CLIENT CONTACT DETAIL SHEET – Holland Condon forms

Sep 24, 2013

CLIENT CONTACT DETAIL SHEET

Have you used this firm before: Yes: _______ No: ______ please tick.
Please when returning this form; send us a copy of your drivers licence or passport proving your name AND 2 utility bills (with your name on them) proving your address. Bring the originals to our first meeting. This is a requirement under Money Laundering Legislation. This applies to you and anyone else who intends using our services on this matter.

Your name: ______________________________

PPS Number: ___________________

Your date of Birth :_________________________

Your e-mail (write very clearly):

______________________________________________________

*If another party is with you
Their name: ______________________________

PPS Number: ___________________

Their Date of Birth: _________________________

Their e-mail (write very clearly):

______________________________________________________

Address for correspondence:

______________________________________________________

______________________________________________________

______________________________________________________

Your mobile number: _____________________

Partners mobile number: _____________________

Home land line: _____________________

Office land line: _____________________

Your fax number: _____________________

Emergency contact number: _____________________

Name, address and phone number of any other
Adviser (including financial) in this matter:

___________________________________________

___________________________________________
___________________________________________

Name of your contact in adviser’s office:

___________________________________________

If you have more advisers, then please list their details separately.

I/We INSTRUCT you and RETAIN you to act in this matter. I/We irrevocably AUTHORISE you to give such undertakings as you deem necessary to progress my matter/file.
I/We AUTHORISE your firm, Holland Condon, to lodge any cheque (whether or not it’s in our/my name(s)) to your client account in your bank, to be used for our/my benefit and to be accounted to me/us at the conclusion of this matter.

Signed by 1st person named above:

___________________________________

Signed by 2nd person named above:

___________________________________

Today’s date:

___________________________________

LTR/LTR55;13.a

More fromLegal News

Solicitors Kilkenny Main banner

Landlords Beware when evicting Tenants

1st February, 2023 The Court of Appeal in England and Wales recently considered the validity of a notice to quit and decided that a notice addressed to the wrong recipient was invalid. Background...

Feb 1, 2023
solicitors kilkenny

New Minister and New A.G.

19th December, 2022 Rossa Fanning was appointed the Attorney General for the Republic of Ireland on Saturday. Mr Fanning, who is not a member of any political party, was nominated by new...

Dec 19, 2022