Illustrative Customer Due Diligence Templates Page 6
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25EP 200 IG 2
MAIN FORM
(For natural persons
and sole
proprietorships)
Client/Agent’s Declaration
I declare that the information provided in these forms is true and correct. I am aware that I may be subject
to prosecution and criminal sanctions under written law if I am found to have made any false statement
which I know to be false or which I do not believe to be true, or if I have intentionally suppressed any
material fact.
Name of client/agent:
Identity/passport number:
Date:
Signature:
○ Verification (for office use)
Professional judgment must be exercised in determining if verification of identity should be that of “Normal
CDD” or “Enhanced CDD” standards, depending on the risk assessment performed on the client.
For Normal CDD, the following documents can be used to verify the client’s identity:
Copy of screening results from a reliable independent database (e.g., Thomson Reuters World-
☐
Check, Dow Jones Risk and Compliance database) of the client
Copy of passport or identification card (for Singaporeans and Singaporean Permanent Residents
☐
only)
☐
A document containing the address of the individual (e.g., a bank statement or a recent utility bill)
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