Form C: Individuals with Executive Authority/Agents Where a person purports to act on behalf of a client, the professional firm shall identify and verify the identity of the person and shall verify that the person is so authorised by completing this form. Identification FOR AGENTS WHO ARE INDIVIDUALS ONLY Full legal name(s), Unique both official and any identification aliases: number: Contact number(s): Occupation: Nationality: Date of birth: Residential street address: Address of principal place of business (if different from above): FOR AGENTS WHO ARE LEGAL PERSONS Full legal name of Incorporation registration: number or registration number: Contact number(s): Place of incorporation or registration: Date of incorporation or registration: Registered address: Address of principal place of business (if different from above): *If the agent is a PEP, Form D must be completed in addition to this form.
Form C: Individuals with Executive Authority/Agents Where a person purports to act on behalf of a client, the professional firm shall identify and verify the identity of the person and shall verify that the person is so authorised by completing this form. Identification FOR AGENTS WHO ARE INDIVIDUALS ONLY Full legal name(s), both official and any aliases: Unique identification number: Contact number(s): Occupation: Nationality: Date of birth: Residential street address: Address of principal place of business (if different from above): FOR AGENTS WHO ARE LEGAL PERSONS Full legal name of registration: Incorporation number or registration number: Contact number(s): Place of incorporation or registration: Date of incorporation or registration: Registered address: Address of principal place of business (if different from above): *If the agent is a PEP, Form D must be completed in addition to this form.
ep-200-ig-2-cdd-templates-extract.docx