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Acting as* PurchaserSeller
Legal name of entity*
Previous Names (If applicable)
Known by other name(s) or trading names
Registration No.*
Date of incorporation (dd/mm/yy)*
Current Address Details*
Telephone No.*
Email*
Website
Description of Business Activity*
Details of the Directors, Partners & and Authorized Signatories*
Full Name*
Designation*
Country of Residence*
Nationality*
Full Name
Designation
Country of Residence
Nationality
Details of Benefecials Owners
Name of Beneficial Owner
Are you politicaly exposed*
YesNoOther:
NOTE 1. If the Property/Unit is owned in joint names each named customer must complete a separate form. 2. If the Property/Unit is owned by a company/legal entity, each Ultimate Beneficial Owner (i.e. any individual who
owns 25% or more of the ultimate holding company) must complete separate form. Also a separate checklist will be issued for the legal owner of the Property/Unit.
3.Following the initial checks, we may be required to ask for further documentation.
DECLARATION I hereby certify that the information in this KYC Form is true to the best of my knowledge, information and belief, and I agree to promptly notify Allsopp & Allsopp of any material changes to the information contained in this form.
Printed Name*
Signature*
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