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KYC FoRm foR companiEs

KYC/Account Application Form – Companies


This Account Application Form must be completed by the potential customer (“Customer”, “you” or “your”) in English and
submitted to Malca-Amit Far East Limited (“Malca-Amit”, “we” or “our”). The required information is requested:
• to assist Malca-Amit to comply with its obligations under applicable laws to which we are subject, including but not
limited to anti-money laundering, counterterrorism financing, customs, transportation safety and security laws and
regulations;
• to facilitate the set-up and ongoing maintenance of Customer’s account with Malca-Amit; and
• to provide our services to fulfil our contract with the Customer.

Malca-Amit reserves the right to require additional information or clarification on information provided, and to reject
applications that are incomplete or unaccompanied by the required supporting documentation. Any agreement entered into
between Malca-Amit and Customer, or any obligation to provide any services thereunder, is conditioned upon the submission of
an Account Application Form which has been completed to the satisfaction of Malca-Amit, and to Malca-Amit’s approval of the
Customer at its sole discretion. Malca-Amit is under no obligation to provide reasons for the rejection of a Customer.

Part I: Customer Information

Company Name

Publicly Listed Company Sole Proprietorship Limited Company


Entity Type
Trust Protected Cell Company Other (please specify):
Date of Incorporation State/Country of Incorporation

Registered Address

Business Phone No. Business Email

Nature of business
Other countries in which
business is transacted

Part II: Key Persons

Primary Contact Person

Name Position Nationality(ies)

Shareholders – Please continue on a separate page if necessary

Shareholder’s Name Ownership % Nationality(ies)

DECEMBER 2020
Principal Officers – e.g Directors; CEO; CFO; etc. Malca-Amit reserves the right to request passport copies of principal officers

Officer’s Name Role Nationality(ies)

Part III: Politically Exposed Persons2


If any of the Company’s directors, partners or officers is a Politically Exposed Person, please provide the following:
3. Source of wealth or funds of relevant Politically Exposed Person.
4. Bank statement of relevant Politically Exposed Person.

Part IV: Company Structure and Internal Compliance

Does your company have written Know Your Customer (KYC) procedures? Yes No

Does your company have written anti-money laundering (AML) procedures? Yes No

Part V: Supporting Documentation


Please attach all specified documents:
• Business Registration Certificate
• Certificate of Incorporation
• Memorandum and Articles of Association
• Certificate of Incumbency / Good Standing
• Company organization chart
• List/Register of Directors and Shareholders or Statutory filing documents (such as Annual Return) showing all the current
Directors and Shareholders
• Copy of valid passport for all Shareholders with a greater than 5% stake
• Copy of valid passport of Primary Contact Person

Part VI: Declaration


Customer, hereby irrevocably and unconditionally represents that the information provided in this form is true, accurate and
complete. Customer also agrees that if requested to do so by Malca-Amit, it will provide such further information and/or
documents as Malca-Amit may need to verify the above information. If the Customer does not agree to provide the said
information and/or documents, the Customer understands that Malca-Amit may not be able to provide the requested services.
Customer confirms that it has read and understood the Privacy Information Collection Statement (“PICS”) in Part VII below, and
consents to the collection, use and disclosure of personal data as described therein, including with respect to offshore transfer.
Customer further warrants that it has provided the necessary notifications (including the PICS) to and obtained the necessary
consents from the individuals whose personal data has been provided in this form, in accordance with applicable data
protection and privacy laws, such that Malca-Amit is not in breach of relevant laws in using such information as described
herein.

Signature of Customer:

Printed Name:
Title:
Date:

2
A Politically Exposed Person is an individual who is or has been entrusted with prominent public functions, for example heads of state or of government, senior
politicians, senior government, judicial or military officials, senior executives of state owned corporations, important political party officials.

DECEMBER 2020
Part VII: Privacy Information Collection Statement (PICS)
Malca-Amit Far East Limited (“Malca-Amit”, “we”, “our”) respects individuals’ right to privacy. We act as a “data user” within
the meaning of the Personal Data (Privacy) Ordinance (Cap. 486 of the Laws of Hong Kong) (“PDPO”), a “Controller” within the
meaning of the EU General Data Protection Regulation, and in the equivalent capacity as defined in other jurisdictions. Our
privacy statement outlines our policy and responsibilities on the collection, use or disclosure of personal data provided by the
Customer (“you”, “your”).
Purposes of collection and use:
We process the personal data provided by the Customer in this form and additional information collected from time to time in
relation to our services for the purpose of set-up and ongoing maintenance of Customer’s account with Malca-Amit, providing
our services to fulfil our contract with the Customer, and for fulfilling our legal obligations under applicable laws and regulations
to which we are subject, including but not limited to anti-money laundering and counterterrorism financing laws, customs,
transportation safety and security laws and regulations. We may also obtain data about the Customer and its key persons
identified above from other sources including but not limited to anti-fraud databases, sanctions lists, court judgements and
similar databases, identity checking providers, as well as publicly available information from the internet. Only with your
written consent, we may also use the contact details provided in this form for direct marketing purposes, as set out separately
below. Please note that it is mandatory for you to provide the personal data requested in this form. In the event that you do not
provide such personal data, we may not be able to provide you with our services.
Disclosure of personal data:
In order to fulfil the above purposes, Malca-Amit may share your personal data as described above with the following third
parties located in or outside Hong Kong:
• Other companies within the Malca-Amit International Network™ (see https://www.malca-amit.com/network.html for
details), our parent and group companies (“Network Agents”);
• Malca-Amit’s insurers and reinsurers;
• Third party shipping, storage, logistics and security services providers engaged from time to time to provide services on
Malca-Amit’s behalf;
• Identity checking providers; and
• Customs, legal and regulatory authorities on their request or otherwise in accordance with our legal obligations.
Offshore transfer:
In order to fulfil the above purposes, your personal data may be transferred to countries or territories where our Network
Agents are located (see details at the above link) which do not have data protection laws which are substantially similar to, or
serve the same purposes as the laws in your country, and may not provide the same standard of protection.
Individual rights:
Individuals whose data has been provided to us may be entitled to ask us to provide access to their information, to correct it,
erase or restrict its processing, or to ask us to transfer some of this information to them or to other organizations. Individuals
may also have rights to object to some processing activities, and, where we have asked for consent to process their data, to
withdraw this consent. These rights may be limited in some situations – for example, where we can demonstrate that we have a
legal requirement to process the data. In accordance with the terms of the PDPO, Malca-Amit reserves the right to charge a
reasonable fee for the processing of any data access request. To make a request to exercise these rights, please contact our
Privacy Officer at _______________________. For more information on Malca-Amit’s privacy practices you may consult our
privacy policy, available at https://www.malca-amit.com.

Part VIII: Direct Marketing


Keen to stay on top of the latest industry news and service innovations we have to offer? Only with your written consent,
Malca-Amit may use and may disclose to Network Agents (as defined above) the personal data provided in this form or from
time to time for the purposes of sending you direct marketing messages about secure logistics and storage products, services
and events offered by the Malca-Amit International Network™. We may not so use or disclose personal data for direct
marketing purposes unless we have received consent.

• I hereby consent to receive direct marketing messages as described above. I do not object to the use and disclosure to
Network Agents of the personal data provided in this form or from time to time for this purpose.

Consent to the use and disclosure of personal data for direct marketing purposes may be further communicated, amended or
withdrawn any time without charge by contacting __________________ with a copy to _____________________.

DECEMBER 2020

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