Beneficial Ownership Questionnaire

Diagram upload*

Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB.

Before you start, draw a clear diagram of the structure from the company all the way up to the ultimate natural persons or trusts that are shareholders. Include names and percentage shareholding in every case. If a company is named as a beneficiary of a trust in the structure, then it and its shareholders must be included in the diagram. Save the diagram as a jpg, gif, png or pdf and upload it by choosing the file above.

ID uploads*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB.

Next, upload to the above box, clear uncertified copies of ID documents (both sides if a card), or passports if there's no ID, of ALL natural person shareholders, founders of trusts, trustees and beneficiaries whose names appear on the trust deed, as well as the shareholders of any company that is named as a beneficiary of the trust. No need to upload Derek's.

Additional ID uploads

Drop files here or

Max. file size: 32 MB.

If you exceeded to permitted number of uploads, then upload any additional ID documents to the box above or proceed to the next question.

Company name*

Registration number*

How many ultimate shareholders are there?*

An ultimate share holder is a natural person who holds shares in the company or its holding compan(ies) or a founder, a trustee or a person whose name appears in the trust deed as a beneficiary of the trust. Do not count the same person twice, and do not count a class of people, like "the children of" or "the relations of". If a company is named as a beneficiary of a trust, then its shareholders will also be Beneficial Owners.

Person 1 Name*

Person 1 Demographic*

Date on which person 1 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 1 physical address*

Person 1 Postal address*

Person 1 email address

Person 1 Cell phone number

Person 2 Name*

Person 2 Demographic*

Date on which person 2 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 2 physical address*

Person 2 Postal address*

Person 2 email address

Person 2 Cell phone number

Person 3 Name*

Person 3 Demographic*

Date on which person 3 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 3 physical address*

Person 3 Postal address*

Person 3 email address

Person 3 Cell phone number

Person 4 Name*

Person 4 Demographic*

Date on which person 4 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 4 physical address*

Person 4 Postal address*

Person 4 email address

Person 4 Cell phone number

Person 5 Name*

Person 5 Demographic*

Date on which person 5 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 5 physical address*

Person 5 Postal address*

Person 5 email address

Person 5 Cell phone number

Person 6 Name*

Person 6 Demographic*

Date on which person 6 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 6 Physical address*

Person 6 Postal address*

Person 6 email address

Person 6 Cell phone number

Person 7 Name*

Person 7 Demographic*

Date on which person 7 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 7 Physical address*

Person 7 Postal address*

Person 7 email address

Person 7 Cell phone number

Person 8 Name*

Person 8 Demographic*

Date on which person 8 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 8 Physical address*

Person 8 Postal address*

Person 8 email address

Person 8 Cell phone number

Person 9 Name*

Person 9 Demographic*

Date on which person 9 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 9 Physical address*

Person 9 Postal address*

Person 9 email address

Person 9 Cell phone number

Person 10 Name*

Person 10 Demographic*

Date on which person 10 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 10 Physical address*

Person 10 Postal address*

Person 10 email address

Person 10 Cell phone number

Person 11 Name*

Person 11 Demographic*

Date on which person 11 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 11 Physical address*

Person 11 Postal address*

Person 11 email address

Person 11 Cell phone number

Person 12 Name*

Person 12 Demographic*

Date on which person 12 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 12 Physical address*

Person 12 Postal address*

Person 12 email address

Person 12 Cell phone number

Person 13 Name*

Person 13 Demographic*

Date on which person 13 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 13 Physical address*

Person 13 Postal address*

Person 13 email address

Person 13 Cell phone number

Person 14 Name*

Person 14 Demographic*

Date on which person 14 became a Beneficial Shareholder in the company*

In a complex structure, this could be when the Trust or Holding company acquired the shares in the company if the person was already a trustee or shareholder of the holding company, or when the person became a trustee or shareholder of the holding company if it already held the shares in the company.

Person 14 Physical address*

Person 14 Postal address*

Person 14 email address

Person 14 Cell phone number

Name

This field is for validation purposes and should be left unchanged.

Beneficial Ownership Questionnaire - Companies

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