


Debit Card  details (if required)
Please note that Apostille on the Signature Sample Card will be required.

VISA Electron debit Card    € 180   (now with on-line access !!) 
or    Maestro debit Card   € 180      (now with on-line access !!)
No debit card. Thank you            
Card holder name is Embossed on the card for Personal accounts, and
Company name and card holder for corporate accounts.

Card account options

Would You like to receive monthly statements
Click on a circle next to an appropriate option.
*
Yes   No

OR
Please note that Apostille on the Signature Sample Card will be required.

International ATM CashCard   € 190
(card number and card account number embossed on the card)

 

Would You like to receive monthly statements
Click on a circle next to an appropriate option.
*
Yes   No

  Credit  Cards details (if required)
Please note that Apostille on the Signature Sample Card will be required.

Card account options
Card type
Click on a circle next to an appropriate option.
*
No credit card. Thank you.
VISA Classic € 250
VISA Business € 290
VISA GOLD € 350
EC/MC Mass € 250
EC/MC Business € 290
EC/MC Gold € 350
Would You like to receive monthly statements
Click on a circle next to an appropriate option.
*
Yes   No

Check Here the security deposit and credit line.
The security deposit you'll send to the bank (directly).
 

Virtual Card details (if required)

Login name
*
Card type
Click on a circle next to an appropriate option.
*
VISA   MasterCard
Currency of the card account
Click on a circle next to an appropriate option.
*
€   GBP   
Account validity period
*
  3 months: €20
  6 months: €36
  9 months: €50
12 months: €60
 
Bank account package delivery service:
Courier delivery service.
Please note that it costs an extra 100 €
DHL      FedEx      UPS   
In case you don't select courier delivery, the package will be delivered by registered post. 
 
Cards DELIVERY option.
The cards can be prepared and sent to you only AFTER the account will be activated.
It means that we have to send you another package with the cards.
Cards courier delivery service.
Please note that it costs an extra 100 €
DHL      FedEx      UPS   

In case you don't select courier delivery, the CARDS will be delivered by registered post.

 

Delivery  details
Name
*
Street, office/apartment number
*
City
*
State/province
*
Country
*
Zip/postal code
*
Phone number
*

Write here please any comments
or observations related to your order.

  

Insert here any promotional code or special offer:

Payment Methods

I will pay by:   Please check here all accepted payment methods 



Total of your order €:
(don't forget to click the "Send Order Now" button below)

After you submit your order,
we will reply with a tracking number and payment instructions.

IMPORTANT NOTES:

1/ Please quote your name or e-mail address as a reference with your wire transfer. Otherwise we may not be able to tie in receipts with specific orders, which can delay the opening of your account!

2/ Please ensure that the GROSS order value is wired to our account. All currency exchange and wire costs, including those of any intermediary banks, MUST be debited from YOUR account.

 

ALL INFORMATION SUPPLIED IS TOTALLY CONFIDENTIAL AND WILL NOT BE DIVULGED TO ANY THIRD PARTY OTHER THAN TO ANY BANK CONCERNED WITHOUT EITHER YOUR EXPRESS PERMISSION IN WRITING OR UNDER THE TERMS OF A COURT ORDER.

Warning - before you order:  receipt of this form plus accompanying payment by any means will constitute a confirmed and irrevocable order. Please also read the Disclaimer on our Introduction Page.
If an application is denied by the bank, for reasons beyond our control, we will refund what you paid -10%.

Information presented by me is true and correct

back to banking page

Please send a copy of your passport, either scanned and attached to an email,
either faxed to:  US fax: +1 212 202-6468 or UK fax: +44 207 900 1987
Thank you.

I have read and agree to provide  due diligence requirements and
I have read and agreed to the terms and conditions as posted on this Website.