347 lines
8.4 KiB
Markdown
347 lines
8.4 KiB
Markdown
|
|
# DBIS MEMBERSHIP APPLICATION FORM
|
||
|
|
## Official Application for Membership in the Digital Banking and Institutional System
|
||
|
|
|
||
|
|
**Form Number:** DBIS-MEM-APP-001
|
||
|
|
**Version:** 1.0
|
||
|
|
**Date:** [Enter date in ISO 8601 format: YYYY-MM-DD, e.g., 2024-01-15]
|
||
|
|
**Classification:** CONFIDENTIAL
|
||
|
|
**Authority:** DBIS Executive Directorate
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## INSTRUCTIONS
|
||
|
|
|
||
|
|
1. Complete all sections of this application form
|
||
|
|
2. Attach all required supporting documentation
|
||
|
|
3. Submit to DBIS Executive Directorate at the address specified below
|
||
|
|
4. Retain a copy for your records
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART I: APPLICANT INFORMATION
|
||
|
|
|
||
|
|
### Section 1.1: Entity Information
|
||
|
|
|
||
|
|
**Official Name of Entity:**
|
||
|
|
[Enter official name in English and original language if different]
|
||
|
|
|
||
|
|
**Legal Status:**
|
||
|
|
- [ ] Sovereign State
|
||
|
|
- [ ] International Organization
|
||
|
|
- [ ] Regional Organization
|
||
|
|
- [ ] Other (specify): _________________________
|
||
|
|
|
||
|
|
**Date of Establishment:**
|
||
|
|
[Enter date in ISO 8601 format: YYYY-MM-DD]
|
||
|
|
|
||
|
|
**Jurisdiction of Incorporation/Establishment:**
|
||
|
|
[Enter jurisdiction]
|
||
|
|
|
||
|
|
**Legal Address:**
|
||
|
|
[Enter complete legal address]
|
||
|
|
|
||
|
|
**Mailing Address (if different):**
|
||
|
|
[Enter complete mailing address]
|
||
|
|
|
||
|
|
**Website:**
|
||
|
|
[Enter official website URL]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 1.2: Contact Information
|
||
|
|
|
||
|
|
**Primary Contact Person:**
|
||
|
|
- Name: _________________________
|
||
|
|
- Title: _________________________
|
||
|
|
- Email: _________________________
|
||
|
|
- Phone: _________________________
|
||
|
|
- Address: _________________________
|
||
|
|
|
||
|
|
**Alternate Contact Person:**
|
||
|
|
- Name: _________________________
|
||
|
|
- Title: _________________________
|
||
|
|
- Email: _________________________
|
||
|
|
- Phone: _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART II: LEGAL AUTHORITY
|
||
|
|
|
||
|
|
### Section 2.1: Authority to Apply
|
||
|
|
|
||
|
|
**Question:** Does your entity have legal authority to enter into international agreements and become a member of international organizations?
|
||
|
|
|
||
|
|
- [ ] Yes
|
||
|
|
- [ ] No
|
||
|
|
|
||
|
|
**If Yes, provide documentation:**
|
||
|
|
- [ ] Constitutional provisions
|
||
|
|
- [ ] Statutory authority
|
||
|
|
- [ ] Executive authority
|
||
|
|
- [ ] Other (specify): _________________________
|
||
|
|
|
||
|
|
**Attach:** Legal documentation demonstrating authority (see required documents list)
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 2.2: Ratification Authority
|
||
|
|
|
||
|
|
**Question:** What authority is required to ratify membership in your entity?
|
||
|
|
|
||
|
|
- [ ] Executive authority only
|
||
|
|
- [ ] Legislative approval required
|
||
|
|
- [ ] Referendum required
|
||
|
|
- [ ] Other (specify): _________________________
|
||
|
|
|
||
|
|
**Estimated Timeline for Ratification:**
|
||
|
|
[Enter estimated timeline in days/months]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART III: ACCEPTANCE OF DBIS DOCUMENTS
|
||
|
|
|
||
|
|
### Section 3.1: Charter Acceptance
|
||
|
|
|
||
|
|
**Question:** Do you accept the DBIS Constitutional Charter in its entirety?
|
||
|
|
|
||
|
|
- [ ] Yes, I accept the DBIS Constitutional Charter
|
||
|
|
- [ ] No (if no, explain): _________________________
|
||
|
|
|
||
|
|
**Signature:** _________________________
|
||
|
|
**Date:** [YYYY-MM-DD]
|
||
|
|
**Title:** _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 3.2: Articles Acceptance
|
||
|
|
|
||
|
|
**Question:** Do you accept the DBIS Articles of Governance in their entirety?
|
||
|
|
|
||
|
|
- [ ] Yes, I accept the DBIS Articles of Governance
|
||
|
|
- [ ] No (if no, explain): _________________________
|
||
|
|
|
||
|
|
**Signature:** _________________________
|
||
|
|
**Date:** [YYYY-MM-DD]
|
||
|
|
**Title:** _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 3.3: Statutory Code Acceptance
|
||
|
|
|
||
|
|
**Question:** Do you accept the DBIS Statutory Code (Titles I-XX) in its entirety?
|
||
|
|
|
||
|
|
- [ ] Yes, I accept the DBIS Statutory Code
|
||
|
|
- [ ] No (if no, explain): _________________________
|
||
|
|
|
||
|
|
**Signature:** _________________________
|
||
|
|
**Date:** [YYYY-MM-DD]
|
||
|
|
**Title:** _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART IV: FINANCIAL INFORMATION
|
||
|
|
|
||
|
|
### Section 4.1: Financial Capacity
|
||
|
|
|
||
|
|
**Annual Budget (most recent fiscal year):**
|
||
|
|
- Currency: _________________________
|
||
|
|
- Amount: _________________________
|
||
|
|
- Fiscal Year: _________________________
|
||
|
|
|
||
|
|
**Total Assets (most recent):**
|
||
|
|
- Currency: _________________________
|
||
|
|
- Amount: _________________________
|
||
|
|
- Date: [YYYY-MM-DD]
|
||
|
|
|
||
|
|
**Total Liabilities (most recent):**
|
||
|
|
- Currency: _________________________
|
||
|
|
- Amount: _________________________
|
||
|
|
- Date: [YYYY-MM-DD]
|
||
|
|
|
||
|
|
**Net Worth:**
|
||
|
|
- Currency: _________________________
|
||
|
|
- Amount: _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 4.2: Initial Contribution Commitment
|
||
|
|
|
||
|
|
**Proposed Initial Contribution:**
|
||
|
|
- Currency: _________________________
|
||
|
|
- Amount: _________________________
|
||
|
|
- Payment Method: _________________________
|
||
|
|
- Payment Timeline: _________________________
|
||
|
|
|
||
|
|
**Note:** Initial contribution amounts are determined by DBIS based on entity size and capacity. This is a proposed amount subject to DBIS determination.
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 4.3: Annual Membership Fee Commitment
|
||
|
|
|
||
|
|
**Question:** Do you commit to paying annual membership fees as determined by DBIS?
|
||
|
|
|
||
|
|
- [ ] Yes
|
||
|
|
- [ ] No
|
||
|
|
|
||
|
|
**Estimated Annual Fee Capacity:**
|
||
|
|
- Currency: _________________________
|
||
|
|
- Amount: _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART V: OPERATIONAL CAPACITY
|
||
|
|
|
||
|
|
### Section 5.1: Operational Resources
|
||
|
|
|
||
|
|
**Number of Personnel:**
|
||
|
|
- Total: _________________________
|
||
|
|
- Available for DBIS-related activities: _________________________
|
||
|
|
|
||
|
|
**Technical Capabilities:**
|
||
|
|
- [ ] Digital infrastructure
|
||
|
|
- [ ] Financial systems
|
||
|
|
- [ ] Security systems
|
||
|
|
- [ ] Other (specify): _________________________
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 5.2: Integration Readiness
|
||
|
|
|
||
|
|
**Question:** Are you prepared to integrate with DBIS systems and procedures?
|
||
|
|
|
||
|
|
- [ ] Yes, fully prepared
|
||
|
|
- [ ] Yes, with some preparation needed
|
||
|
|
- [ ] No, significant preparation required
|
||
|
|
|
||
|
|
**Estimated Integration Timeline:**
|
||
|
|
[Enter estimated timeline in months]
|
||
|
|
|
||
|
|
**Integration Support Needed:**
|
||
|
|
[Describe any support or assistance needed]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART VI: COMMITMENT TO DBIS PURPOSES
|
||
|
|
|
||
|
|
### Section 6.1: Purpose Alignment
|
||
|
|
|
||
|
|
**Question:** How does your entity align with DBIS purposes?
|
||
|
|
|
||
|
|
[Provide detailed explanation of alignment with DBIS purposes]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 6.2: Potential Contribution
|
||
|
|
|
||
|
|
**Question:** What potential contribution can your entity make to DBIS?
|
||
|
|
|
||
|
|
[Describe potential contributions in areas such as:
|
||
|
|
- Financial resources
|
||
|
|
- Technical expertise
|
||
|
|
- Operational capabilities
|
||
|
|
- Geographic presence
|
||
|
|
- Other contributions]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART VII: REQUIRED DOCUMENTATION
|
||
|
|
|
||
|
|
### Section 7.1: Documentation Checklist
|
||
|
|
|
||
|
|
**Required Documents (attach copies):**
|
||
|
|
|
||
|
|
- [ ] Legal authority documentation (constitutional provisions, statutes, etc.)
|
||
|
|
- [ ] Entity registration or establishment documents
|
||
|
|
- [ ] Most recent audited financial statements (last 3 years)
|
||
|
|
- [ ] Organizational structure document
|
||
|
|
- [ ] Authorized representative credentials
|
||
|
|
- [ ] Proof of legal existence
|
||
|
|
- [ ] Other documents as requested
|
||
|
|
|
||
|
|
**Note:** All documents must be in English or accompanied by certified English translations.
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART VIII: DECLARATIONS
|
||
|
|
|
||
|
|
### Section 8.1: Accuracy Declaration
|
||
|
|
|
||
|
|
I hereby declare that all information provided in this application is accurate and complete to the best of my knowledge.
|
||
|
|
|
||
|
|
**Signature:** _________________________
|
||
|
|
**Name:** _________________________
|
||
|
|
**Title:** _________________________
|
||
|
|
**Date:** [YYYY-MM-DD]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 8.2: Authority Declaration
|
||
|
|
|
||
|
|
I hereby declare that I have the authority to submit this application on behalf of the entity named above.
|
||
|
|
|
||
|
|
**Signature:** _________________________
|
||
|
|
**Name:** _________________________
|
||
|
|
**Title:** _________________________
|
||
|
|
**Date:** [YYYY-MM-DD]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 8.3: Commitment Declaration
|
||
|
|
|
||
|
|
I hereby declare that, if accepted as a member, the entity will fulfill all membership obligations as specified in the DBIS Charter, Articles, and Statutory Code.
|
||
|
|
|
||
|
|
**Signature:** _________________________
|
||
|
|
**Name:** _________________________
|
||
|
|
**Title:** _________________________
|
||
|
|
**Date:** [YYYY-MM-DD]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## PART IX: SUBMISSION
|
||
|
|
|
||
|
|
### Section 9.1: Submission Information
|
||
|
|
|
||
|
|
**Submission Method:**
|
||
|
|
- [ ] Electronic submission (email to: applications@dbis.org)
|
||
|
|
- [ ] Physical submission (mail to address below)
|
||
|
|
- [ ] Both electronic and physical
|
||
|
|
|
||
|
|
**Submission Date:**
|
||
|
|
[Enter date in ISO 8601 format: YYYY-MM-DD]
|
||
|
|
|
||
|
|
**Submission Address:**
|
||
|
|
DBIS Executive Directorate
|
||
|
|
Membership Applications Office
|
||
|
|
[Enter DBIS address]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
### Section 9.2: Acknowledgment
|
||
|
|
|
||
|
|
**Application Received By:**
|
||
|
|
[DBIS staff to complete]
|
||
|
|
|
||
|
|
**Receipt Date:**
|
||
|
|
[DBIS staff to complete]
|
||
|
|
|
||
|
|
**Application Number:**
|
||
|
|
[DBIS staff to assign]
|
||
|
|
|
||
|
|
**Acknowledgement Signature:**
|
||
|
|
[DBIS staff signature]
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
## NOTES
|
||
|
|
|
||
|
|
1. Incomplete applications will be returned for completion
|
||
|
|
2. False or misleading information may result in application rejection
|
||
|
|
3. All information will be treated as confidential per DBIS security classification
|
||
|
|
4. Application review typically takes 120-150 days
|
||
|
|
5. Questions may be directed to: applications@dbis.org
|
||
|
|
|
||
|
|
---
|
||
|
|
|
||
|
|
**END OF MEMBERSHIP APPLICATION FORM**
|
||
|
|
|