In all cases the beneficial owner (see client due diligence guidance) must be identified. Client Information Full legal name of client Registration number/code Date of formation/creation Year end Type Private company Listed company Subsidiary of listed company LLP Partnership Estate of a deceased individual Pension Scheme Charity UK/Irish Accountant or Lawyer Trust Sole trader Other (specify) Regulated by Charities Commission Charities Commission (EU equivalent) Financial Conduct Authority (FCA) Financial Conduct Authority (FCA) (EU equivalent) Pensions Regulator Pensions Regulator (EU equivalent) Prudential Regulation Authority (PRA) Prudential Regulation Authority (PRA) (EU equivalent) Solicitors Regulation Authority (SRA) Solicitors Regulation Authority (SRA) (EU equivalent) Contact Information Current registered address Postcode Other address Postcode Telephone number Website address Other contact information Main contact at client name Telephone number Email address If the client acting for another person (e.g. broker, attorney, insolvency practitioner) complete the section and obtain the relevant documentation Reason for relationship Title Mr Mrs Miss Ms Dr Other (specify) Full legal name of client Date of birth Gender M F Current residential address Postcode Telephone number Mobile number
In all cases the beneficial owner (see client due diligence guidance) must be identified. Client Information Full legal name of client Registration number/code Date of formation/creation Year end Type Private company Listed company Subsidiary of listed company LLP Partnership Estate of a deceased individual Pension Scheme Charity UK/Irish Accountant or Lawyer Trust Sole trader Other (specify) Regulated by Charities Commission Charities Commission (EU equivalent) Financial Conduct Authority (FCA) Financial Conduct Authority (FCA) (EU equivalent) Pensions Regulator Pensions Regulator (EU equivalent) Prudential Regulation Authority (PRA) Prudential Regulation Authority (PRA) (EU equivalent) Solicitors Regulation Authority (SRA) Solicitors Regulation Authority (SRA) (EU equivalent) Contact Information Current registered address Postcode Other address Postcode Telephone number Website address Other contact information Main contact at client name Telephone number Email address If the client acting for another person (e.g. broker, attorney, insolvency practitioner) complete the section and obtain the relevant documentation Reason for relationship Title Mr Mrs Miss Ms Dr Other (specify) Full legal name of client Date of birth Gender M F Current residential address Postcode Telephone number Mobile number
Client-Due-Diligence-Overview-Form-Entity-v4.docx