KYC Form

We need you to complete this form with information about you and your company in order to comply with Anti-Money Laundering regulations.

Thank you for taking the time to complete this form.

Please, keep in mind that you'll need the details for at least two of the Company's Directors in order to complete it (Residential Address, National Insurance Number, Date of Birth).

A few basic details about your business:

Company Registered Name*

Company Trading Name

Company Number*

Date of Incorporation*

Registered Address*

Phone Number*

Principal Trading Address

Nature of activities*

Who oversees the day-to-day operations of the business?*

These next questions help us understand the scale of your business' transactions:

Legal Structure of the business?*
Limited Company (LTD)Limited Partnership (LLP)Sole TraderPartnership

Expected Annual Income/Turnover For The Next 12 Months*
Pre-Revenue<£1m£1m to £10m>£10m

Key Source(s) of Income and Capital*
Operational Cash FlowDebtEquity Financing

Typical Revenue Transaction For The Next 12 Months*
<£100£100 to £1,000>£1,000

Expected Profit For The Next 12 Months*
Loss-Making<£1m£1m to £10m>£10m

We also need the details of your company's Beneficial Owners

Beneficial Owners include anyone who owns or controls (directly or indirectly) more than 25% of the shares or voting rights of the company, or who otherwise exercises control over the management of the company.

If one of your Beneficial Owners is a corporate entity or if you have more than 4 Beneficial Owners we may contact you for further information.

How Many Beneficial Owners Does The Company Have?*

Are Any Of Your Beneficial Owners A Corporate Entity*

We will need to contact you to get additional information on your Beneficial Owners.

Are Any Of Your Beneficial Owners Also A Director?*

Please provide the following information on each your beneficial owners.

Beneficial Owner #1

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Please add below any other relevant details on the beneficial owners (individuals or corporate entities) of your Company

Beneficial Owner #1

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Beneficial Owner #2

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Please add below any other relevant details on the beneficial owners (individuals or corporate entities) of your Company

Beneficial Owner #1

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Beneficial Owner #2

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Beneficial Owner #3

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Please add below any other relevant details on the beneficial owners (individuals or corporate entities) of your Company

Beneficial Owner #1

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Beneficial Owner #2

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Beneficial Owner #3

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Beneficial Owner #4

Title*

Full Name*

Date of Birth*

National Insurance Number*

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

Driving Licence Number

Please add below any other relevant details on the beneficial owners (individuals or corporate entities) of your Company

Please provide the following info about one of your company's Directors.

Title*

Full Name*

Date of Birth*

National Insurance Number*

Driving Licence Number

Residential Address(es) for the last 3 years (where possible, specify the move-in date)*

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