General InformationContact InformationGovernance InformationOwnership InformationCompliance InformationDocumentsGeneral Information Registered Name * Trade Name* Date of Establishment: Type: Individual: Partnership: Private Company: Trust: Details of Trustee: Limited by Shares Limited by Guarantee Other Country of Incorporation/Registration Incorporation/Registration Number Registered Address Principle Activities Source of Funds NextContact Information Correspondence Address Contact Person: Name: Title: Email Address : Telephone : Mobile Telephone: Back NextGovernance Information Director: Please select Director1 Director2 Director3 Director4 Director5 Director Partner: Please select Partner1 Partner2 Partner3 Partner4 Partner5 Partner Officer: Please select Officer1 Officer2 Officer3 Officer4 Officer5 Officer Authorised Signatory Name: OR, where Authorised Signatory not a Director / Officer: Name: Title: Email Address : Telephone : Mobile Telephone: Signing Authority : Back NextOwnership Information Owners: Please select Owners1 Owners2 Owners3 Owners4 Owners5 Owners Ultimate Beneficial Owner ("UBO") Yes: No: UBO: Please select UBO1 UBO2 UBO3 UBO4 UBO5 UBO If Yes, please provide the following information: Back NextCompliance InformationDoes the Entity have a designated compliance officer? Yes: No: Name: Title: Email Address: Telephone : Mobile Telephone: Does the Entity have and enforce any of the following policies (please check the applicable policies): Anti-Bribery & Corruption Policy Anti-Money Laundering Policy Modern Slavery Policy Data Privacy Policy Record Retention Policy Insert Link to Compliance Policies (otherwise provide copies): In respect of any policies not checked, please provide an explaination below:: Sanctions Compliance Generally Yes: No:Sanctions Compliance (Directors, Officers, Senior Management) Yes: No:Politically Exposed Persons (“PEP”) Yes: No:If Yes, please provide the following information in respect of each PEP: Name Passport Number Nationality Source of Funds of PEP Residential Address Date of Issue Date of Expiry PEP by reason of Back NextDocumentPLEASE CHECK THE CERTIFIED (not less than 6 months) DOCUMENTS WHICH HAVE BEEN ATTACHED:Corporate Documents Certificate of Incorporation / Trade License Articles/Memoranda of Association Certificate of Incumbency Certificate of Good Standing Register of Directors / Officers Register of Shareholders/Members Current Financial Statements if a Fund, Regulator Approval for Activity Ownership Structure Chart to UBO Signing Authority (if applicable) Power of Attorney Board Resolution Compliance Policies Link provided above Anti-Bribery & Corruption Policy Anti-Money Laundering Policy Modern Slavery Policy Data Privacy Policy Record Retention Policy Individual (UBO / PEP) Passport Confirmation of Residential Address Certificate File Upload Articles/Memoranda File Upload Certificate of Incumbency File Upload Certificate of Good Standing File Upload Register of Directors / Officers File Upload Register of Shareholders / Members File Upload Current Financial Statements File Upload Regulator Approval for Activity File Upload Ownership Structure Chart to UBO File Upload Power of Attorney File Upload Board Resolution File Upload Link provided above File Upload Anti-Bribery & Corruption Policy File Upload Anti-Money Laundering Policy File Upload Modern Slavery Policy File Upload Data Privacy Policy File Upload Record Retention Policy File Upload Passport File Upload Confirmation of Residential Address File Upload Back Submit
