PREMIA TNC (MIDDLE EAST) – Key Controller Beneficial Owner KYC Form

Please attach:
(1) a certified copy* of Current Passport or Identity Card;
(2) a certified copy of Residential address proof within 3 months (e.g. utility bill/bank statement)
* Copy may be certified by Authority/ Notary Public/ Solicitor in Home Country

I confirm that the above information is true and accurate, and you are authorised to supply any or all of such information for due diligence & knowing your customer purposes to the Regulators if so requested by them. We also undertake to notify you of any future changes to the above information.