KNOW YOUR SUPPLIER (KYS)

Registration Form

information

Information recorded here could be based on customers’ submission, primary internal research and secondary sources regarded as authentic. Please state the source for each piece of information and provide documentary support where meaningful. The attempt here is to establish that the customer is an established member of the industry and as a committed member of the industry is unlikely to jeopardize their reputation through involvement in terrorist financing or money laundering

Customer Name *

Email *

Country *

City *

Street *

Registration Address *

Postal Code *

Contact Information

Please pay attention to fill your information

Phone *

Whatsapp Business Number *

Contact Person/Principal Executive officer *

Business Information

Please pay attention to fill your information

Nature of Business Activity *

Business Registration Number *

Nature of Organization*

Proprietorship

Partnership

Limited Liability Company

Name of Promoters/Directors *

Name of Ultimate Beneficiaries Owner >25% *

Business Relationship Period *

Additional Information

Please pay attention to fill your information

Are you affiliated to /part of a group company

Market reference (if any)

Bankers Name

Further Banking Information

Account Number

Dun & Bradstreet Number (if any)

Documents

Please attached copy of the following (Below all details are Mandatory)

Copy of Certificate of Incorporation/Business Registration *

Identification document of Contact Person/Principal Executive officer (Passport/Driving Licence Copy)

Employment Letter of Principal Executive Officer

Identification document of any one director (Passport/Driving License Copy)

Identification document of all beneficiary owners > 25% (Passport/Driving License Copy)

Attachment*