KYC Corporate


Customer Details




Contact Details and Registration Address




Contact Details and Physical Address




CONTACT PERSON



BANKING DETAILS


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 and Place of Birth Nationality Percentage of Ownership (%)
Please note that a Separate Individual KYC Form must be signed by each UBO 

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 and Place of Birth Nationality Percentage of Ownership (%)
Please note that a Separate Individual KYC Form must be signed by each Shareholder.

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 and Place of Birth Nationality
Please note that a Separate Individual KYC Form must be signed by each Director

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 and Place of Birth Nationality
Please note that a Separate Individual KYC Form must be signed by each Signatory at the Company.

ANTI-MONEY LAUNDERING AND COUNTER TERRORIST FINANCING REQUIREMENTS

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














Sources of Income*

Sources of Wealth*

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

DECLARATION

I hereby declare that the details provided above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misrepresenting, I am aware that I may be liable for it.

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