kyc form - synergia.com.pk

ID NO./CR NO./REGISTRATION NO.

Enter the correct number double-check digits.

PURPOSE AND NATURE OF TRANSACTION TO BE UNDERTAKEN

NATIONALITY

OCCUPATION OR PROFESSION

NAME OF ESTABLISHMENT OR EMPLOYER

LOCATION OF ACTIVITY

DATE OF BIRTH / INCORPORATION

WHAT IS THE PRINCIPAL BUSINESS/ACTIVITY OF THE CUSTOMER?

NAME OF BENEFICIAL OWNER

ID NO./CR NO./REGISTRATION NO.

DOMICILE COUNTRY

NATIONALITY

REGULATORY STATUS

Independent RegulatorNon-Independent RegulatorUnregulated

CONTACT PERSON

TEL & FAX

E-MAIL *

WEBSITE

COMPLIANCE OFFICER IF ANY

ID CARD / PASSPORT / DRIVING LICENSE DL

PROOF OF DOMICILE / RESIDENTIAL ADDRESS

COMPANY REGISTRATION / CERTIFICATE OF REGISTRATION

LIST & PASSPORT COPIES OF AUTHORISED SIGNATORIES

TRUST/PARTNERSHIP DEED IF APPLICABLE

ANY OTHER SUPPORTING DOCUMENTS

Certified copies of documents clearly signed, stamped and dated by any of the following:

The date of signatory should not be older than 3 months. Copies of certified copies are not acceptable.

Any document to show the residential address, like a utility bill, tenancy agreement, etc.

KNOW YOUR CUSTOMER (KYC) FORM