8.4 KiB
DBIS MEMBERSHIP APPLICATION FORM
Official Application for Membership in the Digital Bank of International Settlements
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
- Complete all sections of this application form
- Attach all required supporting documentation
- Submit to DBIS Executive Directorate at the address specified below
- 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
- Incomplete applications will be returned for completion
- False or misleading information may result in application rejection
- All information will be treated as confidential per DBIS security classification
- Application review typically takes 120-150 days
- Questions may be directed to: applications@dbis.org
END OF MEMBERSHIP APPLICATION FORM