Product Questionnaire

Passport Number

 

Place of Birth

 

Occupation

 

Marital Status

 

Residential
address of applicant
First
line of address

 

Second
line of address

 

City

 

Postcode

 

Country

 

Company Details
Proposed
company name 1

 

Proposed
company name 2

 

Proposed
company name 3

 

Type of
business activity

 

Funding

To comply with our statutory duties to prevent money laundering, we must know how the Company will be funded.

Expected Turnover

Estimated value of transfer for the Company’s bank account per month (please also indicate the currency)

 

The expected average value of each bank transfer (please also indicate the currency)

 

DIRECTORS, SHAREHOLDERS AND BENEFICIAL OWNERS

 
Details of 1st Director 

First Name

 

Middle Name

 

Surname

 

First
line of address

 

Second
line of address

 

City

 

Postcode

 

Country

 

Nationality

 

Passport Number

 

Place of Birth

 

Occupation

 

Marital Status

 

Details of 2nd Director (if applicable)

First Name

 

Middle Name

 

Surname

 

First
line of address

 

Second
line of address

 

City

 

Postcode

 

Country

 

Nationality

 

Passport Number

 

Place of Birth

 

Occupation

 

Marital
status

 

Individual 1st shareholder information

First Name

 

Middle Name

 

Surname

 

First
line of address

 

Second
line of address

 

City

 

Postcode

 

Country

 

Share
capital amount

 

Shareholding
(%)

 

Nationality

 

Passport Number

 

Place of Birth

 

Occupation

 

Marital Status

 

Individual 2nd shareholder information (if applicable)

First Name

 

Middle Name

 

Surname

 

First
line of address

 

Second
line of address

 

City

 

Postcode

 

Country

 

Share
capital amount

 

Shareholding
(%)

 

Nationality

 

Passport Number

 

Place of Birth

 

Occupation

 

Marital Status

 

Corporate shareholder information (if applicable)
The legal form of the entity (LLP, LTD, LP etc)

 

The governing law of the entity (Companies Act 2006, LLP Act 2012, etc)

 

Company Name

 

The country and state where the entity is registered

 

The registration number of the entity

 

Registered Address of the Company:
First
line of address

 

Second
line of address

 

City

 

Postcode

 

Country

 

Who is the ultimate beneficial owner?

NAME OF THE 1st INDIVIDUAL SHAREHOLDER

 

NAME OF THE 2nd INDIVIDUAL SHAREHOLDER

 

NAME OF THE CORPORATE SHAREHOLDER

 

Does the Ultimate Beneficial Owner...? 

Directly or indirectly own more than 25% of the shares in the company?

 

Directly or indirectly hold more than 25% of the voting rights in the company?

 

Directly or indirectly have the power to appoint or remove the majority of the board of directors of the company?

 

Otherwise have the right to exercise or actually exercises significant influence or control over the company?

 

Have the right to exercise or actually exercises significant influence or control over a trust or firm that is not a legal entity, which in turn satisfies any of the first four conditions over the company?

 

"PROOF OF ID AND ADDRESS All formation agents (that's us and our competitors) have a legal obligation to check Proof of ID and Proof of Address documents. This is to ensure we comply with Anti-Money Laundering (AML) regulations and 'Know Your Customer' (KYC) requirements. 

We can only start working on your new company once all ID has been verified.

Check what documents we accept and who can certify them. A copy of your documents will need to be CERTIFIED by a registered professional, i.e. an accountancy firm, solicitor, bank, doctor, post office or local town hall."

Upload Proof of ID

 

Upload Proof of Residential Address

 

ADDITIONAL INFORMATION

Please provide any additional information (if applicable)

 

CONFIRMATION

Have any of the individuals listed above ever been charged and/or convicted of any criminal offence other than motoring offences? 

 

Please specify

 

International regulations regarding money-laundering and drug trafficking are very strictly monitored. We take these responsibilities very seriously. We are required to operate due diligence with our clients in order to satisfy ourselves after true identity and the nature of the proposed business. We undertake this with the utmost professionalism and discretion. Our policy is to ensure that our clients receive the highest level of confidentiality whilst ensuring that international legislation is adhered to.

As part of our diligence process we may perform personal electronic checks on the beneficial owners and directors. These checks will not affect the individuals credit histories.

You should also be aware that banks and our international partners and office providers as well as other associated services carry out their own due diligence responsibilities. We cannot therefore be held responsible for any losses or costs sustained as a result of none provision of due diligence or provision of due diligence.

You consent to act as a Director for this Company and to grant us authorisation to use the data specifically for carrying out instruction to establish a company on your behalf, assist with the bank introduction and other services (if applicable) that you may require and that you understand that your data may be used in accordance with our privacy policy data (a copy can be found on our website)

 

You have read our Terms and Conditions (these can be found on our website)

 

Full Name

 

Number of employees

 

Country
of registration

 

VAT
number

 

Any
other? Please advise

 

Are you looking to obtain: (can select more than one but at least one)

 

Funding

Equity
Investment

Government Grant

 

Trademark Details

Owner’s details and full address (Trademark)

 

Type of trademark filed

 

List of goods and services

 

Product Details

What is your company background

 

What is your industry?

 

What is your Unique Selling Proposition?

 

Describe your ideal customer? (Consider demographics, geography, interests etc)

 

Do you have any current branding files that you would like to share with us such as logos

 

Please provide the names of the pages that you require

 

Please provide a link to any three sites that you would like us to use for inspiration

 

Please provide us with links to your main competitors. (Please provide URLs, if possible.)

 

Do you have any preferred colour scheme?

 

Please provide us with content that you would like us to place on the site.

 

If e-commerce platform, please provide a list of all products in excel with prices

 

Is there anything else you'd like to share with us?

 

Do you have a domain name?

 

Preferred
City

 

Preferred Country

 

Contact Information