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Client Onboarding

KYC Corporate Entity

Fields marked with * are required. Please complete all sections accurately.

1

Customer Type

2

Customer Details

3

Contact Details & Registration Address *

4

Contact Details & Physical Address *

5

Contact Person *

6

Banking Details *

7

Declaration of Beneficial Ownership *

The Company hereby confirms and declares that as at date hereby, the following individual(s) is/are the ultimate principal beneficial owner(s) of the Company through ownership in the intermediate or ultimate holding companies:

Full Name Detailed Residential Address (Area, Street, Bldg, Floor, Country) Date & Place of Birth Nationality Ownership %

Please note that a Separate Individual KYC Form must be signed by each UBO.

8

Shareholders

The Company hereby confirms and declares that as at date hereby, the following individual(s) is/are the Shareholder(s) of the Company through ownership in the intermediate or ultimate holding companies:

Full Name Detailed Residential Address (Area, Street, Bldg, Floor, Country) Date & Place of Birth Nationality Ownership %

Please note that a Separate Individual KYC Form must be signed by each Shareholder.

9

Directors

The Company hereby confirms and declares that as at date hereby, the following individual(s) is/are the Director(s) of the Company:

Full Name Detailed Residential Address (Area, Street, Bldg, Floor, Country) Date & Place of Birth Nationality

Please note that a Separate Individual KYC Form must be signed by each Director.

10

Authorized Signatory(ies)

The Company hereby confirms and declares that as at date hereby, the following individual(s) is/are the Signatory(s) of the Company:

Full Name Detailed Residential Address (Area, Street, Bldg, Floor, Country) Date & Place of Birth Nationality

Please note that a Separate Individual KYC Form must be signed by each Signatory at the Company.

11

Anti-Money Laundering & Document Uploads

In accordance with the Financial Intelligence Regulations, the following documents should be provided for verification:

Multiple files accepted
Multiple files accepted
Multiple files accepted
Multiple files accepted
Multiple files accepted
Multiple files accepted
12

Sources of Income & Wealth

Source of Income refers to which state the money was earned in — literally where the money comes from.
Source of Wealth describes how a client, or their family, has acquired their total wealth.
13

Declaration

Accepted: JPG, PNG, PDF