Al Sahab - Corporate Kyc

AL SAHAB JEWELLERY TRADING L.L.C.
CORPORATE - KNOW YOUR SUPPLIER/CUSTOMER (KYC/KYS) FORM

(To be filled in by Customer/Supplier)
(Form for obtaining information & declaration as per AML/CFT laws)
Dear Valued Customer,
It was a pleasure doing business with you.
AL SAHAB JEWELLERY TRADING L.L.C. is fully committed to abiding the
UAE laws and regulations regarding Know Your Customer (KYC)
obligations. The implemented laws prevent money laundering, financing
of terrorism and limit the use of cash to process your personal data.
We are obliged to identify our clients and verify the identification
documents received when entering in a business relationship or executing
a transaction.
Therefore, please provide us the requested documentation.

1. COMPANY DETAILS
Name
GOLD FREE, LDA
Registered Address
RUA LUIS PASTOR DE MACEDO, 1, Lisboa
Phone No.
+351 920 441 465
Website
N/A
Email
bebock.affaires@gmail.com
Business Activities
Buying and selling gold and other precious metals
Country of Incorporation
Portugal
Incorporation Date
Business License Number

517015200
VAT Certificate No.
External financial Auditors since date

N/A
If it is listed, indicate the name of the stock exchange
and the quotation board. N/A
How many direct and indirect subsidiaries does the
company have? N/A
Provide a group chart.
2. BUSINESS ACTIVITY
Type of Business:
 Large-scale
 Medium scale SMALL-SCALE
 Small-scale
 Others, Specify:
Description of the main commercial activity

Buying and selling gold and other precious metals
In which countries do you currently trade your precious

SWITZERLAND, BELGIUM, UAE, PORTUGAL
metals?
3. BENEFICIARY OWNERS
Shareholders (more than 25%)
Percentage (%) Name Address Country of Date of

Incorporation/ Incorporation/ Date
Nationality of Birth
Final effective owner (more than 25% - Only individuals)

Percentage (%) Name Address Nationality Date of Birth
4. COMPLIANCE OFFICER
Name of Compliance Officer
Mobile No.
Email address
Additional details
5. ADMINISTRATION STRUCTURE
Name Title Nationality Date of Birth Additional

Details
Senior JOSE ANTERO ESTEVES
MANAGER PORTUGAL
Management SEMBLANO DE MELO E CASTRO
Board of
Directors
6. FINANCIAL INFORMATION
5.1 Financial statements details

Currency Last Report Period Last year
Paid up capital
Purchases
Sales
Net Income
Provide a copy of the latest annual report
5.2 Other Financial Information
Financing source of operation 
Own Capital

Government Entity Name :

Bank Loan :

Third Party Loan :
What usual payment method does the Payment Type Percentage(%)
Company use to pay its suppliers? Bank Transfers
Cheques
Cash
7. HUMAN RESOURCES
No. of Employees in the Company
No. of Employees in the Group
8. PRECIOUS RESPONSIBLE METAL SUPPLY CHAIN

POLICY
Has your company established a responsible gold Yes - Provide a copy

supply chain for conflict-affected and high-risk areas
policy that is consistent with the standards set out in
the model supply chain policy in Annex II of the
OECD for Responsible Supply Chains of Conflicting No
Minerals - Affected and High Risk Areas?
Does your company comply with or plan to comply Yes

with the OECD Due Diligence Guide for Responsible
Mineral Supply Chains in Conflict-Affected and No
High-Risk Areas?
Does your company comply with any of the Additional Comments

following industry initiatives:
RJC Chain of Custody Standard
RJC Code of Practice
WGC Free Gold Conflict Standard
Fair Trade Standard
Fair Mining Standard
Others, specify: _______
Provide a copy of certification
What are the established procedures to guarantee
that the precious metals purchased have not
financed conflicts?
9. POLITICALLY EXPOSED PERSON (“PEP” STATUS)
Do any of your directors, shareholders or authorized personnel hold, have previously held or actively
seeking a position or being considered for a prominent public position?
 YES
 NO
If yes, Please provide details of the position below (title, department, country, etc)
Do any family member/close associate of your directors, shareholders or authorized personnel hold, have
previously held or actively seeking a position or being considered for a prominent public position?
 YES
 NO
if yes, Please provide details of the position below (title, department, country, etc)
Definition of “PEP”
Entrusted with prominent public functions, for example Heads of State or of government, a government
minister, a senior public servant, a senior judicial or military official, a senior executive of a state-owned
corporation, a member of the legislature, a senior official of a political party, or a member of the senior
management of an international organization.
10. ADDITIONAL DISCLOSURE
Have any of the directors, shareholders, or authorized personal been the subject of any proceedings of a
disciplinary or criminal nature or have been notified of any potential proceedings or investigation, under
any law in any jurisdiction?
 YES
 NO
If yes, Please describe below :
Have any directors, shareholders or authorized personal been convicted for any offence or is being subject
to any pending proceedings relating to money laundering or terrorist financing?
 YES
 NO
If yes, Please describe below :
* If the answer to the above is “Yes”, please provide supporting documents. Where appropriate, to provide
all relevant particulars.
11. AML/CFT
Is your company subject to the Money Laundering / Yes - Provide a copy

Anti-Financial Terrorism Law / Regulation?
No
Name of the AML-CTF Law / Regulation
Regulator’s Name
Has your company established a compliance Yes - Provide a copy

program that contains AML/CFT policies and
procedures, in accordance with internal and No
international laws, regulations and standards?
12. BRIBERY POLICY
Does your company have a bribery policy? Yes - Provide a copy
No
Has the company or Senior Management anywhere Yes - Provide a copy
in the world ever been charged with violating
applicable anti-bribery laws or regulations? No
13. DECLARATION
I/We hereby declare that the information provided above is true, correct and complete as on date of
writing to best of my knowledge and that all documents submitted along with this application are genuine.
Further, I/We hereby undertake to automatically and immediately inform AL SAHAB JEWELLERY
TRADING L.L.C. of any material changes in the information provided herein and agree that AL SAHAB
JEWELLERY TRADING L.L.C. is neither responsible nor liable for any losses or activity performed on the
basis of the information provided.
I/We also agree to provide any additional information or documentation that may be required from time
to time by AL SAHAB JEWELLERY TRADING L.L.C. or its authorized agents or representatives.
Authorized Signatory
Signature
Print Name
OLIVÉRIO SIMÉON SECK BEBOCK
Title
Company's Stamp
Date and Location

LISBON, 03/26/2024
DUE DILIGENCE REQUIREMENTS
 Certificate of Incorporation
 Memorandum and Articles of Association
 Trade License
 Full details of Beneficial Owners (BO) if not mentioned in MOA & AOA.
 ID and Proof of Address of any Beneficial Owners - own 25% or more of the Company and not a
Director (see below).
 List of directors if not mentioned in MOA & AOA.
 List of Authorized Signatures (on letterhead and signed by your authorized signatories)
 List of Authorized Traders
 Registered Address of the Company
 Anti-Money Laundering Policy/ Anti Bribery and Corruption policy.
 Company’s Supply Chain Policy.
 Standing Settlement Instruction (SSI)/ Bank account details on your letterhead.
 Latest Audited Financials – If the Company is newly established and no Audited Financials are
available then a copy of a recent Bank account statement will be required.
 VAT Certificate.
Documents do not need to be certified, however wherever possible an employee or representative of AL

SAHAB JEWELLERY TRADING L.L.C. should verify the IDs of the Directors.

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AL SAHAB JEWELLERY TRADING L.L.C.

CORPORATE - KNOW YOUR SUPPLIER/CUSTOMER (KYC/KYS) FORM

It was a pleasure doing business with you.

AL SAHAB JEWELLERY TRADING L.L.C. is fully committed to abiding the

UAE laws and regulations regarding Know Your Customer (KYC)

obligations. The implemented laws prevent money laundering, financing

We are obliged to identify our clients and verify the identification

documents received when entering in a business relationship or executing

Therefore, please provide us the requested documentation.

Business License Number

External financial Auditors since date

Description of the main commercial activity

In which countries do you currently trade your precious

Shareholders (more than 25%)

Percentage (%) Name Address Country of Date of

Final effective owner (more than 25% - Only individuals)

Name of Compliance Officer

Name Title Nationality Date of Birth Additional

5.1 Financial statements details

No. of Employees in the Company

No. of Employees in the Group

8. PRECIOUS RESPONSIBLE METAL SUPPLY CHAIN

Has your company established a responsible gold Yes - Provide a copy

Does your company comply with or plan to comply Yes

Does your company comply with any of the Additional Comments

10. ADDITIONAL DISCLOSURE

Is your company subject to the Money Laundering / Yes - Provide a copy

Name of the AML-CTF Law / Regulation

Has your company established a compliance Yes - Provide a copy

12. BRIBERY POLICY

Does your company have a bribery policy? Yes - Provide a copy

Date and Location

DUE DILIGENCE REQUIREMENTS

Documents do not need to be certified, however wherever possible an employee or representative of AL

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