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    AML KYC Form

    Uploaded by

    GOWTHAM MSN
    This document contains a Know Your Customer (KYC) form to be filled out with company and ownership information. It requests details about the company like registered name, addresses, licenses, nature of business, bank account information, and introducer details. For individual owners, it asks for details like name, date of birth, nationality, addresses, occupation, and politically exposed person status if applicable. The document states that the information provided will be used to perform customer due diligence and screening to comply with UAE anti-money laundering regulations. Upon completion, the form requires a signature and company stamp before an internal review is conducted to check the client, country, and industry risks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    AML KYC Form

    Uploaded by

    GOWTHAM MSN
    115 views4 pages
    This document contains a Know Your Customer (KYC) form to be filled out with company and ownership information. It requests details about the company like registered name, addresses, licenses, nature of business, bank account information, and introducer details. For individual owners, it asks for details like name, date of birth, nationality, addresses, occupation, and politically exposed person status if applicable. The document states that the information provided will be used to perform customer due diligence and screening to comply with UAE anti-money laundering regulations. Upon completion, the form requires a signature and company stamp before an internal review is conducted to check the client, country, and industry risks.

    Original Description:

    AML KYC

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    This document contains a Know Your Customer (KYC) form to be filled out with company and ownership information. It requests details about the company like registered name, addresses, licenses, nature of business, bank account information, and introducer details. For individual owners, it asks for details like name, date of birth, nationality, addresses, occupation, and politically exposed person status if applicable. The document states that the information provided will be used to perform customer due diligence and screening to comply with UAE anti-money laundering regulations. Upon completion, the form requires a signature and company stamp before an internal review is conducted to check the client, country, and industry risks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    115 views4 pages

    AML KYC Form

    Uploaded by

    GOWTHAM MSN
    This document contains a Know Your Customer (KYC) form to be filled out with company and ownership information. It requests details about the company like registered name, addresses, licenses, nature of business, bank account information, and introducer details. For individual owners, it asks for details like name, date of birth, nationality, addresses, occupation, and politically exposed person status if applicable. The document states that the information provided will be used to perform customer due diligence and screening to comply with UAE anti-money laundering regulations. Upon completion, the form requires a signature and company stamp before an internal review is conducted to check the client, country, and industry risks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Know your customer (KYC)- to be filled and supported with appropriate documents

    COMPANY INFORMATION
    Registered Corporate Name

    Trading Name (if different to above)

    Current Registered Physical Address

    Current Principal Trading Physical Address (if different to above)


    P.O. Box:
    Building:
    Street:
    Code & City:
    Country:
    Office Tel No. Office Fax No

    Email Address:

    VAT TRN No. : VAT TRN Emirate:

    Contact Person Name, Email Id and Mobile No.

    Date & Place of Incorporation

    Date:
    Place:
    Name of the Regulatory Body

    Nature of Business

    Commercial license / registration information


    Issuing Authority:
    License Number:
    Issue date:
    Expiry date:
    Name of Manager as per Trade License:

    1
    Insurance License (for Insurance Companies/ Reinsurers/ Brokers/Agents
    Issuing Authority:
    License Number:
    Issue date:
    Expiry date:
    Name of previous external auditor/internal Auditor if any

    Name & address of Parent Company, Group / Holding (if applicable) (attach the supporting
    documents, group holding structure)

    Name of Parent Company:


    Address of Parent Company:

    Ultimate Beneficiary Owner (UBO)

    UBO Filed Yes (attach copy of UBO Filed) No (fill up below details)

    Full Name of Shareholders/ owner:

    Individual
    Date of Birth: Place of birth: Nationality:

    Non-Individual
    License No: Date of Incorporation: Country:

    Physical address (Residential & business / home country & UAE)

    Contact Details:

    Previous Personal / business activities / occupation (type & volume)

    Legal Status of company (e.g., Proprietary / Partnership / Joint Stock Company)

    N/A

    Bank Account details specifying Name of Bank, Address, IBAN A/c No.

    2
    Details of Introducer/Referral

    Is Shareholder/owner/sponsor/key management person a Politically exposed person? Yes/No

    If yes, following details required:


     Source of wealth
     Identify the customer and the beneficial owner
     customer’s country of residence.
     information on the occupation and the other income sources
     information about the direct family members or associates who have the power to
    conduct transactions on the account.

    I/We, hereby authorize RNG Auditors its affiliates and its authorized representatives to perform
    Customer Due Diligence, Screening and such other verification as required to comply with AML norms
    as set forth by UAE Government.

    Further, to the best of our knowledge and information, we confirm the above information to be true
    and correct.

    Filled by (Name):

    Signature & Company Stamp:

    FOR OFFICE USE ONLY (AML check)


    Whether client is:
    1. single legal entity
    2. part of a larger more complex group

    Result of check (attach the report for reference)

    Is the client from High-Risk Country and industry?

    Checked by:

    3
    Approved by:

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