IQuote Form
IQuote Form
IQuote Limited
Counterparty Details
Entity
Full legal name:
Registered office:
Business address:
Name of authorised representative of the counterparty, e.g. the person authorised to engage with Nera,
if not a director/partner:
Names of ultimate beneficial owners incl. ultimate percentage ownership (where exceeds 25% or means
of control (see below):
Email address:
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
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
• 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.
• Ownership may be through shares, voting rights or any other ownership interest
where the persons interest exceeds 25% of the entity