Self Certification Form - Individual
Introduction
Under the direction of the Organisation of Economic Cooperation and Development (OECD), many Participating Jurisdictions
have committed to, and are establishing, a global standard for the Automatic Exchange of Financial Account Information
based on the Common Reporting Standard (CRS) to obtain and exchange financial account information of overseas tax
payers on an annual basis.
Standard Chartered PLC and its subsidiaries and affiliates (Standard Chartered) is committed to complying with its obligations
under CRS and other tax compliance regimes, including the United States (US) Foreign Account Tax Compliance Act (FATCA)
provisions which were enacted as part of the US Hiring Incentives to Restore Employment (HIRE) Act.
Like the industry at large, Standard Chartered may be required to collect certain tax-related information and/or documents from
clients. In certain circumstances, Standard Chartered will be required to report and share such information and/or documents
with the appropriate tax authorities in compliance with CRS, FATCA and any applicable intergovernmental agreements (IGAs)
entered into between jurisdictions.
These explanatory notes are not a substitute for understanding the requirements of the CRS and FATCA regulations. Further
details on the CRS may be found within the OECD CRS for Automatic Exchange of Information (AEOI), the associated
Commentary to the CRS and domestic guidance. Further details on FATCA may be found on the US Internal Revenue Service
(IRS) website.
Please note that this document does not constitute tax or legal advice. If you have any questions about this Form or CRS,
please contact your tax, legal and/or other professional advisor.
Please complete this Form if you are an individual (including a sole proprietor) Account Holder. For joint or multiple
Account Holders, use a separate Form for each individual Account Holder. If you are providing self-certification for an
entity account holder or is a Controlling Person of an entity account holder, do not use this Form. Instead, fill in the ‘CRS
Self Certification Form - Entity’.
If you are a US Person under US regulations, you also will need to fill in and provide an IRS Form W-9, in addition to this
Form.