Private & Confidential

STANDARD KYC QUESTIONNARIE

Rev. 07 October 2019
CORPORATE INFORMATION OF REGISRATION
1 of 3

1.0 CORPORATE INFORMATION

Legal Name Registration No:

Trading Name Tax Identification No:

(if different from Company name)

Country of Registration Date of Registration

Industry Sector/Business Type of Company

Interest (public, private, partnership,
LLC, LP etc)

Company Website E-mail

Registered Address

Correspondence Address

Description of Services to
be provided

2.0 CONTACT INFORMATION

Primary Contact Person

Position Mobile Phone No:

E-mail Address

Operations Contact

E-mail Address & Telephone

Trading Contact

E-mail Address & Telephone

3.0 DIRECTORS & PROPRIETORS INFORMATION

3.1 DETAILS OF DIRECTORS/PROPRIETORS (attach additional sheet for if space is not sufficient)

Name Nationality Country of Residence Shareholding

(%)

Document Classification: Private and Confidential Hyde Energy KYC Questionnaire

 Private & Confidential
STANDARD KYC QUESTIONNARIE
Rev. 07 October 2019
CORPORATE INFORMATION OF REGISRATION
2 of 3

4.0 TRADE EXPERIENCE & REFERENCES

S/N NAME SERVICE PROVIDED CONTACT PERSON

5.0 FINANCIAL INFORMATION

Last year’s Turnover Company’s Bankers

Debentures/Lien/Charges/Liabilities Contact Person

Balance Sheet (Net Assets) Position

Number of Employees Bankers’ Address

6.0 LICENSES & PERMITS FOR OPERATION

1. Please state all the licenses and permits you have for carrying out business including expiry dates.
2. A copy of all permits or license of permit listed should be provided. Kindly note that this would be verified.

Document Classification: Private and Confidential Hyde Energy KYC Questionnaire

 Private & Confidential
STANDARD KYC QUESTIONNARIE
Rev. 07 October 2019
CORPORATE INFORMATION OF REGISRATION
3 of 3

7.0 DOCUMENTS CHECKLIST (tick as appropriate)

Certificate of Incorporation Shareholding Structure Chart Trade Reference Letter
(notarized/certified)

Company’s Last Years’ Audited Financial Statements Bank Reference Letter

Constitution/Memorandum &
Articles of Understanding

ID’s of Directors Company Profile Extract of Company’s record at the

(International Passport, Driver’s License, CAC
National or ID Card)

8.0 ATTESTATION

I believe the information provided in this questionnaire to be correct and complete. In the event that Hyde Energy does
business with the Company, the Company will inform Hyde Energy of any material changes to the information supplied in
this questionnaire.

Full Name

Position

Signature

Date

Document Classification: Private and Confidential Hyde Energy KYC Questionnaire