Notice to Bank : Pursuant to the USA Patriot Act 2001, the European Union Money Laundering regulations, and the UK Money Laundering Act 2002 your co-operation is politely requested in order to permit BullionVault acting through Lloyds TSB Bank plc (LOYDGB21013) lawfully to remit monies exceeding $10,000 directly to this account.

Identity Confirmation

Please print and fill out the top half of this form and take it to your bank for their completion.

Your BullionVault username

Your name, as it appears on your bank statement

Your bank branch routing code / sort code

Your bank account number

Your IBAN (International Bank Account Number) - if possible

Your address
 
 
 

Bank identity

Country of your bank
[e.g. USA, UK etc.]

Bank name
[e.g. Chase, HSBC etc]

Branch address
Please supply your bank with a stamped envelope addressed to:
Account Validations, BullionVault (Galmarley Ltd), Brook House (4th Floor), 229 Shepherds Bush Road, London, W6 7AN, UK
Then ask them to complete the bottom half of this form & enclose it with their compliments slip or business card.

For bank use

 Customer photograph
 

"To the best of our current knowledge and belief the individual identified on this form is a validated holder of the above bank account."

SWIFT BIC code

Contact name
& telephone

 

Bank stamp

 

please apply stamp over part of the customer's photograph

email address

from the bank's internet domain
BullionVault is a division of Galmarley Ltd - Registered in England No 4943684 - Tel. +44 (0)208 6000 130
BullionVault.com allows individuals to acquire gold bullion for storage within professional vaults in London, New York and Zurich