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Customer Due Diligence Form A4 — Particulars of Beneficial Owner(s)

Particulars of the beneficial owners of the corporate / legal arrangement.

1

Step 1

Type of identification document
Document type verified for beneficial owner 1.
Type of identification document
Document type verified for beneficial owner 2.
Type of identification document
Document type verified for beneficial owner 3.
Type of identification document
Document type verified for beneficial owner 4.
Type of identification document
Document type verified for beneficial owner 5.

Export completed form

Your entries are overlaid onto the official prescribed documents. The form's wording is never altered. Signatures and initials are added by hand after printing.

Complete this form together with A3, for each natural person who ultimately owns or controls the entity.
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