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PREMIA TNC (MIDDLE EAST) – Company Information Sheet

(DU) Company Information Sheet

Company Information
Authorized Signatory & Signing Arrangement
Business Information
Management related

The information below is required to comply with the Anti-Money Laundering and Counter-Terrorist Financing Requirements and to eliminate the risk that the legal operation of your company will be affected in the future.

Kindly take some time to complete the questionnaire below, preferably by the active director, shareholder, or signatory. This information will give the bank a better understanding of the background of your company. Kindly ensure that the provided information is/are true and accurate.

1. Company Name

2. Business Address

3. Correspondence Address

4. Office Tel No.

1. Business Information

1.1 Please specify

2. Nature of Products/Service

3. If it is an investment holding company, what kind of assets/ investments will it hold?

Annual Business Turnover

(If investment holdings, Pls specify Investment amount)

4. Currency

5. Amount

6. What is the initial source of the funds to be transferred into the account?

6.1 Please specify

7. Amount of deposit that is planned to be put in the account

7.1 Currency

7.2 Amount (per annual)

8. Number of Employees

1. Country/Location	2. No. of Employee

9. Name & Countries of suppliers that the company will be dealing with or equivalent (at least 3)

1. Name	2. Country	3. Website

10. Name & Countries of customers that the company will be dealing with or equivalent (at least 3)

1. Name	2. Country	3. Website

11. Source of ongoing incoming funds to this account (e.g., counties of incoming funds)

11.1 Please specify

12. Destination of outgoing funds (e.g., countries where funds are going to)

12.1 Please specify

13. Purpose of outgoing transactions

13.1 Please specify

14. Estimated Transaction Amount (Average)

(Please choose the average amount per any transaction that you estimate for this HK company.)

14.1 Inward Remittance / per month

14.2 Please specify

14.3 Outward Remittance / per month

14.4 Please specify

15. Estimated Transaction Frequency (Average)

(Please choose the average frequency per any transaction that you estimate for this HK company.)

15.1 Inward Remittance/ per month

15.2 Outward Remittance / per month

Management related

1. Background of

2. Name

3. Nationality

4. Residential Address

5. Date of Birth (DD-MM-YYYY)

6. Date moved to Residential Address (DD-MM-YYYY)

7. Areas of experience

8. Year of experience in current field

9. Source of Wealth

9.1. Please specify

10. State the country(ies) attained their initial Source of Wealth

10.1 Please specify

11. Language

11.1 Please specify

12. Are there other businesses owned by this person?

12.1 Company name

12.2 Jurisdiction

12.3 Year of Incorporation

1. Are any of your beneficial owners, directors, authorized signatories, or any natural persons having executive authority over your company a Politically Exposed Person (“PEP”) / closely associated with a PEP?

1.1 Please specify and statue the name of that PEP

2. Which bank you’re maintaining in your home country?

2.1 Bank Name

2.2 Country

3. Does any of the key management staff hold an account with HK bank? (either personal or corporate.)

4. What are the short-term business plans/goals of the company?

5. Any business connection in United Arab Emirates?

6. What is the reason(s) to open bank account in United Arab Emirates?

6.1 Please specify

7. Financial Year ended

7.1 Please specify

8. Other banking service required

9. File Upload

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