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IQuote Form

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0% found this document useful (0 votes)
17 views3 pages

IQuote Form

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Standard AML Requirements

IQuote Limited
Counterparty Details

Entity
Full legal name:

Registered number: Country:

Registered office:

Business address:

Names of all directors or partners:

Name of authorised representative of the counterparty, e.g. the person authorised to engage with Nera,
if not a director/partner:

List of shareholders (or partners) as per the shareholder register:

Ownership structure up to the ultimate beneficial owners:

Names of ultimate beneficial owners incl. ultimate percentage ownership (where exceeds 25% or means
of control (see below):

Registration certificate and constitution/partnership agreement:

Business activity of counterparty and any regulatory authorisations held:

Details of source of funds:


Individual

Full legal name:

Contact number: Country:

Email address:

Residential address: Tax residency:

Details of source of funds:

Investment Details

Bond series: A) 2 year fixed term at 11.5% per annum C) 3 year fixed term at 13.5% per annum
with quarterly interest payments with quarterly interest payments

B) 2 year fixed term at 12% per annum D) 3 year fixed term at 14% per annum
with annual interest payments with annual interest payments

Amount: Currency: Location of funds (Country Name):

Source of funds / wealth:

Location of funds (Bank name and Bank Address):

Individual Details

In respect of: (i) the authorised representative (who may be a director/partner), and (ii) one other director/
partner, and (iii) the individual investor, the following personal information which should comprise one
piece of acceptable photographic ID and one item of non-photographic ID.

Photographic ID

• Current valid passport


• Current valid driving licence
• Current valid national identity card
Non-Photographic IDs
Official documents that are less than 3 months old, clearly stating the persons name and address
such as:

• Tax statement
• Government social welfare department
• Statement of account from a credit, insurance or similar financial institution
• Utility bills

IQuote may need to request further information or clarification on any of the above - including
identification documents in respect of any ultimate beneficial owners.

Ultimate beneficial owner

Any natural person(s) who ultimately owns or controls a legal entity:

• Ownership may be through shares, voting rights or any other ownership interest
where the persons interest exceeds 25% of the entity

• Control through other means includes: a shareholders’ agreement, the exercise of


dominant influence or the power to appoint senior management.

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