“A QUESTION ASKED IS A

PROBLEM HALVED.”

BUSINESS TO
BUSINESS KYC
ACCOUNT
OPENING FORM

 
MARK ONE:
PUBLICLY LISTED CO. PRIVATE CO. PARTNERSHIP SOLE TRADER TRUST

DESCRIPTION ADD WRITTEN INFORMATION

OWNERSHIP DETAILS
(NOTE: IF THE COMPANY IS A PRIVATE COMPANY,
PARTNERSHIP OR TRUST, MUST PROVIDE NAMES OF
OWNERS, PARTNERS, TRUSTEES AND BENEFICIARIES)

FULL NAME OF ENTITY

REGISTERED ADDRESS

PRINCIPAL PLACE OF BUSINESS

(IF DIFFERENT FROM REGISTERED ADDRESS)

COMPANY WEBSITE ADDRESS

NAMES AND CONTACT DETAILS OF AUTHORISED

PERSONS | DIRECTORS

DESCRIPTION OF APPLICANTS BUSINESS

COMPANY REGISTRATION NUMBER

TAX REGISTRATION NUMBER

REGULATORY AUTHORITY
(NAME OF LOCAL REGULATOR E.G. UK FINANCIAL
CONDUCT AUTHORITY) IF APPLICABLE

SHAREHOLDER NAMES IF HOLD 25% OR MORE

SHARES

ATTESTATION:
I hereby swear or affirm that the information set forth above and any other
documentation provided to Brink’s for the purpose of establishing an account with
Brink’s is true, accurate and complete.
_____________________________ ________________________
NAME (PRINT) DATE

_____________________________
SIGNATURE
FOR INTERNAL USE ONLY:

DOCUMENTATION & DUE DILLIGENCE YES/NO IF NO, PROVIDE EXPLANATION

CERTIFICATE OF INCORPORATION ---Y | N

MEMBERSHIP OF INDUSTRY OR TRADE

ASSOCIATIONS
---Y | N

LICENCES TO OPERATE
(E.G. IMPORT | EXPORT LICENCES, TRADE ---Y | N
LICENCES)

CUSTOMER’S KYC / AML POLICY ---Y | N

CUSTOMER’S RESPONSIBLE GOLD / ---Y | N

RESPONSIBLE JEWELLERY POLICY

CREDIT CHECK REQUIRED? ---Y | N

(COUNTRY CFO OR FINANCE MANAGER)

CLEAN BRIDGER CHECK ---Y | N