This document is a Client / Customer declaration to a financial institution on the ultimate beneficiary / beneficial owner of the account for the purpose of Know Your Client ('KYC') / Anti Money Laundering regulations. This document can be made for the purpose of conducting customer / client due diligence.
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The document titled 'Client Declaration to Financial Institution' is a declaration form that clients need to fill out and submit to a financial institution. This document is of utmost importance as it serves as a legal declaration by the client, providing accurate and truthful information about their account, identity, and ultimate beneficiaries.
The entire document consists of two sections: (a) Identity of the person(s) or entity ultimately responsible for originating instructions in relation to transactions to be conducted through the account, and (b) Identity of the ultimate beneficiary(ies).
In section (a), the client is required to provide their personal or company information. This includes their name, identification number or passport number, occupation or business, address, and telephone number. If the account is held by an entity, additional information such as the name of the entity, business registration number, certificate of incorporation number, place of incorporation, office telephone number, office fax number, registered/business office, name of manager, manager's identification/passport number, address, telephone number, and facsimile number are also required.
In section (b), the client needs to provide the identity of the ultimate beneficiary(ies). This includes the name of the person(s) or entity who stands to gain the commercial or economic benefit and/or bear the commercial or economic risk of transactions in the account. The required information is similar to section (a) and should be provided accordingly.
It is important for the client to fill out this declaration form accurately and truthfully. The financial institution relies on this information to fulfill its obligations. Any changes in the information provided in sections (a) and (b) should be promptly communicated to the financial institution in writing.
Please note that copies of the relevant identification documents should be retained for verification purposes. Any inappropriate information should be deleted from the form.
Guidance for using the 'Client Declaration to Financial Institution' document:
1. Provide information: Fill out the form with accurate and truthful information. Enter your personal or company details in section (a) and the ultimate beneficiary(ies) details in section (b).
2. Complete all required fields: Make sure to fill out all the necessary fields in both sections of the form. Provide your full name, identification number or passport number, occupation or business, address, and telephone number. If applicable, provide additional information such as the name of the entity, business registration number, certificate of incorporation number, place of incorporation, office telephone number, office fax number, registered/business office, name of manager, manager's identification/passport number, address, telephone number, and facsimile number.
3. Review and verify: Double-check all the information provided in the form for accuracy. Ensure that there are no errors or omissions.
4. Sign and date: Sign the form with your signature(s) and print your name. Indicate the date of signing.
5. Retain copies of identification documents: Make copies of the relevant identification documents mentioned in the form and keep them for verification purposes.
6. Notify in case of changes: If there are any changes in the information provided in sections (a) and (b) of the form, notify the financial institution in writing.
Please follow these steps carefully to ensure the proper completion and submission of the 'Client Declaration to Financial Institution' document.