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

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

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Step 1

Step 1 of 1
Name of regulated dealer (your agency)
Your estate agency’s registered name — the regulated dealer completing this form.
Date form completed
The date you complete this section.
Name of employee (you, the RES)
The salesperson conducting the due-diligence checks.
Beneficial owner 1 — full name (incl. alias)
A beneficial owner is a natural person who ultimately owns or controls the customer.
Date of birth
As shown on the identification document.
Residential address
Full residential address of this person (not the agency).
Citizenship
Country of citizenship as shown on the identification document.
Type of identification document
Document type verified for beneficial owner 1.
Identification number
NRIC / FIN / passport number, matching the document type selected above.
ID expiry date (if any)
Expiry date of the passport or pass. Leave blank for an NRIC.
Occupation
This person’s occupation.
Contact number
A phone number to reach THIS person (the customer/owner), not your office.
Beneficial owner 2 — full name (incl. alias)
Leave this BO blank if not applicable.
Date of birth
As shown on the identification document.
Residential address
Full residential address of this person (not the agency).
Citizenship
Country of citizenship as shown on the identification document.
Type of identification document
Document type verified for beneficial owner 2.
Identification number
NRIC / FIN / passport number, matching the document type selected above.
ID expiry date (if any)
Expiry date of the passport or pass. Leave blank for an NRIC.
Occupation
This person’s occupation.
Contact number
A phone number to reach THIS person (the customer/owner), not your office.
Beneficial owner 3 — full name (incl. alias)
Leave this BO blank if not applicable.
Date of birth
As shown on the identification document.
Residential address
Full residential address of this person (not the agency).
Citizenship
Country of citizenship as shown on the identification document.
Type of identification document
Document type verified for beneficial owner 3.
Identification number
NRIC / FIN / passport number, matching the document type selected above.
ID expiry date (if any)
Expiry date of the passport or pass. Leave blank for an NRIC.
Occupation
This person’s occupation.
Contact number
A phone number to reach THIS person (the customer/owner), not your office.
Beneficial owner 4 — full name (incl. alias)
Leave this BO blank if not applicable.
Date of birth
As shown on the identification document.
Residential address
Full residential address of this person (not the agency).
Citizenship
Country of citizenship as shown on the identification document.
Type of identification document
Document type verified for beneficial owner 4.
Identification number
NRIC / FIN / passport number, matching the document type selected above.
ID expiry date (if any)
Expiry date of the passport or pass. Leave blank for an NRIC.
Occupation
This person’s occupation.
Contact number
A phone number to reach THIS person (the customer/owner), not your office.
Beneficial owner 5 — full name (incl. alias)
Leave this BO blank if not applicable.
Date of birth
As shown on the identification document.
Residential address
Full residential address of this person (not the agency).
Citizenship
Country of citizenship as shown on the identification document.
Type of identification document
Document type verified for beneficial owner 5.
Identification number
NRIC / FIN / passport number, matching the document type selected above.
ID expiry date (if any)
Expiry date of the passport or pass. Leave blank for an NRIC.
Occupation
This person’s occupation.
Contact number
A phone number to reach THIS person (the customer/owner), not your office.
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