Open Account

Country of Incorporation

Trade License Issue Date

Trade License Expiry Date

Trade License Number

Trade License document Upload

Ejari / Tenancy Contract Expiry Date

External Financial Auditors Name

Ejari / Tenancy Contract document Upload

If it is listed, indicate the name of the stock exchange and the quotation board.

MOA(Memorandum of Association)

2. BUSINESS ACTIVITY

Does any of yours transaction happen with the latest sanctioned countries Yes/No If yes Mention please

Yes No

In which countries do you currently trade your precious metals? (5 Name to write)

3. BENEFICIARY OWNERS

Shareholders ( Tick) Individual / Company ( As per Trade License/ MOA)

Country of Incorporation/Nationality

Date of Incorporation/Date of Birth

Passport* With Emirates ID/Visa(Please merge Passport and Emirates ID/Visa in one PDF and upload)

4. FINANCIAL INFORMATION

4.1 Financial Statements Details

Currency (AED/USD)

Last Report Period

Provide a copy of the latest annual report (Attach) Not Mandatory

4.2 Other Financial Information

Financing source of operation

What usual payment method does the Company use to pay its suppliers?

No. of Employees in the Company

No. of Employees in the Group

6. PRECIOUS RESPONSIBLE METAL SUPPLY CHAIN POLICY

Has your company established a responsible gold supply chain for conflict affected and high-risk areas policy that is consistent with the standards set out in the model supply chain policy in Annex II of the OECD for Responsible Supply Chains of Conflicting Minerals - Affected and High Risk Areas?

Yes No

Provide a copy (Upload)

Does your company comply with or plan to comply with the OECD Due Diligence Guide for Responsible Mineral Supply Chains in Conflict-Affected and High-Risk Areas?

Yes No

7. POLITICALLY EXPOSED PERSON

Definition of “PEP”

Entrusted with prominent public functions, for example Heads of State or of government, a government minister, a senior public servant, a senior judicial or military official, a senior executive of a state-owned corporation, a member of the legislature, a senior official of a political party, or a member of the senior management of an international organization

Do any of your directors, shareholders or authorized personnel hold, have previously held or actively seeking a position or being considered for a prominent public position?

Yes No

If yes, Please provide details of the position below (title, department, country, etc)

Do any family member/close associate of your directors, shareholders or authorized personnel hold, have previously held or actively seeking a position or being considered for a prominent public position?

Yes No

If yes, Please provide details of the position below (title, department, country, etc)

8. ADDITIONAL DISCLOSURE

Have any of the directors, shareholders, or authorized personal been the subject of any proceedings of a disciplinary or criminal nature or have been notified of any potential proceedings or investigation, under any law in any jurisdiction?

Yes No

If yes, Please describe below

Have any directors, shareholders or authorized personal been authorized_personal_been_convicted for any offence or is being subject to any pending proceedings relating to money laundering or terrorist financing?

Yes No

If yes, Please describe below

* If the answer to the above is “Yes”, please provide supporting documents. Where appropriate, to provide all relevant particulars. Upload (Non mandatory)

(Upload the Latest Policy Approved by Compliance Head)

Is your company subject to the Money Laundering / Anti-Financial Terrorism Law / Regulation?

Yes No

Name of the AML-CTF Law / Regulation

Has your company established a compliance program that contains AML/CFT policies and procedures, in accordance with internal and international Laws, regulations and standards?

Yes No

(Upload the Latest Policy Approved by Compliance Head)

Does your company have a bribery policy?

Yes No

Has the company or Senior Management anywhere in the world ever been charged with violating applicable anti-bribery laws or regulations?

Yes No

11. Please download the below named draft of the letter and fill your details. Print in your letter head, signed and stamp and upload below in the respective location.

Authorisation Letter

OECD Compliance Letter

I/We hereby declare that the information provided above is true, correct and complete as on date of writing to best of my knowledge and that all documents submitted along with this application are genuine.
Further, I/We hereby undertake to automatically and immediately inform GHULLAM MAQSUD JEWELLERY LLC of any material changes in the information provided herein and agree that GHULLAM MAQSUD JEWELLERY LLC is neither responsible nor liable for any losses or activity performed on the basis of the information provided.
I/We also agree to provide any additional information or documentation that may be required from time to time by GHULLAM MAQSUD JEWELLERY LLC or its authorized agents or representatives.

Authorized Signatory

DUE DILIGENCE REQUIREMENTS

COMPANY KYC FORM

1. COMPANY DETAILS

2. BUSINESS ACTIVITY

3. BENEFICIARY OWNERS

4. FINANCIAL INFORMATION

5. HUMAN RESOURCES

6. PRECIOUS RESPONSIBLE METAL SUPPLY CHAIN POLICY

7. POLITICALLY EXPOSED PERSON

8. ADDITIONAL DISCLOSURE

9. AML/CFT

10. BRIBERY POLICY

11. Please download the below named draft of the letter and fill your details. Print in your letter head, signed and stamp and upload below in the respective location.

12. DECLARATION

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WHAT ARE YOU LOOKING FOR?

Open Account

COMPANY KYC FORM

1. COMPANY DETAILS

2. BUSINESS ACTIVITY

3. BENEFICIARY OWNERS

4. FINANCIAL INFORMATION

5. HUMAN RESOURCES

6. PRECIOUS RESPONSIBLE METAL SUPPLY CHAIN POLICY

7. POLITICALLY EXPOSED PERSON

8. ADDITIONAL DISCLOSURE

9. AML/CFT

10. BRIBERY POLICY

11. Please download the below named draft of the letter and fill your details. Print in your letter head, signed and stamp and upload below in the respective location.

12. DECLARATION