g4_financial identification form.pdf

ACCOUNT NAME ②
IBAN/ACCOUNT NUMBER ③
CURRENCY
BIC/SWIFT CODE BRANCH CODE ④
BANK NAME
TOWN/CITY POSTCODE
COUNTRY
ACCOUNT HOLDER
TOWN/CITY POSTCODE
COUNTRY
REMARK
BANK STAMP + SIGNATURE OF BANK REPRESENTATIVE ⑤ DATE (Obligatory)
SIGNATURE OF ACCOUNT HOLDER (Obligatory)
① Enter the final bank data and not the data of the intermediary bank. 
② This does not refer to the type of account. The account name is usually the one of the account holder. However, the account holder
      may have chosen to give a different name to its bank account.
③ Fill in the IBAN Code (International Bank Account Number) if it exists in the country where your bank is established
④ Only applicable for US (ABA code), for AU/NZ (BSB code) and for CA (Transit code). Does not apply for other countries.
⑤ It is preferable to attach a copy of RECENT bank statement. Please note that the bank statement has to confirm all the
       information listed above under 'ACCOUNT NAME', 'ACCOUNT NUMBER/IBAN' and 'BANK NAME'. With an attached statement,
       the stamp of the bank and the signature of the bank's representative are not required. The signature of the account-holder 
       and the date are ALWAYS mandatory.
FINANCIAL IDENTIFICATION
http://ec.europa.eu/budget/contracts_grants/info_contracts/financial_id/financial_id_en.cfm#enPRIVACY STATEMENT 
Please use CAPITAL LETTERS and LATIN CHARACTERS when filling in the form.
ACCOUNT HOLDER'S DATA
STREET & NUMBER
AS DECLARED TO THE BANK
BANKING DETAILS  ①
STREET & NUMBER
ADDRESS OF BANK BRANCH