Form: DDBVI - P2
Due Diligence Verification of Identity Form for Individual Clients
The information below is required to comply with the Anti-Money Laundering Laws of the relevant jurisdiction, and to eliminate the risk that the legal operation of your company is affected in the future.
Name of Company:
Nature of Business: / IT / Import/Export / Commercial Shipping
Investments / Trading & Manufacturing
Others (please specify):
Source of Funds: / Personal Assets of Beneficial Owner / Public Listings / Borrowings/Loans
Others (please specify):
Beneficial Owner / Applicant for Business
(a) / Full Name:
(b) / Business address:
(c) / Permanent Residential Address:
(d) / Telephone:
(e) / Fax:
(f) / Email:
(g) / Nationality:
(h) / Occupation:
Please attach: / (1) a certified copy* of Current Passport or Identity Card;
and / (2)One of the following:
-Residential address proof (e.g. original or certified copy* of utility bill / bank statement); or
- Reference from bank or qualified professional (see attached sample wording)
*Copy may be certified by Lawyer/CPA/Bank in the attached format
I / We confirm that the above information is true and accurate, and you are authorised to supply any or all of such information for due diligence purposes to the Regulators if so requested by them. We also undertake to notify you of any future changes to the above information.
Client Signature: / PrintName:
Date:
Please return this form and attachments to:
Compliance Department
OIL Hong Kong
12th Floor, Ruttonjee House, 11 Duddell Street, Central, Hong Kong
The information in this document is of a general nature only. OIL has made every effort to ensure the information is correct and up-to-date and does not accept any responsibility for any errors or omission. OIL strongly recommends that applicable professional advice be taken prior to purchasing a company or establishing any corporate structure.
Copyright November 2012/ 1 of 3A Vistra Group Company
REFERENCE LETTER SAMPLE
TO BE PROVIDED ON REFEROR’S LETTERHEAD
______
<Date>
TO: OIL Hong Kong
12th Floor, Ruttonjee House
11 Duddell Street
Central
Hong Kong
Re: <Name>
residing at <Permanent Address>
I/We write to advise you that we are familiar with the principal and his business operations, and we consider<Name> to be of good standing.
I/We have known <Name> for a period of ______years.
We trust that the above recommendation is sufficient for your purposes.
Yours faithfully,
For and on behalf of
<Name of Bank/CPA Firm/Law Firm>
______
(*please print signer’s name and position)
Notes: If the reference letter does not include permanent address details, proof of address, such as a utility bill must be provided separately.
TO BE PRINTED ON CERTIFIER’S LETTERHEAD
______
TO:Compliance Team
OIL Hong Kong
12thFloor, Ruttonjee House
11 Duddell Street
Central, Hong Kong
DUE DILIGENCE: CERTIFICATION OF CLIENT’S IDENTITY
I / We provide the following documents for your records:
Certified copy of passport or identity card bearing a photograph of the applicant and beneficial owner AND
Certified copy of utility bill or bank statement for proof of residential address
I / We confirm that the above documents are properly certified and
(i)I / We have seen and compared the original document verifying the identity and residential address of the applicant for business or customer;
(ii)the copy of the document is a complete and accurate copy of the original;
(iii)where the document contains a photograph of the applicant for business or customer, the photograph bears a true likeness to the individual to whom this certification relates;
(iv)I / We am/are independent of the individual, trust or legal person for which this certification is being provided and
(v)I / We am / are subject to professional rules of conduct or statutory compliance measures breach of which is subject to the application of penalties.
Name of Certifier / Professional QualificationSignature / Date / Name of Professional Organisation
Contact Details (if not already show on the letterhead)
Address:
Tel:
1 of 3